NPinWCH

NPinWCH

Family NP, OB Nursing

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All Content by NPinWCH

  1. Help! Can I still negotiate after saying Yes to a new job?

    NPinWCH replied to morganvibes's topic in Nurse Practitioners, NP

    Well my opinion, for what it's worth since I'm only now negotiating my first NP job ever, is that you gave them a verbal yes, but hadn't signed the contract which means you didn't officially accept...

  2. save our unit!

    NPinWCH replied to jctiabecerra's topic in Ob/Gyn

    Ugh, I feel for you, my unit was closed in June and it was heart breaking for the staff and the community. The first thing that got cut was our unit secretary, then if nurses left they simply weren't...

  3. How would YOU like to see a nurse portrayed in the media?

    NPinWCH replied to purple_nomad's topic in General Nursing

    HA! Amen to

  4. How would YOU like to see a nurse portrayed in the media?

    NPinWCH replied to purple_nomad's topic in General Nursing

    I had high hopes for HawthoRNe, but then realized they turned the DON into some super nurse who is almost an expert in EVERY area of the hospital. ER; check, med-surg; check, OB, ICU, oncology,...

  5. Nurses don't save lives....WHAT?

    NPinWCH replied to ThePrincessBride's topic in General Nursing

    Yes, nurses save lives. Catching a medication error can save a life. Think about all those babies that died from heparin overdoses. Some nurses probably did realize the drug was more concentrated and...

  6. How can an rn with no nursing experience be a supervisor

    NPinWCH replied to mozella's topic in Geriatric, LTC

    All of what you say makes sense, but if something were to happen, as others have pointed out, she is the one who is going to take the fall. How is she going to defend herself? By saying, "Well they...

  7. How can an rn with no nursing experience be a supervisor

    NPinWCH replied to mozella's topic in Geriatric, LTC

    I totally agree with you and while you say she will be a good nurse one day, she is not showing good judgment by taking the job without experience. As supervisor she has some responsibility for all...

  8. HELP! Need to pass Health Assessment

    NPinWCH replied to Le-Lee_FNP's topic in Nurse Practitioners, NP

    I did my course work online and if I was having trouble and the instructor wasn't responsive I would send an email to the entire class and ask the question. Not everyone answered, but some did and...

  9. Were my patient's rights violated?

    NPinWCH replied to Nurse-JP's topic in Nurses Recovery

    I think admitting you had a problem and seeking help was a very courageous thing to do. I hope you continue on with your recovery and I hope that the BON takes your actions into consideration. Good...

  10. Sharing prescriptions of non narcotic medications

    NPinWCH replied to LadyMonteCarlo's topic in General Nursing

    First, I don't think it's ever a good idea for a provider to simply sign "whatever I put under his nose". It's just not prudent at all in my opinion. I do think it is fraud, but I would have no...

  11. Do you get any raises? How do you ask for one?

    NPinWCH replied to Nuieve's topic in Geriatric, LTC

    We had wages frozen three years ago and they are just considering reinstating them. Of course, even when we got them they weren't based on evaluations, they were just house wide. Also our raise,...

  12. Help from BS (non nursing) to MSN

    NPinWCH replied to Ashli's topic in Advanced Practice

    Why don't you look into OSU's NP programs, they have several options including a direct entry NP track, though I'm not sure how much they are. If you're already there, you have some contacts, so use...

  13. This doesn't seem right to me....what are your thoughts?

    NPinWCH replied to LatinGirl's topic in General Nursing

    I agree, but I honestly don't think anyone should be fired for this. This just causes nurses to cover things up and not report errors, which of course causes more errors. The key is fix the problem,...

  14. Can an LPN/LVN discontinue an IV?

    NPinWCH replied to Miss_3Bb's topic in General Nursing

    That depends on the state. In Ohio an LPN can discontinue a peripheral IV or change the rate of an IV only if the RN delegates it and has assessed the IV at some point prior. Also, an LPN can get an...

  15. New RN very nervous about starting out in L&D

    NPinWCH replied to lesliebeth1's topic in Ob/Gyn

    I was a new grad in L&D and stayed there for 15 years, so you can do it. I think everyone is scared when they start any place new, and that is a good thing. The people I've known who weren't...

  16. Becoming an NP with little to no nursing experience??

    NPinWCH replied to Blurr156's topic in Student Nurse Practitioner

    I think nursing experience is VERY important. As an RN you learn so much that, no matter what anyone says, will be helpful to you as an NP. A large part of being a good RN, NP or even MD, is learning...

  17. (Postpartum) Are babies counted in your census?

    NPinWCH replied to wife&mommyRN's topic in Ob/Gyn

    Well babies are not counted on census for staffing, but any baby in special care nursery (bili-lights, IVs, O2) are. Most times we cared for 3-4 couplets at a time, if any babies were in special...

  18. Don't tell me my job isn't important!!!!!!!!!

    NPinWCH replied to Queen2u's topic in Ob/Gyn

    Well, sometimes I WISH I had some mother baby RNs! LOL, we do LDRP+nursery so it's not unusual to have a labor, an outpatient rule out labor and 2 moms and babies. Of course one of my moms could be...

  19. L&D CNA....what do they do?

    NPinWCH replied to afox's topic in Ob/Gyn

    I say go for it. You can learn a lot being a tech on L&D and since so many places want experience now it's a great way to get your foot in the door and may give you a better chance of getting a...

  20. HPV straim that causes cervical cancer and pregnancy?

    NPinWCH replied to tempestxoxo's topic in Ob/Gyn

    I did find an article that lists the rate of vertical transmission to an infant anywhere between 1:80 to 1:1500. I had a patient with both of the problems you mention. She was admitted to our unit in...

  21. Oxygen administration during labor

    NPinWCH replied to HelenLouise's topic in Ob/Gyn

    Depending on the study you'll see normal fetal SpO2 ranges listed from about 40% - 60% and occasionally up to 80%, with the second stage of labor resulting in lower fSpO2 levels. Most studies show...

  22. Advise from any Graduates from online NP schools

    NPinWCH replied to Boonce1's topic in Advanced Practice

    I took the Barkley review course during my final semester and thought it was helpful. I also used the Fitzgerald review book and really enjoyed the layout. The sample questions were a good place to...

  23. Oxygen administration during labor

    NPinWCH replied to HelenLouise's topic in Ob/Gyn

    A flow rate of 15L is fine, but the studies show that 10L increases fetal SpO2 and that the effect persists for at least 30min after it is discontinued....

  24. Advise from any Graduates from online NP schools

    NPinWCH replied to Boonce1's topic in Advanced Practice

    I graduated from Ball State's online program in December. I just passed AANP FNP exam and have an interview lined up next week. I also have some interest from one of the offices I did clinicals in,...

  25. Frustrated with FNP program :(

    NPinWCH replied to gapeach427's topic in Nurse Practitioners, NP

    I'm in my last year in the the same program and have had issues getting preceptors for some of the clinical classes. Of course, with Ball State you have to have a preceptor who CAN be an MD/DO or NP...