Latest Comments by emmycRN

emmycRN 2,952 Views

Joined: Oct 20, '06; Posts: 201 (21% Liked) ; Likes: 136

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    I first heard of the generalist exam at the NACNS conference. They were looking for CNS's to take the exam for CE credit. I'm not clear on what the advantages are with this. I'm definately going to look into it though becuase I'm considering doing a post-grad FNP. Sounds like this could be an alternative. Thanks for posting this!

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    I'm a new APN interested in GI. Are there any GI advanced practice nurses out there who can tell me about their role??? Would LOVE to hear from ya!!!

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    BTW everybody-I've encountered a snag. My fingerprint cards were rejected and returned to me. I know this sounds weird-but I have literally washed off my prints over the years. There are literally large white spaces in the middle of the pattern with NOTHING. The police officer who took my prints suggested I not wash my hands for 2 weeks so that they can "grow back". Whatever...can't do that for several reasons. Not even sure it would work. So, anybody have any idea of how I can prevent a delay in my licensure because of this problem.

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    I gathered from your post you might not think it's a good idea to begin orientation before APN credentialing process is completed.
    My point of view is that I'm not going to have any more responsibility at this point than an RN in the clinic, and I won't be practicing out of my RN scope of practice. Therefore, it seems perfectly reasonable to begin the learning process now so that when I am credentialed I will already "know the ropes" and be ready to put on my APN hat.

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    To the previous poster:
    I had 2 job offers before I even finished my last semester, and I wasn't even looking!! So yes, if you get your resume out there you they're will likely be offers. I'm starting my position Monday. I'm in the beginning stages of pursuing licensure. I still have to recieve my transcripts in the mail and submit my app. for testing. My employer knows it will be a while until I'm actually licensed. They told me they would rather I get started right away so that by the time I'm licensed I will already have learned the ropes and be ready to start taking on more responsibility. I also had some offers while I was in school to do clinicals and then step into an APN position after graduation. I already had my clinicals lined up so I couldn't take advantage of this. Anyway, based on my experience I think you should get your resume out there ASAP! Also, talk to the CNO where you work. He/she might be able to help you find a good fit.

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    traumaRUs likes this.

    Thanks for sharing, Trauma! You've been very helpful.

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    Thank you, Trauma. Can you tell me more about what you did while shadowing?

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    I have another question for all APN's out there. I'm a new grad APN and I will start working in a clinic with a doc in june. It could be several months until I actually have my license. I'm to start in the clinic as an RN. How did the mentoring process go for you all as newbies. Did you shadow a doc or APN? How long? How did you make yourself useful during the learning process?
    I'm just concerned that I'll be in the way and the docs and PA will get tired of having me looking over their shoulder 24 hours a day for months on end.
    Also, as a new APN without a license, did you see patients on your own and then have the doc sign behind you or did you strictly shadow?

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    Thanks for the info. I do plan to test through ANCC. I'm glad to hear that, at least in your case, it didn't take the full 8 weeks. I'm so anxious to get my license and get to work. All of the paperwork for licensure, RX protocols, collaborative practice agreement, ect is REALLY stressing me out. I never once questioned my ability to get through school, but now that I'm through I'm wondering if I'll ever get through the licensing process.

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    Hello all advanced practice nurses! I will graduate in a couple of weeks and will be elligible to obtain APN licensure from my state board. My state (Arkansas) requires a certification exam. Here is what I understand about the timeline for licensure:
    1) I will recieve permission to test through ANCC after they recieve my application and transcripts. This could take 8-10 weeks.
    2) I then schedule and take exam. I'll know immediately if I passed
    3) I then have to wait another 8-10 weeks for the BON to issue my licensure
    Okay, so if I understand this correctly I'm looking at up to 4 months between the time I graduate and the time I obtain my license. This is crazy!!!!!
    I already have a job lined up and they are wanting to know when I can start. They don't want me to start before I am licensed. I'm really worried that this opportunity will be history by the time I'm able to start working.
    So anyway, what I was wanting to know from you all is this:
    1) How long did it take you to obtain licensure after graduation?
    2) Did it take as long as ANCC and your BON estimated it would take?

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    I recently started a new job in a department where using lido is the policy. I can tell you that it makes a big difference because my patients always tell me it was the best IV stick they've ever had. I think it actually make the stick easier becuase if you have to "look" for the vein with the needle the patient doesn't feel a thing.

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    R.NICU and DaveCRNA like this.

    Quote from AZ_Student_Nurse
    Well I'm not an RN yet...graduate in December. But honestly, if I would have known then what I know now I don't know if I would have gone into nursing. I definetely love the medical field but from what I've experienced during clinicals and school..its a whole lot of stress and responsibility. Maybe I was a bit naive before I started the program but I had no idea how much liability there is with being a nurse. You always hear about doctors having these huge malpractice suits thrown at them..but I just never heard the same for nursing. Needless to say, I enjoy nursing but I wish I would have known what i was truly getting myself into...just my two cents
    I chuckle at myself when I think back to how I imagined it would be to practice nursing. I had hardly set foot in a hospital before my first clinical day, and it was the biggest eye opener of my life. Like you, I had no idea until that first day what I was getting myself into. I just knew that I was strong in science, loved people, and wanted to do something good. And I too doubted my decision until very recently. I used to wonder why on earth I didn't choose to be a teacher, or a psychiatrist, or a social worker, or a massage therapist, or a ventriliquist....anything but a nurse!! But, after 8 years of practicing nursing I now consider my blind entry into the profession one of the best things I've ever done and don't regret it one bit. I can't even begin to explain this change in a discussion board posting, but I can tell you that I'm proud of the work I do, and proud of my fellow nurses. So hang in there! Nursing might just surprise you again.

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    wooh and barefootlady like this.

    Quote from Xbox Live Addict
    Here, here. I've heard people say "oh, well, people will always need health care." True, to a point...

    ...but I can tell you from personal experience that when your money's tight, you find out how many non-urgent medical procedures you can put off until you have the money. I spent a lot of my leaner years not going to the doctor until it was an absolute emergency, and then I went to urgent care. People are going to tighten their belts on health care just like anything else, and if the market deteriorates, then facilities are going to adjust accordingly.
    I agree and have seen this in my community first hand. Every hospital in the area has had very low numbers for months and are having to make major cut backs including lay offs.

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    sissiesmama and wooh like this.

    Quote from Kloster
    Seems to me that 179/88 is cause for alarm. Even with the hx of htn. My rational is that most surgeons wont perform surgery with a sbp that high for this very reason, risk for bleed (except emergency obviously). 179 is crankin. It's not uncommon, but a post op pt with a sbp of that needs more observation imo, certainly couldnt hurt to alert the doc. The question is how many mm/hg do you need to run a high risk of bleeding post op. I say >150 sbp >95 dbp is risky reguardless of baseline for someone who has been cut. Why take chances? Just my humble opinion.
    I disagree. I work in surgery and often see patients with this BP and higher pre-op.

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    sfsn, LeesieBug, Nursebarebari, and 24 others like this.

    Uhh..Sorry, but I fail to see that this nurse did anything that would be deserving of such a huge settlement. I mean, this is sooo scary. I don't think she was negligent, and I know of many nurses who wouldn't have though twice about that BP, especially in a patient with a hx of HTN. That reading very likely represents his norm. Also, should the doc not share the blame in this situation. Isn't it his/her responsibility to verify that a patient is stable before signing discharge orders?