Fly Guy JB

Well, they aren't completely off base. I get frustrated with the never ending litany of "what is the fastest BSN program with the least amount of work required" posts that show up in every feed. These speed craving students have been seeking the same speed and distance learning options in NP programs. If we look at the history of NP programs, these were designed for tenured nurses in their discipline to advance their practice and to reach more patients. Today it is the fast track to leave the bedside for the nurse who hasn't been at the bedside for very long. So, what's the answer? Overhaul the entire nursing education system! Of course, but they have been trying to do that since the 1960s with limited success and no real plan in the making. Demand has increased and educational institutions have jumped in to meet the demand without necessarily having a track record of successful training of NPs or even registered nurses in many cases. Many of these late entry into the market schools, as the article points out, have a nearly 100% acceptance rate. Does anyone think this is reasonable? Does setting up your own clinicals seem reasonable? Does getting someone to sign off that you are A-OK even if you've had less than rigorous clinical experiences seem safe for you or your patients? Can you catch up once you start your assignment, maybe. But in our meat grinder of a healthcare system more often than not the newly minted NP is expected to hit the ground running a race they are often unprepared for by either experience or training. I am the last one to not encourage nursing education or growth, however, these so called "diploma mills" are churning out graduates who may be less than well prepared for their next role potentially endangering their licenses and patients.

Good afternoon, I serve on a system wide (1 L1 trauma ctr /6 community hospitals) committee to re-imagine our Nursing Career Ladder that has been in its current form for ~20 years. All the hospitals are Pathway or Magnet designated. We need a plan that continues to encourage our RNs to increase education and certification to meet goals. Other than these metrics, what is your hospital/system doing to encourage professional growth. Do you have clear cut areas of growth set out (committee work, community service, unit education, etc)? Or, is your career ladder more of a make your own adventure? I am looking for anyone who is having great acceptance by staff and meeting professionals development goals to assist nurses in carving out their career path and being recognized by their health system and peers. If you and your health system are leading the way in this effort, please respond, I'm excited to hear your "secret sauce.”

Got it a week ago (Pfizer #3). No previous Covid infection. The reaction was pretty much like shot #2. Fever, aches, headache x 24 hrs and then I was fine.

Do we want nursing to be less female-centric? It doesn’t feel like it. Few men teaching in nursing schools. Despite the experience of nurses above, there is a certain amount of discrimination in OB sections in school, interestingly, as someone pointed out the percentage of male physicians in OBGYN has no correlation with the amount of male nurses in the same specialty. Though I will be excoriated, the name isn’t inviting for men (please don’t try to make the argument that “nursing” isn’t a female signaling title), though I knew what I was getting into it isn’t inviting for many men as evidenced by men staying away in droves. Policemen, firemen, etc were forced to change their titles and their female ranks swelled. I may be part of the problem, I have often described myself as, “not that kind of nurse.” I have always been in areas that are, as described by others, male friendly areas (administration, emergency, flight, CCT). I didn’t go there because I was excluded elsewhere, I just felt more comfortable in these areas. What do we do to make the profession more attractive to men (and women) as we are short of nurses in many areas with the projection that the shortage will only get worse. Emphasize the valuable nature of the work, stop referring to it as a calling (we aren’t priests and nuns), emphasize the good schedules and pay, the transportability of the profession, and the ability to change specialties and advance into leadership, education, or advanced practice specialties if one desires. Disclaimer: My opinions are my own and do not reflect the opinions of my current or previous employers.

It’s interesting that you pose the question this way in the same month the Washington Post provides this headline: https://www.google.com/amp/s/www.washingtonpost.com/health/the-big-number-women-now-outnumber-men-in-medical-schools/2019/12/20/8b9eddea-2277-11ea-bed5-880264cc91a9_story.html%3FoutputType%3Damp Women outnumbering men in medical school is a big headline, <20% men in nursing, who cares? Should we be seeking something near equal parts, or as you assert, who cares?

I give this recommendation to most of the people who ask... I work for a hospital based program that uses Air Methods as our vendor (they provide helicopter, pilot, and mechanic) our Hospital provides the medical crew. Look around your area for an air service, most services have ride along programs, it gives you both an opportunity to see each other for "fit". It's nice to try to ride along early and make sure it is what you hope it is. You'll usually need 3-5 years in a busy ED or ICU. My program allowed me in with ED only, but as we do 80% inter facility calls I was not as prepared as I could have been had I had some ICU experience. Here is the brochure from Air Methods, the largest provider of air medical in the US. This will give you a basic "feel" for what you need to get started. All programs have their own requirements, but they are all fairly similar as the programs seek to meet national certification standards. https://www.airmethods.com/docs/default-source/default-document-library/so-you-want-medical-e-single.pdf?sfvrsn=7c469c95_4 Here is another great site with very practical resources and information for someone looking to get into air medical. EMS Flight Safety Network | The people who keep air medical flights safe. Watch the ECHO page Training Overview — East Coast Helicopter Operations or their facebook page. They do a prospective flight crew academy to help you prep for this job.

Darn skippy! Keeping up with flight certifications, especially if you work strattling state lines, can feel like a full time job in itself.

Darn skippy!

Even if the ads say ED or ICU, unless the service you are looking at has mostly scene work, go ICU. After 20 years as a paramedic and 8 years as an ED nurse, it was a steep learning curve to proficiency in a mostly inter facility (as most are) service. Not that it couldn't be done, it just required a ton of work on my part. Best of luck!

Love it! I didn't start nursing school till I was over 40 (darn near dead according to the OP) at 50 and change I work the ED and now flight nursing. I worked (and work) more than the younger Nurses and, in most cases, run circles around them. Maybe it's just my work ethic, maybe I'm just a Viking...

Yup, I didn't, knowingly, take a vow of poverty. This is a business proposition. I provide you with a service and you pay me a acceptable wage. If either of us fail that contract, we are free to move on, no excommunication needed.

Location: Metro Philadelphia Experience: 8 years as RN, MSN ©, multiple certifications Specialty: CCT Facility: Urban, Academic, Level 1 Trauma Center Pay: NON-UNION Tier 2 RN - $40/hr + 10 % diff. nights Live in the suburbs so housing is fair, travel is longer.

If you are looking for $100k anywhere but CA you want to give some thought to APRN. CRNAs starts way above this level and NPs are close w/o OT. Other than that, go to a metro area union hospital. Cost of living will be higher though. I have made >$100k the last few years as an ED RN & Flight RN with LOTS of OT!

Excelsior College doesn't have a chemistry requirement but does have a prerequisite or co-requirement for statistics during the research class. Hope that's helpful!

OMG! Despite the unfortunate actions of a single nurse, this system is draconian! If NJ, et al would participate in the compact this system would be far more streamlined. They were just fine taking my money...immediately deposited! To tell me that that this is a 2-3 month process is not positive for business and certainly not for those who wish to work in this state.

I can't say that I'm happy that everyone has the same problem with the New Jersey Board of nursing! They've had my information for about a month now, after calling yesterday, they said oh, your fingerprint cards are in the mail. They are very good at lowering expectations! By starting off with, "Oh, you are very early in the process!" Early in the process, it's been a month already! They were kind enough to inform me that it usually takes about three months to get your New Jersey license, even by endorsement. I too am just in Pennsylvania. It seems both unreasonable and unwarranted to take three months to endorse a license from and adjoining state. Especially when they were states that you can walk into you with all of your information and receive he seemed a license. Do I have no plans to drive to new work to get my license I will be calling more frequently to update myself on the process. Thanks everyone for your comments

If you know where you'd like to practice and can work, even per diem, you may be able to transition from critical care paramedic to RN at the same company. I was a paramedic for 10 years before going to Nursing school and am a PHRN for the same company I worked for in school. Depending on what you want to do, you would be best served going the ICU route rather than working in the ED. Though many service say ICU or ED experience they really prefer ICU where you have familiarity with meds, machines and procedures. CCRN and CFRN/CTRN will be the certifications to get rather than CEN. Keep all your paramedic certifications especially NREMT-P, I let mine go in favor of state cert. which is good but not the same. Good of luck on your future endeavors!

Geographic location Southeast PA Pay rate $33/hr In which area / specialty do you work? Emergency What type of license do you have (RN or LPN)? RN What type of degree and/or certification do you have? Diploma, Current MSN student, CEN, BLS, ACLS, PALS, TNCC, PHRN, PHTLS How many years of experience do you have? 4.5 Are you full-time, part-time, or casual / per diem / PRN status? FT What shift do you work? 7a-7p Do you receive any shift differential? 10% eve and night Are you a manager or supervisor? no

You do not need to be a NJ resident. TESC is one of the nations largest nursing programs and have students from all over. There are no clinicals required which was of my main main reasons for going there.

1. what is the most important problem or problems facing medicine as a profession today? lack of access to primary care (the emergency room is not your pcp) 2. what do you think is the cause of the problem? lack of $$ for family medicine, fewer md/dos entering this specialty, lack of nps/pas being added to this specialty, lack of independent practice option for nps other than in federally designated under-served area. 3. what can be done to remedy the problem? incentivize md/dos entering this specialty, increase the number of nps/pas being added to this specialty, remove barriers to independent practice option for nps other than in federally designated under-served area. 4. what do you think of health care reform, and how will it affect you and your profession? (for those of you practicing in the us) this is going to increase ed volumes d/t lack of pcps if you're comfortable with it, i'd also like to know your general age range (45-55), your degree(s) (dipl professional nursing, bs and ma in unrelated fields) and specialties (certified emergency nurse), work experience (pre-hospital and emergency), and current practice setting (how many people you work with 400, how long you've been working there,4 yrs, level 2 trauma ctr with 120k visits/yr etc).

33762FL which class are you taking? This is my first class as well, I chose Informatics as my inaugrial jump into the BSN program at TESC, what did you go with? jb

tesc doesn't give anything for your license but rather from your nursing education (semantics, i know). the lower division nursing credits are from your nursing school along with any general education work completed. hope that helps. jb i too am in the transcript review process but tesc's site says the distribution of credits is as follows: rn to bsn credit distribution subject area/category credits i. general education requirements 60 a. english 6 b. humanities (must include at least two subject areas) 12 c. social sciences 15 d. natural sciences and mathematics 15 mathematics (3) anatomy and physiology (3) microbiology (3) other natural sciences/mathematics (6) e. general education electives 12 ii. professional nursing requirements 48 a. lower division 20 b. upper division 28 nursing informatics: concepts and issues (3) health assessment (3) research in nursing (3) leadership and management in nursing (3) health policy* (3) community health nursing (7) seminar in clinical competence* (3) iii. free electives 12 total 120

Not my experience at all. Rather than demoting, we are encouraging promotion to Level IV with a 7.5% raise rather than the 5 % for other levels. Now we are striving for Magnet status and level IV includes BSN and national specialty certification. My hope is that this will continue.

Best to call (610) 741-0100 and speak to the nursing program recruiter. Their guidelines state that "Test scores are valid for two years, with the highest score used in the admission decision process." But it doesn't speak to whether a test taken elsewhere will count. Best of luck! jb PS: I graduated from this program and had a very good experience, I have worked at the hospital since nursing school and really enjoy it (your results may vary)

Ever notice the amount of pts. that are "allergic" to aspirin, yet take it everyday? "Oh, I am allergic to the 324 mg asa!" Really, what is your allergy? Allergic = stomach upset?