My perspective is that in the absence of a residency program, acute care RN experience can take its place. It's not AS good as a residency, but it will do. The CNA-RN vs RN-NP similarity argument is...
C'mon! There are certain things that are logically obvious that don't need a controlled study and peer review to know! One of them is that going from school to autonomous NP practice with only...
In my opinion, lack of an NP residency program should require RN licensure and working acute care for at least three years. MDs and DOs aren't cut loose the day they earn their MD, so why should NP be...
This is what I want you to do: imagine you're getting report on a patient diagnosed with COPD exacerbation. When you walk in the room, what do you expect to see? What questions will you ask the...
I want to know the answer to this question too! I push 80 mg IV on my new admit CHFers all the time! What disease process or situation would require a Lasix drip that
How is that even possible? The CBI tubing is way too big for an IV pump. Regardless, did it clot off or something, and that's why his bladder blew up? I'm just trying to figure out how something...
I'm not schooled on diversion, but I know it's a big deal. However, does your hospital EVER go on diversion? Sticking patients wherever you can find space sounds like a nightmare. How does one...
dudette10 replied to alby_dangle's topic in Nursing Career
I work adult homecare PRN (in addition to my acute care job), and it is a breeze, but that might be due to my client assignment. However, I would NOT have been able to do this without my acute care...
Every role in a code or rapid response is important. You were runner, which is extremely important to a smooth code. As other have said, it sounds like you have a very good team. Once you no longer...
I totally get where you are coming from, but, as others have mentioned, we have to attend to the call lights in a timely fashion. Our dilemma is that a nurse's particular skill is not needed to...
Not directly, but one of the interns I work with (I get along with them quite well), asked me, "Why didn't you become a doctor?" I replied, "Why didn't you become a
In nursing school, last clinical rotation on a tele floor. We were required to chart electronically on patients. I look over at my classmates charting, and he had charted the rhythm as asystole. I...
I don't buy this starting over from scratch bit, unless its a switch between two disparate specialties, like med-surg to L&D. If its that type of switch, you could have 10 years under your belt,...
Very interesting, but the anecdotal "evidence" is stereotypical at best. I've said all these things to a request to pick up shifts. Maybe it's because I was raised by veterans, my siblings and husband...
Because, in that first year, it's not the work environment that's the main problem. It's the fact that we had to learn to be a nurse and become competent at our jobs. Not knowing much but being as...
You haven't answered my questions, but that is your prerogative. I just can't say in reply to the information given, "Yeah, she's rude and hostile, and how dare she!" I can however encourage you to...
Did it appear to be a stock photo? ETA: Oh, you're asking about kissing on the lips, not the posting of the photo. Kissing a patient on the lips is inappropriate. A hug, yes; a pediatric patient...
That depends. Does every nurse on her shift have at least one admission when they come on shift? If so, someone needs to talk to the ED about their patient flow. If not, and she is getting two...
Based on your description, I'm not convinced the nurse is nasty. I don't think she was upset at you at all. If, as you say, many admissions come in at shift change from days to nights, she was...
Agreed. It's not so much the way you look, but the look on your face. If you appear confident, sound knowledgeable, and give excellent patient care, you will be perceived as competent, no matter how...
There is definitely something to this that did not exist in any industry a generation ago. It used to be that loyalty was rewarded with better pay and benefits. Now, long-time employees are seen as...
Agreed. I took my first job with the intent of staying at least two years. Once I felt on stable ground (not super-confident, but doing ok), I requested to switch shifts. Without going into details,...
I see often nurses posting that they were mandated to work overtime. I have worked in only two facilities, both hospitals, and I have never heard of such a thing. In both places, if another nurse is...