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Determination > Anything else

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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. 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8pm feed well to green residual at 11pm, to being bagged at MN, on the oscillator and paralyzed by 6am, and having care withdrawn at 6pm for NEC totalis.
  2. TiffyRN

    Online PMHNP MSN to DNP cert/program

    I’m still not sure I understand what you’re asking. You have an MSN with PMHNP specialization correct? All you want to do is advance your degree to DNP, and not add another specialty , correct? Are you looking for an exclusively online program? Most DNP programs are post-masters (or add a few extra courses if you are starting from BSN). They aren’t really post-masters’ certificate programs because you won’t just get a certificate but rather a whole new degree.
  3. TiffyRN

    PhD or DNP to become Faculty?

    I've just completed my dissertation and am applying for faculty positions. . I've always been told I'm in a PhD program in nursing. The only detail being that since I came in with a BSN, I was required to complete a handful of MSN-education courses. Now I've noticed how my degree is listed within the "Academic progress" area of my student account: PhD: Doctor of Philosophy in Nursing Education. I feel like this only helps my case for future faculty positions because while I completed all the same courses as my MSN cohorts seeking PhD, I also have 18 hours education hours (and a 180 hour teaching practicum). But, I feel a little surprised at how my degree is listed on my account page. I won't have a degree conferral until the end of the semester though my dissertation was completed in early September.
  4. TiffyRN

    Lpn to Rn online school

    I may be wrong but I think the only places offering online LPN/VN to RN are Excelsior and Indiana State University (and I'm not sure on that one). I'm a fan of Excelsior but a lot of states have a problem with their competency based education therefore check carefully if your state accepts their graduates. Several states require certification of preceptor hours, requirement you be licensed in another state first with many hours of practice completed first, or in the case of CA, it's just a no go if you graduated after 2003 or so (appeals are possible but unlikely).
  5. TiffyRN

    Easiest/quickest online MSN-DNP program

    I guess the exception makes the rule. I truly felt my RN to BSN was the most influential educational and professional journey I ever experienced. Well, until I completed this latest "journey" which was 100% inspired by the coursework I encountered in the RN to BSN (ok, I admit, Informatics did nothing for me). But then maybe it's because I would have gotten a lot more from a pre-licensure BSN if that had even been an option for me where I lived and with zero money at the time.
  6. TiffyRN

    PhD Nursing... thinking about it

    My chair contends that a PhD is above everything else a degree in persistence. The last couple of years are a real exercise in patience as you feel you are so so close for so long and then all of a sudden, it's done.
  7. TiffyRN

    Online Certification Courses

    I'm still unsure what you are asking about. Is it to become a certified nurse for example Certified neonatal or oncology nurse? Or do you mean certifications like PALS or ACLS? My previous experience has been that nurse certifications are never tested online, always in testing centers (similar to Prometric or Pearson). Certifications like CPR or PALS can be done online partly but if there is no skill demonstration, the different entities (AAP & AHA) will not recognize them. In fact, my hospital uses an online Healthstream version of the NRP to do the written exam part. But you don't get the card unless you show up and do the skill demo and super-code.
  8. First of all, I don't know the answer to your question. What I do know is that most people I know who work in Nursing Informatics have an MSN in informatics and none of them had previous college work other than nursing. Might be helpful to know which accrediting bodies they mention and while certification exams are required. I'd guess the accrediting bodies are the standard nursing ones (CCNE, ACEN), and the certification is through AACN to become an RN-BC in informatics. I'd be interested in hearing from others more familiar with informatics work.
  9. I'm personally not a huge fan of Walden. WGU has a great reputation though they famously only grade pass/fail that is usually counted as a 3.0 for graduate admissions. If your GPA is already borderline, this may not be a good move. I believe you can go to many all or mostly online MSN-Informatics programs which are from not-for-profit or State universities. They would save you some money compared to private, for-profits, and allow you to raise your GPA to where you can get into the DNP program you want. Also, I looked at your original post and it says your DNP program requires 3.2 GPA in undergrad. Are MSN-Informatics courses going to count toward your undergrad GPA? Worth finding out before you dive into a graduate program.
  10. TiffyRN

    Why are FNP paid less than Psychiatric NP?

    I'm going to have to go with market forces. Market forces affect several aspects. One thing is that (it seems) that about 80% of new RN (or at least BSN) grads are already picking out their FNP program when they get their first job. Surveys seem to confirm this perception in that there were twice as many NPs in the market in 2018 as there were 10 years before and at least 2/3 are FNPs. While the market does appear to be strong, primary care has never paid like specialities have in any field of healthcare. Just go compare the homes of your average CT surgeon to that of the average family practice MD even in the same urban/suburban area. Other market factors include the increase in the psychiatric field. There is still a lot of stigma around psychiatric care, but much less than in years past so people are more willing to seek treatment. Another factor that increases the market of psych patients is the availability of telehealth. While some telehealth services are available with many specialties, psychiatric services are very well suited to this form of care delivery. A PHMNP can video chat with a patient then electronically send medication adjustments to the patient's local pharmacy. This allows patients in more rural areas to access psychiatric care that was not previously available to them. https://www.aanp.org/news-feed/nurse-practitioner-role-continues-to-grow-to-meet-primary-care-provider-shortages-and-patient-demands
  11. I had someone close who is an RN have to be hospitalized for the same thing. I was helping them through the admission process and I specifically asked the PMHNP if there was a concern with the BON. The PMHNP stated it was not a problem though I did my due diligence and checked things out on the board's site. My reading was that depression is not a concern. Having said that, if your employer or management know, then watch your back. They SHOULDN'T do anything but there is certainly still a lot of stigma attached to mental health as we all well know.
  12. I'm not sure how to contact a guide or moderator for this forum but your question is going to get better targeted responses elsewhere. Though this forum is called "post graduate" it is referring to those pursuing degrees beyond graduate nursing degrees such as DNP or PhD. I used to know how to contact the moderator for each forum but things have changed and unfortunately I haven't kept up. There used to be a forum for "1st year after licensure" that might have more nurses who are currently in or have recently completed nurse residencies.
  13. TiffyRN

    Looking for PhD supervisor in nursing workforce

    I really don't know this but my suggestion would be to look at the affiliations of the researchers publishing studies that interest you. Then find out if they are faculty at their affiliated universities and if they chair or serve on PhD committees (their emails are often listed in the author information). You could also search dissertations on topics of interest then look up their committee members, then find out if and where those committee members serve as faculty. If you don't currently have access to a university library service maybe see if you can visit one in person and chat with their research librarian (they are amazing people).
  14. TiffyRN

    Defense date set

    Thank you!! It is a huge relief. Of course, the paperwork is still processing and I'm not sure they will actually confer the degree for a few more weeks though I do have a letter from the Dean stating I had completed my PhD. Also, I guess because there are so few people within the graduate school they only have a commencement at the end of the Spring semester, but I do definitely plan to drive the 5 hours down there next May and walk!
  15. TiffyRN

    PhD horror stories- Thoughts?

    The program I just finished was/is a brick and mortar where almost everything is online. We were required to come to campus once a year for the first 3 Fall semesters for 3-5 days. Proposal defense could be over Skype. Actual defense had to be in person. It's a public university so while it wasn't cheap (roughly $12,000/year tuition & fees), it was much more reasonable than any private for profit. I actually went BSN to PhD and was told it was possible to get done in 4 full years (attending 3 semesters a year). I managed to get out in 5 full years, almost on the nose. My first orientation was the last week of August 2014 and my defense was the last week of August 2019. I might could have finished 2 semesters earlier but there were health issues in my family but you know what? I've not met a single person who didn't encounter a major hurdle, personally, professionally, health-wise, or all of the above. . . I honestly didn't know a couple of my committee members well at all but I had a stellar chair who personally recommended them and they were all top-notch. What is the defense? Well, the dissertation is a long-winded written version of the research you will do in your last stage. I don't know if others do it differently but my defense consisted of somehow condensing that 38,000 word monster of a dissertation into a 25 slide/35 minute powerpoint presentation where I narrated the relevant parts of my research and findings. Then your committee (who has had your written dissertation in their possession for a few weeks), will question you, and you will "defend" your methods, analysis, and findings. If you have a good chair, you will be ready or he/she will not allow you to attempt the defense. My dissertation stage lasted about 4 semesters, with one of those semesters being when I kind of had to back away a few weeks due to family circumstances.
  16. TiffyRN

    article search?

    Ok, here's a more comprehensive search of for a lawsuit (anywhere) about a patient believing they were being called a cow rather than referring to the computer on wheels. First of all, though I'm not a lawyer, I'm not sure such a lawsuit would pass the sniff test as there was no malice (but I defer to any with actual legal education). I'll give the TL: dr version first: I can't find any such article on google search after modifying the search terms several times. Long version: I believe there would be some kind of mention of a lawsuit had it actually existed outside the realm of the urban legend. Instead all I found were many stories (usually on reddit) of "I heard" or "they say we can't use COW anymore, because a patient thought we were calling them a cow". Even the more formal blog sites, or EHR companies mention the term COW could be misinterpreted, but no mention of an actual lawsuit or the amount paid out. I think they would definitely want to strengthen their points about changing terminology by providing a real world example of the damages hospitals incur by using problematic terms. Here are some sites that broach the topic of COW being problematic: A blog discussing many IT issues and saying up front that COW may be politically incorrect but the blogger's hospital still uses the term: https://blog.medicalsolutions.com/clinical-corner-2/clinical-corner-clinical-corner-cows-wows-hipaa/ A newsletter from an EHR company advising that some hospitals are changing to the term WOW over concern of unintentionally offending patients with the term COW. No mention of any actual lawsuits or actual damages paid. http://www.hcpro.com/HOM-71393-2939/Tip-Make-the-change-from-COWs-to-WOWs.html A semi-tabloidy article describing how the NHS has changed terminology to WOW after concern that patients would be offended by the term COW. https://www.dailymail.co.uk/news/article-2754287/Bring-cow-NHS-renames-computer-fears-patients-think-nurses-rude.html A popular magazine article about the "secret language of nurses" where there is a brief mention that COW is no longer used because a patient was offended (but once more, no mention of any actual lawsuits). https://www.vice.com/en_us/article/dp5gey/the-hidden-language-of-hospital-nurses-400 A gomerblog satirical article about the banning of COWs to improve patient satisfaction scores: https://gomerblog.com/2018/09/cows-computers-on-wheels-banned-from-local-hospital/ So, I do hope you find resolution with this toxic person in your life but I pursuing the path of telling them about something that may possibly be an urban legend may not be the way. I don't know your relation with this person but you don't need toxic people in your life. If they are truly toxic, and calling someone offensive terms was something you could sue for, this toxic individual would simply switch to another tactic to tear you down. Do your life a huge favor and shed them!

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