sciencer
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It's not as simple as one or the other. Is the outpatient position a Monday through Friday straight day position? Some nurses dream of a position like that. As a PMHNP, do you plan to work inpatient or outpatient? That may help guide your decision, as well. Either position will be beneficial to help you familiarize yourself with the specialty, but none will completely prepare you for a position as a provider. Therefore, choose the position you think you will enjoy more. The NP role is primarily learned on the job. Just like any other nursing position. Best wishes whatever you choose!
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I have learned it's not old vs. new but all based on the individual. The same individual who thinks they know everything as a new nurse will probably continue to think they know more than everyone as an experienced nurse.
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I have a BSN and work on a TCU in a LTC facility. There are quite a few of us with BSNs, actually. Most move on to hospital jobs within a year or so. It is completely different than working on the LTC floors, which also have their unique challenges. I've been there a little over a year, and hospitals are finally calling me now, but it has been a great place to start. Most people don't seem to understand just what we do there. I would take the interview. I don't know how jobs are where you are, but it is very hard to get into hospitals here. All but a few people from my graduating class had to start in an alternative area other than a hospital. Good luck! Hope you get what you want and appreciate what you get! Sounds like you have a good start.
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I was in this same exact situation. I ended up taking it as an optional summer course. In my mind, it came down to as a nurse, why would you not want to learn more about the drugs you are giving your patients? You won't retain all the information, but it was beneficial, and I have not had to take it for my RN-BSN program that I am finishing up next month.
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I currently have eight months of subacute experience in a long-term care facility. The experience has been very beneficial, but the pay is pretty low, and the hours are not very good for my children. I could potentially transfer to a full-time day position on a long-term care floor at a different site within the same organization, which would be nice for my family because my kids are at school all day. I am also going to be finished with my bachelor's degree this December. My goal is to get into a hospital. I'm debating whether or not I should take a full-time day position at the other facility, though. A lot of the hospital jobs around here want a year of nursing experience and a BSN (preferred). Do you think I should stick it out where I am, finish by BSN, and then apply for hospitals? Or do you think it wouldn't matter whether or not I transferred and was in a long-term care position when applying for hospitals? The subacute/transitional care experience is more similar to a hospital than long-term care. I'm torn on what to do. Does anyone have any advice/insight or had a similar experience?
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Are you sure it's the sink? I had switched toothpastes to a different brand and found I was getting mouth sores/irritations. I switched back to just a very basic toothpaste, and I haven't had the problem since. Otherwise I'd ask your dentist for a recommendation.
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I graduated in 2010 with my ADN and am finishing up my bachelor's in nursing this December. We were taught in both to aspirate. However, I did find the following reasoning behind not aspirating interesting: Aspiration of the syringe plunger once the needle has been inserted into the muscle is an accepted part of IMI procedure but there is no evidence of the need to do this. Justification includes to ensure the drug does not enter the capillaries (Hunter, 2008) or to avoid inadvertent IV administration (Workman, 1999). Aspiration may be relevant to detect possible penetration of gluteal artery when the dorsogluteal muscle is used - this would indicate incorrect initial land-marking. However, official guidance (DH, 2006; WHO, 2004) does not recommend routine use of the dorsogluteal muscle, and this should be sufficient to justify changing practice. If this site were removed from routine practice, aspiration could be removed from the procedure, simplifying it and reducing the risk of adverse events. Pharmaceutical developments including reduced volume and less caustic injectates, along with prescribing changes, now support its removal from selected injection sites. Some auto-disable devices (syringes where the needle retracts automatically after IMI administration to prevent needle-stick injuries) are triggered by the 'aspiration' type manoeuvre, so the technique has already changed in many countries. References Malkin, B. (2008). Are techniques used for intramuscular injection based on research evidence? This article debates the evidence surrounding the nursing procedure of administering intramuscular injections. Nursing Times, 104(50-51), 48-51. Retrieved from EBSCOhost.
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I agree with Esme12. Unless you are currently an LPN already, you really can't say you have nursing experience or are employed as a nurse. As far as finishing the degree, I would think your best bet is to go back to the school you started it with and see if there is anything you can work out with them.
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Yes, you're still a new grad. Generally, it seems I've seen one is considered a new grad up to one year after they've graduated. Congratulations on the interview. Sounds great!
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It worked! I took the NCLEX-RN yesterday, and the computer shut off at 75 questions. I felt like I knew hardly any of the questions for sure, and I didn't get any drug calculations, which worried me. I also got a lot of SATA questions, which I'm not great at. I tried the PVT last night and got the good pop-up. I found out this morning on the BON web site that I PASSED my exam, and I'm now an RN!!! The PVT helped calm me enough to get a good night's sleep last night. Otherwise, I surely felt I failed.
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Found out I passed today! Computer shut off at 75 questions. My advice is do lots of practice questions. Good luck! :redbeathe
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I took my NCLEX-RN today. I studied a lot at home on my own, and I chose not to do an expensive review. I went through the entire Kaplan book and did a lot of practice tests and questions from my other NCLEX review books. After taking the exam today and seeing the types of questions I got, I don't think a review would have helped me anyway because I feel I already have a good knowledge base and a good understanding of the systems, diseases, etc. I think the biggest help to me was doing those practice tests and questions with rationales. Saunders is a good one.
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I've never done Evolve case studies, but when I went on the Evolve web site and entered "case studies" in the search box, there were some that came up. Is that what you are looking for?