Weeziebeth

Juan, thank you for your response. I am looking to design a program that provides, as you say, a bit more of a consistent skill set and solid foundation. Also looking to expand the simulation experience but 1 step at a time-at least from my project perspective.

The figures seem a bit optimistic from my standpoint. I can only hope this is where my employer gets their information for my upcoming salary review.

I am in the process of designing my DNP project. The basic idea is the design of an intra-institutional partnership (hospital, physician practice(s), and university) to provide a structured preceptorship experience. The idea would be provide clinical experience for a set number of students over the course of their entire clinical course-so 2-3 semesters. It would hopefully provide more of a comprehensive, residency-type experience, students would not have to scramble for clinical experiences, and potential employers could get an idea of potential job-candidates while participating in their educational experience. My question(s), particularly for those of you operating in the ACNP role, is what was your school clinical experience like? Was it more structured or loosely organized? What would you have wanted your clinical experience to look like in comparison to what it was? I know this is asking quite a bit, but any information you all can provide would be greatly appreciated.

Lolit, sybil-mean, fx arm, post-cath, pre-ohs, fem art-line, versed, standing, back2bed, restraints, versed, to desk for chart, fem line out, bleed bleed bleed

Thank you...I was wondering how to respond to "there's no excuse" in a productive way. You did so in a manner much nicer than I would have. That said, here's my most ridiculous error (one for which I feel there really was no excuse): received a patient from the e.r. with three pages of orders. On the first page there was a list of drug allergies including fluoroquinolones (written that way...fluoroquinolones). Right below the list of allergies was a list of med orders including levaquin xxx ivpb qxx hours. Well, the order went to pharmacy, where they entered the allergies and the drug and then sent me the drug. Normally I verbally verify allergies with patients but this lady was intubated and sedated. I proceded to hang it -- as i'm programming the rate into the pump and hit start it hits me...duh. The infusion is stopped and I write myself up (along with the physician and the pharmacist). I don't believe the patient received even 1 cc of the bag, but still...very scary. I notified both pharmacy and the physician (3rd year IM resident) of the error--the pharmacist was mortified, apologetic and confused (some system safe guard should have clued him in) and the physician was grateful and shaken. Thankfully, a good outcome and a good learning experience for all concerned.

Glucommanders....hate'em hate'em hate'em. Especially since we have this new policy that anyone, who at anytime, has a BS over 110, must be placed on one and have a Diabetes consult. Can you say the entire i/p census and the staff as well! Oh yes...and this one is really horrible (that its a problem)...taking care of BKA patients! Everyone on my unit knows not to ask me to help turn, pull up in bed, etc if at all possible. Gives me the willies.

There is no difference. EKG is the earlier name and is so called because the guy who invented it was German and the spelling was electrokardiogram (or some such thing...i'm only positive about the "k"). As for a-line and b-line...not sure. The only a-line I know is an arterial line. Not sure what the b-line is.