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umbdude BSN, RN


Content by umbdude

  1. umbdude

    I was slapped by a patient

    He's upset because he had no place to go. Well, how about jail?
  2. umbdude

    Written Up

    I think it's petty to write someone up for this unless there's clear policy or the OP has been told specifically not to do something like this in the past. Prescribers and RN mgr cannot assume that every RN on the unit will act with the same logic, and it's their responsibility that something like this doesn't occur. I would've said "the 0.5 mg should take care of both anxiety and sleep." If patient insists, per how the order is written, the patient is entitled to both doses. I would call the MD if I feel that it's highly unsafe.
  3. umbdude

    ABSN Gpa

    When did I say that? I'm just answering your question - that schools don't consider the difficulty of your specific program. Even if they do, there are still tons of ABSN graduates out there who have high GPAs. Should they then try to consider which ABSN gives harder exams or which ABSN gives more curve? If you aim to apply to a top NP program and you're concerned about your ABSN GPA, you can take a couple of advanced nursing courses (adv. patho and pharm) and do very well on the GRE. But honestly, if you focus on your essays and maintain your 3.2 (or increase a bit), I think you can get into many places. Just trying to help. I have no interest in comparing programs. Good luck.
  4. umbdude

    Giving up PA school acceptance to pursue ASN?

    It doesn't sound like a wise decision especially considering you are only in your mid-20s and don't have kids yet. 2 years of PA education will fly by. After that, you can work part-time as a PA and probably make more than what RNs make full time. Advanced practitioners are treated with far more respect and have more autonomy. I won't go into the negatives of bedside nursing as a RN because there already are a gazillion threads about it. Focus on the long term, not the next 2-3 years. Good luck whatever you choose.
  5. umbdude

    MCHPS graduate NP programs

    The only 2 things I know are: (1) it's an expensive school that doesn't secure clinical placement and (2) its pharmD and PA programs were put on probation a couple years ago. IMO, any school that makes you find your own preceptors while charging so much, or is borderline on losing accreditation (especially in its bread & butter discipline, pharmD), is not worth attending.
  6. umbdude

    Advice for potential RN

    Yes it's harder to either switch out of psych or get medical experience if you start in psych right off the bat. I think maybe try med-surg or even SNF.
  7. umbdude

    Robot tells man he'll be dead in hours

    I agree that it's misleading to call it a robot. It's a monitor with a live person on the other side. With new technology there's going to be a learning curve. Lessons learned. Perhaps the hospitals should ask in advance whether family/patient mind this kind of delivery or they'd rather wait for a live person to deliver the news. Somehow I think this mattered more to the family more than the patient. The guy dying probably could care less.
  8. umbdude

    Advice for potential RN

    Yup. Obviously there's a risk of having such narrow focus without actual experience working with this population (you might not like it in the end). But if your gut tells you that you will enjoy working with this population, trust it. I made a career change to nursing in my late 30s mostly because I was drawn to psych. I worked as a psych tech (aka mental health worker) during nursing school, loved it, and went straight into psych nursing after I got my RN license. Be aware that psych RNs do need to know all body systems and populations because psych is just one aspect of a person. Most of the psych patients I work with also have serious chronic medical issues and these issues often arise while they're in our care.
  9. umbdude

    Can ANP works as PMHNP?

    Per a former professor who regularly acts as an expert witness in NP malpractice lawsuits, one of the most commonly seen reasons for lawsuits relating psych is FNP/AGNP inappropriately prescribing psych meds. He said that when an NP practices in a specialty without specialty education (note: Psych RN experience does not qualify one to be a psych prescriber), that NP instantly becomes indefensible in court. Collaboration isn't protective because both the NP and physician can be sued.
  10. umbdude

    anybody living in California?

    Not from CA but there are so many great programs there. Start with programs near you. Walden is the polar opposite of great. You're going to spend a lot of money on and hopefully you want to spend a lot of energy studying for an NP, you don't want to get a degree that might hold you back from getting jobs. There are people out there who wouldn't hire Walden grads especially in competitive job markets with tons of FNP grads from reputable programs.
  11. umbdude

    Grades when you were in Nursing School

    One of my classmates barely passed her nursing courses and our passing grade was 77. She failed the maximum number of attempts on the HESI Exit exam. Somehow she graduated and almost 2 years post graduation she got her RN. I think it depends on how lenient your school is. Good luck. Learn what's not working in your study habits and put in the extra work needed.
  12. umbdude

    Is this nursing?

    I think "nurse leaders" kept trying to have staff nurses take on more and more (higher level of skills, more assessments and interventions), and I think that led to more accountability/liability on the RNs' part without proportional compensation or reduction in patient count. And of course, you have those customer satisfaction surveys.
  13. umbdude

    Getting into NP school

    What's your cumulative GPA? (including your undergrad business, nursing pre-reqs, ADN, and BSN.) Some schools might have a 3.0 minimum. But it's best to ask the programs directly. If you meet the 3.0 minimum, my guess is that schools will put much more weigh on your science and nursing grades. My undergrad in business GPA was just shy of 3.0, from 20 years ago. My GPAs since then have been high. Never had an issue with getting into nursing school.
  14. umbdude

    I need a change!

    How about outpatient?
  15. umbdude

    Pre nursing student has a question for current RNs

    To me, "helping people" and "calling" are pretty vague reasons to want to be a nurse. What you said up in quote are far more concrete and believable. Also, it is not evil to want a career that pays the bills and then some.
  16. umbdude

    Pros and Cons of Direct Entry NP Programs?

    You weren't clear when asking your question. I can tell you a bit about BC. I don't know as much about the others but I got into BC, MGH, and NEU's traditional NP programs couple years ago. Your top priority should be to go to a school that 100% guarantees NP clinical placement. Some schools will mislead you to think that they place students, when in reality you have to do all of the begging to find preceptors. First off, forget about Regis College - its NP portion is self taught and does not secure clinical placement. It's also not considered a reputable program in MA. Not worth it especially for Direct Entry. PRO: BC is the quickest. Nursing administration and faculty are super organized. You'll find very few surprises. Professors are experienced NPs and most still practice. High caliber students across all programs. Clinical sites are 100% guaranteed! Finally, BC nursing is highly regarded in MA. CON: 1) Some might think BC's program is too fast; 2) Because you'll take many NP classes with experienced RNs, you will face some criticism from fellow students or even preceptors, but generally people are friendly; 3) Classes are in-person (even for fluff courses), and some people don't like that; 4) There's a bit too many theory courses in the NP portion, but I think it's comparable to other schools? Simmons has a decent rep in Boston and is bolstered by its proximity to top-tier hospitals. I've heard that students had trouble with NP clinical placement, but not sure if that's the case now. When I interviewed NEU, I really liked it and was impressed. Consider that NEU might require that you work 1 year as an RN before going into the NP portion, and I think you might have to reapply? Keep that in mind. UMass Worcester is probably the only school that is housed within a medical school/center. There might be advantages. I would ask whether they guarantee clinical placement. MGH IHP honestly was unimpressive during my application process. (1) They royally messed up their open house presentation, wasted my time, and was unapologetic; (2) They were late in delivering acceptance letters and the letter was poorly written. All these reflects the culture of the program. I've also heard negative things about it being disorganized. Also, it's more expensive than other programs (at least for traditional NP). As soon as I got into one school I immediately eliminated MGH.
  17. umbdude

    Duke NP graduates.... worth it?

    I think $75-$100k for a Duke NP degree is worth it. Most decent and nationally-known NP program will cost $60k+ anyways (excluding state schools). Anything beyond $100k for a MSN-NP degree is way too much though. I've found that grad school professors treat students with more respect. Top programs usually have very supportive faculty and staff.
  18. umbdude

    Simmons online fnp, will I regret it?

    I would be wary. A lot of online programs say they'll offer clinical placements, but in reality they only offer you assistance when you go around begging for preceptors. Simmons might place you but you probably have to travel to MA (if you move away). This is an important question because if you are not guaranteed clinical placements, it's not worth going to Simmons. It's a very expensive school and you have other choices.
  19. umbdude

    Stay in the MSN+DNP or drop out after the MSN?

    I voted to drop out, but thinking more carefully, it's hard to say either way. I think the biggest problem isn't so much the $100k DNP, but the $100k MSN that does not lead you to an FNP. Question this: After you spent your $100k for the non-NP MSN, how much will it cost for you to get a post-master cert to become an FNP? If you ultimately will go back and get a DNP, how much would that DNP cost? The post-master cert with a DNP later on might end up costing you around the same (~$100k), but it'll take you much longer. You also have to consider whether the post-master cert program will find you preceptors and if those programs would even allow post-MSN grads who aren't NPs to apply. A post-master cert from a decent school will likely cost you quite a bit of money. Look around for those programs now and see how much they'll cost you. It might be financially painful to stay in your current program, but it might end up being the better option because you get higher earnings much sooner. You might also want to talk to your advisor and consult with other students or recent graduates.
  20. umbdude

    Resignition Timeline?

  21. umbdude

    Unsafe staffing with 4:1 ICU ratios 8:1 on floor.

    How about writing an anonymous Op Ed in a large local newspaper detailing how this endangers patients' lives? You could name the hospital, but that risks exposing the staff.
  22. umbdude

    Help! Pre-MSN?!?! Is there a point?

    No. It won't make you more in demand. My view is that MSN/CNL is a massive waste of time and money.
  23. umbdude

    Holiday Bonus

    haha thanks!
  24. umbdude

    Holiday Bonus

    A whopping $0 is what we're getting this year, on top of $0 raise. Worked in healthcare for 4 years now and the most I got was maybe a $25 gift card. Missing the days when I used to get $12k-$16k (top $18k) annual bonus plus a pension contribution that was 20% of my salary+bonus. I wasn't even a revenue generator.
  25. umbdude

    A&P 2 with microbiology

    If you ended up with a 67 in A&P 2, it means that you are far from proficient. Adding another course will most likely do more harm than good.