Walden-Puddle, RN

Thinking about maybe reposting to international forum?

Hi everyone. Hope you are all having a good day. i attended a recruiting session with MSF. They indicated that they were generally interested in my field, skill set. I'm in contact with them and will submit application pretty soon, but wanted to reach out to people not only for "tips" etc., but also for any experiences you may have had. what did they like or not like when you spoke to them? Did they ask you to sharpen any specific skills or look for specific certificates etc.? They really emphasized that even with good skills etc that they can only accept a tiny % of applicants, so I'd like to make sure that I am meeting their needs and will be able to make strong contributions if am fortunate enough to be chosen. But it's hard to prepare when u don't know where you are going etc.... any returned volunteers out there in allnurses? Any still on their roster? thanks for any information you can offer! edit for keywords: Doctors Without Borders. Médecins Sans Frontières, medicine sans frontieres

A-Yup. It's that bad. Funny....I had no idea when I was in school. I had never heard about floor nursing being like this. I have a good work ethic, lots of corporate experience etc....and I figured I'd be fine. I just wasn't ready for the general level of chaos and insanity. It's the only job I know of where I regularly (not occasionally) see co-workers hyperventilating on the way in....and quietly taking some time to cry on the way out of work. And I work in a supportive environment with a great manager etc., but there's just simply a lot of work to be done, a lot of doctors (And medical students) to deal with, lots of orders (that seem to change each time you blink) and lots of sick patients. I'm very new, so take it with a grain of salt. Plenty of the experience nurses on my floor accomplish all this and more with quite some grace.

Thanks for the reply and details. From your description....it looks like I fall right between the cracks! I want to practice at a higher level in critical care myself (I like bedside nursing), but at the same time I really want to do education, EBP and care coordination as people move from ED/ICU/PACU/Stepdown to Telemetry and medsurge floors. Sometimes just giving the nurses on these floors a little more information about the plan of care and things they can watch out for on individual patients can be helpful (I'm learning this myself.) It's one thing for me to get report from the outgoing nurse. But my patients usually get MUCH better care if I'm lucky enough to get 5 minutes with the attending or the doctor who admitted the patient when they occasionally come to follow up. YES...I carefully read the h&p's, progress notes etc.....but even then...it's sometimes doesn't quite paint the full picture and often a few tiny details here and there escape. That's where I think an APN can make a difference in coordinating care as well as practicing care. I also want to help shape policy concerning these transfers of care. Basically...it strikes me as a game of "telephone" where the clarity of the original message USUALLY gets at least slightly dminished each time information is handed over. I'd love to develop formats that help preserve as much as possible. I'm in California and have seen a fair amount of postings for both CNS and NP's in my hospital chain...so I know they are both being utilized (which is good when it comes to preceptorship opportunities) So I guess the next step is to reach out to some of them and ask them about their roles / scope of practice etc. Some questions? Since the grad school admission process can be long (which is why I'm starting now) I was wondering whether I should get my CCRN in the interim...or whether it's unecessary if I'm simply going to do what is (essentially) a masters in critical care nursing (NP and CNS both receive an MSN? or no? Am I mistaken about that?) Would the CCRN be a good trial run for the masters program (and/or help me get more out of the program)....or is it really unecessary at that point? Thanks again!

Hi, I'm researching online programs to do a CNS program with a focus on critical care. I am having a VERY difficult time figuring out the differences between all the MSN programs, what they REALLY offer, and which programs offer CNS specific training (vs NP route) I thought i'd take advantage of some of the collective wisdom here on allnurses and try not to reinvent the wheel. So the first questions is... Is there are list circulating somewhere of ONLINE programs that train you as an advanced practice nurse with a Clinical Nurse Specialist track that will prepare me to take the Critical Care subspecialty examination? (Whew!!) So I guess it's an ANP-CCNS degree? (Or did I get that wrong too?) Second Question: I was fortunate to do very well academically in previous schooling, so I was wondering if there are some selective programs out there that I can apply to that might impress future employers? From my limited research it seems that most online programs are not too selective and so I don't know how that affects the overall "value" of the degree when applying. (I suspect it doesn't...but I'm just putting it out there.) Am I correct in this? Should I not bother pursuing this? I guess the basic thought is....since I did very well academically...it would be kind of silly to let it just go to waste if I could use it to leverage my way into a highly competitive program that might carry some weight with employers. Does this exist? Thanks everyone!! BTW.....Would LOVE to hear from other APN/CCNS holders on their experiences.

Is this them? http://www.gripsors.com/ I use a basic model and really like them. I think they're kinda new. Don't really know where they are sold. A friend gave them to me. You're right...that curved grip is great for removing stuck IV's etc. Hope that helps.

Is it too much to ask? I mean seriously!! How much time have you WASTED running around your unit looking for a (working!) vitals signs machine each week. Does management not get it? Not to mention the infection issues dragging a machine from room to room using the same blood pressure cuffs etc. Anyways... Not only do I think there should be a dedicated unit for each room, but (and I'm going out on a limb here folks..so get ready to catch me!) I think they should be built into the darn beds..or at least attachable to the beds (Can I get an Amen!) I know. I know. I'm dreaming. It's too much to ask. Go ahead. Hit me with all the negativity and "reality" you care to. But a nurse has gotta have a dream!!

At a time when I'm requesting classes in more advanced physical exams; apparently, they're not necessary anymore. Who knew? :-) http://www.npr.org/templates/story/story.php?storyId=129931999

Just about any journalist worth their salt will provide sources, when asked. I'm sure the Atlantic meets that standard. I'd be e-mailing them about the answer to your questions instead of concluding, anecdotally, that they were wrong or misleading.... if you decide to follow up, I'd be quite interested in hearing what sources they cite.

There are "American University" locations that you may be able to attend, but they would probably cost quite a bit. The equivalent of an american private university, or, likely a few thousand $ per class. Not a great alternative, I admit. Plus, you would have to make formal application, as it is not a community college where you can just sign up. It is (somewhat) selective.

I was fortunate enough to go to a couple of the more elite colleges and grad schools...and was SHOCKED when I started my BSN to find that there were FANTASTIC teachers at the community college level who taught, at a very high level, to rooms full of students, each of whom were paying a whopping $60(!), for a semester long class. I think that colleges nowadays are disgustingly overpriced for what they deliver, which is typically a generalized and undistinguished glimpse at a few areas for future study. The tenure system is criminal (what other profession offers someone a pass after a certain period of time no matter how poor their performance?!) I have been the victim of a number of tenured "distinguished" professors who truly, could not have cared less whether we learned anything in their classes. The one thing that I did differently during my BSN was I asked a lot of questions about the professors to find the ones that were genuinely interested in teaching. A good professor made all the difference in the world to me. If I was a parent, i would send my kids to a (good) community college. Some are better than others. I would encourage them to take a lot of diverse classes and help them manage the transition to a 4 year school once they had really developed (and demonstrated more than a passing) interest in something. That way their Bachelors would be more meaningful, better focused AND less expensive.

I can sympathize with the decision you are making. I agree with what most of the other posters have said and I just wanted to add an angle that is often left out. I went to a (very) rigorous BSN/RN program. We were all scared to death in those first days. And we responded by enouraging one another and determining that WE were going to get through the year TOGETHER. A bunch of strangers, standing in a room, with nothing in common but a goal. We had some good teachers, some great teachers and some absolutely horrible teachers. Same goes for clinical instruction. When there were problems, we approached the teachers...or if that failed...the administration TOGETHER.... We continued to really root for one another, share our notes, form study groups, e-mail each other and next thing you know...we were all done and standing on stage together during our pinning! An amazing feeling. WE LOST NO-ONE. Not one single person left the program. And the single most important thing in determining the direction that our class took was how we all bonded with EACH OTHER. Now that we are graduated, the same feeling continues..... We formed study groups and attacked the NCLEX tohgether. And now....anytime a new grad job pops up in our area, an e-mail goes out alerting the entire cohort so that we can all apply. we compile interview questions and send them out etc. Yup...we are competing with each other...but at the same time, we cheer each time one of us gets employed....because we know that these people, who are now located in many of the best hospitals in our area can advocate for the rest of us, internally. And that is exactly what's happening. As a result...our cohort has an outstanding new hire percentage in one of the worst downturns in modern nursing history. And instead of fellow students...in the future...I will have COLLEAGUES all over this area...in many different departments and specialties that wouldn't hesitate to lend a hand as we progress in our careers. And...the CHOICE to bond and look past any differences that (inevitably) might have divided us...turned what might have been a supremely difficult year into a great adventure that we can look back on fondly. Think about what you can BRING to this program you speak of....not just what you can GET out of it...and the whole experience can change!! I wish you the best of luck. I am a new nurse (employed!) and loving every minute of it.

....and PLEASE, PLEASE, PLEASE take the time to fill out proper evaluations at the end of each class. Administrations need honest evaluations of these teachers so that future generations of nursing students may not have to suffer through the same nonsense. I agree with some of the other posters. Take it to the administration. As a GROUP if necessary. I've seen this work successfully when no one individual was able to make headway. I've seen nasty teachers get VERY, VERY afraid when a GROUP of students got riled up. Learning how to advocate can start with yourself! Good luck...and stick with it..I'm a pretty new nurse...and any nonsense I went through in school was totally worth it now that I'm out and caring for patients. I'm loving it!

something i haven't seen mentioned is the recent scandal about the incredible number of unlicensed nursing schools that cropped up in the phillipines and the fact that the nle was "leaked" to a large number of students. as a result, it became difficult to figure out whether someone had even graduated from an accredited school, and if they did, did they really pass the nle or were they given advance knowledge of the questions? and...the pass rate for the nle has fallen well below 50%..which calls into question the recent (past 6-7 years)quality of the nursing education being provided. ([color=#477fa5]37, 679 out of 91,008 passed the july 2010 sitting.) i have no idea whether this was involved in the decisions being made by sutter or cpmc. i have no knowledge of this woman or this particular situation. but i do think that unless someone in the phillipines goes to great lengths to tackle this problem with the legitimacy of the education system over there, that future nurses from the phillipines might have a really difficult time getting hired over here in any hospital. the ss# being required for the nclex is something that i think was instituted just in recent months, so i don't think that it had anything to do with the issue at hand. i now work with many fillipine nurses. some excellent, some not so much. just like the rest of us. no-one should be discriminated against.

I think that because many of work for health care companies we are not hit AS DIRECTLY as the general population with the increased costs (many of the large hospital systems are self-insuring to a degree), but certainly, most of the people we take care of are being hit...and hard. The trend is seriously disturbing. http://www.nytimes.com/2010/09/03/business/03insure.html?_r=1&hp