eCCU, APRN, NP 5,718 Views
Joined: Aug 31, '10;
Posts: 222 (36% Liked)
; Likes: 174
i am planning on getting my bsn after i get my rn license.i already have a bachelors in business. its scary to think i wont b able to get a job with just an rn degree.
You are giving up too quickly. You haven't even graduated yet! Once you graduate and pass the NCLEX, you may find yourself with more job options. Not everyone secures a job 2 months before graduation. My hospital isn't even interviewing yet!
As for the fiance who will leave you if he doesn't approve of your job ... Unless he is willing to pay your debts, then he needs to be supportive of you while you do whatever you need to do to pay them off yourself. If he can't do that, he is a loser and you should dump him. He is bringing you down when he should be building you up. If you want to be a nurse, then don't quit before you have even graduated. And don't stay with anyone who tears you down.
Excuse me Sir ....I realize you just got sliced open with a sharp object, but the "bad" words you're saying really offend my ladylike sensibilities.
It doesn't sound reasonable, to me. It sort of reminds me of those 911 operators who say things like, "Sir, you don't need to speak to me that way!" when someone calls in because their wife is getting stabbed to death and screams, "Hurry up and get here!"
Most ERs aren't like this since most providers have seen the ship sink. Smaller ERs have some providers that are still ******. However, the larger ones that I work in the physicians and nurses get along great because we need each other when **** goes bad.
"Takes one to know one!"
Did I just revert back to middle school?
In fantasy world, I'd something terribly clever that caused the doc to have an epiphany and be ashamed that he's treated nurses poorly.
In real world, I'd probably laugh and say something like, "So, what does that make you? A jack-ass with delusions of grandeur?"
I can understand perhaps in your experience that an ECMO is just like a VAD.
But as a BSN that went on to get my MS and CCP, I have to disagrees with your statement. VADs and ECMOs are not remotely the same.
I run a variety of VADs and ECMOs. From biVADs, HeartMate2, impellas, Syncardia TAHs, and using a cardiohelp for picking up ECMO/VAD patients.
Each curcuit, machine, and (obviously patient) is different. The insertion process and discussion and decision of which to use is quite complex. How can you say a post partem heart failure patient on a syncardia or heartmate2 that will go home with the device is anything like an ARDS ECMO patient?
I understand that while you watch them and chart every hour, it may feel the same. However, I've been in the room when RNs have described an ECMO/VAD as "just like dialysis".
Statements like "ECMO and VADs are the same" or it's just like IABP or dialysis show a major lack of understanding
Nursing is a calling much like a priest or nun.
"A lot of codes" is not a good thing..
I did not say that they shouldn't be an NP because they can't keep up their GPA. I said if they were not passing a course nor meeting the bare minimum requirements to stay in their program, that would be a red flag.
Also, I have a learning disability. I mentioned I have ADHD. It affected me all throughout NP school until I was finally treated starting near the very end of my program. A prudent student would make accommodations and adjust as needed. That's what I had to do.
I also realize that smart people fail out of school. Academics isn't for everyone, nor is it a gauge of how smart someone is. But to become an NP, it is a requirement for licensure. What happens when these NP schools graduate these people that repeatedly failed classes and they can't pass boards? They'll feel even more screwed for having wasted more money. And I NEVER EVER EVER said that the NPs with the best GPAs make the best providers. NOWHERE did I say that. I was speaking about minimum competence, and those with self-image problems read it the way they wanted to.
The poster doesn't need sugarcoated fairy tales. They need the truth and all options. I never said she didn't deserve to be an NP. However, if she is finding the coursework insurmountable, maybe it isn't for her at this point in time, or maybe there is another avenue in nursing she could pursue that would suit her best. I would probably fail miserably as an ICU nurse, for example. It's just not in my natural skill set. And there's nothing wrong with that.
But I'd hate to be an ICU nurse that repeatedly messes up and being told that I just need to try harder and I'll turn out great. I'd rather be told "nope, this isn't for you. Maybe you should try another area of nursing."
Except to get into medical school you need to already have a stellar undergrad GPA and pass the MCAT.
We shouldn't lessen our standards for NP school more than they already are.
You're generalizing people when each person should be treated as an individual it's not the license it is who the person is.
I don't want this to come off as harsh, but if someone is getting poor grades in school, do we REALLY want them prescribing meds and diagnosing people? Just because it is your dream to become an NP doesn't mean it has to come true or the world is unfair. I had ADHD and wasn't treated for it until my second to last semester in NP school, but I was never, ever in danger of failing out and my first BA had a GPA of 3.9 and my BSN a 3.7.
As an NP you'll have people's lives in your hands. Either study until your eyes bleed if you're not getting the material, or choose another path in nursing.
The people in my classes that were in danger of failing were the ones that we all thought should not even be in the program as it is.
I really don't understand the vitriol or superior attitude about B&M programs vs online programs. I went to a B&M program for my MSN, but honestly, what's the difference with "online" programs except that you don't sit there at lectures? I barely went to lectures anyhow - I don't find them useful, my teachers sent out the slides in advances, I went when needed for exams or if I had an issue with something. Online is just a delivery method like classroom teaching or anything else. You still have to do clinicals, physical exam and assessment etc in person for the required number of hours. Just another case of nurses (or NPs) fighting amongst ourselves instead of focusing on things we can and should change.
First Congratulations on your son! I am so sorry you had such a scary beginning.
Welcome to AN! The largest online nursing community! As per the Terms of Service we cannot give medical advice but we can give you general normality that go on inside the ICU.
It is impossible to know the why's of what they did. It is easy for her regular OB to play Monday morning quarterback. Many times in the emergency department patients are intubated for the sole purpose of sedating to keep a patient still to obtain the necessary exams when they are confused or combative. It is not uncommon to be agitated/confused after a seizure and in the presence of unknown etiology...to cover all angles, meaning, Lumbar puncture, antibiotics/heavy and strong...to cover all possible bases.
Many times in medicine we never find out the exact cause but the patients remain very ill or present critical and the final diagnosis remains an enigma. Intubation to protect an airway is usual and customary especially in the emergency department. It is best that if there would be any doubt of the airway protect it immediately. The emergency department doesn't play and wait until the least minute when it is a code situation....they simply can't wait. Time is of the essence.
Leaving her intubated may have been an over cautionary length of time, however, once again always side on the side of caution. IN the presence of her acute presentation I can understand the staff's nervousness.
Depending on the time of day...meaning night...certain things are just not done (again on the side of caution) like extubation until there is more experience and actual bodies present in case something goes wrong.
Propofol....wonderful drug! I recently had to have emergency surgery for ischemic bowel, small bowel obstruction, sepsis. They left me intubated (or so I was told) for a couple of days....to "let me rest" and unstable vitals.
I remember NOTHING! Apparently I was a piece of work on the vent. Propofol, Ativan, Fentanyl, and Dilaudid and I still would fight the vent, get my hands untied, moved constantly with only very brief moments that I was actually resting. My B/P was low as was my urine output and my heart rate was 140. They decided to stop fighting me and extubate me. I am told I promptly told them what I thought about being left intubated and how to fix my B/P, volume, sepsis, urine issues. Rolled over and went to sleep. I was told that my surgeon said...."Well she told us....do what she says". (I am a long term critical care nurse of 35 years and completely embarrassed at my alleged behavior )
The next thing I remember was 4 days after admission at 7 at night when my children came to see me. I am so happy my husband didn't let them see me with all that crap however they did see me newly extubated still talking turkey from the meds.
I think this has been very scary for your fiance and you...I think talking to the patient advocate will help you piece together the pieces. Ask to speak/have a meeting with the attending or medical director of the ICU to get the best perspective on this traumatic event. Maybe even seek some counseling to help you process this trauma.
In the end...you have a healthy son and fiance.....Merry Christmas
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