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BostonFNP Guide 51,125 Views

Joined: Apr 4, '11; Posts: 5,235 (63% Liked) ; Likes: 13,335

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  • May 18

    Quote from LovingLife123
    This has to be a homework question. No way is there not a way to get a hold of a physician. Somebody has to be on call. I also do not know of any RN who has doctors numbers at home. A nurse can call this doctor from home, but nobody in the facility can?

    A very badly worded homework question.
    You have clearly never worked in a small town hospital.

  • May 17

    Quote from Horseshoe
    Is this a homework question?
    ^I thought this, too!!^

    Nurse 1 made an error and attempted to cover up the mistake by retroactively getting orders. But I agree with the previous poster that, in this scenario, she should have come back to write her own dadgum VO in the chart (thereby acknowledging her error)....

  • May 15

    I was the only medical person on a flight once recently when a call for a nurse or doctor was made overhead. I spoke to the physician on-call and shared my patient assessment with him along with recommendations, which were then ordered and administered and I stayed with the patient for monitoring. I was there to hand the passenger/patient off to the paramedics once we landed. I felt really proud to be a nurse that day.

  • May 10

    I'm also a veteran. I've made my way in this world not being a protected class from that service, so it irks me that some veterans believe that they should have special privileges due to that (of course beyond those who have mental and physical wounds from war- millions who served never touched conflict. The GI Bill was by far compensation enough.) I want full discolosure: is the OP a smoker, or are they ranting on behalf of the rights of downtrodden smokers everywhere? How does one insert an eyeroll here?

    My disclosure is that I'm not a smoker. While I was in the service, I wonder how much second hand smoke I received from smokers and how much more I worked while the smokers were taking their multiple breaks per day? Fun fact: smoking used to be allowed everywhere in the military.... until they noticed the tar was caking up equipment's internals (sensitive electronics) thereby increasing maintenance costs and increasing health costs during and after service. Is that loss of personal freedom or is that rational decision making?

    There is freedom for and freedom from. You want to smoke? You're welcome to it as long as 1. Healthcare costs for others don't increase because you pay your fair share. 2. I don't have to inhale either passing by or on your clothing 3. I don't have to see it i.e the millions of cigarette butts that can take a long time to degrade in the environment. I want my freedom from that.

  • May 9

    No matter how much experience or education we have, we will encounter presentations we want to bounce off others.

    I have a couple of experienced NP friends I talk to.

    I am in an independent state, and work in LTC, but the threshold to send to the ER is relatively low. Dangerous? Call an ambulance.

    Although independent, my state has some kind of vague and ambiguous language about maintaining a relationship and communicating with a hospital.

    I am not solo, and I have 15 years of experience.

  • Apr 16

    I'm still waiting on the "breaking news" we have been promised for years exposing the conspiracy of nursing academia. I swear I'll send you a Starbucks gift card if it ever comes out and they will verify that "avenging spirit" was their deep throat.

  • Apr 4

    Quote from wondern
    I wonder what evidence they used for recreational use of alcohol?
    Most likely the fact that alcohol isn't a Schedule I controlled substance.

  • Apr 4

    I think that strenuous physical activity is better for your mental and physical health than smoking a joint.

  • Apr 4

    Quote from avengingspirit1
    But the topics of staffing levels and nurse education and their effect on mortality rates are mutually exclusive and should have been examined in that way if the authors really wanted to imply that RN education levels affected patient outcomes.
    You keep using that word. I do not think it means what you think it means.

  • Apr 4

    Maybe if you take sociology of nursing or theoretical foundations of nursing, you'd actually have half a clue what you're talking about. I further add that maybe a course in research would be helpful as well.

    I'm working with BS students now. You know what they're learning? "early signs of sepsis, diabetes complications or new wound healing methods or new methods to accelerate healing and speed recovery"

    Literally. Our juniors are learning this during this semester.

    Speaking of people crawling out of their cubby-holes, hi, everyone. Nice to pop in again.

    AS1, always nice to be dragged back yet again by you. Thanks for the email notification on a 4 year old thread.

  • Apr 3

    To the OP:

    Nursing is a second career for me but I've been at it for 26 years now (read: I'm old and mean). I did nephrology for 11+ years and am now in cardiology. I'm already looking for my next big thing because this job isn't that great.

    Notice - I said "job" not "career", not "the epitome of my existence" or some other nonsense. Its a job - a way to pay the bills; thats it. Don't look to your job for your life's fulfillment because you won't find it there.

    I went thru a very life-changing situation last year and it has made me realize exactly whats important in life and it ain't any job.

    I wish you the best in your decision.

  • Apr 2

    Quote from avengingspirit1
    I know you are afraid. It's why you crawl out of your little cubby-hole, along with the other one from Boston to try to refute it when I write about it. Everything I said about the Aiken study was true and in the study itself; which I'm starting to doubt you even read through. You and others are afraid of the backlash when nurses start to realize they went into debt for thousands unnecessarily. I told you, I met with one of the big 3 NBC, CBS, ABC a couple of years ago. The producer wanted more nurses who would speak out. And now that more are leaving nursing rather than go into to debt for something that doesn't do squat for patient care, you're worried more will be willing step in and speak. If you though I was a kook, you wouldn't bother to respond. By the way, how's your coffee and doughnuts today. Good day my friends.

    I still don't understand why you are so convinced that I, or anyone else, am "afraid" about any of this. I have no personal stake in this issue either way. I just hate to see anyone mangle science as badly as you do. I find it embarrassing for nursing as a group.

    And what's the obsession with "coffee and doughnuts" about? I see you keep making references to that, and don't get what your point is.

  • Apr 2

    I'm not afraid (what on earth would I be afraid of?), and none of that is "the truth," it's your opinion.

    So, how's the big media expose' coming? You've supposedly been working on it for a few years now; I haven't seen anything in the media, other than you continuing to post here to flog the same opinions over and over.

  • Mar 28

    Hey abc616-

    Welcome to the world of Direct Entry haters. You get to be torn down for not doing things the "right" way and "bypassing the entire nursing profession", while those that think that their way is the only way shout out their righteous indignation and beat their breasts at the thought of someone who-gasp!-doesn't want to "pay their dues" as a bedside RN. Some of these people aren't even NPs, yet profess to be subject matter experts on what makes a good NP. Oh, the humanity!!!

    Actually, I'm exaggerating here, but the underlying premise holds true. DE NPS can be, and are, competent and successful. Nursing experience can be valuable and beneficial, but does not necessarily affect the success of NPs and patient outcomes. This topic has been beaten to death on this forum. A good DE program can and does turn out excellent NPs. There are some bad programs, just as there are bad traditional NP programs. Make sure you're in a good, reputable program.

    I am a DE grad who has been practicing for almost 9 years now. I chose to do FNP because I wanted to see patients of all ages, and work in a family medicine practice. I ended up in an adult internal medicine practice for 3 years, and then went into a specialty practice where I could see both kids and adults. I work in allergy and asthma, which was a natural segue for me as my previous work experience and education is in immunology and laboratory medicine. I like having depth of knowledge in a focused area. I will probably stay in this specialty for the remainder of my working years.

    Best of luck to you. Work hard, and let your practice speak for itself when you're a NP.

  • Mar 28

    I had multiple experiences of being eaten and bullied prior to becoming an NP.

    That was, in fact, a large part of my motivation.