Vanfnp

Vanfnp

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All Content by Vanfnp

  1. I totally sympathize with your ANCC trials-I have been waiting 6 weeks for them to send a copy of my certification to my state board so I can be issued my (WI) license to practice as an NP. Many phone...
  2. Failed ACNP

    I agree with the other posters-for whatever reason, you were just a little "off" on test day. I feel your pain as I am scheduled for ANP exam next week. I attended the Fitzgerald review and have been...
  3. You be the judge

    You better read your facility's P&P manual; I'd be willing to bet it states that monetary gifts and such are a big no-no. You'd better ask your administrator before cashing that very tempting...
  4. such a confusing situation- long-ish

    How is fibbing about a work obligation "doing the honorable thing"? The poster indicated that she works a weekend option-typically these positions agree to work Fri-Sun in exchange for getting paid...
  5. such a confusing situation- long-ish

    Your best bargaining chip is your night off-it's late but can you call some coworkers and attempt a trade? Otherwise my advice would be to change your flight; I wouldn't fib about being ill-your boss...
  6. Please share advice/thoughts- help!

    The drive will add two unpaid hours to your day. With having the kids in a new daycare you will have, at best, a challenging transition period. If you plan appropriately, you can solve these...
  7. interosseous access (IO)

    The latest ACLS guidelines do advocate greater use of IO devices. After renewing my certification, our ER had opportunity to use one in an adult code situation. We have the "gun" type device that...
  8. If you need to open more than 2 vials of a med for an order-recheck it. You may have miscalculated the ordered dose or the dose ordered is incorrect. Have someone double-check your calculations. This...
  9. Tncc

    I am about to take the TNCC course-can anyone give me a feel for how stressful it's going to be?? I've been in ER for nearly 3 years but we're a small hospital and I'm a little worried....I will...
  10. Think I could get fired for this.....

    My advice? Choose your battles with care and don't burn bridges. As with many others, our facility uses RN's (we have no Lpn's) as CNA's, ward clerks or patient sitters if needed. It is not an...
  11. Doula Thoughts on L&D (long)

    I feel the greatest of the numerous misconceptions in the original post were the statistics. Perhaps on average, a single birth has the low risk percentages so stated but a VBAC does not. Other...
  12. Doula Thoughts on L&D (long)

    The doula post is wrong on so many levels the poster has got to be a troll. Any 1st year nursing student can rebut most, if not all, of said troll's "points". My advice: a doula should function as...
  13. Title of "BSN" on badge?

    I am darn proud of my BSN and will be darn proud when I receive my MSN shortly but I will not put any of this on my stinkin' name badge. Why? Because, as a professional, it is not necessary. An RN...
  14. Pat Brenner's nursing modeling theory-

    Try looking for Patricia Benner, not Brenner. Her book, From Novice to Expert, is a classic. It takes time to learn nursing and her book traces the stages one goes through and the changes in...
  15. Scenario:What would you do?

    I work ER and I think I'm in the minority here. If a pt comes in, we treat. DNR means just that-no resuscitation, not no treatment. Its sad that the families of these pts put them thru these...
  16. Carotid's ER Stats (Unofficial of Course)

    0% of parents who smoke, smoke in the
  17. resignation dilemma

    Would another two weeks make that much difference? It sounds as if you're already on poor terms with your manager and are unlikely to get a good reference from him/her no matter how long you work...
  18. The above posts are all good advice. At our facility, GN's who fail the NCLEX remain on orientation but technically work as nurse tech's until they retake the exam and of course duties of tech's vary...
  19. As a member of our hospital's Retention & Recruitment committee, my main interest is retention. I've suggested that implementing a clinical ladder would promote staff development and aid in nurse...
  20. Is a BSN needed in nursing today?

    Couldn't you take an initial class to get your feet wet and see how you like the program? If you are not committed to this project, you won't be happy and maybe won't do well. We all know life's too...
  21. My hospital starts BSN grads out at .25 more per hour than ADN. Earning a BSN while working fulltime at said hospital however earns one nothing extra. You may, in fact, lose some of your annual...
  22. Use Bsn After Your Name

    You better believe I'm proud of my BSN but I will not use it on a nametag. On a published professional paper yes (don't I wish!), but on a day to day basis, no. IMO, nursing's myriad of specialty...
  23. There was a similar case in MN (Minneapolis/St Paul area) this past week-a nurse selling "shots" for $20 each at the Augsburg college campus. Her presence wasn't questioned at first because she...
  24. BSN requirement for all RNs

    While I believe that continued education is one way to further one's expertise, others exist. The knowledge, clinical judgement and intuition gleaned from hands on nursing care over many years should...
  25. Highest BAC levels in patients

    Whoa, .72 is very impressive!! We routinely get 'em in with BAC in the .35-.40 range. Highest I've seen to date (with just over 2 yrs ER experience) is .53, in a female. We oohed and aahhed over...