Amparo Pagan Titmus MSN, RN

Hello Lovely; I hope by now you are feeling better. Try not to beat yourself up. As a woman of faith, we know that we can only do what we can and that the rest is not up to us. One never really knows why these things happen and the RCA is procedure t...

Finding evidenced based research specifically with spouses/partners may be difficult to find. Which means there is an opportunity to conduct research, a survey of a small sample which of course would be subjective, based on their feelings after the f...

Hi There; I went right to level 3 L&D as a new grad, absolutely no regrets. We actually had a 2 bed Ob critical care area and after about 4 years of poking my head in and asking a ton of questions, I was offered the opportunity to cross train in ...

This year I was looking forward to nurses week because I was glad that after 22 years, I still love what I do and I was looking forward to the recognition. So far, there has been nothing. Not even a verbal, "Hey, Happy Nurses' week!". I was feel...

Oh and follow through after orientation is done is important. Maybe a quarterly meeting, "How are things going?, What can we do better?" type thing. We bring them in and love on them for such a short while and then we just push them off the edge? Thi...

I applaud your efforts. You are thinking, looking for solutions and that is wonderful. I am not sure the a residency program similar to physicians is needed however a well structured orientation program certainly is. As part of my work, I developed a...

Wow, Is this an essay question? Your post made me smile. *how long does it take to become an RN nurse or LPN? That will vary on the program. You will have greater opportunities being an RN. A basic program is a 2 year associates degree. *how mu...

Not over reacting but I would hold off on sending a "warning" email. It could be viewed as a threat (which it is :-0). Orientation is not only to familiarize yourself with the required task but also to see if you are the right fit for the job and vic...

Explore your options. Educate yourself in what the two fields are like, in preparation and in practice. They are not the same. Ask the nurses in your family why they recommend being a doctor. Think about which is more appealing to you. Which will al...

Currently I am in a county hospital in the East Bay as a traveler and I love it. There are several agency nurses there and they have shared that they are getting more than enough work. Compensation is high and I think that offsets any negative aspect...

The joys of nursing are very personal and as unique as the individuals we are and the people that we encounter throughout our lives. In my career there have been many. I often feel that I should take the time to sit and write a book. Past the satisfa...

CONGRATS! What do you feel was most helpful in your preparation that led to your success?

Congratulations!! Fear is normal, and a healthy sign of a safe novice. You only feel those things that you are uncomfortable with. Comfort will come with familiarity, knowledge and experience. I highly recommended this book to everyone. http://www.eb...

AWESOME! I know, I'm quazy.

:-) There are blood vessels in the posterior (back) of the heart. Posterior vein of the left ventricle, left marginal vein, middle cardiac vein etc. Usually "something" is plaque build up from cholesterol causing some type of blockage in one or more ...

Let me add a short story. Often in L&D visitors want to film. They must ask the people in the room for permission to do so. I was involved in a situation where the Daddy was told not film the actual birth but could do so afterwards. He had placed...

I agree with this entire post. I will also add that you have the right to refuse care to this patient. You also have the right to state loudly upon entering the room that you do not consent to being recorded in audio or video and if done it is in vio...

Having been an agency nurse as well as a staff nurse and supervisor, I will make comment here. It's a double edged sword. It is a common assumption that the "hired help" make more money. From my experience the facility that hires pays a nice chunk o...

I see no other posts from you. I hope you are well and not regretting your openness on this forum. My thoughts are to take a break, remove yourself from the situation and do some soul searching. Get back in touch with you and what makes you happy. It...

Talk to the hospital recruiter. Be open about your intentions and ask her what she recommends and if there is anything suitable that will help you achieve your goals. Explore your options.

oh boy...my initial response was LOL as I am reminded of the time in my life when I worked two full-time night shift jobs. However, in seriousness, that is going to depend on the state regulations and if there is a (looks both ways) a union. The gen...

Advanced Cardiac Life Support (ACLS), can be obtained in any matter of ways, including online. You do not have to be a nurse to complete the training. You do however have to have the appropriate credentials to administer medications :-) Courses are a...

Oh that is interesting. Here in the U.S., basic training is a minimum of two years with rotation through the various specialties to maximize exposure and ultimately produce a well rounded nurse. Of course there are many levels of education here but o...

Hya; In the U.S. there are two types of midwives. The lay midwife is not a nurse but someone who has taken courses in midwifery. This type of midwife is not licensed as a nurse and most institutions will not recognize them for practice. A certified n...

"I truly love working with the elderly, and look forward to being a different kind of busy..." Your comment speaks volumes. I suspect you will do well. I will leave further commenting to those that work in this area.