Rnis 2,313 Views
Joined Jun 22, '10.
Posts: 78 (45% Liked)
If your concern is your acute care skills, then I recommend pursuing the acute care certificate. BONs in some states are pushing forth legislation that only allows ACNPs to work in hospitals. If your goal is to work in the hospital, and you're responding to acute situations, it seems most fitting to pursue to the acute care certificate. Perhaps you can find a dual ACNP-DNP, feed two birds with one worm kind of thing, but at a minimum go for the ACNP.
I find it interesting that some NPs are reporting higher than average incomes for MDs in their specialty.
I've only been an NP for a few months, but I must say that it is probably the best decision I ever made. I feel extremely lucky to have had the opportunity to go to school with my husband's support and blessing. I can't imagine ever regretting making this career choice. Even if I was in a position that I hated, I could take a different position. There are opportunities to change and grow all the time. No regrets here.
Many nurses find they are unhappy because nursing has become a very blue collar type position (based on the way bedside nurses are treated). Nurses are expected to jump when the hospital says jump, and basically devote their lives to the job. In many cases, employers don't care about personal events that you might miss by working a specific day, and a nurse is seen as an easily replaceable hourly laborer.
At the NP level, there is just more respect. Nurse practitioners are seen as individuals, and (because they generate revenue) employers strive to keep them happy. It's a move from blue collar to white collar in terms of employers and coworker attitudes.
I keep reading posts of nurses unable to find jobs. I"ve been an RN for 18 years and I don't think in all my 18 years, I have ever been on a unit that is adequately staffed. I don't believe the problem is oversaturation of nurses. I believe the problem lies in administrations that don't want to shell out the money to properly staff their facilities. For every new nurse out there that is complaining that he/she can't find a job, there are 3 working nurses complaining of understaffing and ridiculous work loads. The poor economy is also partially to blame. We accept poor working conditions because we are afraid to be out of work. We set the bar low and then complain in the coffee break room. (Ha! that was funny. Has anyone ever even seen their break room?) Does anyone out there feel the same? Does anyone buy the "oversaturation of nurses"? I don't believe it. I believe as a profession, we need to set the bar higher, make our voices heard and demand better and safer staffing. Lord knows, there are enough of us out there.
Of COURSE you shouldn't have the additional duty of phlebotomy.
A cost cutting measure by the facility that makes them money and loads more on the backs of nurses.
I find many comments regarding: keeping my skills up, labs are the nurses's responsibility.. ad nauseum.. have been made by failry new nurses who have been brainwashed to accept the HUGE time consuming chore of drawing their own labs. Let's do the EKG's, the respiratory treatments.... baths , beds, feeding ,ambulation now that's primary care!
Great for the PRIMARY goal of the administration..... profits.
Now when your patient complains of chest pain, add several blood draws to the other additional nursing interventions such patient would need.
Been there, did that with 6 on a telemetry unit ... it was enough to put the already overworked nurses over the edge.
If I felt unsafe, I would have awakened the guards.
I wouldn't have reported them it that were the first time I found them sleeping.
I never get in a hurry to report anybody, without attempting to remedy the situation myself.
I'll agree that it's unacceptable.
Just as it would be unacceptable if I were sleeping on the job.
In that situation, I'd hope another nurse would wake me, instead of just turning me in.
I prefer "meat curtain"
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