perc71

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.

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.

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.

You are right. Nurse Beth's advice is to beat the ATS or an online AI used by recruiters to sort their candidates. It is 2020 and the days of going to HR physically and filling out an application form using your pen are gone.

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.

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.

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.

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.

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).

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.

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.

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.

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.

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."

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?

In California, RNs do not need to be IV certified since your scope of practice includes administering IV medications. If you are an LVN, then you need to be certified.

You summed up an informative post (OP), thank you. Patent's with Borderline PD are good in splitting and gaslighting. Identifying patients with manipulative tendencies is great but try not to loose your objectivity to the patent's problem to be able to be an effective nurse. It is a delicate balance indeed.

mg (wt) and ml (volume)are not the same. 250 mg is unnecessary info to solve the problem, the dilute solution d5w is another unnecessary info, but that is how questions are constructed to exercise not only math skills but critical thinking.That being said, cc to ml can be the same. To solve the problem use ml unit. Don't sweat it

Hi there His kidneys are plugging up with myoglobins. Aggressive fluid resuscitation will hopefully restore his renal function. 1 lit bolus followed by 3 liters with one liter/hr is a reasonable and conservative initial approach then 125 ml/hr for maintenance is also reasonable. I highly doubtful that the MD wants only 1 liter bolus. You mentioned he is homeless. There are many possibilities for rhabdo- illicit drug use, etoh, viral infection (HIV), muscle injury (fall, street fights). The goal is get him to pee again. I would have placed at least guage 20 (preferably 18)in a large vein in the ED to get the ivf into him asap. To answer your question dehydration is one of the leading prerenal cause of Aki compounded with elevation in his ck. Etoh can potentially do that in the homeless population.

Hi bmcvean,bsn I was told by the faculty that the final schedule of orientation and classes will be emailed to the incoming students be the end of July through the first wk of Aug since Summer quarter is still in progress. Just work on the requirements listed in the Castle branch as well as in the Student health center to lift any hold on your registration. Just hang in there.

Thanks Juan for the input. I am willing to go through extreme sacrifices just to succeed in UCSF. I still feel that the traditional curriculum offered by UCSF works well for me than other purely online-based schools.

Hello, I was lucky enough to get accepted at UCSF for the AGNP program and I will start this fall. I am excited to be part of a of one of the the best NP schools in the nation. However, I need to continue making a living as an RN . I wanted to know from current students and alumni of UCSF NP programs if working while in the program is doable. I am sure that most of you can relate to my dilemma. I am considering cutting my workload from 40 to 24 hr/wk to accommodate my schooling. I appreciate any input.

A Powerball winner. If that's considered an actual job.

Hi there, You will still be 35 years old three years from now. The question is will you still be a 35 year old LVN or a 35 year old RN. The choice is all yours. Going back to your original question, I say you are not too old to go back to school. my co-worker got her RN license at the young age of 52 and she is an awesome RN.

Hi everyone, I will be starting AGCPNP program at UCSF around the third week of September. I will be commuting from East Bay area too. I am hoping to get a part time position at work to accommodate my education.