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Keep getting rejected
I understand, that wasn't clear on the OP. That being said, I do agree with some posts that at least 2 years of ICU will make you a competitive candidate for a CRNA program. A co-worker of mine boosted his resume by adding ED experience as well. He got in CSU Fullerton CRNA program with about 7 yrs of ICU and ED experience. CCRN plus CEN. Good luck.
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Keep getting rejected
You are trying to be competitive? For a management position? In getting a new job? You do have a stellar portfolio. Just be sure that you are constantly aware as to who are you competing against- it isn't with your peers or colleagues, but with yourself. Good luck on your future endeavors and never stop learning.
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How would you improve the nursing profession? (beyond better staffing, higher pay, etc)
There are some valid arguments that suggest the nursing is not truly a proffesion since there are many pathways a student can go to be NCLEX ready, ADN, ADN-Bridge, BSN, Diploma post bachelorette degree in another field, etc. IOM is recommending that the entry level should be BSN which I advocate. BSN provides a broader training. Standardized education thru BSN route and simply have a grandfather's clause in those Nurses who are ADN or diploma.
- New Grad Losing Hope of Getting Job
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Rapid response
Hello, Calling rapid response is appropriate for DNR patients with comfort care measures. The goal is palliative and NOT " curative. Relieving the dyspneic episode of your father FAST was the objective to the rapid response team. Switching gears, I am sorry for your loss.
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Bad CPR techniques- do you say something?
I agree with some other posts. Good chest compressions during codes is the most essential part during a cardio-pulmonary arrest. Depth, timing, and allowing adequate chest recoil during compression improves the patient's survival - inpatient or outpatient. That is why it is strongly advocated by the AHA to have closed loop communication and team members feedback. When you see wrong, please say something as a positive feedback or take over when the team member is showing signs of fatigue.
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Stomach Pain for 3 Weeks
There is not much to go on here without a thorough and comprehensive history and physical exam. 3 weeks of severe abdominal pain. Tamuflu as a culprit is a stretch. I agree with the other posts- the Pediatrician should punt this to GI.
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Lazy patient
Do work in an interdisciplinary team environment? PTs are a valuable member of a care team to evaluate the physical functional status of the patient - that is their scope of practice. There could be some underlying psychological or non physical factors that might be the culprit. I suggest you document and report your findings to the primary care provider.
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Can I refuse an infant patient??
If your job description for a visiting RN does not include caring for infants or your employer did not provide you with training to care for peds in the home setting then, ethically and professionally you can refuse. I agree with the other posts that PALS have very little clinical utility in the home care setting. ( Always required in the hospital setting and ambulatory care setting where peds are cared for).
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Really Nervous about Everything. Should I reconsider nursing?
I agree. I failed to mention that that if the clinician administering the medication have an open wound - even a mere paper cut then using gloves is warranted. Sometimes " the remote possibility" becomes a reality. It is just Murphy's law.
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Really Nervous about Everything. Should I reconsider nursing?
The key phrase is "unless you anticipate blood". The problem is we cannot really anticipate what will happen so the guidelines are left open for you to use your own clinical judgement. When administering injections - from intradermal ppd to deep IM shots. Everytime you puncture the skin there is that potential for blood exposure so it is a safe practice to wear gloves to protect yourself.
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Med/Surg or ED?
ED will prepare you better for your plan to become an FNP since you will be able to see and care for patients across the age continuum from neonates to geriatrics. MS are mainly adult to geriatric clients.
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What to do about DNP and flu shot?
I have no clue as to how is it possible that you are finishing your MSN and considering DNP without using EBP in your frame of mind. I am an APRN who came from a research driven school. your statement I WILL NOT sounds egotistical which I believe is not a virtue of the nursing profession. Your DNP admission is contingent upon meeting the requirements of the school. You will have an enormous role in our healthcare and to the lives of many patients. IF YOU CHOOSE NOT get vaccinated then DON'T and don't expect the school adjust to your personal preference. There, dilemma SOLVED.
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What to do about DNP and flu shot?
That is an insulting statement to those patients who are actually suffering from those diseases. Try asking a patient with an MS flare. He or she will tell you, " tell you what, after my IV steroid and plasmapheresis is completed and I feel I bit better, I would love to give you a good uppercut."
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What to do about DNP and flu shot?
Congratulations on furthering your nursing studies. As an APRN, your mindset and practice should highly be driven by evidence-based practice (EBP). If you are allergic to influenza vaccinations, then you have to provide a note to your school and the areas where you will be doing clinical trainings. You have the right to decline in the absence of any medical reason. However, do not expect your school and clinical sites to sign off on that. I think you are missing the big picture that this is not about our personal preferences. It is about patient safety and advocacy for preventative immunization. In a nutshell, If you cannot comply with the flu shot requirement without a valid reason then take another career path. It is a free country, you can refuse, the school can refuse to admit you too, right?