bebbercorn, BSN 9,296 Views
"Raise your words, not voice. It is rain that grows flowers, not thunder."
Your post is a little off-putting with the emphasis on accents/being from the same continent/etc. I am going to side with the charge nurse on the "I need you to..." comment. I try to remember just how hard CNA's work and are as human as I, and I try to ask "Hey, Janet. I'm a little slammed with xyz. Would you mind bringing some water to pt B? Thanks." The wording "I need you to..." can come off the wrong way.... Just my two cents.
Don't forget the anxiety component. Here are some things I check as an ER nurse...
1- is the room spinning? Are your ears ringing? Did your hearing change (check with a whisper test, for example). This could be vertigo or inner ear problem, menieres...
2) do you feel like you may pass out - r/o cardiovascular cause... orthostatic VS, heart sounds even, regular, peripheral pulses strong/weak, cap refill...
3) Disequilibrium - tripping over feet, problems "turning on a dime" etc to check for gait abnormalities or peripheral probe (unlikely in healthy teens, more with things like Parkinsons or peripheral neuropathy
4- "Lightheadedness" or vague complaints can be psych related.
Check for euro hx - migraines, etc. Do they take meds? Pregnant? A million causes for "dizziness," if nervous, get them to a doc! Good luck!
You will find that many people, nurses included, can be very toxic against NPs. Keep your head high and put your best foot forward. We are advancing on what was historically their territory, and I hate to say, giving a lot of power to women in a traditionally male dominated field. There's a number of reasons to be defensive about it, but essentially, that's the way healthcare is moving. Study after study proves we give as good care or better than doctors across the field. And your teacher is full of snot.
Any nurses or NPs working in a mobile clinic setting? I know that starting a business definitely have lost revenue, but I'm trying to estimate how many patients one would see in a large city in a day? Is 8 a fair estimate... (for a newbie) And do you travel to them or do they come to a site? Thanks for the input.
Your facility is required to allow you a pump break. Texas Mother-Friendly Worksite Program - Breastfeeding Laws
I am so sorry for your rough day!!! From ED perspective (and I don't think this is necessarily right), generally the admitting MD orders it, and it is started on an inpatient basis. Unless, the admitting MD asks the ED to start it, or the patient holds in the ED. Then we can access inpatient orders.
You had a day from hell and made it. You would have well been within your rights to give some of that attitude right back for calling you at 11 pm! Years in, I still make mistakes. Of course, I internally beat myself up, but externally, thank God, I have reached the point where I can just say "Yes, you're right. I should have done XYZ. Good catch. So, how's the gardening going?"
With catering to patients a necessity these days, my waitressing experience comes in quite handy...
Just because something isn't my cup of tea doesn't mean I look down on it.
and p.s... Doctors Recommend Careers as Nurse Practitioners vs. Primary Care Physicians | University of Arizona
Both Doctors and NPs recommend those wanting to go into primary care pursue a route as NP.... just sayin'
I'm in one of those where you have to find one of your own preceptors. We are accredited and one of the highest ranked in the nation. I happen to live in a very saturated area where there are other well known universities. Many sites said that they would only take students from local universities.
I am currently sitting out a semester because my preceptors practice (MD side) all of a sudden decided they would not take NP students. My institution is trying as much as they can to help, but it may mean going out of state. (!) I do not think it's horrible having to find your own, as long as you are given some resources, which I was (past preceptors, emergency contacts)...
A huge issue is NPs not wanting to take students. I agree with other posters that if they're not getting paid to, why should they? Those offices I call that do have student friendly NPs seem inundated with requests, and I kind of get that "Siiiiiiigh, I would like to help you, but I've had students with me for a year and I really need a break." We are only allowed to do a certain number of hours with specialty/MD and I was hoping to save these in case I had a specialty NP that I could follow for a bit. Also, some are in positions where NPs state "we only get the walk-ins, and the MDs aren't NP student friendly." Frustrating.
I'm all for having it set up for me, as then I wouldn't be twiddling my thumbs while all my classmates spring ahead. Unfortunately, even brick and mortar schools are starting to follow this standard. A friend at a very well known NP program has been working on her degree for 4 years because of schedule changes, school being unable to set up a reliable preceptor, etc. I believe it is the new norm...
I think the answer lies more in a nationwide requirement for an established NP residency than putting all the burden on the school. Some programs I know of blend some of the MD components with NP components (didactic and clinical). I would have loved to do a program like that!
I have been asked this as an RN, and I say with confidence "I recently interviewed at XYZ hospital. However, in my research and from what I've heard in the community, this would be my first choice..." or something similar. Like most questions, I feel like you have to turn the negatives into a positive. It is a weird question, but interviewing elsewhere does show that you're marketable and the type of job you're looking for. I hope this helps, good luck!
Advertise With Us