Latest Comments by dcav

dcav 1,877 Views

Joined: Jul 23, '09; Posts: 18 (11% Liked) ; Likes: 9

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  • 0

    Hi. Has anybody who has recently taken and passed the NCC certification exam have specific recommendations on how and what to study? I know that Sharon Hall specifically covers exactly what's going to be on the exam for those who are able to attend the conference. Since that is no an option, however, I don't want to waste precious time on extraneous studying, and I cannot financially afford to fail the exam. I know that Core Curriculum is recommended, as is the Kathleen Rice Simpson book (, which has lousy reviews on Amazon, for all that's worth). There's also a computer testing question bank that could be purchased. I would appreciate if anybody who has already passed has any words of wisdom on how to study smarter, not harder.

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    Where I work, we have our own admitting office right by triage. So you come in, register, and then go right in. However, where I gave birth, you have to register first in the main admitting office, then go up to L&D. When I came in very active, I went up with a wheelchair. I think it was an escort who pushed the wheelchair, not an L&D nurse. It would have taken too much time to send someone down. Although, where I am now, if someone in that situation would have to wait for escort, she could be in BIG trouble.

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    Does anybody know of any conferences on fetal heart monitoring or pregnancy or labor complications the week of July 18 in the NY metropolitan area? AWHONN has an intermediate level FH monitoring class on the 22nd and s3rd, but it's filled up. An online class would also be good, even if it's not live.

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    I would also appreciate the c/section guide. I did 10 sections in 5 days during orientation, but that was months ago, and now I'm terrified of when I'll have to scrub on my own. Who knows what I'll remember now? Start out with one damp lap and an Allis to test for numbness. A guide to go over would be very helpful.

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    I get the variability vs variable decel concept. But I'm still confused about what category a tracing that has moderate variability with non-recurrent late or variables is. If they're recurrent they're Category II. I'm thinking that the non-recurrent ones are Category II as well.

    Also, I thought the term "reactive" was only applicable to NST's, but we have to document whether all tracings are reactive or non-reactive.

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    Mayan Abdominal Massage is supposed to be helpful for this. Google it to find out more.

  • 8
    nizhoni, ICU11, anggelRN, and 5 others like this.

    ACOG is a trade guild and, as such, they are merely trying to protect their financial interests. Talk about health care reform. THink of how much money we would save if midwife care was the paradigm of pregnancy. More than that, think of how our outcomes would improve if we would adapt a system like the one in Netherland, where about a third of the births take place at home. Shame on ACOG!

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    Don't think this is unusual. When I took ACLS we were told about the dose for atropine ona person who's alive and a personwho's already dead. But it still wrenches your heart. I feel alot different about DNR after being a nurse from what I used to.

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    A note to the OP. Don't use the antimicrobial wipes on your hands. It's carcinogenic.

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    Bear in mind that the economy is no great. Doulas are not doing as well as they used to. In my area, they are taking the same fee, but are less busy. It's a difficult time to start any business.

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    Thanks, you made MY day. I'm still investigating. What I've been told, and I don't know if this is true or just hype, that as far as what type of MSN degree to get, it's okay to get a leadership/management one. That helps with things like case management, risk management, corporate nursing, etc. After that, it's just a matter of doing a certificate program for a NP, which would have to come out of my pocket unless, of course I could get that stipend. Plus, who knows what the future will bring. I still need the benefits that only working full time bring for the forseeable future, so I'm going to forget the NP for now.

    I still prefer distance learning to one-day-a-week programs. There's still commuting time. And I am leaning toward a brick and mortar distance learning program that has no residency requirements. It's not cheap, but it's very flexible, and the amount of classes I could afford with my employer's program is about the same as I can handle.

    It's also important, I see, to do an accredited program. One program sounded great, but it's only accredited by some distance learning organization, not NLN or anything regional. How much would such a degree be worth? My guess is not very much.

    I'll keep you all posted when I do decide and finally enroll. Just hope the procrastination bug doesn't strike.

  • 1
    Moogie likes this.

    Moogie, your reply is particularly helpful. There is a method to my madness in doing ab RN-BSN first. My hospital will pay for $9000 per year for education through a Masters degree. Anything after that, they give nothing, which means it would have to come from my pocket. So far, the Masters programs that I have found online that don't require clinical are Nursing Education, Informatics, Leadership and Management, or Community Health. So doing a BSN is not really a waste of time since I figure that with the credits I already have (already have a BA), it'll take the same amount of time as the bridge part of an RN-BSN program anyway. The thing about nursing education is that it's possible to get a teaching job with any masters, so getting a degree in that is not necessary, and very limiting. I'm not against teaching, just it's not what I want to do now because it doesn't pay very well, and we need the money, unfortunately. If Community Health is home care, I don't want to do that because, A) I don't have a car, and B) I would need to work full time for benefits as opposed to per diem. Working full time means you have to go wherever you're sent, even if it's a dangerous area. When I'll be able to wind down and do a few cases here and there, then it sounds very promising. The point is, I don't want to use up the money on something that boxes me in, and find that I can't go onto what I really could've-should've done. There's no way I'm taking out more money in loans. We're already over our heads in paying back debt.

    Right now, what I want to do is transfer to L&D or postpartum ASAP, and get into women's health. Maybe I could become an IBCLC, if my hospital will pay for it because that could also be a few thousand dollars. Independence College has an MSN program in Wellness, so I'm waiting for information on that. The name of that degree sounds nice, but if having it doesn't make one marketable, then there's no point. Sort of like Holistic Nursing. That and a MetroCard gets you a ride on the Subway (I'm from New York, after all). It's a matter of finding a workable compromise between what I want to do and what's realistic. I see the names of these nurses with a "million" initials after their names and wonder where they found the time and money to go for all that? Are they just professional students that don't have to work? Do they live by themselves that they have no family obligations? Are they superhuman and don't need to eat, sleep, shop, clean, do laundry, shower, and do they have Foley's in them so they don't have to waste time using the bathroom?

    It'll work out in the end. It means being flexible. But Plan B can work.

  • 0

    Thanks for the warning about Excelsior. It wouldn't dawn on me that an NLNAC acredited school wouldn't be accepted all over. My friend graduated from their ADN program and had no problem sitting for NCLEX. Does that mean that even though she has a valid license, some places would make her start school from scratch if she wanted to go further? I know that CLEP creidts are not accepeted all over, but I thought Excelsior was.

    Also, why would it be necessary to do clinical in an RN-BSN program? I work with someone who has a BSN, and we both do the same things. Of course there's the salary differential, but even that's not that much. To become an NP, that, of course requires clinical because that's a different scope of practice altogether, but an ADN and BSN sit for the same license.

    Also, the whole point of going for a BSN at this time is that I can't afford to quit work or even go down to part time in order to have the time to do an RN-MSN (WHNP) program that requires a minimum of 16 hours a week plus homework. How will it be possible to do Chamberlain or any other program full time?

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    Hi. I'am a 52 yo granny nurse who's been working nights for almost a year in cardiac progressive care doing my obligatory 1 year of med/surg, which is not my cup of tea. Before going to nursing school I was CD(DONA) and LCCE for years. I had wanted to be a midwife, but the employment situation is not good for them now in my area. I have an ADN in nursing with a very high GPA, and a BA in Liberal Arts, also with a very high GPA. My original plan was to go into an RN-BSN-MSN program and become a WHNP. I could have gone to school for that, but I was thinking that it would be a better plan to earn the RN first, go to work (my family really needs the money), and do the schooling slowly and let my hospital pay for it. Besides, I did nursing school for free thanks to a wonderful scholarship.

    Well, now I'm looking to further my schooling and for career direction. I cannot be a bedside nurse for the next 20 years. For the time being, as soon as I can, I want to transfer to L&D or Postpartum, preferably days. But even that is not what I want to end up doing "forever." I looked into schools that have a WHNP program, and discovered that even online distance programs require at some point 16 hours per week of clinical, which I just cannot do while working full time. Going down to part time is just not an option - we really need the money. So I need to know what to work toward.

    The first step, I think, is to earn a BSN from Excelsior - the easiest and cheapest way. But what are my options from there. My dream was to work in primary women's health in wellness care. I hate bedside nursing. I don't like geriatrics, dementia, cleaning poop, breaking my already weak back and knees, and all that. I love communicating with patients and families, and teaching. I love explaining what's going on, what's the plan for patients, and why we do things. I love learning and incorporating that into my practice. I'm more of a brain than a brawn person. (Maybe I'm a nerd?) I've been made fun of by colleagues for talking to patients and families so much, for pushing lifestyle changes ("If these people were interested in changing their diets or quitting smoking they wouldn't be here in the first place.") , for thinking more like a doctor than like a nurse. I hate having to work fast to the point of sacrificing quality for speed. For example, I cringe when I see nurses put things into IV ports without wiping them first because it takes 2 seconds longer.

    I'm really down about having to let go of another dream. So I'm trying to figure out what to aim for and how to proceed to get there. I would even consider working with a nursing career mentor if I knew how to get to one and it wasn't too expensive. Thanks for taking the time to read this. All the best.

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    Ive done some research. The thing is that I don't have the option of quitting work, or even going down to part time, so a program that requires 20 or more hours a week of time is just not realistic. Also, where I work pays a certain amount per year until a masters is earned. So, as much as Frontier appeals to me, I don't think I can do it in terms of time and money. Drexel, on the other hand, has a Master's in Women's Health (not family practice), and while it costs almost $200 per credit more than Frontier, they're okay with taking just 1 course per semester, ore even taking off a semester if something comes up. Plus, they have a payment deferral program which means that you can wait and submit the grade to the hospital, and they pay directly - no out of pocket cost as long as the per year tuition remains within the limit. That's a big thing at my age. I'm not looking to get into more debt. So, while it may take 6 years to get the degree, it seems that that may be the best way to go for now.

    Thanks for all the input. BTW, I dont' think that a program's being "tough" is a bad thing, as long as it's tough in relevant areas. All the best,