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Argus333's Latest Activity

  1. Argus333

    How do I become stronger clinically?

    I agree HelloWish. Every time one faces a difficult case or feel dumbfounded or incompetent, one has a choice- to avoid further thought about it, or to engage it head-on and learn it. This is often something that will need to happen either in the middle of a busy shift, making the shift even more hectic, or on your own free time, unpaid. I recommend the hybrid approach- always seek explanations and guidance on the spot, don't spend forever during your shift, but be sure to research it that same day either during lunch, after work, or at home. I often find a youtube video and let it play and listen to the audio on the drive home, then watch the video when I get home, then stop thinking about work afterwards. Another thing I do is find a CEU within my subscription service and add it to my list of courses to take later, and try to take it that weekend. That's something you can do from your smartphone the moment you realize you are lacking knowledge somewhere. Setting learning goals in this way can be a good defence against that feeling that you are stagnating or falling behind.
  2. With regard to the OP's original question, I will attempt to answer. There is no official role for RNs in dispensaries (which are not pharmacies and are not doctor's offices). Like another post said above, it might be a neat job after retiring as a nurse but one wouldn't be working in the capacity of an RN. None of the dispensaries or rec outfits process so many patients per day that they would need an RN to filter the assessment work before seeing a doctor. It's more of a trickle even in the busiest areas like LA. Prescribers like NPs and MDs are operating in a grey area by making the recommendations, so most of those giving recommendations to patients were taking some risks with their licensing bodies and the federal government/DEA. Therefore they were/are usually semi-retired and using their license to earn a little in a job over webcam, some living overseas in retirement etc. In home care the staff acknowledge cannabis is being used and may even add it to the med list for the sake of veracity, because they are taking it. But the Home Care clinicians are not ordering it or procuring the supply. It's treated alot like when a patient is taking some Chinese Herb or tea and it's noted in case anything comes up later. It is taken into consideration holistically when reviewing or changing or adding meds like psychotropics, sleep aids, anxiolytics, and pain meds. Cannabis has no known interactions or contraindications, but it's taken into consideration like a supplement is.
  3. This entire dialogue is ripe for rational discussion, but reading the posts I see many posts that reflect uninformed or emotionally loaded responses. I think a few major points need to be addressed so I'll give it a shot. - I read several here conflating the use of cannabis by nurses or healthy people with Medical Use by patients with intractable or end stage symptomology. - Cannabis use by patients is rarely even discussed in hospital settings. In the outpatient settings such as home care, outpatient palliative, and hospice, it is a different story. It is a necessary and relevant conversation to have here. - In states with legal cannabis, many patients are using cannabis whether or not its officially on their medication list. It's better to be open and honest with clinicians and take that into account rather than "looking the other way". - Hospice RNs in states where medical cannabis is widely used see ALOT of patients using cannabis for symptom mgmt. Cannabis is not physically addictive, does not create side effects like constipation, and relieves a variety of symptoms like pain - Smoking is not the sole or even preferred method used by most patients in a palliative/hospice setting. Tinctures, topical oils/balms. - There are at least 5 therapeutic cannabinoids OTHER THAN THC (the only significantly psychoactive one) such as THCA, CBDA, CBD, CBN, CBG, CBC as well as numerous terpenes and other constituents. Many people use the raw plant which consumed raw does not actually yield converted THC and thus does not have any noticeable psychoactive effect. - the endocannabinoid system within the human body modulates pain reception indirectly, can improve intractable nausea & improve appetite, and to some extend delay the need for or reduce the overall use of opioids, meaning less constipation and sedation in many cases. - Nurses who advocate for the use of medical cannabis should not be considered potheads any more than nurses who advocate assertive pain management with opioids aren't treated like drug addicts/users/junkies. I see this in some posts and just shake my head. Among the strongest advocates for cannabis are nurses who have cared for dying patients at end of life with intractable symptoms, or watched their own loved ones suffer at end of life and learned from the experience. - Cannabis can be an alternative to the use of opioids which can address the opioid epidemic in this country. - Cannabis is often helpful where no other drugs have been effective.
  4. Argus333

    Ohio University RN-to-BSN Program

    No I passed on OU and it now looks like I've missed the January 2018 class-up so I probably won't attend. What scared me away from OU was my DARS transcript request saying that I needed GE courses and "composition"... I have two degrees from Berkeley and did graduate coursework there. This was all before doing nursing pre-reqs & ASN degree. So forgive me for being snobby but I'm not interested in taking "GE" anywhere because that cancels out the savings on tuition. I will likely start with Grand Canyon soon as they did give me a veteran's discount. The problem with old brick and mortar schools is bureaucracy.
  5. Argus333

    Ohio University RN-to-BSN Program

    I have two BA degrees and tons and tons of credits (about 250) from previous careers. I took a very wide range of courses from econ/anthro/sociology/nutrition/psych/history in order to get accepted to UC Berkeley and graduate as a double major. These were mostly semester-based courses from California. I know that it can be difficult to translate into quarter systems and across states especially across such distance. I know that in some cases course catalogs/descriptions must be procured. I applied to several RN-BSN programs and have been accepted by them already. OU was my first pick, but upon reviewing my DARS (transcript request), it says that I need "Junior composition" and "Tier 3 General Education". I will have to speak to a counselor and look up exactly what requirements from these would be satisfied by the nursing program. This is a minor inconvenience, but it makes it more likely that I'll just move on with Western Governor's or GCU despite the additional cost. Did any of you find that these issues led to them having to take additional non-nursing courses? Because for me that's the dealbreaker, and I need to make a decision as to whether it's worth jumping through all the hoops instead of just starting next month at GCU.
  6. Argus333

    Need Public Health Nursing Certification

    For starters, GO immediately to the CA BRN website and look at the requirements listed for PHN certification. Read carefully and define for yourself what those requirements are FOR YOU. If you want to proceed and meet those requirements one by one,: 1) Go to Gannet , Nurse.com , Quantum Nursing Education, or Zur Institute, and take their $21 course on "child abuse/detection and reporting". This course is a requirement for everyone applying for PHN. In California most schools will make you take this course within their curriculum or as a homework assignment. And they might cover it in lectures as well. It is definitely needed by someone like you who got an out-of-CA / out of state RN-BSN degree. So do it. Your school in Arizona certainly did not require you to take that CE, but if you want CA PHN then take it ASAP. 2) ask GCU or your work/manager to give you a letter certifying that you did 90 clinical hours in Public Health... this part is harder - not sure you are qualified based on your work- I somehow doubt it but you can try. Call the BRN if you really want an answer from a live person. It doesn't make sense that you should have to go to school for a year to get it. But it might be the only way.
  7. Argus333

    Need Public Health Nursing Certification

    I believe that the CE course through Gannet, Zur, or Quantum, plus any BSN , will get you the PHN. However the question is whether you'll have the 90 clinical hours in public health. Programs like CSUs RN-BSNs mostly make you go out and do that, and the reason they can't be 100% online might be that they have to send you out for those hours so they can get you your PHN cert. any 100% online RN-BSN program probably won't give you what you need to get the PHN. CSU Northridge does have a PHN certificate program that meets all the requirements.
  8. Argus333

    Need Public Health Nursing Certification

    I'm going to save you thousands of dollars here. Go to Gannet or Nurse.com , Quantum Nursing Education, or Zur Institute, and take their $21 course on child abuse/detection and reporting. It will say whether it is approved by the CA BRN. You have a BSN and this is all you need in addition to that. If you got your BSN in CA they would have just made you take this course as homework during school and noted that in their curriculum. But you just need to send proof you took it with your application. You did the 90 hours of Community Health clinical fieldwork in any CCNE/NLN approved BSN. ADN students with a BA/BS degree other then nursing can take the certificate course with schools like CSU Northridge and get their PHN actually, without a BSN. If I were going that route I'd just take the cheap CE course then enroll in the certificate program which gives you the clinical hours you need to apply. I'm not sure if all RN-BSN online programs give you the 90 hours community health clinical hours you need- especially the ones based outside of California, so careful with those. CSU is shutting down some of their RN-BSN programs unfortunately- what killed them is that they didn't have rolling admissions and people don't want to wait forever to get their transcripts and applications evaluated and the private online universities seem to rapidly review applications and enroll people.
  9. Argus333

    Paramedic Prior to Nursing?

    Absolutely do the EMT for sure. It's a good backup credential and looks good. Especially if you can do it while waiting to start RN school. It will get you disciplined in the basics of patient care and emergency medicine. As for EMT-P , If you are young and not desperate to make an RN salary right away, get your paramedic experience. You might stay there forever- it's a good backup in any case, it gives you some credibility in the nursing field when you are new, could get you into ER or ICU because it distinguishes you on your resume, and just plain gives you some skills especially starting IVs and assessing and dealing with patients and families. On the other hand, you are losing YEARS of higher salary, life might intervene in your ability to go to nursing school (kids etc) and you may not get the chance later- nursing school is MORE THAN FULL TIME and will take up all of your life- you can't expect to be in this position ever again for sure. So take that into account- people get pregant, people get married, car accidents change the game- life happens. Get all this education done if you can now, otherwise get what will guarantee you the standard of living you want/need.
  10. Argus333

    Ohio University RN-to-BSN Program

    I just applied to OU RN-BSN. I took business courses through their "distance learning" dept (by mail) many years ago while in the military overseas and that was a good experience. Generally OU is an old brick & mortar campus with a good reputation in Ohio. My interactions on the phone have been courteous and kind, they answer the phone, etc. Admissions let me know that my transcripts sent to them a few years ago were still showing up in their system (I had applied for their online BSN and they sent me a letter saying they don't take Out-of-state applicants! after I had sent MANY transcript$) But now they take applicants from California and some other states- be sure to check with them. Because of this past history they waived the admission fee of $25 for me and I applied. Classes start in January 2018 so I'll lose this year's employer contribution for tuition (no rolling admissions like Grand Canyon has), and I have yet to get a "DARS" (transcript evaluation) to make sure that my electives and prerequisites all transfer (I am not going to take any fluff like Texas history, having two degrees from Berkeley and about 4 associate degrees already... just my personal principle there). I think OU is definitely my backup plan though I'm still considering Grand Canyon despite it's much higher cost. Also considering Nevada State College. One thing about OU is the time difference with California- I need to make sure that assignments being due at midnight isn't going to screw me up because I get home around 7pm most nights eat by 8PM and by then it's almost midnight in Ohio. So I'll likely be losing one assignment date per week and if they make changes I could miss deadlines. I'm not going to put myself in a position that hurts my chances of going on to MSN so grades are a priority and that might interfere because I live on the West Coast. Still, Ohio University looks like a good choice for me. I grew up in Ohio and took my first college credits through them, so it's neat that I've come back full circle to OU.

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