lhflanurseNP, MSN, NP 14,672 Views
Joined Jan 6, '13.
Posts: 727 (43% Liked)
I am confused. If you are a nurse...why not talk to your nurse informatics person in IT? Unless your facility is not documenting electronically, you should have one.
Classes can help, but are often expensive. When I was young, I was "forced" to learn English at a fast pace in order to avoid getting into fights that I did not provoke other than they could not "understand" me. To combat this, my parents encouraged only English and I recall we would practice pronouncing a word according to the dictionary's description (before we had voice dictionaries). I am told now that I rarely have an accent unless I have spent time talking in my native language for a spell. Good luck! Either way, if you try speaking slowly and clearly, most people will be able to understand you just fine. It is the most important thing that your patients can understand you.
You did the right thing. I "assume" your co-workers learned of this from the nurse in question. You don't have a clue what she may have told them, but either way it does put you on the spot. You have nothing to be ashamed about. If anyone asks, suggest they talk to the nurse manager and say nothing more. More nurses need to take responsibility for patients and notify administration of non-safe practices. Good luck in your new posting.
Maybe she was taught something different? Rather than confront her, which will put you on her radar, ask why as you have never seen this approach and are curious.
Can't get Sterile Water, Lactated Ringers, or Normal Saline IV bags! Have been able to get some through local vet. You may also try getting empty bags and individual "bottles" of normal saline then fill the bags. I am adjusting IV solutions for osmolarity in my clinic it seems nearly once a week as I am having to use whatever I can get my hands on. D5W seems to be the only fluid left, but it really messes up your osmolarity levels as well as can cause precipitation! What a mess.
In Florida, several insurers will not contract with a NP directly. This is a problem with Medicare Advantage Plans.
Did your school not cover this? It is interesting how many new grads are seemingly not getting this important information before they graduate. I recall having this reviewed about 3 times during my classes and ESPECIALLY in my last term.
Schools utilize various "reporting" systems for clinicals and have providers in the "system"...you may want to contact your clinical advisor to see if you can search the database for your area. When I started, my first preceptor died, my second retired, and my third developed cancer! Had to start all over. This occurred with my first 3 clinical rotations.
The reason you need to be a nurse before being a NP, is the course is shorter than that for PA. As PAs have little to no experience, they have to learn EVERYTHING. The idea behind the NP is that it is an advanced nursing role...builds on what you have already learned. Hope this helps.
I was told that my first year of college...now look at me. A full career in nursing and now a nurse practitioner. If it is truly what you want, you will get there.
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