nursejill155

DNPstudent... What program are you looking into that has great ICU focus?

Are you able to do private counseling as a mental health NP? Like I psychiatrist would do?

My end goal is ACNP. The university near my offers a DNP program for ACNP, my thought process was to complete another NP degree at a different university and then do a post-masters certificate which would hopefully be a quicker route to practicing as an ACNP. Is this not a good thing to do? Should I just go for the DNP? I hope this makes sense. I guess I'm wondering if this is the quickest way to practice as an ACNP.

To further explain my thought process here.. There is a school near me that has an ACNP program the program has been changed from a masters degree to a DNP program. My concern is spending the 5 years to complete this program. I would rather complete the MSN and then if I want be able to go back to school as I am practicing as an ACNP and gaining experience. So my thought was to complete a NP degree in Adult care and then recieve the post-masters certificate. Is this a good or bad idea? I didn't really know that the option of a post-masters certificate was there. Need some help here... Perhaps this is a poor decision and I am just unaware of the cons of doing this. Thanks

I am looking into an ACNP degree. I am looking for clarification on what is the difference between an ACNP degree as in a masters degree in it and someone who has a masters degree such as an adult NP degree and complete a post-masters certificate in acute care. Can these people practice in the same fashion? Can they both practice as ACNPs? Is one way better then the other? Thanks!

My pt was coding... Otherwise there is no reason to open the chest of the pt is bleeding they should go back to the or. The icu is not the or you are missing a lot of important equiptment they need! But you are right no other reason but cardiac arrest is a reason to do an emergent sternotomy.

I have had a post op cabg of not even an hour go into vfib... Think about your question... Your pt codes regardless of being a cabg or not you should start CPR. More likely then not the chest will be reopened but you should try to preserve the brain if possible! I started CPR and the pt chest was opened. Of course there are complications of doing compressions but what is your other option?

I work in sicu and in our hospital we titrate levo up to 1mcg/kg/min or 12mcg/ min... Keep in mind everywhere is different. Also keep in mind to suggest adding something else like vasopressin or neo or even epi... It depends on your pt. It sounds like your patient was in shock keep in mind you can't save everyone it is sad! You could have probably given more fluid but it sounds like there wasn't anything you could have done! You will see that again just keep in mind that you can always suggest something else for you patient... You are there advocate! Keep a positive attitude there is always something to learn but it sounds like you did everything you could have done! Keep up the good work

I just found out I was accepted to university of michigans acnp program! Yay! I am looking to work in a critical care setting when I'm done and was looking online and noticed there are some acute adult/ critical care np degrees but they take the same boards when complete... What is the difference? Are there any acnps who work in the icu? Thanks!

Well first of all don't be to hard on yourself. Your going to be scared and thats good, people who are scared tend to ask questions when they are not sure of something. That is my second piece of advice, ask questions! and know your limit and if you get to it ask for help. Working in the ICU is hard and stressful you must be willing to study but remember don't just do something because you "think" you should.

I'm not very good with autoimmune stuff there is A LOT of it and it usually presents in an akward way. It may be related and maybe not...is he a drinker? I'm interested keep us posted

Well keep in mind that everyone makes mistakes! You have to remember to double and sometimes triple check stuff such as orders and meds. As for your patient who self extubated...it happens! More then it should thats a fact. Some people are houdini when it comes to stuff like that. Make sure your restraints are tied well and don't beat yourself up.... It will get better and you said it was your "thing" don't let a few mistakes allow you to quit. We often learn our lessons when we make mistakes but you have to be careful. Don't give up though :)

Well there are many different gtts you may see depending on where you work but we commonly see... Diprivan, versed, fentanyl, morphine, ativan, norcuron, levophed, dopamine, cardiazem, primacor, natrecor, dobutamine, epi, vasopressin, neo, lasix, albumin, bicarb, nitro, nipride, cardene, labetalol, esmolol, heparin, insulin, dextrose, amiodarone, xygris, lidocaine, flolan, integrillin... Thats probably most of them some are more common then others. I hope that helps some!

I work in the SICU but we get CT post op pt and we don't wedge them a few years ago a RN wedged a pt and ruptured the PA so we don't do it in those pt but other post op pt with swans we do just depends on the pt.

We have an external CO/CI machine that we use occasionally. I have used it once only and it involves putting patches on the pt carotids but Imy experience is that it is not very accurate. I have a pt that it was read the CI was 1.4-1.7 and once she had a swan her index and output were much higher then the external machine. That has been my experience but again I have only seen it once.