doctordavism

doctordavism

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  1. Handling med errors

    jlv613, RN... I so appreciate your honesty, your reflection about what happened, and that you are suffering with this. You are correct... we will always make errors. In everything. There is something wrong in the system where your error ...
  2. I find it so hard to believe that morbidity/mortality is substantially lower with the BSN prepared nurse when the only additional things they have are community health, informatics and research, which largely have no real impact on ability to provide quality care. Please cite your ample evidence from INDEPENDENT research. By that I mean from an entity that has no attachment to the outcome. I know how this works.

    1. doctordavism

      doctordavism

      Fortunately, we are not subject to one's personal and anecdotal opinions as evidence, so that's off the table.  Emotions have no place in scholarly inquiry. 

      Next, as a scholar in your field, you should be aware of the ample evidence. I invite you to do some scholarly inquiry of your own.  It's not my job to build a case for you when these data have been out for decades.

      Lastly, I'd like to say I find your tone offensive.  

    2. Tommy5677

      Tommy5677

      Oh that is so interesting. You make an assertion like that, which I find incredibly offensive, and then refuse to provide research/evidence to back it up, thereby placing the onus on me... Well that says a lot. Everything in fact. If ADN/ASN prepared nurses are so woefully inadequate as to jeopardize patient safety, then why do they still exist? These are very serious allegations. And furthermore, if boards of nursing are about protecting public safety, then why haven't they intervened and demanded all the associate degree schools closed?

      Here's the other thing. Believe it or not, I am all for a single entry level into practice. The BSN. It would go so far in boosting nursing to the level of a profession (of course it already is). You are the perfect example of the old adage, "Nurses eat their young." Shame on you.

      I will and continue to encourage people to get the associate degree at the community college level, take the NCLEX, get a job, and then enroll in a RN to BSN online program immediately.

      I guess I have little else to say to you but thanks.

  3. ADN or BSN?

    I concur with the above-- I believe you will find an AD program to be at least as stressful, if not more. You will find that you are not employable in many institutions without a BSN. Most importantly, and if you are entering the profession with th...
  4. Error

    Raven, I like the way you think. You have the NLN Spirit of Inquiry going here! I really respect that. I'm interested in what you and anyone else on this site thinks about it being a women's issue... as in, "you'd better not err or you'll be fired...
  5. Error

    Raven Sierra, thank you for this. We need more knowledge of these truths in the profession. You are spot on, there is a myth that if you are smart enough and care enough you will never make an error. That's bunk and frankly, I think that's a women...
  6. Hi-- I'd love to talk to you about your earlier message.  Are you comfortable sharing phone numbers with me? I have about 25 minutes right now. 

     

    1. Show previous comments  2 more
    2. BROKEstudent

      BROKEstudent

      Yes I will never make this mistake ever again. The GFR was 63 pre op, 42 post op and 43 the day of my shift (Canadian measurement). Creat levels were very high (135) and BUN levels were within the normal range. The pt was receiving 32mg of Candesartan 

      Thank you so much for the guidance. I totally forgot that student nurses can also call the pharmacy not just RNs. 

    3. doctordavism

      doctordavism

      It seems, given the algorithms on the materials I sent from the kidney foundation, that it's a complex decision-- and you are probably OK.  I'm not up on the Canadian values vs. American-- but I doubt you are in serious trouble.  I think the demon of anxiety is sitting on your shoulder and trying to take you down. 

      Don't let it.  I'm here if you need support.  

      BTW you have done some beautiful critical thinking here.  It doesn't get any better than this. 

    4. BROKEstudent

      BROKEstudent

      You are the most helpful person so far this year hehe
      Thank you