Saifudin

Greetings, Has anyone re-certified years after leaving practice? If, so, how did you prepare for the ANP exam? Thanks

Thanks for your feedback. I can take the exam but will need 150 CEU hours first. I'm still licensed but to practice I have to get certified again. I was certified for 24 years then moved in different directions, all within healthcare and I am now ...

If wet to dry dressings are being used less due to removing new granulation tissue, how could 'rough scrubbing' be of benefit? It sounds like a form of sharp debridement. And no prepping the patient with pain meds sounds pretty sadistic.

I am caring for a client with a Stage IV Ischial pressure ulcer who requires a wound vac. My agency is not happy about the amount of care he requires and you do take a beating financially if a patient requires an excessive number of visits, as well a...

I started in home care on October, 2014. No orientation and what followed was a nightmare, that I have nearly recovered from, but it wasn't easy. I lost an inch on my waist, between the adjustment to working in non-clinical environments and the three...

Sorry, but I wasn't clear from your first post that your business is a non medical home. I don't know much about it but did some reading. No doubt you know much more than me about this. I think as a business it is a great idea. I'm also interested in...

I agree with the others that you should build a solid foundation before moving on. I left direct care NP practice in 1995 but in my positions following that as a Director of Nursing and most recently as a Director of Quality Improvement and Patient S...

Ouch...yep..pre-NCLEX for you 'young'ins' means state boards administered their own exams. It was not standardized and of course, not computerized. I might have good news. I wrote the the Michigan Nurses Association and what I was told regarding have...

Has anyone who has been an RN for some years (pre-NCLEX days) had to take the NCLEX in order to get licensed in another state? I'm licensed in New York and now want to get licensed in Michigan. I was informed that I must take the NCLEX first. Is this...

Thanks again for the quick response. I worked overseas for 18 years and now back I may be going back to my roots in nursing...

Thanks ChazzW for the reply. I spoke to someone in the licensing division in Michigan and she said I have to take the NCLEX. Actually, I don't find their website very helpful. If you don't mind, I'd like to ask your opinion on NCLEX prep books. Older...

I'm curious how do you break into the field. I've been in healthcare for 35 years. I'm an adult NP, worked as a DON in addiction/mental health and most recently, lead a QI and Pt. Safety department in a community hospital. Last two positions were ove...

Great for you for going into business. Your post, however, doesn't provide a great deal of information about the services you provide in order to offer suggestions. I'm not clear on what services you could provide to patients in a nursing home, unles...

My suggestion is go for what interests you the most, what you think will bring you the most satisfaction and then look at the money. For me, despite being out of direct care NP practice since 1995, I still consider myself a clinician. The knowledge a...

Let me take a broader view of this since the story is brief. Perhaps this student has not encountered a patient in this condition before. It can take some time to get use to the more unsavory aspects of nursing care, so perhaps we can go a little eas...

No nurse or care giver should expect that abusive or injurious behavior is part of a job. It can and does happen in the course of nursing care, particularly in mental health, but it is never part of a nurses job description. That is just a ludicrous ...

You need to have some information about your employer. Were you hired through a recruitment agency? Do you have to register with the Saudi Council for Health Care Specialties? (all medical, nursing and paramedical staff must be registered with the Sa...

Just curious, do nurses give patients back rubs any longer? That was one of my favorite therapeutic interventions 'back-in-the day'. That was before DRGS and short stays, when a patient could spend days or weeks on hard, vinyl covered mattresses and...

Interesting post. I'm American, revert to Islam. Was Jewish and became Muslim 27 years ago. I've been in Saudi 15 years and after 14 years as a DON in one of three addiction hospitals I have transferred to a Military Hospital as Director of Quality....

I have also recently moved to QM as TQM Director. I joined the American Society of Quality (ASQ). They offer a wealth of information. They have an extensive book list as well. An excellent manual is the Health Care Quality Handbook. It is excellent f...

I recently left a position as DON in addiction and mental health facility in Saudi Arabia. I was there 14 years. Never worked in addiction practice in the States. However, in our facility in Saudi, our addiction units had gardens for patients to go t...

Saudi has its nuances like any other place. And, there are many goods and its share of bad things in this country as in any place as well. Then there are issues that are more specific in behavior, attitudes, etc. I have been working in Saudi since 1...

Morte, It is a moving article. The incident, I suspect is not an isolated one given the perplexity of our health care system. It should be in a training manual (of sorts) for health care providers to enlighten them of the realities of what happens ...

Jack, Compelling information. Once you get inside the science of addiction the perspective changes but getting others to that point, is as so poignantly stated a huge hurdle to get over. All my direct addiction experience has been overseas in a Mus...

"I find it interesting there is such resistance to the disease model of addiction despite the wealth of research to back it up." Great post Jack and the web site referral is excellent. We see how emotional the subject of addiction is. Even though w...