juan de la cruz MSN, RN, NP

juan de la cruz has 31 years experience as a MSN, RN, NP and specializes in APRN, Adult Critical Care, General Cardiology.

juan de la cruz's Latest Activity

1. 

   New Grad Scared to Start in Med-Surg

   juan de la cruz replied to SuperSassySally's topic in New Nurse

   I started out in Med-Surg. I find that these days, not all Med-Surg units are really that broad in terms of population seen. The hospital I work for has specific Med-Surg floors for Neuro, CV, or Ortho. On occasion each of those may have overflow pat...
2. 

   Chart Following and legal limitations

   juan de la cruz replied to Gladhill's topic in NP

   I work in an in-patient service where we also have different NP's caring for our patients each day they are admitted because we're not always there 24/7. Once you have been a provider for a patient on your in-patient service, you are already part of ...
3. 

   The MD Bias Hits Home

   juan de la cruz replied to JBMmom's topic in Advanced

   Without knowing the details, I agree that there is more nuance to the MD vs NP debate. Where I work, it's easier to hire MD's for nocturnal hospitalist coverage. There are many graduates of IM residencies who prefer to do a year of nocturnal hos...
4. 

   Canadian RN working in the Philippines

   juan de la cruz replied to AbiOlive's topic in Philippines

   Just for a few months? is this part of a humanitarian mission, aid, or relief program? In the Philippines, the nursing profession is regulated by the Professional Regulation Commission or PRC, the government entity that oversees the Board of Nursing....
5. 

   RaDonda Vaught - What is she doing now?

   juan de la cruz replied to tnbutterfly - Mary's topic in General Nursing

   She seems remorseful. Regardless of her acts of negligence, you can't deny the fact that she will never get rid of the weight of Charlene's death on her mind which she admitted on the video. The entire process from litigation to sentencing seems to h...
6. 

   Radonda Vaught Sentenced

   juan de la cruz replied to tnbutterfly - Mary's topic in General Nursing

   I know the issues here have been beaten to death but there were system failures at Vanderbilt at the time...they were switching to an EMR that was not sync'ing with their automated medication dispensing system. Nurses were being asked to override med...
7. 

   Radonda Vaught Sentenced

   juan de la cruz replied to tnbutterfly - Mary's topic in General Nursing

   If you're interested, there is a very similar case in Florida in 2011 that didn't even garner the national attention that RV's case got. The DA was not involved and it was the decedent's family that sued. It did not lead to the nurse getting criminal...
8. 

   Radonda Vaught Sentenced

   juan de la cruz replied to tnbutterfly - Mary's topic in General Nursing

   Criminal charges for nurses who have been proven to be negligent is quite rare. There are only 2 other prior cases before RV. They both didn't end in jail time for the accused. I think the same lesson can be learned from RV's case. I am at peace with...
9. 

   Is this experience typical for a new grad NP situation?

   juan de la cruz replied to CardiacRNLA's topic in NP

   I also want to add that sometimes physicians mis-use NP's and don't understand our role. The fact that someone piled a bunch of results on your desk to figure out is not a role for a provider. This is like being asked to answer messages from patients...
10. 

    Is this experience typical for a new grad NP situation?

    juan de la cruz replied to CardiacRNLA's topic in NP

    I felt compelled to respond (after a long absence from this website) since I am working in Cardiology for over a year now after transitioning from a Critical Care NP role which I did for over 15 years! Cardiology is a broad field with various subspe...
11. 

    Acute Care NPs in California, NEED ADVICE.

    juan de la cruz replied to 1904_RN's topic in NP Students

    If California BRN told you they have no preference, then neither does ANCC or AACN. It's ultimately up to your school (some even allow MD or DO as preceptor). I am precepting a student from an out-of-state institution in the Fall and was given a spec...
12. 

    My Instructor Used To Be My Nurse

    juan de la cruz replied to hikeclimb44's topic in General Nursing

    Derogatory and mental illness in my mind should always be mutually exclusive. There is a professional way to present a case of mental illness in a classroom without interjecting your own personal bias about it. What I got from what the OP was saying ...
13. 

    My Instructor Used To Be My Nurse

    juan de la cruz replied to hikeclimb44's topic in General Nursing

    I think it's unprofessional behavior on the instructor's part to speak of a patient in a teaching environment that way. I think there is a line that is sometimes crossed when a faculty member tries to present a case for the purpose of student learnin...
14. 

    We Must Demolish NP Diploma Mills

    juan de la cruz replied to cprimavera's topic in Activism

    Not to nitpick but the original post said, no "for profit MD program" exists and the link your provided is a DO program. In effect, the original statement is true as there has been no for-profit MD program yet in existence. There has been other for-p...
15. 

    FNP working in Nursing Administration

    juan de la cruz replied to DeeValerie's topic in NP

    I will go against the grain here and say that you should ask yourself what you really want out of your career. As it stands, ANCC will allow you to renew your FNP-BC without practice hours since they simplified their criteria and made practice hours ...