cardiacrocks 7,486 Views
Joined: Jan 2, '12;
Posts: 145 (40% Liked)
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Management told us to take all the clocks out of the patients rooms today, and at 3pm we had to put them all back. Let's get started on yet another project by administration, sigh.
Thank you. Fortunately, I have a great sense of humor. Also, working in the restaurant business for 20 years helped me develop a thick skin and a sick sense of humor. I've been in on some surgeries and have seen some of what goes on the the OR, I liked how close the staff seems and getting to see surgeries is like a dream come true for me. Thank you for the advice.
I'm very excited, I just excepted a position in the OR on day shift. I have been a med-surg/tele, (on a very busy cardiac floor) nurse for almost 3 years. I am done with bedside nursing. I know I wanted to have a strong med-surg background coming right out of nursing school; However, I knew I wouldn't stay there forever. I am extremely nervous and excited about my new career. I have very good critical thinking, I am a huge patient advocate and very high strung person, very organized too. Any advice anyone can offer me would be greatly appreciated. I know this is a whole different world, that is why I chose it, I want something new and exciting. Thanks in advance for any advice you can offer me.
First of all you aren't "old." I started a new career in nursing at the age of 47, yes, I started 2 years ago when I turned 47. I was never in healthcare before, I was in the insurance industry. I held a B.A. degree in psychology but decided that is not what I wanted to do. I can tell you this, I have been an RN for 2 years now and will probably gross about 80K this year. I'm not in this for the money but it does help. I went back and did all my pre-req's first and then continued on to the BSN program at a local college here. Now I am currently enrolled in the DNP program at a University, I work full-time and am enrolled in the graduate program full-time as well. I have 2 children and I am also married. It is A LOT of work and requires a great deal of dedication. I am going to get it done! You can do it too, if you are looking to change careers it is a great career to get into. Good luck at whatever you chose. I just wanted to let you know, there are a great deal of us "old folks," going back for second careers.
I work just weekends, I get paid a lot more to work weekends; However, I also bank far less PTO time. So, if a holiday falls on my weekend I receive double pay and do not have to use my PTO time ever. If I have a holiday off because it doesn't fall on the weekend and I decide to work it, I still get double time and do not have to use my PTO time. It can stink working all weekends but there are some decent incentives.
Oh I see you have been told you have half the floor tonight, good luck.
I think we should hook you up to telemetry and insert a Foley catheter, If you plan on drinking that entire cup of coffee.
I'm just curious how old you are, if you don't mind me asking? Also, you should obtain your BSN, I'm going to assume you are on the ADN track right now, is that correct? Once you have secured a job and obtain your BSN then you can move forward to the graduate level. You can become an FNP or there are many options for Nurse Practitioners (acute adult care, peds, etc.) Becoming a CRNA, now there is a lot to think about. You HAVE to work ICU for at least 3-5 years, the field is extremely competitive and you CAN NOT work while you are in that program. Most programs are 24-28 months straight, no time off. It's great once you are out and secure a job, however, If you have chosen that track just for the money then please don't do it. Have you ever been in an operating room, I suggest you shadow a CRNA to see if that is even something you'd like to do. As for me, I have an associates degree in science and I have 2 bachelor degrees one being a BSN. I have been a nurse on a cardiac floor for over 2 years now and I start grad school this fall in the FNP program. It is very hard and challenging. Anyhow, good luck on whatever adventure you decide to pursue.
Something about this post just doesn't seem right to me at all. I'm sensing some red flags here. First of all, why would she have to give regular insulin to someone with a BS of 121, usually when you give NPH the regular would be on a sliding scale and it would be held d/t the BS being 121. I agree with another poster, if this is a brittle diabetic and from what I am reading I'm going to assume it is, then the BS can drop at anytime for no reason at all. Secondly, people are mixing something up, she didn't give 12 units she gave 19 units, and I will assume she was probably very nervous when questioned and mixed patients up. If she has a lot of inmates to deal with I can see how that might have happened, especially when you are nervous. I'm not saying it would happen to me, but I'm not her, but I can see how it would happen. I'm curious when the last dose of NPH and regular insulin were given, also what time where these meds given, there are still so many questions unanswered. I can not make a judgement based on just the information given here. Anyhow, the patient in question is okay, they followed protocol and gave D5. That's why something just doesn't sound right, sounds to me like they wanted her fired. I'd get an attorney and fight this, I hope she documented this really well for her sake.
"Major changes need to happen to the NP model because within a decade it's going to be ruined. The huge influx of schools and grads, most of whom have no RN experience and may not even be good providers due to lack of standards, will oversupply the market. Unable to find work, they will take the first offer they see, even if it's working as an NP for 50K per year. This drives down the salary for everyone, and over time, becomes the new norm."
First of all I'm insulted by this reply. I understand that you might be referring to Walden University standards, but I am attending a University full time in the FNP program and I assure you it was not easy to get accepted. First of all I've been a nurse for 2 years, and I have a great GPA! I wasn't required to take the GRE's based on my GPA. Maybe some schools, those online might have lower standards, but I'm in class 2 times a week, full time, and it's A LOT of hard work. So please don't generalize. Being a NP was a goal of my all along, I also assure you I am not doing it just for the money, although the money will be better it's salary with no OT option. I can not wait to graduate, I'm looking forward to my future endeavors.
I make way more than that as a staff nurse, good luck.
At my hospital we are so short staffed we hire a great deal of GN's. We keep expanding, this whole area is hiring. I live in upstate NY and work at a hospital in PA. Many GN's come from all over the country to get experience here. Good luck, you might have to consider moving for 1-2 years to gain the experience that you needs.
I thought I would add in another aspect to think about ... you say your husband is receiving a military scholarship for med school. That means after he graduates in 2 years, he will be stationed somewhere for his residency training right? If you start a 3 year program, you are guaranteed to be separated for a year. Now, it can be done. A lot of nurses (and nursing students) have been separated from their spouses temporarily but it is something to consider in your decision.
As another poster has said, the DNP curriculum is currently unorganized and if a MSN prepared nurse can get the same job as a DNP, why not pay less money and go for the MSN?
My advice is to forget the DNP for now. I have been in a similar situation as you...I'm an RN and would like to become an NP soon, but couldn't really decide between MSN and DNP. I finally decided on MSN after a lot of research because:
1. Having the DNP doesn't change job prospects, salary, or responsibility. All jobs simply require an NP license, which is currently attainable at the MSN level.
2. Going for the DNP all at once actually causes your degree to be more expensive. You see, most schools charge less for a master's degree vs a doctoral degree. If you enroll as a master's student, you will pay the master's rate. If you enroll as a doctoral student, you will pay the doctoral rate per credit/semester - even when you're taking the same classes as the MSN students!
3. The DNP is fairly new and seems unorganized. I'd rather wait until it becomes more clinical based and has been revamped - right now, the standardization is pretty lax and I feel I would regret getting it right now.
4. I believe working as while as an NP with an MSN will give you a greater appreciation for what you're learning once you go back to school for the DNP. Things just make more sense when you can apply them.
Due to these reasons, I have decided to go for my MSN now, saving considerable debt and allowing me to being practicing sooner. After my debt is paid off for the MSN and I have practiced for a while, I will go back and receive my DNP, which by then should be more standardized. I hope that helps!
I love this kind of stuff, very interesting. I was thinking thyroid storm along with Rhab. Thanks for the presentation. It's great to see how other nurses think.
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