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LeesieBug

LeesieBug

ER
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LeesieBug specializes in ER.

LeesieBug's Latest Activity

  1. LeesieBug

    DNP Nursing Education

    One of my colleagues is getting working on a DNP in Educational Leadership. It is an online program, with two 5-day residencies. She is loving it, and feels like it is extremely relevant to what we do. Maybe this is the type of thing you are looking for? Online DNP Program in Nursing Education | American Sentinel Also, know someone now working on dissertation for Ed.D at Nova Southeastern. It is available online: http://www.fischlerschool.nova.edu/doctoral/doctor-of-education
  2. LeesieBug

    MSN: Education vs. Specialty Degree

    I struggled with this same decision, and the answer is: There is no right or wrong way to go! It just depends on your individual interests and goals. I decided to do a masters in nursing education for several reasons. 1) I had NO desire to be an NP. I wanted to be an educator. 2) I did not have a desire to teach in an NP program. 3) I knew how to be a nurse; I wanted to learn how effectively educate and inspire others, and be the best nursing instructor possible! 4) I (rightly) believed that there was much, much more to being a nursing faculty member than being a knowledgeable clinician. I worried the whole time I was in school, wondering if I had made the right choice. I loved what I was learning, but had concerns about whether I would be limiting myself, professionally. I worried needlessly. Just before graduation I was offered a management position in my ED, which I accepted. My MSN actually complimented my management role very nicely. So much of being an effective manager is about leading, coaching, and mentoring, skills that were well developed in my MSN program. I stayed with the management role for just over a year before deciding I needed to follow my passion for education. When looking for a faculty position, I found a fair amount of variation in requirements, depending on the school, program, or specific courses. Some favored the MSN in Nursing Education, some favored an advanced practice degree in a clinical specialty, and some just wanted people with an MSN, period. I easily found a full-time faculty position in a college, that I LOVE! I quickly learned that my MSN-Ed coursework was absolutely invaluable to understanding and excelling in my new role. At the time I was hired, the college was in warning status with accreditors, and were specifically seeking faculty with a degree in nursing education to help turn things around. Right from the start, I was able to jump in and be a valuable member of the team that worked on fixing our areas of weakness (we had a successful survey in February). I also had the opportunity to help design a new, concept-based curriculum for our BSN program. Had I not gone the education route, I would have been completely clueless. Our nursing faculty is a balance of nurse practitioners and those with education masters. It makes for a great team, where we balance each other out with our specific strengths. Recently, I was accepted into a PhD in nursing program, with no difficulty, and will start that new adventure this fall. My best advice is to think about where your passion is, and work from there. Advanced degree programs are too intense NOT to enjoy what you are learning. Good luck, whatever you decide! Nursing is such an amazing profession, with so many options. You just never know where the journey will take you!
  3. In the ER the problem has little to do with caring a whole lot about the report and a LOT to do with traffic flow. I don't really give a crapolla how much notice I have on pt information/condition...I care about having a couple minutes to figure out where the heck I am going to put the patient amidst the throng of other sick people. And yes....mistakes happen. But that does not mean it isn't frustrating when they do.
  4. Had one a few days ago on a record breaking day...had a full house, 4 squads out we were trying to place, and one rolls in with a respiratory distress...."oh sorry, we forgot to call". Guy....seriously? I wanted to holller "WORK WITH ME PEOPLE!" A few weeks ago we had one bring in a homicidal mental health we had not heard about saying, "oh, the cops said they called so we didn't think we needed to"....sigh
  5. LeesieBug

    Enemas in the ER

    :chuckleIndeed, I find something inherently wrong with something that is intended for "oral or rectal" use.....gives me the heebie- jeebies.
  6. LeesieBug

    Enemas in the ER

    Very rarely....In three years I have done one once (thank God...I hate them). Have often sent a fleets home with patients on dc, though.
  7. LeesieBug

    ED-did you always know?

    I am sort of an oddball in the pack. Never had any interest whatsoever in ER. Got shuffled into it as a new grad. I remember taking one look at the trauma room on my first day and thinking "ohhhhhh shhhheeeeit". I felt COMPLETELY out of my comfort zone. Couldn't stop thinking "What have I gotten myself into?" However, that's what I think made it great. Talk about a confidence builder! You go from feeling like you can handle nothing to feeling like you can handle ANYTHING. Three years later I can't really picture myself doing any other type of nursing. Its addictive. If you are interested in doing ER, I would not shy away from it just because, being new to it, you are intimidated by ICU patients in the ER. You will soon find that the ER is about prioritizing and teamwork...and it all works itself out somehow. P.S. For me the most annoying time of year is during stretches of winter when all the GI bugs hit. Sometimes I don't think I can take one more puking pooping person.
  8. LeesieBug

    Non emergent ER visits

    Also, recently read research regarding the fact that it is getting to a point where there is little difference in the actual numbers of insured versus uninsured using the ER for non-emergent complaints nowadays due to an increase in patients viewing it as "one-stop shopping" so to speak. It is easier to go to the ER than make an appointment for, lets say, your belly that has been hurting for three weeks and just get everything done there, rather than go to the family doctor, possibly be referred to a GI doc, who then orders a scan/Ultra sound which needs a separate appointment, which then takes a few days for results... then go back in to doc to get the results...etc. etc. This ties in to Whykiki's example of the lady who wanted all her various complaints that were completely unrelated treated in the ER. The fix me now...I don't want to wait mentality that is becoming very prevalent.
  9. LeesieBug

    Non emergent ER visits

    As an ER nurse, I also had such an experience where I gained perspective on why people...even the insured, are coming to us instead of an urgent care clinic. Couldn't get myself and son into the doc on a Friday for a step infection...went to urgent care clinic, told me Oh, yeah, yeah we take your insurance" (no reason to doubt them). 420 bucks later, after simply receiving an rx for abx ,found out that, gee, the place is in no way covered by my insurance, after all. Would have been cheaper to visit our ER where it would have been FREE ( since I work there) or 50 dollar co-pay if I didn't. Answered my own question about why no one seems to be using that clinic for minor medical issues.
  10. LeesieBug

    How did you feel in NP school?

    Last night was my first round of classes....and let me say, I am right there with you in feeling a lack of enthusiasm, at the moment, for doing all this! And I am only taking 8 credit hours- advanced patho, and research. I am trying to remember that in undergrad, I felt overwhelmed at the start of EVERY semester when I read the syllabus...thinking about all that work as one big chunk. Then, when I was done hyperventilating, I would remind myself to take one day at a time, one assignment at a time. It never failed that as the semester progressed I was, indeed, busy but I calmed down and gained confidence in my ability to keep up. I have faith (Lord, let it be true! ) that this will be the same way. I have my elephant on the plate, and took a bite last night (although it felt like I was using a plastic fork). We'll get through it.....if it wasn't doable there would be no APNs out there, right? P.S. I REALLY need to go part -time at work:lol2:
  11. LeesieBug

    Why do you like Emergency Department Nursing?

    The TEAMWORK! The funny drunk people (not the ones that pee on the floor:no: ) I also love knowing whats going on in the city at any given moment, as I am an extreme closet busy-body. Love putting all my nursing skills to use, especially love challenging IV starts. I agree that quick turn around is also a plus. Some of the patients we send to the floor I have NO IDEA how I could tolerate for 12 hours.....not to mention the possibility of coming back to the same patients two days in a row. Also love that I always have a story when I come home from work.... never dull.
  12. LeesieBug

    ONLY 6 week orientation for New Grad?

    That statement in itself is a REALLY good indication of the level of support you are going to receive (crappy).....I can't stress enough how important it is to have a supportive environment as you start out, and that "sink or swim, kid" kind of mentality many units have does NOT make for an environment conducive to learning how to be a good nurse. You might want to poke around at other hospitals just to see what else is out there. Good luck whatever you decide.
  13. LeesieBug

    ONLY 6 week orientation for New Grad?

    Six weeks is not enough. I would I have serious concerns about taking a job in a department that felt a new grad could be adequately prepared in 6 weeks. As a new grad in ER, my orientation was a minimum of 12 weeks with the opportunity for more time as needed. Once off orientation we were also assigned a designated resource person for several weeks to help in the transition. Even with that it was a stressful transition to say the least, with a hell of a lot to learn in little time. I feel that ER is fine for new grads if the orientation is strong and the unit is supportive and has realistic expectations. No way is six weeks realistic. These short orientation periods are the result of management wanting to cut corners and get their staffing up quickly at the expense of both nurses and patients. I wish you the best of luck, and encourage you to be firm and assert yourself if you feel you need more orientation time. Congratulations on launching into your nursing career!
  14. LeesieBug

    Joining the armed forces to pay for school?

    NO one should join the armed forces strictly as a scholarship plan. It is a very serious commitment. In my opinion, unless one wants to be really miserable the decision to join should evolve separate of the need for school money, and the school money should be considered an added perk. The perks of military service are awesome, but so are the sacrifices. Joining should stem from a desire to serve ones country and care for our troops. P.S. Speaking from the point of view of a former military spouse (7 years), and someone who is now considering going active duty Army or Air Force.
  15. LeesieBug

    For Those of You Who Have Press-Ganey At Your Hospital

    HOWEVER, we get the negative ones MUCH more often, and usually the comments on them are stupid and non-constructive. How on earth can they give credence to a report in which the comment line is filled with "ER Nurses were MEAN,MEAN MEAN,MEAN!" with no example provided. "The doctor made my fiance cry"....said pt was referring to doctor gently explaining that if pt signed out AMA he could die. Fiance cried because pt would not stay. "everyone was sitting around eating hot dogs"...this was on a busy night when we were having an employee appreciation dinner......couldn't send everyone to lunch in the one hour they were serving, so we had a few of us scarfing our food in between running our arses off....double sigh. These are the kind that just tick me off when they send us copies to look over...How exactly is administration wanting us to respond to these types of things.
  16. LeesieBug

    For Those of You Who Have Press-Ganey At Your Hospital

    When we get a really good one, management passes on a copy through our charge nurse for us to look at....Always gives me a big boost!