stephenfnielsen

stephenfnielsen

ICU, Informatics

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All Content by stephenfnielsen

  1. Questions for NPs in pain management

    I'm thinking about heading down this route some day and would like to draw on the collective wisdom from all of you... What type of setting to you work in? Pain clinic? Hospice? Oncology? What do you like and hate about your job? Relief of suffering?...
  2. I've seen a lot of of FNP programs that require a BSN or even a bachelors in a another field, but I'm looking for an online direct entry ADN to MSN (FNP). Anyone know of, or have any experience with such a program? Thanks!
  3. Can't help you out, but how did you like the program? Do you currently work in informatics?
  4. What's wrong with me?

    If you have the guts for it, most places offer brutally honest feedback as to why you didn't get the job if they were willing to take you that far. If you ask with the right tact- honestly looking for feedback (not to complain or get another shot) it...
  5. Long Term Outlook

    I left the ICU for informatics a couple years ago and it's been a wonderful move. It's an opportunity that won't come around very often to learn skills that a lot of other people out there covet. The way I see it, very few people have the body, let a...
  6. You might try to hook up with a consulting firm that installs EMRs, they might be able to use you as a trainer. The reality is that nursing informatics is the marriage of clinical expertise technical knowledge, and project management skills. So you ...
  7. Nursing Informatics advice

    I'm sure there are snobby employers that only look at the school the applicant attended, but IT is a very results driven industry in general. "What you've done" is very much more impressive than what school you attend. So my philosophy is- get the de...
  8. Nursing student needs advice in Nursing Informatics

    Anyone who tells you it's a sure thing is probably trying to sell you something. That being said, the industry is growing at a phenomenal rate right now. I would foresee strong growth into the near future due to the complexities of current health ref...
  9. Advice on how to get here

    It depends on whether or not this type of thing come naturally to you. I know a lot of people who can be in a crazy code environment and not feel stressed, but if you put them in front of a big group of people to present new ideas they freak out. If ...
  10. Hi! Our facility is getting ready for EHR implementation- EPIC!

    One thing to avoid is trying to turn Epic into an electronic version of your paper chart. People waste a lot of time and energy trying to do "what they've always done" instead of using the new electronic tools for what they are good for. Just because...
  11. Nursing Classes: Are they really that bad?

    A few things that make it difficult: 1) A lot of programs make you take the whole year over if you fail a class (anything less than a C). This ends up creating $60,000 tests (if you fail you miss out on a year of RN wages). I don't care who you are,...
  12. One more question and then I'll be quite. :)

    Other areas away from the bedside might include: process improvement, education, risk management, project management...But if none of those appear, look to get on different committees that deal with change management within your hospital or see if yo...
  13. Question for Nurse Informaticist

    Currently we report to IS (IT), previously we reported to nursing admin. In nursing informatics we live in both worlds and there have been pros and cons to being in both departments. We've received a greater level of technical trust reporting to IS, ...
  14. Interested in Nursing/Healthcare informatics

    Don't take my advise as gospel, but you will find it very, very difficult to find work in that kind of field without previous health care leadership experience. Ask yourself- why would a hospital administrator want to give you a leadership position w...
  15. Curious with nursing informatics specialty to new grada

    The work is great if you can find it. There is that age old debate over whether you should go directly into a specialty or not. Generally people are referring to areas such as the various ICUs, L&D, OR and ED. From what I've picked up, the reason...
  16. Nursing Informatics Masters - should I take the plunge?

    At least in my neck of the woods, a portfolio of experiences is much more impressive than any degree you have. Becoming a power user is a good idea and will help open doors, but also be on the lookout for leadership opportunities such are chairing co...
  17. Nursing Information Officers and Health IT

    It will be interesting to see where this goes. My facility has had the CMIO position come and go and currently has a CIO and a Chief Clinical Informatics Officer (currently an RN that reports to the CIO). I like the sound of the idea of a CNIO, but I...
  18. Graduating soon from MSN Informatics program

    If you feel like this is really what you want to do and have an interest in moving to Salem Oregon you might want to check out the related job postings here. Salem Health | Welcome
  19. Physician Ordering and Documentation

    It's all about physician buy-in. Do they want to do it? Are they excited about it? Probably not... and if that's the case, you need a few very strong personalities to be physician champions to put teen in butts. At the same time there needs to be amp...
  20. Graduating soon from MSN Informatics program

    What do you want to do with all the training you have? What is your clinical background?
  21. Why is Epic better than Cerner?

    Epic is most definitely customizable, and most definitely has an ambulatory module (it was actually their bread and butter in the early days). In fact... I really don't know how Epic could be more customizable, they are known to build custom code for...
  22. Saline flush without a physician order?

    Let's say a patient has a saline locked IV. The nurse knows that it is best practice to flush saline locked IVs with saline every 8 hours. Can she do this without a physician order?
  23. SuperUser to Nursing Informatics

    Similar to you, I worked in the ICU as a Super User, and parleyed that into an informatics position. When I was hired into my new position my hospital had been live with Epic for about 5 years, but were staffing up a little so they could implement a ...
  24. Job Title Question

    I think it's funny that she has IT phobia. rninformatics has a good list there. If I were you I would look at what your career goals are and push your director accordingly. For example if you want to end up in education I would push for something tha...
  25. Do you see informatics growing or shrinking in the next 5 years?

    Just this week there was a spread in the local paper about how the hospital I work for is 30 million under budgeted revenue right now, lots of belt tightening going on... but no plans to shrink the size of the IT department. There is definitely a hug...