VICEDRN BSN, RN

ER

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All Content by VICEDRN

  1. VICEDRN

    Are online ANP degrees destroying our credibility?

    VICEDRN replied to jilljw's topic in Student Nurse Practitioner

    What's insane is ignoring the Acog position Statement on midwifery but there was ok reason for you to be rude to be and call me insane not once but twice. I believe we will need to protect our...
  2. VICEDRN

    Are online ANP degrees destroying our credibility?

    VICEDRN replied to jilljw's topic in Student Nurse Practitioner

    I'm not nuts at all. Take a look at what happened to the midwives. It used to be that my city had a thriving graduate program and plenty of practices that offered midwife deliveries. Now, there are...
  3. VICEDRN

    Does the ED stand for Emergency Department or the Everything Dumpster?

    VICEDRN replied to whichone'spink's topic in Emergency

    You're right. Nursing homes priorities are geared towards abusing the er for just about anything. More than once, I have accepted a "hemorrhaging" patient that really had diarrhea and, a "choking"...
  4. VICEDRN

    Are online ANP degrees destroying our credibility?

    VICEDRN replied to jilljw's topic in Student Nurse Practitioner

    And frankly, I feel badly for people doing online programs in some cases. They are getting little accountability from the programs and if they can't pass the boards, have wasted federal loan
  5. VICEDRN

    Are online ANP degrees destroying our credibility?

    VICEDRN replied to jilljw's topic in Student Nurse Practitioner

    There are none so blind as though that can not see.It does matter to me and to lots of people because when nps prove incompetent or to be of extremely variable competency, the jobs will dry up. Read...
  6. VICEDRN

    Are online ANP degrees destroying our credibility?

    VICEDRN replied to jilljw's topic in Student Nurse Practitioner

    I definitely think that a bigger problem is greater variation in quality of education for msn programs than pa programs. I think that online programs contribute to that greater variability partially...
  7. VICEDRN

    Dealing with triage

    VICEDRN replied to canoehead's topic in Emergency

    oh yes.. I felt that burn but what can you do? It is what it
  8. VICEDRN

    Does the ED stand for Emergency Department or the Everything Dumpster?

    VICEDRN replied to whichone'spink's topic in Emergency

    Better yet and now that I think about it, I have had a resident say to me: I recognize this patient and he was exactly like this the last time I saw
  9. VICEDRN

    Are online ANP degrees destroying our credibility?

    VICEDRN replied to jilljw's topic in Student Nurse Practitioner

    . You mean other than my experiences? I took some online classes and I have watched my coworkers take them for their Bsn. The fact is that I understand how it works. It's mostly discussion based with...
  10. VICEDRN

    Are online ANP degrees destroying our credibility?

    VICEDRN replied to jilljw's topic in Student Nurse Practitioner

    Since this is the healthcare environment, qualifications include the diagnosis and treatment of disease and acute processes.My standards:1. Accurate thorough for complaint physical assessment/ exam.2...
  11. VICEDRN

    Does the ED stand for Emergency Department or the Everything Dumpster?

    VICEDRN replied to whichone'spink's topic in Emergency

    Again, five in a row? That says something. I have come to understand that sometimes this involves less qualified or educated personnel and sometimes not enough staff but my point is that we need to...
  12. VICEDRN

    Are online ANP degrees destroying our credibility?

    VICEDRN replied to jilljw's topic in Student Nurse Practitioner

    Ivan, I don't know that we can measure every variable at play here but we can all recall our experiences and pick up on the subtlety of the market. I also work in Atlanta and frankly, the pas around...
  13. VICEDRN

    Dealing with triage

    VICEDRN replied to canoehead's topic in Emergency

    People with crack cocaine on board have legitimate angina and are at a high risk for having an mi. Like it or not, she's got us there. For my money, canoe head, there are places that use a...
  14. VICEDRN

    I feel like they should change the title of this site to "reasons why my job sucks"

    VICEDRN replied to hershdawg's topic in Patient, Colleague Relations

    Just want to take a moment and revisit something I want to advocate for: it's time to close the board to nurses only, members only. You can only come on a forum so many times and be distracted by the...
  15. VICEDRN

    What is the ideal steps to become a Trauma Nurse?

    VICEDRN replied to RyanR's topic in Emergency

    There is a search box at top right. Someone comes on here and asks this question at least once every three months. Try searching to see if you find information you are looking
  16. VICEDRN

    Does the ED stand for Emergency Department or the Everything Dumpster?

    VICEDRN replied to whichone'spink's topic in Emergency

    I'm sorry but nursing homes/ltcs occasionally do dump their patients on us. There are many many times I can recall getting five or six patients from the same facility inside of a few hours. A couple...
  17. VICEDRN

    Dealing with triage

    VICEDRN replied to canoehead's topic in Emergency

    You can follow up with the assault example, " assailants often follow their victims to the hospital. What if patient was assaulted? What if assailant followed? You wouldn't to see that in the waiting...
  18. VICEDRN

    I feel like they should change the title of this site to "reasons why my job sucks"

    VICEDRN replied to hershdawg's topic in Patient, Colleague Relations

    I love the er and I hate nursing. Much like yourself, I couldn't wait to be a nurse and refused to relate to "whiners" on here who I thought probably never worked in some other profession. How could...
  19. VICEDRN

    Dealing with triage

    VICEDRN replied to canoehead's topic in Emergency

    I have no advice. I think we have all been there done that. Sometimes I use the homcidal example: I say, "you know sometimes patients don't look sicker but what if they actually told me that they have...
  20. VICEDRN

    Er nurses worked in OR before, think that if you like OR, you..

    VICEDRN replied to lilarox's topic in Emergency

    Uhhh...no. My experience is that they are polar opposites. OR people like controlled settings, have difficulty with challenging patients and prefer to focus laser like on one thing at a time. ER...
  21. VICEDRN

    NO LUNCH

    VICEDRN replied to pm2rn's topic in Emergency

    If you want management to care about your lunch, I would suggest you start punching no lunch. When it starts to cost them, they start to care. I have seen this first hand on my unit. At first, they...
  22. VICEDRN

    ER float nurses

    VICEDRN replied to kaylasmommy's topic in Emergency

    My thoughts are that I just left an er with 12-14 patient teams for two nurses. NEVER AGAIN will I work like that. I wouldn't worry about the specifics of training in the er. You don't need to...
  23. VICEDRN

    Lining and labs/ hemolyzed specimens

    VICEDRN replied to psu_213's topic in Emergency

    My old ER was pushing this double stick policy on us and I think its a violation of a nurse's ethical values. Double sticking people for labs does not produce significantly different lab results....
  24. VICEDRN

    Petition to help new grads get experience

    VICEDRN replied to Brian's topic in First Year After Licensure

    I have seen grads from my class run into a conundrum: they don't qualfy for a residency because they ltac experience but don't qualfy as experienced because they have no acute care
  25. VICEDRN

    ER Nurse Attitude

    VICEDRN replied to Chlometov's topic in Patient, Colleague Relations

    Some ERs have this. It works to a point but also has its drawbacks. They feed everyone but scurry to come get you when a patient vomits up what they fed them. They push through complainers to the...