stephenfnielsen

stephenfnielsen

ICU, Informatics

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All Content by stephenfnielsen

  1. Do you see informatics growing or shrinking in the next 5 years?

    stephenfnielsen posted a topic in Nursing Informatics

    My coworkers banter back and forth about this, but what do you all think? I was at Epics user group meeting a few months ago and was floor by some of the technology that they have coming out in the...

  2. EPIC Application Coordinator

    stephenfnielsen replied to mom4josh's topic in Nursing Informatics

    It's a good thing, Epic is spreading like a virus so the more certs and experience you can get the better. I was there last week and I spoke with individuals from facilities that are moving from...

  3. LPN. or RN

    stephenfnielsen replied to gapeacheykeen's topic in Nursing Career

    Parity in LTC sounds intuitive. I'm always interested in how variable RN pay is across the country. New grads RNs in Oregon hospitals are now starting pretty consistently at $30/hr in hospitals,...

  4. LPN. or RN

    stephenfnielsen replied to gapeacheykeen's topic in Nursing Career

    Indeed this is very hard to believe, would you mind providing some stats? What state do you work in? How much did you start out at as an LPN? What hospital did your RN acquaintance work at? How much...

  5. LPN. or RN

    stephenfnielsen replied to gapeacheykeen's topic in Nursing Career

    Depends on what you like. LPNs generally work in long term care and clinics. An LPN in a clinic can expect to make almost half of what an RN in acute care makes. Now, do you go for ADN or BSN? No ones...

  6. Two health degrees, but recent drop in GPA (accelerated BSN or ASN)?

    stephenfnielsen replied to Kiki1989's topic in Pre-Nursing Students

    It's kind of a curious thing, but often times it is easier to get into a BSN (or accelerated) than an ASN (ADN) program if you have a less than perfect GPA. Many ASN programs use a very objective...

  7. Previous experience for nursing jobs?

    stephenfnielsen replied to Jamuhh's topic in Nursing Career

    my advise to people is: if you aren't really passionate about a certain specialty your best bet is to start out on a med/surg floor, preferably with tele. you'll get all the experience you need to...

  8. Which job to pick?? Help!

    stephenfnielsen replied to mshessle's topic in Nursing Career

    This is an economy where no one's job is safe. That being said, it's a lot easier to close the pubic health clinic for a furlough day each week than it is to close the NICU for a day each week. The...

  9. Length of time to learn documentation

    stephenfnielsen replied to js621d's topic in Nursing Informatics

    We do about 12hr over two classes. I think it's kind of a moving target because so many nurses are moderately proficient with EMRs these days so they need less time in classes. I'm pushing our...

  10. Will being written up for a med error affect getting a new job??

    stephenfnielsen replied to v704's topic in General Nursing

    Almost all interviews ask a question along the lines of "how did you make a bad thing good?" These questions can be difficult because you don't want to give the impression that you are careless, but...

  11. IVP vs IVPB

    stephenfnielsen replied to PediLove2147's topic in General Nursing

    Not so much for inpatient, but outpatient reimbursement for IVPB is greater than IVP. This is why you see a lot of Onc, and pain clinics giving pain and nausea meds IVPB (more money!). Go to any drug...

  12. Do you see informatics growing or shrinking in the next 5 years?

    stephenfnielsen replied to stephenfnielsen's topic in Nursing Informatics

    It will be interesting to see. Like you pointed out, technology is not going away, and there will always be jobs in the caring and feeding of EHRs. I think part of it will be how well CIOs can...

  13. Another "should I do this".....

    stephenfnielsen replied to FLmomof5's topic in Nursing Informatics

    Okay, I've never head of an engineer leap to nursing, would you expand upon

  14. Hospitals using EPIC in Oregon/Washington

    stephenfnielsen replied to WagnerRN's topic in Nursing Informatics

    Ones that I know: Oregon: Portland (basically all Portland hospitals) -OHSU: strong RN informatics -Providence: strong informatics, but I don't know how much RN influence there is -Kaiser Permenente:...

  15. Night Shift or Evening Shift

    stephenfnielsen replied to MsNewbie's topic in Nursing Career

    If you are a social person who likes to do things during the day- run away from the night shift fast! You will either compromise your relationships or your health. I've worked every shift and...

  16. Are there many health educators in medical facilities

    stephenfnielsen replied to tishluvnc's topic in General Nursing

    There are lot's of what I would call 'health educators' in acute care (hospitals), almost all of them are BSN prepared RNs. MSWs do very little health education, they are more concerned with social...

  17. Informaticists.... tell me about your specific jobs...

    stephenfnielsen replied to delabeaux's topic in Nursing Informatics

    I run the super user program and do a fair amount of EHR training and troubleshooting. My team also gets pulled quite a bit to sit on committees and sub groups where a clinical perspective is needed...

  18. Patient wristband scanning question

    stephenfnielsen replied to njinformaticsrn's topic in Nursing Informatics

    Only emergencies... Even in codes, if you have the right people in the room- the meds get scanned, no joke. I always just say NEVER admin with out scanning, that way you never need to be wishy-washy...

  19. Are new nurses (new grads) ever allowed to work PRN?

    stephenfnielsen replied to mema45's topic in General Nursing

    I would advise against it. In my opinion you should work as much as you can for at least the first six months- really hone your skills. I've seen a number of RNs who never really cemented their skills...

  20. Is med/surg really that bad?

    stephenfnielsen replied to clearblue3's topic in Medical-Surgical

    It's hard, but you already know that. Unless it is some kind of natural disaster type situation you will always have resources to help you when the stuff really hits the fan. The people who have the...

  21. Saline flush without a physician order?

    stephenfnielsen replied to stephenfnielsen's topic in General Nursing

    Yes, I did make the assumption that you practiced in the US, and I was wrong, I

  22. Saline flush without a physician order?

    stephenfnielsen replied to stephenfnielsen's topic in General Nursing

    I think the centers for medicare and medicaid would take issue with a nurse administering O2 without an order. Let's be real, yes, give your patient O2 if the sats are tanking, but you then would need...

  23. Saline flush without a physician order?

    stephenfnielsen replied to stephenfnielsen's topic in General Nursing

    Would you consider my line of questions helpful if it caused someone to check their facility's standing orders and find them lacking- leading to positive changes? I always find it disappointing when...

  24. Saline flush without a physician order?

    stephenfnielsen replied to stephenfnielsen's topic in General Nursing

    Well, I'm sorry if you feel it is juvenile to ask questions and follow the answers to their rational ends, but there are reasons standing orders etc. are place... people like me asked stupid questions...

  25. Saline flush without a physician order?

    stephenfnielsen replied to stephenfnielsen's topic in General Nursing

    You must have missed my posts where I agree with people? I'm only arguing with people who say that you can flush without an order, if nothing else I hope I have made the point that people do things...