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SpudID

SpudID

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SpudID's Latest Activity

  1. SpudID

    Materials list for FNP, yet?

    Thanks so much for the replies. It sounds like be careful with book purchases; I already have a Littman cardiology III steth; and buy "good" lab coats. I haven't used a lab coat since nursing school. What makes a good lab coat and how many, 3? THANKS everyone.
  2. SpudID

    Materials list for FNP, yet?

    I have not received a list of what I need for FNP school. I am starting in September and I would like to start looking for used things since I will be watching every penny. Has anyone received their list and would share? Can anyone advise on what tools are needed for FNP school? For example, I don't own an otoscope? Do I need one? Thanks, SpudId
  3. I hope this is the right place to ask. I am a RN in Oregon and my aunt was just diagnosed with Interstitial Lung Disease in Ca. She is looking for a 2nd opinion from a Pulmonologist familiar with treating ILD for treatment options at UCLA or in the area. Can anyone give a holla'? Any recommendations are welcome. Thanks, SpudID
  4. SpudID

    A thread for those awaiting decisions...

    Was accepted to OHSU Fall 2009 FNP class. Anyone else going? Congratulations to all!
  5. SpudID

    OHSU and other PDX area applicants for 2009

    Just heard from OHSU grad school and was accepted into the FNP program for fall of 2009. Anyone else go? Please contact me off list. Congratulations to everyone else.
  6. Dear All, Recently in Oregon a group of 7 docs have bought weight loss centers and are running them. They are rapidly expanding and looking for NPs and RNs. Has anyone heard or this. Is anyone doing this? What do you think? It sounds interesting with a huge potential for growth with the growing obesity problem nationwide. I am interested in leaving floor nursing at some point for my general good health. Can anyone comment? Thank you, SpudID
  7. SpudID

    Best Bsn Program In Portland?

    Just my two cents, I feel that OHSU RN New Grads come in with a lot of floor experience. I graduated from Linfield and felt my lack of clinical experience was disappointing. Having said that, I chose Linfield because I wanted a school that would embrace balanced living and the fact this was a 2nd career choice and I had a family. I felt they did do this for me. Spud ID
  8. SpudID

    Ohsu

    Although the two hospitals are in close location, they are two different buildings with different ways of running, charting, benefits, etc... I work at OHSU and continue to hear good things about the VA, their orientation and their benefits. While I would have considered it, they don't have a maternity floor! :-) SpudID
  9. SpudID

    So Confused! Programs hard to get into

    I'm looking into Nursing as a second career, and am starting my pre-reqs at Portland Community College... they have a Nursing Lottery to enter the ASN program, so my questions are these: 1. Once I'm done with my pre-reqs in a year and apply to the ASN at the Comm. College, if I don't get in, what would you recommend I do? Apply to everything. That is what I did. I was accepted to 4 local programs my first year. 2. Does anyone recommend going for a LPN diploma, work and do the LPN-RN bridge instead of sitting around waiting for entry into ASN? I think, an LPN takes 1 year, a RN takes 2 years and my BSN took 18 mo. (accelerated program). Most hospitals (At least OHSU and LHS, do not take LPNs but many function independently in geriatric facilities.) 3. Should I just bite the bullet and transfer my pre-reqs and get into University Nursing school and get a BSN... the only issue I have with this route is the time it takes to get a BSN. I have a Master's in Communication, and don't want to spend 3-4 years in school!! By the time you do your prerequ, it is usually 1 year, full-time (stats, 1 yr chem, 1 yr A&P, 1 psych class, 1 speech, etc...) at least 18 mo-2 years ASN/BSN. We don't have an accelerated BSN program locally in Portland, OR, i think. I believe Linfield, OHSU, U of P. I did Linfield's accelerated BSN program. I was accepted to OHSU's accelerated BSN and accelerated CNM Midwifery program and Clark Community College ASN when I was going to nursing school. Hope that helps. I think that some new schools like George Fox and Concordia have started straight 4 year programs but I am unsure.
  10. SpudID

    NPEC's at OHSU

    I know you asked this awhile ago. I work at OHSU and our NPEC does a lot of the skutt work that the manager does not want to do. It is not necessarily bad but some of it can be a bit time consuming. The upside is you are involved in a lot of management meetings and it can be the beginning of a good career in management. You are required to receive your master's within 5 years of acceptance. Also the hours are varied. (Our NPEC sets her hours.) You will be required to do a certain amount of hours each week but some projects may require more time. You are salaried and so that extra time will not be compensated. The RNs on our floor appreciate the NPECs that have recent floor experience because they feel she/he does a better job of representing reality when discussed what "they" [staff RNs] should or should not be doing. I have greatly enjoyed our NPECs but I do think their jobs are a bit thankless. Warmly, SpudID Hope that helps!
  11. SpudID

    how to manage multiple patients on L & D

    Thanks for your help, everyone. You have all given me good advice. Just to followup. I use a paper towel because I write notes on it and it is handy (like 2 pillows, extra blankets, water-no ice). Stuff that I wouldn't chart but may require me three extra visits if I don't get it down because I forget which room wants what. I am going to be more proactive with the careproviders about increasing the pit. One medical student said his job was to insure that I was going up according to standard protocol according to the resident. I am learning to find my voice and, unfortunately, err on the side of being too obsequious because I feel continuously humbled and ignorant. The above comment about the student RN was funny. We are actually parting ways. We are not a good personality fit. We both agreed on that and I contacted her instructor, our nurse educator and the nurse manager. She will leave soon. I don't know anyone that is willing to take her on. She has difficult interpersonal skills and I felt she was ungrateful as well as disrespectful. (See the above paragraph on finding my voice. I shouldn't hae allowed it.) Thanks again. I thought I would quit nursing at each mo.end. I am starting to like it a little more. I had no idea that the stress load would be so incredible. You all have been a wonderful support. I felt relief from just reading your responses. I guess I am feeling isolated. Kudos!
  12. SpudID

    how to manage multiple patients on L & D

    Wow thanks. That is great. I have been grabbing a paper towel to write down things; so I can group my care but I will make it a goal to actually group my care better. I will try to make a list of priorities and then I can go down and ask them and do them while I am in the room; so I can run less. Charting is what is the killer. Can anyone refer me to a website or book that helps you chart more efficiently? I took a EFM charting course and it made me paranoid aftewards. They wanted nurses to chart everything for liability concerns. I started to do this and was actually reprimanded by my RN manager that it was too much and taking too much time. Thanks again! Spud
  13. SpudID

    how to manage multiple patients on L & D

    THANK YOU Nurse 79. That is exactly how I feel. I am overwhelmed with two patients when they are on pit. I was also just wondering about prioritizing care. How do I get in and see each patient within 30 minutes of coming on shift? Spud
  14. SpudID

    how to manage multiple patients on L & D

    Just to clarify, we often take 2 laboring patients. That night I had 2 and then a walk in. Of the 2 I had, they were early in labor with slow progress, being induced (1 had a gastrochesis baby) and one had IUGR. The 3rd walk had 3 prenatal visits total and her due date was 1/22/07. (Her baby had little variability and nothing that met an accel). She was Spanish speaking only. I was able to give #3 away because one of my pts (the iugr baby) was having repetitive lates and they were consenting her for C/S. (The baby also had no accels.) We were understaffed that night. This is not a usual scenario but I am feeling a snowed under. After a pt reaches 2nd stage or just prior to, we do go down to 1:1 care. I am precepting a student (I later found out) because many of the staff did not like her and so I was assigned to her. We are not a very good personality fit. The new nurses are often paired with immersion students because we are a teaching hospital. Any suggestions to how I can get organized and how to precept a student? Thanks, Spud
  15. I would love to see some practical, doable, time saving suggestions here. I am in high risk OB and it is hard for me to chart patient progress every 15 minutes on multiple pts receiving pitocin, assess CTX pattern, FHTs and run to rooms upping the pumps. I am thinking that I need to just make a copy of the MD orders and place them in ea room, do my initial assess and then wait until 0400 or early morning to try and get my paper charting done. (We do a mix of computer and paper charting often causing at least double but more like triple and s/t quadruple charting.) On top of this I have a student, who I am trying to keep challenged but I cannot trust to reliably do things because she is just learning. It is so stressful. Any advice? Oh I am 14 months post graduation. (And my student nurse is actually really stressing me out.) Thanks.
  16. SpudID

    How do you handle so many patients at once?

    I would love to see some practical, doable, time saving suggestions here. I know that I struggle with this as well. I am in high risk OB and it is hard for me to chart patient progress every 15 minutes on multiple pts receiving pitocin, assess CTX pattern, FHTs and run to rooms upping the pumps. I am thinking that I need to just make a copy of the MD orders and place them in ea room. Do my initial assess and then wait until 0400 or early morning to try and get my paper charting done. (We do a mix of computer and paper charting often causing at least double but more like triple and s/t quadruple charting.) On top of this I have a student, who I am trying to keep challenged but I cannot trust to reliably do things because she is just learning. It is so stressful. Any advice? Thanks.