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TiffyRN has 27 years experience as a ADN, BSN, PhD and specializes in NICU.

Found the promised land of NICU after years of wrangling people much bigger than me!

TiffyRN's Latest Activity

  1. While I'm not sure my program is classified as "competitive", it is a based out of traditional brick and mortar State university. The PhD program is largely online. I was required to go to a campus week approximately once a year for in-person interactions with our professors and others students. While I had already defended a few months prior to the stay-at-home orders, they don't seem to have affected the PhD students that much. There was a halt to research requiring in-person contact but otherwise things just kind of continued as usual. The earlier courses were administered by Blackboard with a lot of email support. As one progressed and started working more with a dissertation advisor, there was a lot of more personal email and phone calls. One other in-person requirement was that one's final defense had to be in-person on campus but that changed at the height of the stay-home orders. For that period of time, students defended remotely using Skype for Business with all their committee members remotely attending. Also, in my small PhD cohort, 3 of us were in the same general geographic location, but that was about 6 hours drive from campus. A couple of other students lived 3-4 hours from campus, and a couple more lived in the general metropolitan area as the university.
  2. hey any help for APRN HESI pharm?


    1. TiffyRN

      TiffyRN, ADN, BSN, PhD

      My husband took it not me. He used study cards to prep. I don't recall his scores but none were terrible. In his program, if your scores weren't at the benchmark you just had to read some supplemental material, no other assignments or questions or follow up tests. He also chose to withdraw from the program early in the 2nd semester. (So many reasons).

  3. TiffyRN

    Finishing Excelsior ADN Soon, BSN concerns

    The biggest issue with BSN schools after getting your ADN at EC is because many EC students only have 6 instead of 8 credits for A&P I & II (since no lab). My husband was an ADN EC grad so we faced this back in 2012. He would have needed to take those labs (I'm sure a local community college would have been fine) which would have been a pain just because of the time needed. He wound up deciding to go to EC for BSN. I had a traditional ADN but wanted to have moral support so we both enrolled at the same time. First of all, when we were shopping for programs EC's costs were very reasonable, actually cheaper than some like Chamberlain or Walden, but this was a while ago. Plus the cost savings from taking exams for some pre-reqs (I took a 6 credit Humanities test for under $100). I believe we both got our degrees for about $12,000 each which was (thankfully) largely reimbursed by our employers. As far as taking your EC BSN to another university. . . I applied to and was accepted to a state university's BSN to PhD program. My GPA was competitive since I took few pass/fail exams for credit and my other courses had good grades. I successfully defended a few months ago. My professors were unfamiliar with EC but I was able to keep up with my classmates who were mostly MSN already (we took the same PhD level courses and I had to take extra MSN level coursework). My husband, who was an EC ADN and BSN grad decided to go to NP school last year. He was accepted to both state universities he applied to. I also know another EC ADN grad who then went for her BSN, then MSN/NP. She recently defended her DNP. All her education after EC was a state universities. I know EC is struggling, and I know some people can graduate without absorbing too much knowledge. But you can acquire a high quality education from them if you choose.
  4. TiffyRN


    Congrats on that defense!! Sorry I don't have any advice, I just took my regular CNE exam today and passed. My only advice which doesn't really apply to you is just schedule that test so that it will force you to study. But you had a defense to deal with and that was more important! Good luck on your upcoming exam!
  5. TiffyRN

    Ideas for my Ph.D. dissertation

    It kind of needs to be something you are attracted to. As you've done lit reviews around diabetic patients, what questions have you asked that haven't popped out of the literature. Or comb through the "suggestions for future research" on articles that were of interest, then find out if others have done the further research. Do you have a faculty advisor or mentor? My faculty advisor spent a lot of time on the phone with me. She wasn't familiar with the literature from the NICU but she would question me about topics that interested me, then suggest possible avenues. Some I would reject as I knew the literature was saturated. Eventually I found a topic I really loved and seemed to have a significant gap. And, she even enjoyed guiding me through as my chair. My program accepted me without an idea. They did expect us to bring a list of possible topics for our 2nd year orientation (I didn't wind up exploring any of those I presented that day). I believe of the 8 of us that started with me (4 of whom dropped out), only one person stuck to her original topic.
  6. TiffyRN

    UTA Spring 2019 PMHNP

    Anybody know if UTA takes transfer students from other Texas schools. Backstory: Hubby got into Texas State's program knowing it was one of the fastest in the nation and is now regretting the pace. One issue (though maybe an advantage now) is that they complete all the three Ps the first semester, which he passed with a 3.67 GPA. He is now re-considering UTA, which he didn't want because they are so slow compared toTexas State's program which full-time is only 4 semesters. But the pace is insane even with no other jobs. Anyone know? Or know the page link where they have application dates? I found one that says Summer acceptance requires application by 4/1 but I don't know if that would apply to PMHNP or if they would take a transfer student. I've seen here on this thread that they aren't often very responsive so thought I'd ask here first.
  7. TiffyRN

    Grand Canyon DNP Program

    I thought for sure this was incorrect but apparently my information was out of date. GCU was nonprofit (or maybe not-for-profit, because apparently these are different things) for many years until around 2004 when it became for-profit. A few years ago they attempted (and maybe temporarily succeeded) in becoming not-for-profit. Apparently just in the last few weeks they were denied this status by the federal government because they were outsourcing too many of their services (curriculum development and student counseling) for example) to for-profit companies.
  8. TiffyRN

    A friend bought her degree from the Philippines.

    I really went down a rabbit hole for this. The closest I found was an Allnurses link suggesting that there might be a 6 month RN school in Florida. No one could confirm but they threw out Sienna College and Med-life Institute as possibly being the place. If it is Med-life institute, there's an enlightening longish thread about them here on Allnurses going from 2017 to just a few weeks ago. I looked them on up FL BON pass rates though the most recent I found was 2017. From their 5 campuses, they had 55 students take the NCLEX and 9 pass (that's 16.33% pass rate). Needless to say, that may have been contributing to their problems which have become acute. It seems I was wrong (not afraid to admit when I find it's true), some programs are very fast because they have testing-out options, some people mentioned 6-7 months though I couldn't find out if this was initial licensure ADN or LPN to ADN. Either way, that's fast. They do seem to be in that status of State-approved, but not accredited, so you might have trouble if you want to go to another State or if you wanted to pursue a higher degree though some on the thread said they had been able to do both. Their website isn't working and the end of the thread had people posting what they had been told when they called (that the school was not enrolling new students), and finally a letter from the administrator saying the initial licensure ADN program was no more. Some of the posts seemed to confirm your friend's experience, that students attend a weekend clinical once a month, so I bet these are the same people. Overall, best of luck to your friend. I hope she/he finishes before the school closes down for good. You can't stay in business with NCLEX pass rates that low but even then it doesn't mean people can't learn enough to pass the boards (16+% have after all).
  9. TiffyRN

    A friend bought her degree from the Philippines.

    Not to be difficult, but seriously, to help your friend, I would ask for the name of the website and look into it. I don't believe this happens in the US. That's why Excelsior has been in trouble and their graduates can't practice in several states (or require supplemental preceptor hours). All states have pretty consistent standards on what they require for taking NCLEX. Part of that is graduation from a state-approved program. Because Excelsior didn't have precepted hours for students, they started getting in trouble with different States (they contend that the student's prior and ongoing clinical experiences are sufficient along with a high-pressure clinical exam at the end: CPNE). Another possible explanation is that the friend that actually completed this program isn't an RN but choses to call themselves that; I've certainly encountered that before. If further questioned they might finally admit they are an MA ("but I do everything an RN does"). But hey, if your friend really has the "in" on a 6 month fully online program, they need to let some people here know about it because there are plenty of desperate people who truly need to get their RN to take care of their families. Am I truly advocating for a possibly slip-shod program, of course not, just saying that if it's true, let it stand up to scrutiny. Once more Dani_Mila, I am not trying to come after you, just injecting some healthy skepticism into this claim that seems counter to everything I've ever heard about US based RN education.
  10. TiffyRN

    A friend bought her degree from the Philippines.

    What I think you are saying is that there is a course offered from a website that allows 6 months of study then you can take the RN boards? I seriously doubt this. The closest I've ever seen come to that is the old days of Excelsior where one could (if you were already an LPN, RT, paramedic, and a few other healthcare provider jobs) take their 7 nursing theory exams, as quickly as one a month, then schedule a 2 day clinical exam (CPNE). But things have changed dramatically for Excelsior and I don't know of anyone recently who's gotten through their program in less than a couple of years; especially considering they now have a year's wait list from completion of exams to CPEN exam dates. I can accept that your CNA friend believes they are going to qualify for the NCLEX in 6 months, but I have serious doubts this is actual reality.
  11. TiffyRN

    A friend bought her degree from the Philippines.

    I knew I hadn't taken patho as a separate course back in the early 90s for my ADN. I just checked the program of study for my old community college and it's still not a separate course; patho is integrated into the other courses. And I didn't have to take it for RN to BSN from a fully accredited not-for-profit university. And I didn't need it on my transcript to get accepted into a BSN to PhD program. Could I have used it; sure, but not required.
  12. TiffyRN

    Any 22 weekers out there?

    Back on the initial topic. The unit where I work has been attempting resuscitation on 22 weekers in certain circumstances (good PNC, steroids, singleton, etc. . . ) for just a few years. To my knowledge, this has been attempted a handful of times and only one infant survived to discharge. I have to specify though that "discharge" was really transfer to another facility. The intention of that was the other facility had a unit that helped prepare parents for home care of a trached infant. Also, while the infant was at the transfer hospital, they have suffered repeated episodes of pulmonary HTN. We were told to expect 90% of 22 weekers to not survive long but that the surviving 10% should have outcomes no worse than 23-24 weekers we are more familiar with. Our unit actually has really good outcomes for our micros so we were hopeful. That hope is now mixed with a bit of reality. The last I heard, the one survivor was still at the transfer hospital though I haven't heard anything very recently. The parents were very aware of the risks including having a background in healthcare. No provider pulled any punches and there were multiple opportunities offered to de-escalate the aggressiveness of the treatment.
  13. TiffyRN

    Doctorate in Nursing or Health?

    My dissertation chair had a lot of maxims she quoted at all of us frequently. One was: "More than anything else, PhD is a degree in persistence". There's a reason for the "ABD" (all but dissertation) trope. A lot of people can get through the coursework but the dissertation process is a beating and only the most persistent will see it through. I would have concerns that someone who finishes coursework for several career paths but doesn't obtain the associated licensure may not complete a terminal degree. Also, if the OP wants to become a nurse educator, a PhD or DNP is not required. You can be a nurse educator with a BSN, and teach in college with an MSN. But that RN license is going to be required if you teach RNs. Also, I may be wrong but I'm guessing that a PhD or DNP is going to be beyond the requirements for teaching LPN level (if one can find a program that will admit without the RN license).
  14. TiffyRN

    Doctorate in Nursing or Health?

    I just completed a PhD in nursing a few months ago. When I looked at different programs, all required a BSN and current active RN license. I'm not sure there is a PhD in nursing program that will accept your current credentials. Also, whereas it may be a reasonable goal to become an educator, I'm not sure you would qualify to be a nurse educator (at least not for any level of RN). Perhaps one of the other terminal degrees might suit you better if you are not interested in pursuing your RN. There are many many educator roles that don't require an RN. One of my fellow Nursing PhD students was simultaneously enrolled in an MPH degree and her coursework was fascinating to me.
  15. TiffyRN

    What's the least saturated specialty in APRN?

    Lol, but not really. . . (says the NICU nurse who always rearranges her linen and supply drawers as soon as essential cares are completed). I'm not even the most OCD personality in my NICU. Totally agree the specialty cultivates hypervigilence, but that's because hypervigilence has led to catching sepsis in the nick of time cause these kids operate on the narrowest margin of error. I went back and read this and it might come off as harsh, I totally meant this in a humorous self-deprecating tone. But I know you understand as a "babyNP" how fast things change. I literally saw one of my patients go from finishing their 8pm feed well to green residual at 11pm, to being bagged at MN, on the oscillator and paralyzed by 6am, and having care withdrawn at 6pm for NEC totalis.
  16. TiffyRN

    Best PMHNP programs?

    Sorry I can't research this more thoroughly. My husband was looking for a PMHNP program about a year ago and I think University of Pennsylvania is the one he talked about as one that was only available on site. Big advantage is it is very accelerated running only 14 months; probably the fastest in the nation. It is not a DNP program but with that speed you would be able to complete an MSN to DNP in another year or two at most. UPenn is extremely well regarded for their nursing programs so they might be more selective than other programs but you would have an excellent education. https://www.nursing.upenn.edu/admissions/msn-and-post-masters/

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