VivaRN

VivaRN

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All Content by VivaRN

  1. Which was harder?

    I found my masters to be "easier" because my BSN was such a huge learning curve: medical terminology, pharmacology, procedures, all of that was new. I remember being so nervous the first time I took...
  2. This wouldn't be as feasible for a nursing student, but as a nurse I try to have some rapport with the pharmacy personnel. Could it be that this is a new pharmacist? Sometimes pharmacy programs flag...
  3. how much orientation

    It sounds like more time for learning and, as you said, they are not approaching this as that you were deficient or incompetent in some way. What a great opportunity. What I was wondering about was...
  4. This is hilarious. A hospital I know of went a little off the deep end implementing caring moments re: Jean Watson. Every 2 hours they play a chime overhead to remind nurses to have "caring moments"...
  5. I have heard this a few times and have no idea where people learned to say this: "On today I did that documentation" "I saw the patient on yesterday" On yesterday? Really? The other one that gets me...
  6. And if we catch you smoking you'll be charge $25

    Instead of punishing the smokers they should reward the non-smokers. The positive reinforcement would motivate more people to want to be in the non-smoker category, vs. punishment. For those...
  7. I'm done!...Vent!

    I hear you that you are frustrated and looking for better working conditions. It sounds like you are viewing getting an advanced degree as a way to escape this. Just a caution that if you're not...
  8. hippa violation???

    Eh, I would say something. In this case it was X-rays, but what if it was something more sensitive like an unplanned pregnancy, cancer dx, HIV, things that cause trouble if they get leaked beyond the...
  9. Young and jaded.

    I'm not Mother Theresa (now that is a laugh) but when I have a string of what the heck kinda days I like to read this quote. I don't see it as a give until you burn out thing, more that the giving is...
  10. social networks and work

    Any co-worker that I wouldn't normally share my life with gets put on the friend list with the restricted privacy settings. Yeah, we're "friends" but you can't see anything personal. I like having...
  11. I know this is the real world but I still find it disgusting that they ran right over an injured employee on their way to the bank. And they wonder why our generation doesn't trust employers? I...
  12. Got my dream job!

    Congratulations! And don't forget the happy thing about working in outpatient: the patient walked in, they can always walk BACK in or you can call them if you forgot to do or tell them something....
  13. Am I too old?

    I'm 26 but I work with a few NP's in your age range who changed careers or went to grad school later and they obviously didn't have a problem. As others have said, if anything your nursing experience...
  14. Alert patients who refuse meds.

    Just as a side note, patients who refuse doses of HIV meds also risk becoming resistant to those meds, which may no longer work against his or her HIV virus. I always tell pts, this regimen that you...
  15. Got job offer at a home health agency

    Didn't you post on this about a month ago (when you were first investigating this offer) and we gave you advice as to what questions to ask to ensure you got what you needed, as they didn't provide...
  16. pt was very upset about fluid restrictions

    No, I agree, I wouldn't call at 3am about that either! I mean if you have tried everything with being firm and such, in my experience the provider likes to know (not an emergency but at some point)...
  17. pt was very upset about fluid restrictions

    The only thing I would add is that I would notify the provider of the patient's refusal after doing my own CYA. Then I would document that the provider is aware and what action should be
  18. diaper and insurance

    I didn't even know you could write a Rx for diapers for a child? Love the crazy stuff people ask for, though. I am like, NO, NO and NO. Like I had a patient arguing about how she is disabled and I...
  19. "Not a Good Fit"

    Also agree with what has been said. So sorry this happened to you. Rejection hurts, even when it's not personal, but - your new position may be even better than the one you left. Look at it as an...
  20. Feeling So Defeated

    Sounds to me more like a lack of support and mentoring than that the environment is too difficult. New grads are successful in ICU all the time (I was one, and not special in any way - it was the...
  21. I am an NP and also have an MPH. What I learned doing the MPH was applicable, fun to explore and gives me the option to go in a purely public health direction should I ever want to. It is nice to...
  22. I don't know what it would be like to be in your exact situation, but in my experience instructors were accommodating if you let them know upfront and worked it out together. It may not always be...
  23. I recall being incredibly frustrated the first semester of my NP program as we had not yet started clinicals. Our instructors were PhD's who had not seen patients in years, or who volunteered at free...
  24. OB Project Help!

    How about evidence for/against VBAC? Pros and cons of advanced maternal age cultural beliefs about
  25. NP vs. RN job satisfaction

    I like being an NP waaayyy more than when I was working as an RN. Though I think this is more a reflection of my RN working conditions. Whenever I have a rough day as an NP, I think - well, at least...