BostonFNP Guide 49,521 Views
Joined: Apr 4, '11;
Posts: 5,169 (63% Liked)
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Auto immune mediated anemia and asthma (secondary) and celiac disease. My system is just too fragile for vaccines and I thought I would just be able to wear a mask instead. but the laws have changed now
Who left the gate open? You have lost your weekend passes till June!
Who is to decide the metrics for adequate patient care if it isn't management?
I'm confused. Genuinely.
When I entered clinical practice as a paramedic 25 years ago, I was told that my patients would now be "writing my tuition check going forward", and the cost of that tuition was now going to be paid with their life if I really messed up - yep, that motivated me to WORK harder post licensure than in college then and later as a new RN and with every new role since. That tuition they may pay is a privilege, I take seriously and I give it everything I have.
Yeah, I think that speech might apply here. Pass it on.
When did clinical mentorship or high standards of clinical practice for any provider become a bad thing? Why would it be surprising that inexperienced providers with high case loads have worse outcomes?
Any wheel you come up with will still need to be round to roll, eh?
Since it is a life and death business (high stakes environment), why is that entry into clinical practice such a vicious environment that punishes unsuspecting patients and can literally kill them - pointlessly, needlessly.
Do these patients gave a right to know how "new" their providers are? Would you want to know?
Medical error is the 3rd leading cause of death.
Overworked, under-supported is not a badge of honor.
Some tuition really can be just too high.
Which studies have you read that you find lack value? Is that based on your professional practice experience as an APN?
The truth is that the vast majority of people that weigh in on this issue: 1. have never read any of the extant data on the topic as their minds were already made up and 2. have little to no experience with NP education or advanced practice experience.
I'm curious, since no one has asked, what did the child's parents say? I would think if they know their kid weighs 44 lbs, they'd question it if a practitioner said "OMG, your child has lost 1/3 of her body weight, she's down to 30 lb and has fallen off the growth chart!"
I can see not noticing a 14 pound discrepancy on a 200 pound adult but 14 pounds is almost 50% of the weight of a 30 pound child. Not something any observant healthcare practitioner would overlook.
I would think anyone working in pediatrics would be better at estimating weights.
You're a genius if your subject line was deliberate.
For the record, I hope my patient was able to hear me. I doubt it, but I hope so. I did my best for him and his family, and my best is something I have always had a very good reputation for as a nurse, even among people who didn't like me. Keep in mind, the reason I did all that I did for him was because a bunch of lazy nurses before me never did--probably atheists.
So, my best comes with my religious convictions. The only reason I'm a nurse and not an accountant is because of my religious convictions. I have had so many dying patients. I have been on so many codes. When you've walked a mile in my shoes then I might listen to you. I loved my patient as I love myself. I did unto him, as I would have it done unto me. That's what my best comes with. And I can tell you right now, he was lucky I was his nurse. He never regained consciousness. He died. But when his family came to see him, he looked dignified instead of disheveled. He was clean, orderly, smelled good, and looking at peace.
Judge me? Go judge yourself.
I was his nurse. He was my patient. He couldn't do for himself, so I did for him. And if the worst thing he had to endure was my statement of faith meant to encourage him and give him strength, then he got off pretty easy. He was an old man, a vet, he raised a family. I doubt he was offended by my comments--and I hope that he did hear them.
I'm a Direct Entry grad, and have no regrets about going this route. I've never had any issues obtaining jobs as a NP, and never had an employer that was concerned about my lack of RN experience. I'm an FNP, and work in a specialty outpatient practice.
I did a brick and mortar program at Boston College. I learn better face to face than online, and I felt it was valuable to know and spend time with my cohort. We studied together and were a good support for each other. The program was pretty intense and you needed to be be motivated and take initiative to search out information on your own. Still, I never felt it was unmanageable, but school was my entire life while I was in the program.
You will find a lot of naysayers on this forum. It's frustrating, but I see that I have been successful and my cohort have been successful as NPs. I let my patient outcomes and peer/supervisor reviews speak for my abilities and competence-not someone who has never met me or might not even have a good understanding of DE programs. Choose your program wisely. Go to the best program you can afford, and pick one that will help you find preceptors for your clinicals.
Best of luck to you. Feel free to PM me if you have further questions.
How has nursing changed me? Hmm... I'm certainly more jaded and cynical than I was prior to getting into nursing. Now as a psychiatric NP, I find myself trying to diagnose Axis I and II disorders in almost everyone I run into. I also seem to have this odd dent in my forehead; it may or may not be from repetitively banging my head into walls.
Aaaand on to the main subsection of this post: EGSpirit
I consider myself pretty religious. I believe in God and follow His commandments as well as I can in my day to day life. However, even as a fellow Christian, you have made some remarks here that deeply trouble me. Number one: It is not your place to be telling a patient on his or her deathbed that s/he must endure for anything. The patient was old, tired, in pain, and dying. He should have been allowed to pass into whatever afterlife (or lack thereof) he believed in without you telling him that he needed to endure another second in this world for any reason, and this includes seeing family, religious conversion, or anything else.
Number two: I echo everyone else's sentiments regarding proselytizing to an unconscious person; it is not your job to try to convert a dying patient if he cannot participate and tell you whether or not your ministry is even wanted. I agree that bringing God into the fold as a healthcare worker when having not been asked to do so by patient or family is inappropriate. For some, religion is peace, for others, traumatic, and for any number of reasons. How would it make you feel to be on your deathbed and have a nurse praying over you in the name of Allah? Please keep things like this in mind.
Number three: I have known many Atheists in my career and, funny enough, they all seem to be capable of providing proficient and compassionate care. It would probably also do you well to remember that we Christians haven't yet cornered the market in compassion, and some of the most hypocritical people I have ever had the displeasure of meeting claimed to be of faith. It was lovely that you prepared your patient for family visitation, but the nurses before you may simply have not had the time to do so; when I worked in the ER, it was all I could do to get my work done and make sure my patients were quasi-comfortable. I'm sure it had absolutely nothing to do with the previous nurses being Atheists.
Number four: I will pray with my patients and attempt to comfort in a religious way if AND ONLY IF the patient (and any family present) has asked me to do so, or have made it known that it is okay. To do it at any other time is very presumptuous, and a violation of the therapeutic relationship I share with my patients.
Finally, I do not believe that anyone here has addressed you in such a way that has necessitated you responding with the venom and name calling that you have. Please do not continue to give us of faith a bad reputation; it is bad enough as is anymore.
So, I closed his door; I cleaned his room, and I whispered into his ear: "You may not be here much longer, but you will look presentable and respectable for your family. I will not let you be seen without your dignity and honor. You must endure this for them. We are men; we put our faith in God.".....
It's why God called you to it--to change you.
He was comatose. Nothing hurt or offended him. ...
So, I closed his door; I cleaned his room, and I whispered into his ear: "You may not be here much longer, but you will look presentable and respectable for your family. I will not let you be seen without your dignity and honor. You must endure this for them. We are men; we put our faith in God."
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