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AOX4RN

AOX4RN MSN, RN, NP

Emergency Department
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  1. AOX4RN

    keep my LE certification??

    Never give up a license or certification you worked your butt off for, unless the next license or certification absorbs/trumps it.
  2. AOX4RN

    FNU Class 146

    I wouldn't worry about it, I'm sure you'll get plenty of review in school
  3. AOX4RN

    FNU Class 146

    I was also accepted into class 146
  4. AOX4RN

    Ridiculous medical mistakes on TV

    Well since a bolus means to give the medicine as a single dose all at once, I can say that I've given many narcan boluses and seen heroin (and other opiate) ODs magically wake up to live another day of drug addiction. (But not before they curse us for killing their buzz and eloping)
  5. AOX4RN

    Are ER Patients Getting More Ridiculous?

    The ER I work in is completely ridiculous and that's why I love it. I will take the EMS run for the 22 year old who is having anxiety r/t to dropping her iphone in the toilet any day... she frees me up to take care of the STEMI going to cath lab next door
  6. AOX4RN

    Quit during orientation

    Yup, I know many techs in my unit who wanted the job and thought it would be a formality of a title change when they graduated nursing school. Nope, most are in different units or at entirely different hospitals. Nurses get interviewed about new grads who are techs and the directors listen.
  7. AOX4RN

    Babies on a plane!! (and also cord clamping)

    Easy. Don't cut the cord. In a perfect situation, deliver the baby to mom's chest and cover with warm blankets and stimulate it to cry to clear it's airway if needed. In about five minutes the placenta will want to deliver... keep it connected to baby. No hemorrhage and baby gets what it needs, especially if you're unequipped to deal with it bleeding out the vessels or it needs resuscitation. The vessels physiologically clamp themselves shortly after birth anyway. Apgar10, BSN-RN (and licensed midwife)
  8. AOX4RN

    Difference between BSN and RN

    Wow. From which Ivy League school did you buy your degree? They, and Vanguard in particular, cater to nurses who are working full-time and have families. Four hours per week in the classroom with a strict attendance policy in addition to online presence via discussion boards. What is the difference if I take a nursing theory class for one hour a week for 16 weeks versus 4 hours a week for 4 weeks? Watson is Watson is Watson is Watson and "Knowledge deficit r/t Inefficient BSN School Information" is the same no matter how long the theory class is. Unless you're on a scholarship, everyone buys their education. We earn degrees by way of the hard work we put into achieving them. Lots of nurses are getting hired by West Coast University which charges a heinous amount of money for their non-CSU/UC BSN degrees. So much for "fly by night". This will be the second post I reply to in regard to your disparaging words about Vanguard and the so-called "fly by night" BSN programs in an attempt to educate you. While it is up to the individual institution to decide their candidates eligibility the usual requirement is a BSN from a CCNE or NLN accredited program (from which Vanguard and the others you discount are members) and a 3.0GPA. In my search for a MSN with the right fit for me, I have not encountered one that has said, "...except if you graduated from Vanguard". Correction: Yale will accept a non-nursing bachelor's degree for the Graduate Entry Pre-specialty Nursing Program which means this is a track for non-nurses who want to be nurses bu already have a bachelor's in another field. They will earn the RN mid-way through and graduate as MSNs with NPs at the end (I have two friends who did this track). Nurses with BSNs can apply to their MSN programs. Apgar10, BSN (Vanguard), RN
  9. AOX4RN

    Vanguard University

    I'll write this reply for anyone who needs accurate information about Vanguard University. I have lived in Newport Beach nearly my whole adult life and knew about it before I was a nurse. They don't claim to be accredited. They are accredited by WASC (just like CSUF, CSULB, and APU) and CCNE (just like Yale, CSUF, CSULB, and APU). They recruit heavily at junior college nursing programs (and hospital education departments) because they are RN-BSN. No reason to recruit at high schools or anywhere else there are not ADN nurses. Also, at one night per week for two years with a strict attendance policy, this isn't the "fastest" route to a BSN. $515/credit for core nursing classes; $330/credit for general education. Also, I worked my butt off for two straight years writing and presenting more papers than I can count and your belittling of my "so-called 'degree'" as "fly-by-night" is really insulting. Nope, not only do I get the letters after my name, I get to dazzle my patients with my enhanced critical thinking skills and advancing education, impress my friends and co-workers that I managed to do it while switching departments and learning a new job, working the night shift, going through a divorce, and graduating two children from high school. Not to mention setting a stellar example of determination and the standard for educational excellence in all four of my children. I hope your RN-LCSW gives you as much pleasure and pride as my "BSN" does me! Where do you get your information from? Most MSN programs have prerequisites and are specific about them. All you need to do is read the requirements. RN in the state you practice in, BSN from an accredited school and usually a 3.0 GPA are the base requirements. As soon as I finished my BSN, our CNO sought me out to encourage me to apply for a MSN and get an NP because he sees that is the way our hospital is headed and wants me in on it. That is more than just placating the Magnet surveyors. Not true. Again, Vanguard is WASC regionally accredited and CCNE accredited. A university and nursing school doesn't hold those certifications by being administered by cartoon characters as you would have it made out to be in your detailed post. You're aware the the ADN degree isn't just nursing, right? In order to get a nursing degree from a community college, one also must take such courses as physical education, fine arts/language, humanities, social sciences, history/political science, in other words "general education". Vanguard requires those as well and if the student doesn't have them in his or her portfolio at the time of admission to the program, they are a requirement for graduation. What is general education to one university is not necessarily equal or equivalent to the next. Correction: Yale will accept a non-nursing bachelor's degree for the Graduate Entry Pre-specialty Nursing Program, which means this is track for non-nurses who want to be nurses but already have a bachelor's in another field. They will earn the RN mid-way through and graduate as MSNs with NPs at the end (I personally know two women who did this track). Nurses with BSNs can apply to their MSN programs. Every school can decide what it considers "General Education". For APU, they consider religious studies and chapel part of their general undergraduate education. I don't see anything on the APU website that requires anything above and beyond a BSN from an NLN or CCNE accredited school (which again, Vanguard is) and with the following classes as part of the BSN: health assessment, pathophysiology, nursing research, statistics, nursing leadership, and community health nursing... all of which Vanguard provides as part of the BSN. Oh yeah, and we also become Public Health Nurses at the end of the 90 hours of community clinical service we provided in two months in addition to our 36 hour work week.. Totally fly-by-night. Why did she pay almost double the usual tuition? She can still go to CSULB or CSUDH for a MSN to NP. I know this for a fact because five of my Vanguard BSN classmates start at CSULB in August (2015). I was told by their admissions counselor I could keep myself busy with CSUDH online prerequisites if I wanted to enter the 2016 CSULB cohort. I was told that I could not enter a private school's MSN program (like Vanguard), then transfer credits because they are not the same program. Not a problem, because Vanguard's MSN tracks do no interest me. If your friend would like the names of the people I talked to about admissions, I would be happy to connect her. Your friends should not have taken out that kind of debt betting on income they didn't have. That's not the school's mistake. Finally a statement of truth. Apgar10, BSN (Vanguard University), RN
  10. AOX4RN

    ER Wishlist Items!

    Re: ultrasound for PIVs... after getting one you'll need to train nurses to use it
  11. AOX4RN

    Hoag Hospital Newport Beach

    Did you take it yet? The rules of the test are you can't miss any of the lethal rhythms on the strips they give you. Tele nurses and other monitored units have to take a rhythm test every year. If you don't pass it you get one repeat... fail it again you get some sort of counseling, fail it a third time and you get transferred to a unmonitored floor.
  12. AOX4RN

    How is cardiac nursing?

    Yeah, start there. No biggie... on my current unit we have new grads fresh out of school. You get preceptored and mentored and if it's a good unit, you have a team environment. We have different levels of acuity in our unit so new grad assignments to veteran nurse assignments are different and appropriate for skill level. (btw, our hospital hires new grads into ICU type units too, so...)
  13. AOX4RN

    Tele Unit to ER?

    I've got two years on tele and am going to the ED soon. According to the managers I interviewed with tele is a great place to get experience that will help in the ED. Our tele unit is also a step down from CCU/CVICU and it's a STEMI center, so it's a good fit.
  14. AOX4RN

    How is cardiac nursing?

    I've been working as a telemetry nurse since graduation two years ago. I worked one year in a hospital that was very basic tele and now I'm at another that would be considered a sub-ICU environment considering we do everything from cath lab recovery to open heart recovery, drips, sepsis, observation, and everything in between for sick people with heart problems to people who just found out they heart problems. The next step from my unit is CCU and CVICU. Go for it! It's great.
  15. AOX4RN

    Certified Nurse Midwives who do home births???

    Becoming a direct-entry midwife (DEM) is a waste of time for a nurse. Five minutes after earning whatever education and credentialing available as a DEM, you're maxed out in the field. It is far better to continue toward grad school and earn the CNM, giving you the broadest scope of practice in all venues. Too much opportunity for blurring the lines of what a nurse and a midwife can do independently and overlapping. Not so with a CNM. *Said with experience because I am a DEM and RN but not CNM.
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