lhflanurseNP, MSN, NP 15,867 Views
Joined Jan 6, '13.
Posts: 732 (43% Liked)
Still in school until December but, locally, the docs look at what clinical experience through rotations the student underwent and how much time was actually spent face to face with patients. Some of the traditional schools only require clinical hours while other require patient hours.
Not only did I appreciate everything I learned from LPNs while a student nurse (many moons ago)...I learned even more as a "new nurse". LPNs are definitely nurses in my book!
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.
There are quite a few "concierge" practices that take cash only. Many solo practices are going this route as dealing with insurance is costing them more money than they are collecting. You almost need 1 staff person to deal with insurance only in your clinic. These practices will lose patients who cannot afford this type of practice, but from what I am being told, "I may not be making as much, but I am a lot happier and less stressed". As to your third question...depends on your state's laws I would think. If in an independent state...sure. If not, is the collaborating MD willing to allow you "independence"?
This happens ALL the time! Seems ANYONE who cares for patients are "nurses". Maybe some truth to "fake news". The problem is the headlines are MUCH more "grabbing" if it says "nurse" rather than "aide or assistant", or in this case "20-year old woman". Truly a shame!
Just because someone is able to complete NP school and then pass boards does not make them independent thinkers. I have found many NPs that are VERY confident in their patient care and then I have known many who unfortunately for our profession...are just glorified nurses with advanced degrees. When I first started practicing in my community, I had to deal with physician ignorance. Most had NPs working FOR them, but were not seeing patients truly independently. As I continued growing my patient base, these physicians began to see me as an integral part of the health care community and IF I referred a patient to a specialist, they knew I had done everything I could for that patient but they needed more. My referrals...cardiologists for stents, caths, bypass...etc.; orthopedists for replacements; surgeons for surgery; oncologist for cancer. I have yet to refer a patient to an endocrinologist or pulmonologist.
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.
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