Content That tokmom Likes

Content That tokmom Likes

tokmom, BSN, RN 30,404 Views

Joined Aug 20, '09 - from 'Somewhere in the USA'. tokmom is a CMSRN. She has '30' year(s) of experience and specializes in 'Certified Med/Surg tele, and other stuff'. Posts: 4,582 (61% Liked) Likes: 8,463

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  • May 2

    Statistics question. I am not great with Math, is Statistics going to be killer? What book is used for it? I'd like to get a head start if possible. Thanks!

  • Apr 30

    Hi all! happy to find this thread! I'm hoping to start the RN to BSN program next month and it's good to see so many of you completing it

  • Apr 25

    Quote from smusher83
    Okay this may be a stupid question but, What is an RN refresher course????
    If you have not worked a a RN in awhile..or have not meet the hours required to keep your license valid, then its back to school for a "refresher" Some are theory based and some are theory and clinicals. I am doing the theory part online...then 2 weekends of labs..then 4 weekends of working on a med-surg unit. Good times

  • Apr 25

    I like sharp things...

  • Apr 23

    I do know the VA pays a premium for education. BSN, MSN etc. I don’t think they view it as being a better nurse pay or doing more pay, but rather showing appreciation for furthering and paying for your own education in the form of compensation. If a manager looks over your resume and notes you have spent time on CEU’s even when not necessary and have been on committees, went the extra mile in educating yourself and have other skills, they may have a good stance for the pay increase.

  • Apr 21

    I took the exam (through AMSN) a while back, and I can definitely say with confidence that their exam is Level 10 in comparison with NCLEX. It was a bit harder IMO. I believe using floor experience would be more valuable. Good luck!

  • Apr 21

    It is amp 450 I've heard its easy. Pretty stoked as I'll be 35 weeks pregnant when that class starts and I've got really bad baby brain already lol

  • Apr 21

    Capstone starts in 2 weeks tokmom after that one class left and then graduation! So close!

  • Apr 21

    Quote from jenovievictoria

    I am interested to know has anyone who has graduated from this program received an MSN from a different college afterwards? Is a BSN from GCU accepted at all schools?
    Not sure why it would not be..its an accredited school....Does not just have an online nursing program, but an actual old fashioned "classroom" BSN program,lol I know of one that is getting her Masters elsewhere, but not sure which school

  • Apr 21

    I feel as if it means "acute-care", as most of the questions on the exam are specific to that area.

    So to simplify, hospital. :-)

  • Apr 18

    Quote from lil_owl
    Do any of you know the grading scale for GCU? I recently have received a terrible grade on a paper; the worst since I have been in the program.
    Thank you!
    should be laid out in the Rubric......

    or if ur looking for what makes an "A" on RESOURCES at the top..then in the drop down menu, select syllabus..then click on "overall" and u should see the grading scale.

  • Apr 13

    Pinkpinstripes, did you ever end up going to WGU? If so, details on your experience there please? 🤓

  • Apr 10

    I think some people aspire to be nurses because of a hands on/critical thinking combo. So I don't think some people are "built" to be nurses.

    Bedside has become rather robotic with a chicken with head cut off pace. Ratios and acuity are difficult to say the least. So it is not the profession per se, but rather the job. There are people who are more ill, more complex and limits on the time they can spend in house. So that leaves nurses to be working a practical miracle with a deadline.

    Back in the day 20+ years ago, there were fewer choices for women. Even a bit longer than that, there was getting married, being a teacher, a nurse or a flight attendant kind of culture for some. So there's a level of frustration there.

    Equally, at that same time, a hospital job was a really good job to get. The pay was amazing, lots of staff, really good benefits, room to be sent back to school, all around employers were invested in keeping nurses, and keeping nurses happy. Not so much today. And changes are not to the patient's benefit, even though the powers that be say it is. Wolves in sheep's clothing. And any number of us who have been on the job 20 plus years can see right through it.

    By then, you are stuck between a rock and a hard place. Financial responsibility, losing seniority and significant pay be going elsewhere, conditions the same or worse....and the ever present fear that people don't hire bedside 50+ year old nurses who have put in 25 years. They all want to grow their own for less money and no expectations/preconceived notions. But then you put a new grad in a place where seasoned nurses have been for a long time, and all heck breaks loose. New grads do not have the kind of instinct that was expected of a new grad 20 years ago. But you are playing with sicker people for less time. The days of Gram in the bed for a month because of her "failure to thrive" is over, vs the complex patient with multiple comorbidities that you have 3 days to fix and discharge and you best not have a readmit for the same thing is alive and well.

    Yes, to be paid well is not a bad thing. But to be paid fairly with a acuity level and patient load that makes sense and is safe, not having all of this strange passive aggressive bring all your personal problems to work weeks even better.

  • Apr 5

    That "All RN Care" model always sounds like a brilliant idea when some consultant is selling it to the suits in Admin. Then one day some bean counter plugs it all into an Excel spreadsheet and figures out, "Yikes! We're now paying RN rates for work that used to be accomplished at PCT rates!", and it all goes back to the way it was before. It doesn't usually take a scholarly, peer-reviewed study to convince Admin that saving money is a pretty good thing after all.

  • Apr 4

    Quote from tsm007
    I did realize that he could be running that low during his sleep on a regular basis. I just didn't know that would be considered his baseline since most of the day he runs normal. I thought baseline would be what you run majority of the time.
    Ah, I see where the disconnect is. "Baseline", to me, refers to the overall big picture of what is happening on a regular basis - not necessarily what is happening most of the time. For instance, from my cardiology days, i remember having patients that, most of the time ran with a heart rate in the 50s or 60s. But, at night time, in their sleep, they dropped below 40 on a regular basis. It didn't freak us out because we knew this was probably how they lived.

    In the ER or on Med-Surg, this would have been cause for concern and most likely would have bought them pacer pads. But on the cardiology floor, we took into consideration that the person had a long history of cardiac disease, had been on beta blockers for years, had an old LBBB at baseline, and so most likely dropped into the 40s at home all the time. If in doubt, we would wake them up and see how they were feeling, because whether or not the patient is symptomatic is pertinent information.

    It's not so different with your patient. The fact that he had already been prescribed CPAP which he chooses not to use tells me he probably has hypoxic episodes in his sleep all the time. To me, this is his "baseline".

    Does this mean you shouldn't intervene? Not at all. If you suspect your patient is hypoxic, you should wake them and assess them and inform the provider.