DebraJ

We have no protocols. So I use my own teletriage book to make sure I cover everything. Do you ever have patients that are really resistant to answering your questions. It’s a cognitive load to manage that and not just give up. And do they get really upset and argue when you advise them to go to the ED? Those things and sitting at a desk for 8-10-12 hours are what kills me. But.. at least I don’t need to smell these patients. Haha.

I am leaving after a few months. I blew a gasket the other day in my brain because the phone wouldn’t stop and about 10 patients in a row were rude and / or lying about their symptoms. And I hardly ever get mad. Have never gotten mad at work before even in ED. I’m waiting for my boss to call me and fire me because I was super snotty to a few family members. I’d rather get yelled at in person and walk away and take a deep breath or 2 in the bathroom.

The association of ambulatory care nurses is developing a program. Only the first module is out last time I looked.

After about 15 years I had moved to a different state. I applied to this state for an RN license and had all kinds of documentation of psychological tests that I had to go through for ministry. 3- 8 hour days of psych evaluation. I had their report. Plus pages and pages of 12 step work that I did throughout the years. And a few letters of reference. They also called my sponsor and talked to her for an hour. Then interviewed me several times over the phone. They voted to grant me a license with no restrictions but it WASN’T unanimous. I was SO grateful. So keep track of all the good things you do. Get letters from people now that may not be around in the future- my first sponsor for 5 years died so I wish I had a letter from her, but it worked out. I have a compact license but will have to apply to each state not I. The compact. And when I disclose the voluntary surrender some places like IHS won’t hire me, although they don’t say that’s the reason. Good Luck! ( they may also look at tickets you get so try to be good ?. I wasn’t. )

Hey! I took Solheim's CFRN review and found that it focused best on the nursing parts for the CFRN vs. the FP-C. Will Wingfield's is newly redone and up-to-date. It was the best overall for applicable knowledge, and I learned A LOT from it. Every time I listen to it, I learn something new. Know the gas laws for sure. The test was more about critical thinking than recalling facts. No drug dosages or anything. ABG interpretation, but way beyond acidosis or alkalosis- it would jump to vent adjustments based on the ABGs and detecting problems. Let me know if you have any other questions. Hope that helps!