ivanh3

ER and family advanced nursing practice

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All Content by ivanh3

  1. ivanh3

    Pocket PC, Palm, Blackberry, (which to purchase?)

    ivanh3 replied to ccuRNinTN's topic in Nurse Practitioners, NP

    With regards to not taking something to a clinical or hospital, is it because of the camera, wi-fi, or phone? If it is not the camera then I would recommend a current model iPod touch. If it is...
  2. ivanh3

    CPNE Notes From An EC grad

    ivanh3 replied to ivanh3's topic in Excelsior College

    Here is the basic sequence for me: I spent about 1 year on nursing pre-reqs. I had most of my gen-ed classes from waaay back when. It took me about 2 years for EC, but that is because I paused for...
  3. ivanh3

    Nurses don't diagnose! (wanna fight about it?!)

    ivanh3 replied to jjjoy's topic in General Nursing

    No, I have only had one job where we used NANDA style care plans, and even in that position they were rarely enforced or done. I mainly see the NANDA/care plan thing as great tool for teaching...
  4. ivanh3

    Nurses don't diagnose! (wanna fight about it?!)

    ivanh3 replied to jjjoy's topic in General Nursing

    With all due respect that is not correct. They are absolutely positively two separate and distinct processes. It does not matter what you call them. Under ADPIE, the A is for Assess, not Assessment....
  5. ivanh3

    Nurses don't diagnose! (wanna fight about it?!)

    ivanh3 replied to jjjoy's topic in General Nursing

    I think some of those conclusions are obvious, but I have experience. This is why, for me anyway, I think the only real use for writing or discussing nursing diangoses "NANDA" style is too help...
  6. ivanh3

    Nurses don't diagnose! (wanna fight about it?!)

    ivanh3 replied to jjjoy's topic in General Nursing

    Those would be correct, but off of the top my head what about about a patient who has been assessed as having weakness? Risk for falls, self care deficit, etc. For your wound patient, how about "risk...
  7. ivanh3

    Nurses don't diagnose! (wanna fight about it?!)

    ivanh3 replied to jjjoy's topic in General Nursing

    To "D" or not to "D"…hah, I couldn’t resist…. Doesn’t matter what you call it, or what letter you give you it., but "assess" and "(nursing) diagnose" are two different and necessary...
  8. ivanh3

    evil.. just so evil...

    ivanh3 replied to nurse441's topic in Psychiatric

    My two bits would have nothing to with how the patient should or should not be treated or if the patient is or is not manipulative. It would be regarding how you were treated. New grad or not a new...
  9. ivanh3

    Do you see yourself retiring from nursing, or will you change professions?

    ivanh3 replied to Brian's topic in General Nursing

    I can't say I will retire from nursing, but I might transition from patient care to education. I am in transition to advanced practice now, and it looks like I will be teaching part time as well. I...
  10. ivanh3

    DNP in one Year?

    ivanh3 replied to patdaddy's topic in Doctoral Nursing Degrees

    University of Missouri Kansas City. 18 months. In state tuition rates. It has a 400 hour of clinical practicum in an area of your choosing.
  11. ivanh3

    Time to call a duck a duck?

    ivanh3 replied to eriksoln's topic in Nursing Professionalism

    Why not? If a teenager can diagnose her own Crohn's, then I would say sure. What about when an MD raises the bed-rails after an examination? Doesn't matter what you call it, the steps are still there....
  12. ivanh3

    Time to call a duck a duck?

    ivanh3 replied to eriksoln's topic in Nursing Professionalism

    Well yes, you have been using your "nursing" DX in the ER. I think your disconnect is that because you have experience two things are happening. Your "nursing" DX happens and is sometimes addressed...
  13. ivanh3

    Time to call a duck a duck?

    ivanh3 replied to eriksoln's topic in Nursing Professionalism

    From the NANDA website: A nursing diagnosis is a clinical judgment. So yes, what I am talking about is using knowledge of signs and symptoms to make a clinical judgment. Nursing DXs are a tool that...
  14. ivanh3

    Time to call a duck a duck?

    ivanh3 replied to eriksoln's topic in Nursing Professionalism

    Then it is possible you have missed the point. Does it really matter initially if there is a medical DX or not? Patients can be in hospitals for hours to days without a medical DX. Does that mean they...
  15. ivanh3

    Time to call a duck a duck?

    ivanh3 replied to eriksoln's topic in Nursing Professionalism

    The flaw in your reasoning is that you are not looking at the big picture. First, I agree with you that nursing education should be improved. Without getting into what is "fluff" vs what is...
  16. ivanh3

    Time to call a duck a duck?

    ivanh3 replied to eriksoln's topic in Nursing Professionalism

    Interesting discussion, but really more like an academic exercise (that one might encounter in their eduction to enter or continue the profession of nursing). I understand most of your points that...
  17. ivanh3

    The positive side of nursing...PLEASE!!!

    ivanh3 replied to sarahsmile44's topic in General Nursing

    Like many things your question can depend a lot on perspective. It’s great that so many here have positive insight about nursing. The things I find positive about nursing are not quite as grand as...
  18. ivanh3

    which first? fnp or cnm?

    ivanh3 replied to muskrats's topic in Post Graduate Students

    I think Vanderbilt offers a dual program, but I would guess that Vanderbilt is
  19. ivanh3

    Looking for an online DNP program.

    ivanh3 replied to Cammer's topic in Post Graduate Students

    DNP=Doctorate in Nursing Practice, but many consider it to be a Doctorate in Nursing "clinical" Practice. This is not the case. RNs "practice" in the areas of administration, leadership, and...
  20. ivanh3

    which first? fnp or cnm?

    ivanh3 replied to muskrats's topic in Post Graduate Students

    Have you looked for dual programs? Does Frontier offer a dual
  21. ivanh3

    I'm now a Graceland Yellow Jacket!

    ivanh3 replied to S.N. Visit's topic in Post Graduate Students

    BSN/MSN/FNP graduate of Graceland (2009). Loved it. Thought it was a great school. Congrats and good
  22. ivanh3

    Medic --> ADN --> BSN/MSN

    ivanh3 replied to greatone1210's topic in Nurse Practitioners, NP

    I am a paramedic who went from medic to ASN to BSN/MSN. I am now an FNP. So I have some insight here. Don't get caught up in all of the "independent practice" nonsense. Independence and autonomy are...
  23. ivanh3

    How many mEq's of K would it take to kill a 54lb woman?

    ivanh3 replied to DaughteroftheKing's topic in General Nursing

    Seems like kind of a scary question to me. Just
  24. ivanh3

    Is Emory's Nursing School worth the extremely high tuition??

    ivanh3 replied to mandee2024's topic in Georgia Nursing

    My wife went to Emory and had both the NEAT and Deans scholarship. She didn't go for the schools reputation, but she says it IS a great education. She never would have gone if not for the free money,...
  25. ivanh3

    Passed my boards today!

    ivanh3 posted a topic in Online Distance Learning

    Well, I passed my family nurse practitioner boards today! What a relief. I guess I am no longer a "distance" student anymore...at least for awhile... ... In any case, I hope to be around a bit more to...