Content That bebbercorn Likes

bebbercorn, BSN 9,736 Views

"Raise your words, not voice. It is rain that grows flowers, not thunder." ― Rumi

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  • Nov 7

    Not only can you give blood through an IO, it probably would have had a faster flow rate anyway. A 20 cm 14 gauge CVC lumen has approximately the same flow rate as an IO or 20-22 gauge angio when placed under pressure. Smaller CVC lumens are going to have slower flow rates, and after you get one IO and start infusing you can go ahead and start another. An IO is far from my preferred access in a trauma but you work with what you have.

  • Nov 7

    Whoever told you blood cannot go through an IO was misinformed. Blood can absolutely be given through an IO.

  • Oct 20

    Quote from CardiacDork
    Simply put I believe that many of the people I have personally encountered lack the scientific inquiry that I believe is necessary to become a successful provider. I've seen firsthand the material provided by the numerous online programs and it's laughable at best. Relying on pure memorization and regurgitation with no reliance on the why. I think THAT is far worse than people with little to no nursing experience entering the field. (Granted, I DO believe there should be an experience minimum requirement).

    The fact remains that people that could care less about diagnosing or treating are only switching to advance practice to get away from the bedside, in search of the "grass is really greener" and THAT is not okay in my opinion. Unfortunately it happens and WILL continue to happen so as long as these fluffy NP programs continue to pump out graduates, and the NP title will continue to be the laughing stock of the healthcare/medical community.
    Can I rant back a bit? Some of this is playing devil's advocate, but I have seen lots of posts lately hitting on some of these things.

    First off, getting frustrated about the motivations of others is really an exercise in futility. It is no surprise that with increasing salary for NPs and PAs that talented people are starting to pursue those roles more directly, just as they have with medicine and law for decades. This isn't a "bad thing" for the profession necessarily.

    Second, while everyone has opinions, not everyone has expertise. Four or five years ago now there was a study that showed that strength of opinion was inversely correlated with knowledge of the topic. There are some strong beliefs/opinions being expressed on these topics here and it oft seems that posters scarcely consider if they have the relevant experience/expertise to properly affirm those statements. The bias that exists here makes it difficult for many novice NPs; one of the biggest challenges a novice NP will face comes from other nurses, which really is a shame.

    Third, if we are following the scientific method as an essential prerequisite, then we should consider the data rather than anecdotes.

  • Jul 20

    I'm in nephrology in the midwest and am fried.

    I loved being an ED RN.

  • May 24
  • May 20

    Hello,

    I am unsure if I can place links here but on amazon, take a look at this book: Housecalls 101: The Only Book You Will Ever Need To Start Your Housecall Practice by Dr. Scharmaine L. Baker. If you have any questions @rn_solutions on Twitter or IG

  • May 20

    Quote from bebbercorn
    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.
    bebbercorn,

    I don't have experience with this, but I bet your mobile unit will do well. I have heard that rural areas do very well due to lack of access, fewer care providers in town etc... Food for thought as you grow your business. Good luck!

  • Apr 18

    I attended Loyola University New Orleans. Most of it was online but we had dates to be on campus every year. I even completed some of my clinical hours in Louisiana. Every semester a faculty member visited each student on the clinical site and evaluated us. I feel that I had the best of both worlds. Honestly, no education can fully prepare you to transition from RN to NP. There is a learning curve and you feel like you are doggie paddling for the first year I am told. I am four months into my first job as an NP. I am constantly learning and asking questions. Best advice is to KNOW what you DO NOT KNOW. New providers that don't ask questions or look anything up are scary.

  • Mar 21

    The nurse should have addressed this with you while you were giving report, they were way out of line to call you after report and clocked out. I would have been livid to receive a call like that, that late a night and would have told the nurse that she has wasted her time calling me and that her questions needs to be taken up with the md as to why the patient wasn't started on heparin if she's that concerned about it.

  • Feb 15

    What the heck are FNPs doing? We are filling a primary care shortage. that's what we are doing which is a VERY IMPORTANT JOB. I personally don't think that everything is about money. I have worked at a job where I made 170k, rural, not happy. I now have a job that is 70k less than that job and its rural and I am quite content and happy with it because of the working environment. I work with people who went to prestigious /ivy league schools who could've gone to any working place that pays a heck of a lot more and pay their loans as well but they choose to work in rural under-served areas.

  • Jan 8

    I'm the OP! I apologize for being MIA but actually had to have an total hysterectomy due to severe endometriosis and fibroids and all sorts of fabulous things happening. And during all of this have met a wonderful fellow poster on allnurses who put in a good word for me. Long story short, I received a phone call the day after surgery with a wonderful job offer!!!! I'm thrilled beyond belief!! Still doing wellness home assessments but full time with a great salary and actual benefits!! Starting training at the end of the month which coincides perfectly with my recovery start date. And is all in my county and two surrounding counties!!! Yay!!!!!! Thank you to everyone for your encouraging words and advice and especially to the wonderful NP who reached out to me and put in a good word for me out of the kindness of her heart. Thank you!!!

  • Jan 8

    I would not reveal. No ones business,

    unkess you private message and feel 100% comfortable doing so.

  • Dec 30 '16

    Quote from AndersRN
    On the contrary, I believe FL is the best place for APN to work. The original intent of APN was to be physicians extender. APN training is inadequate; therefore, close supervision is needed as way to prevent them from harming patients... That supposedly 'supervision' is still very lax in FL.
    Without knowing the extent of education and licensure, how can you make this blanket statement? Nurse practitioners have consistently been found to provide AS EQUAL care as any primary care practitioner. The role of the nurse practitioner is NOT to be a "physician extender", but to provide a service need as a primary care practitioner in the field. The fact the nurse practitioners are now focusing on acute care areas is a testament to the growing need and effectiveness nurse practitioners are providing. Twenty-two states and the District of Columbia offer full autonomy to nurse practitioners so your blanket statement is an affront to nurse practitioners, shows your lack of knowledge, and unfortunately shows how nurses do not understand the role of the nurse practitioner. Are there poor performing nurse practitioners? Sure...but what about "bad doctors".

  • Dec 30 '16

    Quote from AndersRN
    On the contrary, I believe FL is the best place for APN to work. The original intent of APN was to be physicians extender. APN training is inadequate; therefore, close supervision is needed as way to prevent them from harming patients... That supposedly 'supervision' is still very lax in FL.
    Um, no.

    I live in a state with 100% independence for NPs (WA) and is considered, along with Oregon, one of the best places to practice.

    I don't hear of any massive malpractice suits or any news reports of renegade and poorly trained NPs harming patients. My hospital frequently uses NP/CRNAs and the physician-led groups are clamoring for more to help in specialty and hospitalist groups.

    The SDN dogma and rhetoric is going to your head. SDN isn't real life.

  • Dec 29 '16

    Quote from Davey Do
    Pardon my ignorance. I don't understand "undocumented patients".
    A patient whose nurse skimped on the paper work perhaps?


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