Latest Comments by ReWritten

ReWritten, BSN, RN 2,949 Views

Joined: Jun 21, '08; Posts: 70 (27% Liked) ; Likes: 49
from US
Specialty: ER

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  • 0

    It's doable while on night shift, as I know people who have done it, but when it comes time to do clinical hours, it's going to be far easier to do it while on dayshift, given most of your clinicals will be held during regular office hours. I'm about to start my final year this fall and I'm working mid-shift and I'm dreading it, since I get off around midnight.

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    I'm not at UTA, but I have heard similar complaints from coworkers in their master's programs. At least we are all in the same metaphorical boat.

  • 0

    Thank you for you reply, CocoaLover.

    My BSN was all on-campus school, and this is the first time I've ever really taken online courses, and I'm really not enjoying the lack of face time. I've only had 2 professors bother to really put forth interacting with the class by way of providing youtube links for extra info, or even making videos themselves. I feel like most just provide the syllabus and bluntly state "follow this", and I won't hear from them again for another few weeks to check in.

    Is it common to feel like I'm teaching myself to be a nurse practitioner? I'm all about adult learning and self motivation, but it makes me anxious that the only support I feel are only from the physicians/fellow nurses I work with in the ER and not my own professors.

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    I am currently at a local state school's FNP program, going more or less at a part time rate as I work full time. The school is mostly online, though I've yet to go to campus for anything.

    Anyhow, I suppose I'm looking for encouragement and voices from others out there. Do you enjoy your program? I find mine quite frustrating with little to no interaction from professors and very minimal feedback. Currently I am in a summer class that will finish in 15 days. I've submitted a total of 4 discussion board posts, 2 papers (one is due tomorrow), and various CE certificates of completion, but have only received grades for 2 discussion boards. I feel like there is a lack of guidance in nearly all of my classes from the professors and am feeling very discouraged and debating whether I really want to continue onwards.

    Is this a common experience for online FNP schools? My undergraduate experience was the exact opposite with professors always willing to chat and responded fairly promptly to e-mails. I just feel a huge lack of guidance or caring, but can't figure out if it's just me, my school, or what.

    Thank you for any feedback!

  • 0

    It depends on the level of trust you have with your ED physician and your skills/experiences. It also depends on who you work for. I've worked out in a rural hospital where the midlevels could pretty much see and do everything the physician was. I've also heard of rural areas having EDs run by midlevels. I've worked in large urban hospitals where the midlevels only saw level 4-5, and rarely a level 3. Again, it just depends.

    I'm currently an ER RN going to FNP school, and have been approached to join the ER practice after I graduated and it was explained to me there was different levels of functioning of the midlevel depending on your experience and comfort (both yours and the physician).

  • 2
    RN-dancer and LadyFree28 like this.

    Brand new - focus on assessment skills and time management (including priorities). Don't be afraid to ask questions. If you don't know how to do something/unsure/not confident doing it on your own - ASK. Your coworkers would rather you ask questions/ask help before you do potential harm. Same goes with doctors and even with experienced nurses. If I don't know how to do something/am unsure/not confident - I ask.

    Learn drugs. Don't be afraid to take time to research in the IV drug book for meds or look up something you might not know. It takes time to learn the common ones. If you don't know what a prescription is, again, ask. I still do this on the surprise script I'm unsure about. Work in a big ER teaching facility? You might get new drugs. Don't be afraid to ask the doctor or call pharmacy about it.

  • 4
    amhubert, danielle2000, caitsy, and 1 other like this.

    It definitely depends on the applicant pool. I'll let you know my GPA was in the gutter (around a 2.9) and I did mediocre on the GRE. I applied to a couple schools and in my letter of intent, addressed my low GPA (in my case, horrible test anxiety), and even discussed it when I interviewed for my NP program with the director. She was very kind and understanding about it... I was actually accepted into the program minutes after my interview. Don't let your GPA discourage you (I know it's hard, trust me). Gain some real world experience, perhaps take some classes to help you and show intention of taking things seriously.

  • 1
    ICUman likes this.

    I started in a 15-bed rural ED, and the PAs and NPs saw everything - fast track and if the MD was busy, pick up other patients. When I went to a major city ED, they didn't even hire NPs until recently (and she used to work there as an ED nurse, which is how she got in) and I never saw them take on a level 3 or higher. I'm now back in a smaller ED just within the metroplex and the midlevels see everything, so I think it really depends on the system. However, my personal feelings are that the smaller EDs are a little more lax in the rules of how things work.

  • 0

    Unfortunately it is very confusing. I've worked in ERs where the NPs are FNP and I've worked where they're ACNP. It really depends on the system. I've also worked in setting where I've never see the midlevels take on level 3's and higher, but in rural settings, they can do anything/everything. I think it really depends on the hospital system. I've been kind of debating this myself and unfortunately it's very confusing.

  • 0

    Dallas! But of course I'm a bit biased as I live here. Apply to all, interview, and decide from there based off their interview/tour you're given.

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    Low 30's sounds about right. You also have to remember the cost of living in the Dallas area is very reasonable, I think, and you can live comfortably at this salary. You'll have to ask the hospitals what they do about having your CEN. Some may pay you a little bonus each year, some might offer you a little more, it's just something you can ask. I highly recommend you touring these facilities (which you'll get to do during interview process) before making your decision. Baylor and Parkland are the big trauma centers in the city, and if you want to go a little north, Medical Center Plano is a level 2. Presbyterian is not, although there are rumors they might become one next summer.

    Like anywhere, there's pros and cons to each place. Do you research. I'd offer you my opinions, but I'd rather you to make your own decisions Good luck!

  • 0

    Plenty of nurses move from the floor to the ER. I did and very thankful for my time on the floor. I learned about medications and prioritization, and got my assessment skills down. You will have an advantage over a new grad coming to the ER. Good luck!

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    In a smaller ER. We report at the nurses' station. I think bedside reporting would work in ours, but I don't see any of my coworkers agreeing to it. Plus, the fear of HIPAA violation.

    We had AIDET too. What a waste of time, the hospital should've spent money somewhere else (like working equipment) rather than teaching us how to introduce ourselves. And I agree with thelema, I'm not going to put a timeframe on labwork and such. Our lab is worthless and takes forever or screws up, and all that depends how busy we are. I also got scolded for saying "busy" instead I should say "it's a popular time right now". Really? Ok, rant over.

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    I always wanted to do critical care/ICU during nursing school. I did not have a good experience in my ER rotation during nursing school, so I was no interested or impressed with it.

    After 8 months of not landing an ICU job, but on med-surg, I made ALOT of connections with the ER staff in my hospital and they coaxed me into coming downstairs. I've been there for 6 months and can't imagine going back to the floor. I LOVE it! However, I'm very thankful for my med-surg background. I consider myself a quick learner, but med-surg really helped me in terms of medication administration and good assessment skills. I work in a rural community hospital and had only 4 weeks of orientation in the ER, so you expected to know your stuff from the beginning. All that being said, I'm always learning something and my coworkers are a delight to work with and have no problems showing/explaining things to me.

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    I graduated May 2010, never worked in healthcare before. I was a cashier at Target... I was hired on a med-surg/tele floor with no problem.