tryingtohaveitall

tryingtohaveitall

PICU

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All Content by tryingtohaveitall

  1. Job interview and offers

    You are fine. You've said you're interested, which you are, but haven't committed. Likewise, they have said they are interested but haven't committed. Don't believe anything til it's official and get...
  2. No rapid response for a DNR?

    In the pediatric hospitals I've worked, there are different "levels" of DNR/AND and it's usually fairly well defined how aggressively we will treat. Some DNRs calling a RRT would be appropriate,...
  3. Afghani MD now a PA and NP

    I'd like to know as well, unless he went through both a NP program and a
  4. Work During NP School?

    The other benefit to working is the opportunities it can provide, in addition to the experience you gain. I found many clinical sites through work. It all helps you get to know people who may be able...
  5. Help with d/c callbacks!

    One pediatric hospital I know has outreach RNs who do their
  6. NP Student Malpractice Insurance

    Yikes. Maybe that was the issue, marsh cost me less than $100/yr for nursing liability that included NP
  7. Your first time with a student

    Not records per se, but you'd better believe if you leave a bad impression it will be remembered. Honestly, this is a small world we live in and you never know when someone you meet will end up being...
  8. NP Student Malpractice Insurance

  9. Can a pt hyperventilate themselves into resp failure?

    He was intubated after 5 seconds of "apnea"? That's not considered apnea even in babies. Why did they
  10. NP Student Malpractice Insurance

    NSO will not cover you as an NP student with your bedside nursing malpractice
  11. NP Student Malpractice Insurance

    Marsh in Iowa will give you decent nursing malpractice insurance that will cover you as an NP student. I was very pleased with them. They were very
  12. Salary and pay question for new NP

    My two cents would be that you continue to work at least somewhat. Two reasons, maybe more. You continue to gain valuable experience, the contacts you have can be very helpful when it comes time to...
  13. OMG Say it correctly!

    Lol, I'm tired and misread that as,"I think she's going to hell." It seemed a bit
  14. Has this ever happened to you?

    Hi.lar.i.ous.
  15. Nursing essay

    I agree with minimizing the cheese and heart strings sections. Honestly, you've been given great advice by Jan and llg. As a veteran peds nurse, I can't stand schmaltz, so I wouldn't go that route....
  16. Words of encouragement?

    I would love any words of encouragement. Overall, my orientation as a new NP is going well, but internally I am struggling. I keep wondering if I have made a mistake. I admit, much of my turmoil is...
  17. Best training ground for PICU wannabe

    Between gen peds and NICU, I would say NICU. The experience of dealing with critically ill neonates will translate well to taking care of critically ill children. Many vasopressors will be the same,...
  18. Words of encouragement?

    Juan and Nursetime, Just wanted to update and again thank you for your advice and encouragement. Things are going MUCH better. I think I way underestimated the effect of the change in employer and...
  19. 2015 DNP Requirement for APNs

    One thing I found interesting in their statement was "in the next 10-15 years as the DNP becomes established as the majority framework for PNP education...." While I agree we are closer to that, at...
  20. 2015 DNP Requirement for APNs

    Here is what PNCB has to say on the matter.
  21. 2015 DNP Requirement for APNs

    I find PNCB's statement reassuring-
  22. Time between graduation & NP job

    Yes, it's true the whole process takes a while-waiting for transcripts to be sent, waiting for ATT, etc. I was happy to relax though i did keep working PT as an RN. I also taught clinicals for a...
  23. 4th week orientation, 1st melt down

    Sorry you had a rough day. Hang in there, it will get better. I think tears are like a pop-off, the pressure builds and builds til it needs to be released. NGs are uncomfortable to insert as the nose...
  24. preventing/identifying infiltrates

    Yes, chubby patients make identifying an infiltrate tough. Compare with the opposing side to see if the size is different. As you mentioned, see how the PIV flushes. If child is crying when you flush,...
  25. Need advice on two job offers

    Can you talk with nurses where they triple? Maybe they keep lesser acuity. If so, 3 "floor-ish" patients wouldn't be bad. Otherwise that job sounds