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RN-DC

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All Content by RN-DC

  1. I am in year 2 of 3 BSN-DNP program that does not award a master's after completing all core competencies. We are finished with the core competencies, clinical requirements, and I have passed the boards! However, I have 1 year before I can practice, as graduating from a program is obviously a requirement in order to obtain certification. I no longer see the benefit of a DNP degree (I apologize if this upsets people, I'm sure I may change my mind down the road), and prefer to graduate with the master's, however the school is not allowing transfer from the DNP to the master's. We have to unenroll, re-apply to the masters and take extra classes. I would like to know if there are other schools out there that would take all of this into consideration, allow me to apply to take 1 course, and obtain the master's (again, all core competencies, plus some DNP courses are completed, clinicals are completed, and I've already passed the boards).
  2. Thank you for this, unfortunately I don't qualify for that, as I won't have a master's degree. I've checked several of these fellowships, and all have to be licensed NPs
  3. I am in my second of three years of a BSN-DNP program and I'll be eligible to sit for the AANP sometime late May (of this year) or later, as I'll have completed all clinicals and all core didactic classes for the MSN part of the program. I don't know if this is typical for all BSN-DNP programs, or if it's unique to my school, but we don't get awarded the MSN in-between, so won't be able to be licensed as an NP until after we graduate with the DNP next year (May 2024), even though we will have completed clinicals and have (hopefully) passed the boards. I'll be working on the DNP project next year, but don't want to be out of practice and am hoping there is something for us BSN-DNP third year students to do that last year (other than working on the DNP project). Are there fellowships/internships for this awkward almost-NP-but-not-quite position we will be in? I'm not currently working, as I'm focusing all of my time on school and clinicals, and would rather not take a new RN job for one year while I wait to be fully licensed.
  4. Thank you! I think I will take it ?
  5. I have been accepted for a preceptorship at a Minute Clinic for my first FNP Family Practicum. I'm grateful that I have this, but am also considering holding out to see what my school can find in terms of an Urgent Care preceptorship (the school places students, but alerted us to applying for Minute Clinic preceptorships when it became available). I would prefer Urgent Care, and am worried that I will find the Minute Clinic not challenging enough. Do FNP students generally wait to see all of their opportunities prior to picking a setting? If I tell my school that I have been accepted into the Minute Clinic preceptorship, will they not look for other possible clinic locations for me? Has anyone done the Minute Clinic and found it to be interesting and challenging? Any words of advice are greatly appreciated!
  6. I know this is an old post, but it came up on my search. I am in the same boat you were in 2013. I really want the dual MPH/FNP degree as I want to work for the same companies, or at least in the types of areas these companies work in. However, it appears that many of the schools are sunsetting the FNP/MPH dual degree program (including Johns Hopkins). Do you or does anyone else know of other schools that are still offering it? UVA is no longer, JH is no longer, many others have stopped as well. Any info is appreciated!
  7. What if there isn't an HHA or CNA. Are you allowed to train teachers?
  8. Does anyone have any info on UAPs assisting with clean intermittent caths in schools? I am a school nurse, but am only part time for a school that includes children with medical and special needs. We have a child with spina bifida who requires a CIC once per day at school (he's only here 5 hours). Because our mission is inclusion and we take the ADA act and IDEA act very seriously, our protocol is anything a parent can do at home, a teacher or administrator can be trained to do here. I have watched the teachers (who have a certification of medication training) perform the CIC with no problem, and I continue to educate on issues regarding CIC. However, I want to make sure this is acceptable, as the nurse practice act is vague. I contacted the DOH regarding whether or not I could train the teachers on this procedure, and was told I should stay out of the training for liability reasons, and let the parent train. They did state that it was still not recommended for UAPs to do, but not necessarily against any rules. We also allow teachers to administer tube feeds with proper training (again, initial training has to be by parents). Any other schools allow this? If so, what are your protocols?
  9. Is there any chance you can send me a blank form of your check off list?
  10. I should add, I keep a copy of my state's Nurse practice act, and have gone through it thoroughly to make sure I'm within my scope of practice for interventions I do, however the NPA is pretty vague for early intervention/preschool.
  11. So I am the school nurse for a daycare/preschool. I answer to administration, but don't have a medical point of contact. I do keep documentation on kids I see (not for every temp I take or diaper rash I look at, but for more major medical issues) and am wondering if I will need to do that. I am contracted for only 15 hours per week. Should I contact DOH so that I can have a point of contact?
  12. Thanks for the info! What is all included in your monthly reports that you turn in?
  13. Hi, how much autonomy do you have in your school? Do you have someone you answer to other than administration? Do you have a medical director or nurse manager? If not, who do you go to for medical related questions? Thanks in advance.
  14. Just started. I'm in informatics right now. Good advice on the masters level writing. I was just about to register for the 15 week writing for professionals, but I was also thinking 15 weeks is going to feel like it's dragging on. I'll check into the other.
  15. I am in Excelsior's RN-BSN program and am struggling on which course to take. General statistics (mat 201) or Statistics for health care professionals (mat 215). I have limited math experience - algebra many years ago and am nervous about this course. Can anyone provide some advice on which I should do? Is one more suitable for those with limited math experience? I asked my adviser, but the response was vague. Any info is greatly appreciated.
  16. I am looking to find what procedures can be done by an RN in Maryland. I've browsed MD's practice act, but it is understandably massive. How do I find what procedures an aesthetic RN can do in MD? I've looked for an email contact at the board of nursing, and haven't come up with one. Botox, restylane, fillers, microdermabrasion, chemical peels, IPL, photorejuvenation, spider vein treatments. Thanks in advance for any info.
  17. This sounds horrible Maura. I'm so sorry you've been through all of that. Thanks to all of you for your comments, suggestions, and opinions. Update on the original situation: I had a change of heart over night after reading some of the comments and speaking with some other fellow nurses. I did tell my company I could do the dressing change a few days a week. But they had already found an amazing LPN that needed a case and was willing to to 7 days a week for the pt. I still go to the pt's home for supervisor visits, and if the LPN needs a day off (which isn't often due to the frequency now down to 3 days a week). I did call APS several times. They stated it was a coding issue and I needed to speak with that department before they could do anything. I called the coding department. They couldn't do anything unless there was a court order and a Social worker had assessed the place. The pt isn't approved for social work (I can't figure this one out) until there is a need assessed by APS. I don't understand why it is so hard to get APS involved. I've had to call CPS before, and they are right on top of issues. The last time I went to the pt's home, the home was in worse shape, still tons of bugs, and a new horrible odor through out the home. The LPN, wound care nurse, and I could barely stand the stench. I don't know what to do from here since I am basically at a stand still. I have, of course, discussed all of this with my company.
  18. That is a strong statement to make not knowing much about me nor my work. As I stated above, the agency wasn't able to get ANY other nurse to take it once they heard of the conditions of the home. Nurses who have done this for years refused the case.
  19. I am PRN. I can refuse any case I want. I'm not worried about that at all.
  20. I agree. That is why I'm so bothered by it. I know he needs it, and he was so grateful. I have just never felt so uncomfortable in someones house. It's not just the bugs, there are other factors that go into me being uncomfortable in this house, but the bed bugs and fleas everywhere is what is keeping me from wanting to go back.
  21. Caliotter3, I'm sorry to hear you live in infested housing. That is horrible. This pt however owns his home, so there is no landlord to contact.
  22. It's long, I apologize in advance Went to do a SOC today and the patient's house was not only a home that was tough to walk in due to the hoarding (which doesn't bother me. I've been in several hoarders homes), and realized within a minute that the place was infested. Every chair I tried to find to sit on had multiple bugs ( bed bugs, fleas, etc...) crawling on them. The floors had bugs on them. The walls, bed, everything. I was there to do a wound dressing change and noted a dead bed bug on the abdominal dressing. I was, to say the least, disgusted. I completed the SOC, left, and called my company immediately to alert them of the situation. I said I didn't feel comfortable going back to do the daily wound changes unless they take care of the infestation ( I did try offer to call pest control and the pt refused. I offered to get them numbers of different pest places and the pt refused stating he sprays) . At first my director stated we still needed to provide the dressing changes. I called the LPN who would be splitting the days with me and she is justifiably refusing. I alerted the DON and she said she'll put the pt on hold. Which is good, but now I'm concerned. The pt does actually need someone to do his dressing changes. QUESTIONS: 1-Is it right of me to refuse to go until the situation has been resolved, or is this what I should expect doing Home visits? (I'm new at the home visits) If I should still go, has anyone dealt with this and what precautions did you take? 2-Should I call the department of health? If I do that, will they assess and fumigate for free or will the pt be charged? I want to get the okay from the pt first, but doubt that will happen if he has to pay. (he'll probably refuse either way) If they won't fumigate for free, is there a way to get it done without the pt having to pay? The house is probably going to be condemned if the DOH goes out there. The pt lives with 2 brothers. I would undoubtedly be ruining their lives. However, the Bedbugs ARE TRYING TO GET INTO HIS WOUND. (a very large abdominal (dehisced) wound). ANY info, suggestions, opinions will be appreciated.

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