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NP Dilemma
Hi NPDilema! Where do you see yourself in 10 years? Do you see yourself far, far away from medicine? Or per diem/part time in medicine? Many NPs I work with took pay cuts when they went from RN to NP because they had been RNs for many years and at the top of their salary cap. Because of this, it may take you longer to make the money you are making right now as a RN, plus pay off school loans. However, I love being a NP and it is less back-breaking than when I was a RN on the floors. It is a job I love and will be able to do far past retirement age God willing. Long story short, if you want to be out of medicine completely within 10 years, I don't think it is worth going for your NP right now.
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Boyfriend wants me to stay away
Well, everyone who has been following on this adventure, here are some updates: 1) I have officially blocked a handful of members who, despite being warned by Admin, have continued to ping-pong insults and bait me. Save the "that's not how a public forum works", this is a stressful time (there is no doubt about that) and for my personal sanity I am finished with online trolls. In addition, I would be more inclined to keep sticking up for myself, however I am respecting Admin's request to stop with the back and forth and biting my tongue. Thought I could certainly go all day. 2) Tiger King on Netflix is awesome and a great distraction. 3) I am glad to see that some other nurses found this thread helpful.
- Boyfriend wants me to stay away
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Boyfriend wants me to stay away
Not “breaching social distancing”. Social distancing is staying 6 feet away from others. Which is what I said I would do. Again, if this is what you preach I hope you haven’t left your house. In addition, the US is doing far more testing than China. We have nowhere near the amount of deaths China has. The more you know GrumpyRN ??♀️
- Boyfriend wants me to stay away
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Boyfriend wants me to stay away
Hi kimandthekinks! Yeah, momma didn't raise me to just lay down and take it ? He loves that I am a nurse (now NP), he has always respected it so much, which is why now I am like well? this is part of the territory. I have talked to him and explained why I was hurt when he didn't want to see me (I did NOT go to his house, and I DID respect his decision to stay away as one poster wrongfully believed and accused me of being a walking red flag). I think he understands why I was hurt and that he may be overreacting (if I gave away his job, it would make nurses go OH I KNOW THE TYPE...best and worst patients) but now I am waiting for him to make a move. Thank you for your input. I really appreciate it. This is couple goals. True partners.
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Boyfriend wants me to stay away
Hi gcupid! Def no trust issue, I know he really does love me and I 100% trust him to tell me if something else was going on. I think that's where I am at now, my eyes are open and waiting for him to make a move to show support in another way if he doesn't want to see me. Sort of like a long distance relationship- you still have to do things to make each other feel present and loved if you are not going to physically be in each other's company. Thank you for your input.
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Boyfriend wants me to stay away
Thank you so much Wuzzie. This is exactly how I am feeling. What I would GIVE to even be under the same roof as one of my loved ones right now. Thank God I have great coworkers. Any ideas how to tell the bf he needs to step it up? Contrary to popular belief, I am not needy and hate to ask for things--but I am willing to, to let him know what I need from him during this time to feel loved.
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Help! Advanced patho is kicking my you know what!
Hi Gr8fulRN! When I took advanced patho, I found that I did better when I wasn't memorizing, rather working through things. Make sense of the pathways, the body maintains homeostasis rather artistically and eventually makes sense! I implemented this method to students while working as a tutor, and it seemed to be helpful for them as well. Instead of Quizlet, maybe grab a whiteboard or blank paper and write out pathways. I like to use the RAAS mechanism as an example (sorry if you haven't made it to this point yet). Start with a picture of poor renal perfusion, and an arrow leading to the release of renin from the kidneys and angiotensinogen from the liver, which then combines and becomes angiotensin 1, once ACE is released by the lungs, angiotensin 1 becomes angiotensin 2 and so on and so forth. This is also a helpful way to set you up for pharmacology, when you will learn how medications act on these pathways to create outcomes. In my previous example, ACE-inhibitors are used to block the conversion of angiotensin 1 to angiotensin 2, preventing the vasoconstriction of arteries and sodium retention. Good luck.
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How do your patient care techs (CNAs) check pulse rate with vitals?
Our unit documents from tele monitors. Not only the situation you explained, but PACs or PVCs may not get conducted all the way down the arm into the finger, which leads to false low readings from a pulse ox! Best.
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Pregnant new grad
I would absolutely let your new manager know about your pregnancy. CONGRATS! Though I did not do it, I think new grad to ICU is manageable. As a new grad, you are very malleable. It is all about your preceptors and how well they are able to teach, as well as how well you are able to learn! 6 months sounds like plenty of time, and you are NEVER alone in the ICU. Good luck. I hope you can still be brought on despite leaving for a bit in September!
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I quit
Luckily I fell into my niche. Would you consider an Urgent Care? They are also busy right now and looking for help. And I believe the hours are flexible as a RN! I have never worked in one but some friends did. Good luck and keep us posted.
- Boyfriend wants me to stay away
- Boyfriend wants me to stay away
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Boyfriend wants me to stay away
Let me break it down, because this seems to be confusing to some... I drive to his house. I sit in my car. He stands 6 feet away. We talk. I leave. No touching. No CDC guideline against this. I do not live anywhere that there is currently a lockdown or shelter in place. He refuses this because I am a nurse. This upsets me. I look to other nurses to see if their significant others are acting similar. Yet, somewhere in all of this I become disrespectful and unreasonable, and it is insinuated that I have never experienced hardship. Interesting. I very much appreciate most of the responses I have received that have been thoughtful and not coming for my character.