Latest Likes For CNL2B

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CNL2B 4,309 Views

Joined May 3, '10. Posts: 578 (40% Liked) Likes: 736

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  • May 21

    Quote from jjjoy
    #1 Professional nursing care is the professional assessment and management of a patient's (or community's) health conditions/status/indicators. This may or may not include providing medical diagnoses and making medical/surgical treatment decisions.
    Completely and totally disagree with this. I do not diagnose, am not responsible for diagnostics, and do not want to be held liable or responsible for diagnosing disease. This is not within the scope of practice of an RN. I practice in critical care, which stretches my skills, knowledge, and ability within my license to it's max capacity. I know full well I am not qualified to make a medical diagnosis.

    Nearly all medical problems have cluster symptoms. As nurses, we are educated to know what these symptoms are and to help manage the course of illness, but that doesn't mean we can necessarily differentiate subtle differences in patient condition that would change the differential. We aren't trained to that degree, period, no matter how rigorous or prestigious your nursing program was. Sometimes we can beat the official written diagnosis to the chart in our heads, and sometimes we can't. Either way, it doesn't really matter, because we can't formulate a medical plan of care, so in my mind, it's a mute point.

    Physicians and mid-level providers go to school a minimum of two years beyond a Bachelor's degree (obviously much more for physician specialties) to be specifically trained in pathophysiology, diagnostics, and physical assessment. If you think for two minutes you have that level of education and licensure to back you up, you are sorely mistaken. Sorry, I'll stick with the hated NANDA "constipation" as opposed to SBO, and "impaired gas exchange", as opposed to "klebsiella pneumonia."

    Doesn't mean nurses are stupid, or they should be disrespected. Just sayin.

  • May 12

    Are you kidding?

    Graduation from any college program is not a guarantee of a job, even with honors. It's never been that way and never will be. Educational institutions cannot provide you with a sure shot at a job, for good reason -- they are there to educate you and provide you with a foundation for your future, but there is no way they could ensure that all or even a high percentage of their grads get jobs. I suppose that you think that all colleges should employ a department full of people that do nothing but sit around and look for perfect jobs for you to apply for, too? I don't think so. There is no obligation there, implied or written. Your lawsuit would go nowhere.

    Job prospects for everybody are crummy right now. Why don't you ask the liberal arts grad that graduated with top honors from your school where she/he is working right now -- she/he might very well be unemployed too. Or, working at the Gap. Or, Hardees. Or, something else completely beneath his/her level of education. This is how it is.

    Please read what you wrote. I'm honestly blown away by this kind of attitude. How entitled can you get? Jeez.



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