Latest Comments by stevenfmurray

stevenfmurray 1,238 Views

Joined: Jan 23, '10; Posts: 13 (15% Liked) ; Likes: 3

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    What was the outcome?

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    Faeriewand and Zookeeper3 like this.

    I think it's what YOU feel is safe. You know your limits. And it's a bit relative. For example, as a paramedic, I have worked 48 hours straight with no time off, gone home for 12, then come back to work for 12+. I can remember weeks where I worked 100+ hours. They can force us to work up to 50 hours w/o a break. To me, that definitely isn't safe.

    What are do you work in?

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    I live in Charleston, SC. 90% is a pretty accurate number. Might be slightly lower, but that's pretty close. Yes, the ambulance bill is expensive, but if you have no intention of paying it, as many people don't, then it's a different story. Many people that abuse 911 (not trying to make a general statement here) have medicaid. Think about it - if you have a cold and need to see a doctor and are on medicaid and don't have a ride to the doctor (or ER), a cab ride costs money. OR you could call 911, have your ride get there in 5 minutes, get a free ride to the hospital, and a lot of times, get in a room right away as opposed to sitting in the waiting room. That's many people's mentality. Huge problem in ERs.

    You should do some ridealongs with the 911 system where you live before you make a decision. Most services allow them. I have people ride with me frequently.

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    I have been in EMS since 2002. EMT from 2002 to 2006, and paramedic since 2006. I am now in my second year of nursing school, working as a paramedic on the weekends to pay for everything. If you are considering a 911 system, yes, the burnout rate is incredibly high. I would say about 90% of the patients we see either do not need to go to the hospital at all, or could very safely go by other means. Also, there are a huge number of paramedics that have career-ending injuries, specifically back injuries.

    EMS was appealing to me because I took 3 months of classes (2 4-hour nights/week) and started out making about $40K/year, with OT. It was great. However, I soon saw my (non-EMS) peers that started out making less than I did being promoted and quickly moving up the ladder. There is relatively little upward mobility in most EMS systems until you've been there for quite a long time. As a paramedic, I can make $80K/year with OT, but I have to absolutely kill myself to do it. Also, if your relief calls out sick 2 hours in advance of their 12-hour shift, you own it. I have been forced to work 36 or 48 hours straight without sleep more times than I care to remember. Those are a few of the negative aspects.

    A few of the positive aspects: It's a great way to get into the medical field quickly. With 3 months of school for EMT-B and another year for the paramedic program, I am the sole provider of medical care outside of the hospital. I can give a very wide variety of drugs, intubate, perform surgical airway procedures, and do a plethora of other things on my own. The autonomy is great; not that I don't have to answer to anyone, but I rarely have anyone looking over my shoulder yelling at me to do something a different way. I've also made some of the best friends I have in this business that I will keep in touch with until the day I die. I also worked as a medic with the SWAT team and got to see some really cool things. It's an incredible feeling to know that you made the difference between life and death. Doesn't happen very often, but when it does, it's tremendous.

    If I had a chance to do it all over again, I would take go the nursing route first, hands down. Why do something for 10 years if you KNOW you are going to change careers down the road.

    I hope that my rambling has given you some insight. If you have any more questions, please ask!

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    Some great advice has been given in this discussion. Like previous posters have said, look at the time and financial requirements of each program. For example, the BSN program near me is an accelerated one that is 14 months long start to finish. The ADN program is a full 2 years. The BSN school is a selective program meaning GPA analysis, essays for application, interview, etc. I was able to get into the ADN program by showing evidence of a previous bachelor's degree only. In addition, the ADN program is dirt cheap compared to the BSN program.

    Most ADN-BSN programs can be completed in 1-2 years, depending on how much of a course load you're willing to take.

    I'm basically in the same boat as you; crappy GPA in my business degree (fresh out of high school at the time) and now am working toward CRNA. The thing to remember is that there's no short and easy way to do it. Good luck!

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    I'm in the same position...comparing the seemingly endless options for RN-BSN programs. I'm just as confused as it sounds like you are. I do know that Univ. of Wyoming's online program seems to be among the cheapest out there at $134/credit hour and can be finished in a year if you have the prereqs to do it. One bad thing is that they won't even evaluate your transcript until you are "admitted" to their school which I believe involves about $75. I'm still researching.

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    Anyone else have any other input?

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    One of the biggest changes has been the immediate additional cycle of compressions even after a rhythm change in a pulseless patient. There are several, including the inherent changes in compression ratios.

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    Faeriewand likes this.

    Most of the info that I've found on this forum about UofW is at least a few years old, so I wanted to start a new discussion.

    I'm in the second (last) year of my ADN program at a "brick and mortar" school in Charleston, SC and am looking into different online BSN options. Want to know the pros/cons of University of Wyoming's online RN to BSN program. I only want to discuss this specific program, and would especially appreciate input from people who have already done it or are in it now. So far I know:

    Pros:
    Very affordable
    BSN classes can be completed in 1 year

    Cons:
    Have to pay for admission before any transcript evaluation will be done
    Have to take a few courses like WY history and their pharm and patho courses

    Anyone have any other input? Especially course format. Online discussions? Projects?-group or individual? Papers?

    Thanks in advance...
    -Steven

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    I'm interested in South Univ. as well. Clinicals? Min. time to complete nursing courses?

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    Thanks for the info! I actually looked into Excelsior initially for my RN, but ended up going the "brick-and-mortar" route as I heard that a lot of people don't complete it. A family member that's a CRNA suggested that I go to a physical school as well, I guess thinking it may look a little better on paper...not really sure. I have heard that there is at least one state which will not allow Excelsior RNs to practice. (Calif?)

    I guess for ADN to BSN, it doesn't really matter as long as it's an accredited school? That's the general idea I'm getting from talking to people at least. I'd like to hear from people with differing opinions on the subject, so anyone that disagrees or has any other info, please speak up!

    Thanks again for the reply!

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    I apologize in advance for this long post....

    I am currently in my second year of the ADN program (will finish in Dec 2010) at Trident Technical College in Charleston, SC. I'm doing well in the program and need to start sorting out a plan to complete a BSN program (online), ICU experience, and any other courses that will be particularly beneficial.

    I searched and found only one thread discussing a "best option" for an online BSN program (related to admission to CRNA schools). That thread only had a few responses, and the general consensus was that it basically doesn't matter as long as the school is accredited. Does anyone have any additional input or disagreement on this subject? I've heard that there are BSN programs that enable students to start taking classes during the last semester of the ADN program. If so, does anyone have any info on any of these programs?

    A little about me:
    I have a BS in Business Admin. from 2003 and my grades weren't that great then. I decided to pursue nursing a few years ago and began the application process and prerequisites. I've been a paramedic for several years and still work as a medic on the weekends to pay the bills during school. Consequently, I am a BLS and ACLS instructor, and also PALS and PEPP certified. I just found out that I was accepted to a summer externship in the CVICU at a local hospital. I've shadowed CRNAs and really appreciate what they do. My general plan is to (hopefully) begin working in an adult critical care unit as soon as I pass the NCLEX and complete an online BSN program as soon as possible. I would like to complete the CCRN program also around that time. Then, hopefully if everything works out as planned, I can start applying to CRNA programs (probably MUSC and Univ. of SC).

    Does anyone here have any specific advice on things that I may not have thought of or need to add to the plan? On the right track or way off base? Any/all feedback would be much appreciated! -Steven



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