evolvingrn

Perhaps in some places.... Where I work we will get you in same day.... And this behavior still happens. ( or they make an appointment ... No show..... And then go to the Er )

If you had it " for awhile" it should have addressed elsewhere than the Er...we can argue back and forth but this misuse of our medical system when compiled all together is a huge issue. I'm glad your earache was addressed ....I just wish you had used a non-acute modality to do it.

Yes! You should have! You don't need to treat the majority of ear infections in adults....

Good luck! It's good to start early.

Shrug I have always liked nurse practitioners and used them instead of mds .... Even before I was a nurse. ( I now have a Md who I found to deliver my children and stuck with her because she is fabulous) I am a conservative prescriber and think I follow guidelines and best practice to the best of my ability. I can't imagine being part of a profession that I didn't think highly of my colleagues . I

I was offered 84000 as a new grad and then within a few months they bumped it to 96000 as they changed their structure. No bonus or Rvu based pay

Come now..... How much one on one do you actually spend with a pt???? I will take my 40 bucks an hour with the occasional challenging pt compared to making 8 dollars an hour standing constantly on my feet with even more people still being rude and challenging. The advantage of having pts for a few days is usually you can figure out how to get along with even difficult pts..... It's okay to want to be treated better but your comparisons show you haven't walked in their shoes . (Spoken from a former waitress and gas station cashier/truck stop shower cleaner)

Care mgt, nurse practitioner, psych nurse...... There are less stressful jobs to be had

When I was a camp nurse, meds were camper responsibility..... We had labeled pill enveloped (name, med, dose, scheduled time) that we pre filled. I would sit in dining hall with dixi cups and juice during meals and they came and got them at their leisure. At end of meal before campers were dismissed those who had forgotten were asked to come see me. Worked great.

That is perhaps collaboration? A pa must be supervised by a md in all 50 states..... I think the question was more if a np in a state of independent practice could fill that role

To think that most programs are that methodical in their placements would be naive... IMHO.

Sounds like acute Care. I do not like codes! I am an fnp and it's perfect for me. I still see crazy stuff but I rarely get the adrenaline rush

Hang in there! I get your frustration. I am a clinical instructor and word on the street is I'm rather tough.:) but My goal is to help every person get to where they need to be so they are successful and prepared. Rise up to her expectations. Clarify when needed and you will do great. I love to help an underdog...... But I have no patience when students try to argue I should lower expectations because other instructors did

A pa is supervised by a md so I would guess no?

There is a lot that has to be done at the start of a shift. If it can be done by the leaving shift....... It should be.......... If it can't ....no biggie..... But let's not act like we all wouldn't roll our eyes if we got left with this pt....

Lol because I don't like to be talked about[emoji12]..... And we all know that right or wrong that is what is going to happen if you leave stuff.( or they write your manager). This is the culture of nursing..... At least everywhere I have worked I am out of bedside nursing as of 4 months ago..... And this post just reiterates to me how much I love my new job[emoji23]

You left an Iv , ng tube, and high blood pressure....... Sounds like you tried your best....but this pt was not well managed. Logical or not..... Most nurses get frustrated at the other nurse when getting a pt like this. ( ps. I tried never to leave a ng tube or Iv for the next shift.....either I found a nurse sitting around or did it myself( both tasks take five minutes max)

Hope not!

Those numbers were over a length of time.... That is quite an identifier. It happens all the time . I have a child with sn and a rare condition.....case managers always try to sound experienced by telling me they have worked with another child with the same condition and sometimes share something about their particular presentation ..... I always say oh you mean " bob" or " joe" ...... Because we know of each other ( in a town 300 thousand) The look of " oh crap" on their face is priceless . Don't share.... It is a hippa violation. I also have found a picture of my son on some guys fb page I don't know posted by a nurse at an Easter seals camp That outed my sons medical dx on a public forum. Not okay..... I don't care if people know his dx and I appreciate what they do so I didn't say anything..... But it's a risky behavior.

Sn community is super small.... A baby on a trach is rare enough it's an identifier. Hope you don't get into too much trouble.

They aren't an np.... They merely spend their free time bashing their education

My employer paid for my dea.... Also a collaborating physician is suppose to be someone you have easy access to so also usually provided by your employer

Wow. I get 5 weeks to start and 1 week for ceu /1500. That is standard around here... If not on the lower side

No pto (do you get any time off to use that $1500 for CEUs) and 2 weeks pto..... That seems low in both counts.

We have pts call us all the time and say my psychiatrist wants a vitamin d and Cbc ..... Or clonidine levels ..... We just order and have to the results faxed