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pediatrics, public health
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noahsmama specializes in pediatrics, public health.

noahsmama's Latest Activity

  1. noahsmama

    Can "leaders" be happy NOT leading?

    I agree with the other poster who said that you likely already know the answer to this! Sounds like you're happier in your part time non-management job right now. And although I'm sure your husband knows you well, you know yourself even better. His statements may say more about his own preferences than yours. If I had listened to everything anyone who knew me told me about myself, I wouldn't even be a nurse right now, and as far as I'm concerned, becoming one was one of the best decisions I ever made in my life! However, the issue of having to move 4 hours away is something you'll need to work out with your husband. Is he ok with the move, or is that perhaps why he's raining on your parade? Do you have to move 4 hours away, or can you perhaps get a better job in your current area? Given that you're being offered these jobs without even seeking them out, you could probably find even more options if you were actually looking. Good luck with whatever you decide!
  2. noahsmama

    Community nurses - how do you dress?

    This varies a lot from one community to the next, so your best bet is to ask your future employer this question. It also depends on whether you'll be doing home visits or working in a clinic or office. For home visits, at least where I live (Oakland CA), a suit would be overkill, but jeans might be a little too casual. I would go for khakis or dress pants and a nice shirt. If possible I would cover the tattoos (where I live most clients would not mind the tattoos, but some might). Office attire would be similar. If you're going to work in a clinic, I would probably wear scrubs, but again, check with your future co-workers on this. Good luck!
  3. noahsmama

    NICU, which way to go?

    This depends on where you live. In my area, hospitals (including the big ones) will only consider a new grad for a NICU position if they did their nursing school preceptorship in a NICU - and OP has said her nursing program does not offer that option. And even for the new grads who did do a preceptorship in NICU, they STILL want you to go through their new grad orientation program.
  4. Thanks for an interesting article! I do have a question. You mention in your article that having individual liability insurance could potentially make a nurse more likely to get sued. What I don't understand is, how would the insurance company know which nurses do or don't have their own insurance? Thanks!
  5. noahsmama

    Help With Microbiology- Exotoxins and Endotoxins

    The cell secretes the exotoxin into its environment. It's manufactured inside the pathogenic bacteria, which then releases it outside the cell. I'm not sure why this doesn't make sense? Cells manufacture all sorts of substances which they then secrete to the environment. In the case of pathogenic bacteria, those secretions are toxic. Endotoxins are lipopolysaccharides that are an integral part of the cell wall. They aren't just "hanging on" to the side of the cell, they are part of the cell wall. Hopefully that's more helpful than my last post. :) That's all I've got. Good luck!
  6. noahsmama

    Help With Microbiology- Exotoxins and Endotoxins

    It's been years since I took micro so I can't answer out of my own knowledge base, but here's what looks to be a good comparison: BSCI 424 Pathogenic Microbiology -- Exotoxin vs. Endotoxin Hope that helps! Good luck!
  7. 48 when I started an accelerated BSN program, 49 when I finished, and almost 50 when I started my first job. Am now 54, and very happy with my new career!
  8. noahsmama

    Nurses Who Have Killed

    Commuter, what, exactly, is the point of this post?
  9. noahsmama

    Can nclex deny your application after taking your test twice?

    If I were in your shoes, I would request a hearing before the 60 days is up, and I would hire an attorney to represent me. I wouldn't assume that if they tell you to wait a year to reapply that that means your re-application will definitely be accepted -- it might not be. Better to address the issue head on by getting your BRN to make a ruling on it. That's my $0.02. Good luck!
  10. noahsmama

    Should I take Introductory Chemistry or General Chemistry?

    I agree -- you should take General Chemistry. Not only will you be better prepared, but if you don't happen to get in to your target nursing school and want to apply to other nursing schools, many nursing schools require chemistry with a lab. so it will be more likely your chemistry class will be accepted as a prereq if you want to apply to other schools.
  11. noahsmama

    Checking vitals on a stranger to see if they are ok

    I agree with FreethinkloveRN. I would never approach someone simply because they appeared sick, unless they looked so sick I thought they might be about to pass out. And in that case, my first step wouldn't be to try to take their vitals, it would be to ask them if they needed assistance, and maybe help them to sit down somewhere and then call 911. In fact, calling 911 would always be my first step if I saw someone who appeared to be in distress. Since I don't generally carry a blood pressure cuff with me and have no idea how to estimate a BP by palpation, nor do I generally carry a thermometer in my back pocket, the only vitals I would be able to take would be heart rate and breathing rate. After calling 911, I might take their pulse or count their breathing rate, especially if they appeared to be having heart or respiratory issues. I once called 911 because I was having heart palpations. I counted my own pulse at 240 bpm (!). I shared this info with the 911 operator, but she told me she had no idea what that meant. The paramedics didn't seem to believe me until they checked for themselves (which I guess is appropriate, come to think of it).
  12. noahsmama

    Money, Carreer choice, Doubt, ....

    There's nothing wrong with wanting to make money, so please don't apologize for it. I also wouldn't worry too much about getting stuck in one career path at the age of 26. I successfully changed career paths at age 48, I'm sure you can do it at 26. If you really want to go to med school, then please don't decide you're "too old" at 26 - lots of people start med school at that age or older (sometimes much older!). I think there's plenty of ways to make money in a nursing career too, especially starting at such a young age as 26. Finish your ADN, get some experience under your belt (the fact that you're already working as a tech should help your job prospects), then do an RN to BSN or MSN and start pursuing management positions. That's just one path; I'm sure there's plenty of others. I really don't think you should be worrying about getting stuck. Whatever you do, just be sure to do it well -- the best way to get a new, better, job, is to have a solid record of good performance and good references from your previous jobs. Good luck!
  13. noahsmama

    Would you become an RN again if you had the choice?

    Absolutely yes! Second best decision I ever made in my life! (first best was becoming a mom!)
  14. noahsmama

    MSW -> RN? advice wanted

    Most people with MSNs work as nurse practitioners (NP), which is different from working as a nurse (RN). NPs can diagnose illnesses and prescribe medications, RNs cannot. They're generally paid more than RNs too. If you have an MSN but you are working as an RN, not an NP, the salary is generally going to be the same as any other RN. At the hospital where I was hired as a new grad, nurses got paid the exact same amount regardless of degree type, and I think that's the norm at most facilities. If there's a difference in pay based solely on your nursing degree type, it's generally small.
  15. noahsmama

    MSW -> RN? advice wanted

    Hi RTay64, I am a graduate of an accelerated BSN program (12 months) and have a PhD in a different field (Chemistry). No one ever suggested to me that getting a bachelors degree in a new field was "going backward", and I think it's silly to suggest that it would be. How is going on to a completely different field a move "backward"? In fact, when I graduated, a friend asked me if it felt "anticlimactic" to get a bachelors degree when I already had a PhD in another field, and I responded that graduating with my BSN was way more meaningful to me, because it was going to allow me to work in a field that I really wanted to work in. As for entry level MSN programs, these might be a good choice for you if you know you want to be a nurse practitioner or some other kind of advanced practice nurse. However, it sounds like your interest is in becoming an RN. In that case, an accelerated BSN program may be a better choice for you. If there are no accelerated BSN programs in your area, you might be able to transfer into a traditional 4 year BSN program and complete it in 2-3 years if they give you credit for your previous course work from your previous bachelor's degree. I know someone who did this and completed a traditional BSN program in just 2 years. Talk to the admissions departments in local schools of nursing or look up their requirements online to find out what their prerequisites are. Also, some have a "recency" requirement for prereqs (i.e., they'll only count courses you've taken in the last 5 years, or 7 years, or whatever their limit is), and others don't (the school I went to had no recency requirement and I was able to satisfy prereqs with courses I took as many as 25 years ago). So, find out about the recency requirements too. Another thing you should know -- you can get an RN with an ADN, but having a BS or even MS in another field plus an ADN is NOT the equivalent of having a BSN. Depending on what area you live in, many employers these days prefer RNs with BSNs, so having the BSN may help you in the job market. There are also some types of RN positions where a BSN is required -- in my state (California) you must have a BSN to be a public health nurse, or a school nurse. So, although you could also apply to ADN programs, there are some advantages to having a BSN.
  16. noahsmama

    Just Another Statistic

    Beautifully written! And I don't think the part about looking for potential HIPAA violations to write up detracts from it at all. It's clear that this is part of your daily routine and that this work day started like any other, until you saw the stack of pill cards and the empty chart. I feel like these details help to put the reader in your shoes and see the story from your point of view. I wouldn't change a thing -- well done!