czyja

A male foley insertion usually takes all of about 10 minutes start to finish (unless there are major prostate issues) - its so quick and easy, why not do it for your coworkers? As for me, I never put in a female cath without a female coworker in the room. I do this for the patients comfort and mine.

The observation and communication skills you use as and officer will serve you well as a nurse. Good Luck!

And Cybalta also has some lovey anxiolytic properties. Lung disease can also lead to terrible anxiety - so this sounds like a well thought out treatment plan.

Good heavens, I am glad you made it throught that. Those mid-line shifts can be most unpleasant.... What caused you to get treatment? Did you sieze or were you feeling odd? In your case I suspect it was probably the q1 hr neuro checks that upgraded you to the ICU. No way they would have the time to do that in M/S or even most PCUs.

This is an interesting topic. And I suspect we will hear more about it in the future. In the UK they are very serious about infection control. Nurses do not wear their uniform outside of the hospital. I am told they do not even wear them to the cafeteria. An English nurse assured me that if she wants to go to the cafeteria she is required to change into her street clothes. Morover, nothing except a single wedding band may be worn below the elbow. No watches. No jackets. Physicians do not wear white coats in wards. Sleeves must be rolled up to the elbow. It seems a rational system to me and I would welcome it here in the US. I especially find white coats to be disgusting. One need look no furhter to see how C-diff is spread....

I think we are headed towards more collaboration and delivery of care in integrated practice settings like kaiser, group health, geissinger, etc.Thus APRNs will continue have an increasing role.The evidence suggests that APRNs deliver the same quality of care as physicians in the primary care arena. Also fewer MDs are interested I primary care d/t the relatively low pay when compared to specialty practice. So I think we will see more aprns in primary care.FYI- by in large most APRNs (including yours truly) hate the term mid-level provider. It suggests a lower level of care than that provided by a physician, which is simply not the case.

Another thing you might wish to consider is becoming a PA as it would be a shorter route to an advanced practice role (for you).As a DC you have substantial clinical experience, which is needed for many PA programs. I assume you are interested in ortho or physical medicine/rehab. These specialties use quite few PAs .

I am very sorry. What a hard week! Try to stay well.

You passed. Congrats!

I am moved by the following from the Navajo tradition: In beauty I walk. With beauty before me, I walk. With beauty behind me, I walk. With beauty below me, I walk. With beauty above me, I walk. With beauty all around me, I walk. It is finished in beauty, It is finished in beauty, It is finished in beauty, It is finished in beauty. 'Sa'ah naaghéi, Bik'eh hózhó--from the Navajo Blessingway In an odd way, it reminds of the great English mystic The Blessed Julian of Norwich. She wrote:"all shall be well. All shall be well. And everywhere, all manner of things shall be well." At work and all around I am witness to the truth of great suffering. I like to remind myself that all suffering eventually ends. And that the Holy One has also provided us a world of great beauty and joy in addition to great suffering.

Right. UCSF does not offer online education.

Scope of practice regulations for NPs vary by state. In some states NPs can do this, in others they cannot, and yet in others MD/DO supervision is required.

Yes, she was probably taught that her peri area was "dirty." This is sad IMO.When patients, friends, or strangers ask me if I find dealing with blood/vomitus/urine/feces/sputum I tell them the truth - that it is a privilege to help people.

It very much matters.Images in advertising and in film/tv collectively create a normative view of any profession. Showing men in these images suggests that men have a place in nursing. Young men need to be able to visualize themselves as nurses before the decide to become a nurse. This may involve direct interaction with a male nurse, but it also might involve interacting with film, tv, ads, video games etc.

Wow Merlyn- how horrid.Here in California, providing spiritual care is a requirement for acute care hospitals.Couldn't you have just called the Chaplin and made the request?

Right! As a nurse you will be responsible for administering drugs that when given in the wrong dose may be lethal. The math you need to know is not complex, but you really have to know it.

You passed. The priority and delegation questions are "level 4" questions ie the hard ones. Had you failed, the algorithm would have been giving you level 1 questions.Congrats!

Sweet. Thanks!

Exactly. This is why some people say that the flu shot "gives them the flu." The vaccination causes the body to mount an immune response, which leads to aches and pains.

I agree with the above poster. Contact your school and see what they say.Most importantly, always answer questions about arrests and convictions accurately. Not telling the truth makes things mighty worse...

At the risk of seeming rude, this question has been beaten to death here at AN and many other cyberspaces. I would be delighted, however, to engage with you about it. I would offer that my reasons for becoming a nurse are not nearly as important as your reasons. Here is my list, 1. This is an exciting time for nursing. There are many, many opportunities. 2. I like the nursing approach to care, which places more emphasis on the lived experience of the patient, not just the disease process. 3. I am interested in helping people cope with symptoms and less interested in curing disease.4. While I count several physicians and one surgeon among my friends, I have to say that, in general, medicine attracts some of the biggest egotistical fatheads I have ever meant. The culture of hospital medicine is nothing short of toxic and surgery is even worse.I went to a Masters Entry program and I suspect you are probably interested in the same. Remember, NPs are nurses. The approach to the patient is subtly but importantly different than MD PA DO care.

Just go to the California Board of Registered Nursing website. It explains all...Board of Registered Nursing - Licensure by Endorsement

Agreed. Just work yer butt off and you will soon fit right in. Given that you made it through nursing school at such an amirably young age, I also suspct you have some pretty developed intellectual and interpersonal skills. Use them, Congrats on starting your career.

Doesn't the LVN scope of practice in CA permit you do venipuncture? If it does, this obviates the need for a phlebotomy tech certificate.

I very much agree with the above poster. The first step to being the nurse you want to be and the person you can be, is to deal with your mental health issues. You may wish to talk to your primary care NP or MD and be screened for an anxiety/depression disorder. Low cost/sliding scale psychotherapy treatment options are available. Many anxiety and depression meds are also generic and therefore quite cheap. I think if you attend to your health you may quite surprised at the great things that follow