Latest Comments by delaneyjaney

delaneyjaney, BSN, RN 2,575 Views

Joined Nov 14, '10 - from 'California'. delaneyjaney is a Staff Nurse, CCU. She has '5 yrs' year(s) of experience and specializes in 'L&D, Med-Surg, CCU'. Posts: 58 (12% Liked) Likes: 7

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    1) Are there staffing ratio limits in the state where you work?

    I work in California currently where there are ratio limits, but I am a military nurse and work in a MTF and because of that the Federal Government does not have to abide by state ratios. I work on a tele/PCU ward where the CA limit is 1:4, but we routinely have 5 patients and can take up to 6.

    2) What does your shift schedule look like (8 hour, 12 or more hours per day, etc)?
    12 hour shifts

    3) Have you experienced the effects of nurse burnout in your career at all, and how has it manifested itself?
    YES, mostly I find myself getting frustrated with patients and their idiosyncrasies more often than before. I've had to turn inward and ask myself where was my frustration coming from. Was it really the patient or was my patience running thin? 9/10 it was my own attitude causing my poor mood.

    4) Has there ever been a time when you or one of your colleagues has made a mistake due to exhaustion, stress, or low staffing issues?

    Not that I'm aware of, but certainly stress could have played a part. As a military nurses we have many other stressors than just staffing issues (though we suffer from those as well). Impending deployments, collateral duties, mandatory training (on days off) etc. all play a part in stress and exhaustion.

    5) Are there any changes you would like to see made on a state or federal level, to help solve this problem, or at the very least, lighten the load on nurses and help to provide better patient care?

    I think that nursing ratios should be a FEDERAL law, not state by state! Military nurses can suffer from burnout and poor staffing just like the rest of the country!

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    I got a stationary bike for my home! It's a bit of an expense but both my husband and I really enjoy it. We have a bike that we can stream live spin classes to and it's very nice. If you enjoy at home workouts things like Beachbody On demand that you can stream to your TV are also nice. This cut down for me the time it took to drive to the gym and it's a lot easier to motivate myself to workout if I just have to walk downstairs vs. driving 10 min away!

    I wake up at 3pm to workout/shower and make it into work by 545. It's tiring, and sometimes I'll skip a day or two but that's what works for me. I don't have any kids though

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    Thank you for your input ghillbert! I wonder if I too would tire of lectures eventually, at least for classes that were more dry. That's why programs that have a policy of "come if you want" for prior RNs appeal to me as well.

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    shibaowner - That's a great thought! I will definitely be looking into VA options in the future. Did you seek out the rural job or were you recruited?

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    shibaowner likes this.

    shibaowner - I have been interested in their program as well! How did you like it? I can only imagine the stress of having to find your own preceptor, so the fact that they find them for you was probably a huge plus.

    Were your "online" classes streamed lectures from the live class? That would be a good trade-off. I am just afraid of learning via power point slides :/

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    It's been quite a few years for me since ODS, but at the time the Navy Exchange had a program where you could sign up for their credit card to make the uniform purchase if you did not have the cash immediately. That's what I did. I took out a Career Starter Loan through USAA to consolidate my debt, school loans...etc and paid off the card immediately. But you could make payments on it if needed.

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    I purchased the online webinar from AACN and although I did enjoy it, I felt like the newly released PASS PCCN was a much better resource. The online question bank was immense and gave extremely detailed rationales. Not only for the correct answers but for why the wrong answers weren't correct. I do think purchasing the review booklet from the AACN was helpful because it gives you an idea as to how the test questions were worded.

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    Thank you for the insight Dodongo! That is a great reason to choose the ACNP track.

    TicTok411 - yes, I am very thankful for the post 9/11 program. Were you full time while working or were you in a part time program?

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    Hello everyone! I am researching AGACNP programs and am finding it hard to decode from different University's websites whether their programs are hybrid, completely online or full time brick and mortar. Personally, I would prefer a completely in-person program (my preferred learning style). I have my BSN and have been practicing for 5 years. It seems a lot of programs, especially BSN entry, have hybrid courses as the main didactic component, or even completely online. For those of you who have taken AGACNP courses online, did you feel well prepared? How did you like your programs?

    For those of you who attended brick and mortar intuitions, where did you go? I'd love to look into those programs! Vanderbilt is already on my radar

    Thank you everyone for your time!

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    Have you all started classes yet? I am looking to apply to the acute care program and am very curious about the class formats.

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    RN-ing likes this.

    Just because I have the time to pursue both doesn't mean that I should stay in school longer to get a degree that I don't see myself using. The reason I want to pursue AGACNP as my primary degree is because I have no desire at all for FNP (no babies or kiddos for me please!) , plus I know myself and my end goal is direct, in-patient care and from what I can tell an AGACNP degree is the best option for preparing me for that path.

    There's a multitude of reasons why one might consider leaving the military. FNPs in the Navy have HEAVY clinic hours and that's not at all something I want to be doing for the next 15+ years.

    Thank you for your input!

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    You have three options, Army, Navy or Air Force. First you'll need to read up on each branch and figure out which one you'd want to be a part of.

    Personally, I went through the Nurse Candidate Program to join the Navy. I applied while I was in nursing school and commissioned immediately after graduation. You'll need to go through an extensive background check, spend weeks/months working on your application/package and you may need to take a physical fitness test before being accepted as well.

    The best way to get information regarding requirements for each branch would be by reaching out to recruiters in your area. Make sure you speak with officer recruiters as each branch should have recruiters specifically for nurses in your area.

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    My advice to you would be to contact your Command Career Counselor if you have one on base, they have all the answers to those specific questions.

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    Dranger would you mind expanding on this opinion? I am active duty military and thinking of getting out soon. Florida is my home and where I hope to eventually settle after grad school. What about Florida makes it less desirable for APRNs?

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    ltielloshaw likes this.

    Hello there everyone, I am an active duty military nurse who hopes to one day be an Acute Care Nurse Practitioner, AGACNP. (In the next 3 years)

    At this time the branch of service I am in does not currently utilize ACNPs, so I have been considering coming back to the civilian sector. However, after reading many of the posts by new grad NPs, I have become very nervous about re-entering the job market, as many new grads seem to not only have immense difficulty finding jobs, but decent salaries.

    Are there any ACNPs out there who can give me an idea of how the market currently is? I am currently on the West Coast in California and don't plan on staying. The program I'm hoping to go to is in Tennessee, and we have family out in Florida, so location is flexible. I know things change depending location, but any information or experiences would be helpful.

    Thank you!