marty6001

I'm sorry but I am fuming over that response saying she likely had a hypercoagulable disorder. We are nurses, healthcare professionals, and trusted by the population. That comment was dismissive and frankly dangerous. And just in case reading it in the news makes more sense, here is the article today on the arrest warrant, where it was made clear that the patient had a right leg DVT and was found to have bilateral PEs. Truxillo sustained abrasions to the back of her neck and tore her ACL, requiring surgery for repair. After the attack, she went to the emergency room, where she was treated and released. Truxillo returned to the hospital on April 11 to be seen in the emergency room and was admitted to the ICU complaining of trouble breathing. The warrant states Truxillo went into cardiac arrest multiple times and could not be revived. She died just after 1 a.m. on Thursday, April 11. Preliminary autopsy results released Monday, April 15 show Truxillo died of a blood clot in her right leg and a pulmonary embolism, a blood clot that had formed in or traveled to her lungs. On Tuesday, April 16, East Baton Rouge Coroner Dr. William “Beau” Clark said the nurse’s death will be investigated as a homicide and that she did indeed die due to the injuries sustained when she was attacked by Guillory. The coroner’s report says she died from the pulmonary embolism caused by the injury to her leg. The warrant provides more details about her death as well, saying the autopsy showed contusions to her head and blood clots in her right leg. Her official cause of death is a bilateral pulmonary thromboemboli (traveling blood clot) caused by a deep vein thrombosis in her right leg from the traumatic knee injury she sustained when attacked by Guillory.

Hey Jory, I don't mean to sound argumentative, but as an APRN and CNM you would know that DVTs are caused by virchow's triad, and the triad speaks to endothelial injury and stasis of blood flow (in this case from immobility) as significant risks of DVT. Could she have a hypercoagulable state, sure... but to make a broad statement that blood clots, I assume you read the original article and saw it was a DVT, killing someone after "something like this" is extremely rare, is not only unfounded (https://pdfs.semanticscholar.org/b747/8999a5738ccfdfe5bdb9101176d5e452d93d.pdf) <-- just one article I found in a lit search about ACL and DVT, but also frankly a little insulting based on what you should know about DVT/PE and virchow's triad. As a nurse and now APRN who has been hit, kicked, spit on, bitten, tackled, pushed more times than I care to remember and/or count, I would never be so dismissive and make such a statement like this saying the person "most likely" had a coagulation disorder with zero proof.

If you ask me, teach. I work as a nurse practitioner 3 nights a week in my ICU practice and also took a part-time lecturer position to give back to the profession (and the money is great as well).

My first position as an ACNP was in an inner city emergency department. I started seeing patients the first day on the job as an extra "intern". I remained an "intern" for six weeks before moving up in my position and given more autonomy. My second and current position as an ACNP was in a critical care unit. As I had 4 years as an ICU nurse and 2 as an emergency department ACNP I was on days for 4 weeks then let loose to cover night shifts. The four weeks basically cleared my mandatory procedures. I was shaky for about a year before I felt comfortable in the ED. The second year went much better as I wasn't afraid or nervous to say I don't know anymore... Hang in there!!

Great story... Except for using the term mid-level. While it's an accepted term in the medical community I remember reading a position statement from the ANA refusing to use the term... Personally it makes me cringe to hear it when anyone in my hospital uses it... A losing battle I know but I can fight the good fight right???

I choose an Ed.D in Nursing as my doctorate. I believe it's a personal decision based on what you want to do with it. While I like doing research and have been published, I really enjoy being in front of a class much more... I am an APRN but there is no need for a DNP for me as I am at my terminal position and can't imagine being let go for not having a DNP.

Being an APRN I've found that if I wear scrubs to work they ask when the doctor is coming to see them... If I wear a shirt and tie I have to explain that I'm not the doctor, I'm the APRN, to which they usually say, "same thing"... LOL

"If you are an MSN prepared NP are you pursuing or considering pursuing a DNP? If yes, why?" With my current student loan burden and my position as an intensivist APRN locked down, there is no way I would go back to complete my DNP. I think grandfathering us all in would be a much easier, and cost effective route for us.

Use your clinical rotations in your resume. Any procedures you may have been a part of, special patient populations, and/or any real life experience. Be persistant with HR, call, call, and call again. Also, any units you did a rotation on, go introduce yourself to the nurse manager now that your out of school. Let them know who much you enjoyed the unit and if they are hiring. Good luck!!!

Keep this in the front of your mind. Your patients need you. They don't care if you have short hair or long. If your tall or short. If you stutter or not. They care only that you are professional, intelligent, caring, and can help. People, especially nurses, who want to single other out for their flaws are in the wrong profession. You are a nurse. You make a difference in people's lives just by showing up for work everyday.... Ignore ignorance and in fact, I would report the person who made that comment to HR.

Get out there, take another review class and pass those boards!!! Remember no one in an interview will ask you: So how many times did you take the boards!!! If you really want it, make it happen!!!

The beauty of being a nurse. Try one. If you don't like it you can always go back and get a post-doc or in some circumstances if it's in your scope of practice take a job in the other!!!

Just remember... your going to pass your boards soon and not have to worry about this ever again. That being said, if it's a wrongful termination you have action if you choose to persue it.

I took a job in a large teaching hospital as a new grad ACNP. Sure it was for less money, but the experience of rounding daily was invaluable. Have you looked into this? I don't know where you live, but if there is a city close-by, take a job there. I went to the ED first, then moved on to an intensivist position. Perhaps you could find something similiar?? Play into your years of critcial care experience as an OR nurse!! Good luck!!

The profession is in trouble... I've been a nurse for 10 years now. I was trained in the old school way. Look good, act professional, and make a difference every day. I was also hired by my first clinical preceptor the day I graduated with my masters to come teach nursing as she saw the fire and passion I have for this profession. Would that I were there that day. Your a better nurse than I as I would have stopped each group of new graduates and calmly (I hope) explain to them how disappointing they are to dress/look/behave in this way... Shameful really...