HappydayRn

When I was 16 I had just ended an abusive relationship, I felt free and happy, I've been using the happydays SN since then in various forms.

A DNP is a doctorally prepared NP, you can have your DNP and be a FNP, it's simply the degree not the scope of practice. As a DNP you would do the same thing a FNP who has their master's would do. So it's the schooling not what you do. That said in terms of jobs that depends on the area you live in, some places have saturated job markets and others don't. Usually more rural areas have a higher need for primary care providers, but it's largely dependent on your geography. I started my DNP program (which is a FNP program) two semesters ago after being a RN for 2 years. It's a part time 4 year program so I'll continue to work during the program, I think it's important to have nursing experience before you become a NP.

I had a 12 year old 260lb boy with HTN, high cholesterol, liver failure, and newly diagnosed with diabetes. Pt Mom refused to take him to the exercise and weight loss program the Doctor had recommneded. I could not help but think this was a slow murder of her child. I've dealt with this child twice, once because he developed PNA and the other for ketoacidosis. This kiddo is sicker then many 70 year olds.

A patient believed that her baby cried when she put her down because of her birthmark. I have no idea how the birthmark and putting her child down were related in her mind. Yeah it was weird.

Oh I was referring to the pat downs and intrusive "security" measures as ridiculous. I have no doubts terrorists will go to any lengths to accomplish whatever ends they have in mind. As the daughter of a veteran I'm sensitive to all those freedoms my Father fought for. If we allow ourselves to be terrorized, if we allow anyone to be subjected to this type of "security" then the terrorists have succeeded. They want to spread fear and if we allow this attitude of " do whatever it takes to make me feel safe" to continue we won't recognize who we are anymore. That's the real goal of terrorism.

"Those who would give up Essential Liberty to purchase a little Temporary Safety, deserve neither Liberty nor Safety."- Benjamin Franklin I'm sorry this seems like unreasonable search to me, pat downs on children under twelve, really? If we are terrorized enough to give up our dignity and personal freedom then the terrorists don't even need bombs now do they? Ug this whole thing makes me sick, I keep hearing more of these stories, women's breasts exposed in public, breast CA surviors having to remove padding in public, SA surviors traumatized. It's time to say enough is enough. http://www.thestar.com/news/world/article/744199---israelification-high-security-little-bother This article makes some great points about airport security.

I do telephonic triage for a clinic system, to avoid prolonged sitting you can always stand during calls or take walking around breaks. I found the job on craigslist believe it or not and I love it. I do zero lifting, no direct pt contact, having a lot of knowlege and experience would be very valuable in this position.

The daughter of an elderly pt who was on the floor with a GI bleed told me I changed her opinion of our hospital. I was very attentive to her Mother during her blood transfusions and assisted her daughter with her personal care which I guess the nurses hadn't done at her last stay. Frankly I was just doing my job, I joked around with her daughter a little and went about my shift as normal. She wrote to the hospital about me and they read the letter at the managers meeting. My NM was very happy the floor was mentioned in a positive light. I was really touched that she went so far as to write a letter to the hospital and mention me personally. As a new nurse it gave me confidence and helped me stay motivated. I wish I could tell her how much I needed that.

1. I'm shocked the MD would want to go over 4G a day. 2. I'm shocked the unit manager would respond that way to you. No way would I go over the max daily dose with Tylenol. I think you acted exactly the way one would expect a prudent and responsible nurse to act. Personally I like my pt's to have working livers .

I've been in the same situation, had a pt admitted to my floor (medical-renal) for bronchitis. His lips/nail beds are blue, O2 sat was 62%, checked my own finger just to be sure machine is working correctly (with cyanosis I was pretty sure it was but ya never know). No orders for O2, guy was still alert and oriented, put him on 5L NC and titrated to keep sats above 92%. Then I called the MD took about 20minutes to get a hold of him. He thanked me for putting the O2 on and happily gave me a verbal order for it. So my choices were call a RRT for a correctable O2 level (he was on 2L within 1 hour and labs all WNL in ED he had ABG drawn already, CXR clear). Wait TWENTY minutes for the MD to call me back while my pt sits at 62% with his pretty blue lips, or you know use all that training they gave me as a nurse to treat my pt.

So to preface this I do telephonic triage for a clinic system. 1. When I ask you a question answer it, " Are you wheezing?" Pt: " Well last week I had a fever, and so did my sister, and then man today my nose was so stuffed up!" "Okay....but are you wheezing?" Pt: " Yeah, so I took some sudafed for it but it didn't help so yeah, man my foot hurts do you think it's related? "Uh, huh well probably not, but DO YOU HAVE WHEEZING? OMG JUST ANSWER THE QUESTIONS I ASK, SO WE CAN BOTH MOVE ON WITH OUR LIVES. 2. I'm not your friend, I don't want to chat with you about your cats for 45 minutes, I have other people waiting to hear from me. Go talk to your cats. I know you are lonely and I can sympathize with that, but please you are making all the other sick people lose appts. because you won't let me get off the darn phone. 3. Don't call me if you have no intention of listening to me or following my advice.

There were protocols in place for alcoholics in DT's were I worked, as detoxing from alcohol can be fatal. Usually pt's are given ativan and if necessary anti-seizure drugs or anti-psychotics . If his liver is barely functioning then more ETOH is not the best road to go down, the goal of his stay should be a safe medical detox. The poster above me brings up a good point, most people I've cared for come in with DT's because they've tried to stop on their own. So our protocol looked like this CIWA scored q2 hours, banana bag q day for 3 days, vitals were q4, ativan was given based on CIWA scoring, occasionally we gave haldol per our protocol. There were parameters for vital signs and actions to take at certain times, so if they were too tachy EKG etc... If you ask you preceptor maybe they can given you an idea of what the protocol is?

I'm 23, in a hospital setting I would prefer either solid colored scrubs of my choice or printed scrubs of my choice. I prefer prints because they hide stains, well and I generally got a lot of positive feedback from pts. The colorful printed tops seemed to cheer people up or so they told me :). I like scrubs for hospital work because of the numerous pockets, flexibility with movement, and they distinguish my role as a nurse. At my hospital the nurses wore scrubs and we almost never had techs) I work in telephone triage so currently I wear business attire and I'm quite happy to do so.

Craiglist.Seriously that's how.

We have phones, they have their pros and cons. I like that you know which pt. is calling, that you can have the MD/lab/ RT connected to you directly. So no more playing phone tag or having people try to hunt you down. You can also get in contact with your co-workers quickly. It does get annoying when you're trying to talk to a pt and the thing is ringing but you can always ignore it or explain its purpose to the pt. I think it's a decent system and hopefully it can be improved upon.