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m4howie ADN, BSN

LTC, TCU, Drug Rehab, Med/Surg, ICU Stepdown
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m4howie has 8 years experience as a ADN, BSN and specializes in LTC, TCU, Drug Rehab, Med/Surg, ICU Stepdown.

Graduated with my ASN in December 2010 and my BSN in  May of 2015. Work at the VA hospital in Minneapolis.

m4howie's Latest Activity

  1. m4howie

    Anyone else applying to PhD programs?

  2. m4howie

    PhD or DNP to become Faculty?

    I have spoken with the admissions department at the University of Minnesota and the first two years of fully funded. After that the faculty help students find grants/scholarships to pay for their continued education. I did not ask specifically where the money comes from for the first two years. In my search for PhD programs I am finding that about 50% are free. For clarity this is only Phd programs. This does not apply to DNP programs. The creation of the DNP degree has resulted in a huge shortage of PhD educated nurses. I assume universities are creating grants to make education free to entice more nurses to get PhDs. I do know that programs with free education are extremely competitive.
  3. m4howie

    MSN education to DNP/ PHD?

    I am currently looking at getting a PHD. I considered getting a masters first as a bridge but financially it is almost a waste of money. A masters on average is between 40 to 60 credits. Most BSN to DNP/PhD programs are around 70-90 credits. Most DNP/PhD programs will only accept 10-20 credits at most from people who have a masters degree. That really isn't much of a saving financially and definitely not a savings from a time standpoint (2 to 4 years to getting masters then going back for DNP/PhD). Getting a MSN in nursing and then a DNP or PhD in nursing is more likely to have credits that overlap than a general masters in education. That might be why they suggested going that route. I hope this is making sense.
  4. m4howie

    PhD or DNP to become Faculty?

    This is slightly off topic but I think it will help answer your question. While in nursing school my pathophysiology instructor had a Phd in Pharmacology and she was working in a masters in education at the University of MN. I asked her why she was teaching at a community college instead of a 4 year university. She stated that there is an expectation of PhD instructors to continue research as well as teach. Research findings/results bring prestige to the school and often generates revenue if the data can be sold or leads to products being made. She did not want to have to deal with doing research. She just wanted to focus on teaching. There is a shortage of nursing educators. Universities have no problem hiring DNPs because they can teach clinicals and handle other administrative tasks PhD faculty instructors don't want to deal with. On the other hand, PhD instructions would be expected to teach as well as do research. I forgot to mention that research is funded by grants so it is actually a revenue stream for schools. My teacher stated that you have to always be looking for and filling out applications for funding. As a DNP your a shielded from this aspect of the world of academia. (Ps I am at the end of my night shift so I hope this makes sense.) :)
  5. m4howie

    Anyone admitted to PhD program this fall?

    I agree with Saheckler. A few things to consider. 1) In general having a masters only knocks off about 15 to 20 credits from a PhD program. 2) In general a person with PhD make more money and have more job opportunities than someone with a masters. So getting a PhD leads to a higher lifetime earning potential. 3)A large number of PhD programs are basically free due to the scholarships available. This means no work attachments. Some employers require you to work a year for every year of school they fund. 4)If you really want the Masters in Public Health get it after the PhD. I live in MN. When I spoke with the admissions people they said a lot of Phd/DNP students get a masters in Public Health but it only takes about years since so many credits transfer in. I speak for other schools or programs but this seems logical. I can't comment on the GRE seeing as I have never taken it. I am currently prepping to take this summer. Good luck with whatever you decide. :)
  6. m4howie

    Anyone admitted to PhD program this fall?

    Thanks, Have you decided on a school?
  7. m4howie

    Anyone admitted to PhD program this fall?

    Background 1) I worked in health insurance processing claims, approving prior authorizations, and educated people about their benefit package 2) I worked as an RN at drug treatment facility where I spent my day trying to get insurance companies to cover longer stays and certain medications 3) I had a situation where my dental insurance would not cover a teeth cleaning until the claim was denied by my medical insurance. It took months to get the claim paid 4) Current theory is that over utilization of the ER is one factor driving up healthcare costs. One day I had the thought that all of these people newly covered by the affordable healthcare act don't know how to use insurance and will continue to use the ER. How do we get people in general to understand when to schedule with a clinic, urgent care, or go to the ER. This has been in my mind for several years. Recently I found an article about health insurance literacy. I want to work for the National Institute of Health (NIH) and create some national level initiative to educate people about insurance. Example: When I got pink eye I called my doctor and a RX was sent to the pharmacy. I bypassed his office, urgent care, and the ER. My friend got pink eye and lost hours out of his day in the ER AND who knows if he even spread it to someone else. Friend is an ER nurse and told me a patient who comes in several times a year via ambulance with an asthma attack. That how she refills hers RX. She gets d/c from the ER with an inhaler and when it runs out she comes back for another. When I looked at any researcher on an article close to this topic the have a MPH + something else. Most employees at the NIH have a MPH and a degree in something else. One component to Public Health is behavior medication of a group of people. This is directly in alignment with what is need for my PhD so that is why it is a big consideration in my plan. I noticed that the closer a school is to Washington DC the more likely it is to have ties to the NIH via grants, scholarships, or faculty. Considering that is where I want to work that connection is important to me. The U of MN doesn't have that. Schools like Columbia, Penn State, and John Hopkins do. I just bought a house so I am not looking to move. I have been focusing on online programs so far. Out of all the faculty at the U of MN, I didn't really find anyone researching anything close to what I want to explore. I have looked at all the schools you applied to. They all have a lot to offer.
  8. m4howie

    Anyone admitted to PhD program this fall?

    I am in MN and one of my instructors for my ANS is now a professor at the University of MN. She is encouraging me to apply to their program and I have spoken to their admissions department which is where I learned about the funding. However, their office had a major transition and no one had been there for more than a year. I was unable to get a clear answer on what happens funding wise if you need additional semesters. I 100% agree about most "MSN" degree credits not transferring into PhD program. In my situation I looked at all the people working in the field that I want and I am not kidding you when I say 95% have a Masters in Public Health + something else like lawyer or doctor. Also none of them are nurses. My work will pay for the masters. My old professor pointed out that some students will get the PhD first and then go back and get a second degree because the Phd reduces the required credits. I guess that is also an option. I just don't want to be in a situation where I take funding and life happens and I end up in debt with no degree. That would be heart breaking. I am glad you posted your question. I just looked at the number of credits having a masters knocks off and it is only a 12 credit difference. That means having a masters only knocks off about a semester at most. I have to thinking to do. If you don't mind me asking, what schools did you apply to? Are you looking at online programs?
  9. Hi Megstudent7 , I am curious to know what you decided to do and how it turned.
  10. m4howie

    Did I ruin my chances of ever becoming a nurse?

    I realized I didn't actually answer your original question of "Did I ruin my chances of ever becoming a nurse?". Absolutely not!! You just might have to pick a different school.
  11. m4howie

    Did I ruin my chances of ever becoming a nurse?

    You may want to go online and look into the schools drug policy. They may have info on what happens in this situation. As others have suggested, I think your best option is to go an RX from the original doctor that covers the date that you took it. If you can't do that get a new prescription ASAP. The program might just send you a rejection letter based off the positive test results. The other option is the ask you to account for this. I am telling you right now, If you walked into my office and said you got a Rx in another country and have no documentation to show for it I would be a hard no AND I would probably remember your name so when you applied in the future that would be in the back of my mind. If at minimum you had proof of a diagnosis for why you would need Xanax, not an RX but just a diagnosis that would help. You would still have to explain how you "legally" acquired it out of the country. But even then all these schools have integrity policies. As an instructor I would assume a person with integrity would have Rx for the medications they are taking. I don't know the whole story and don't need to know. Based on the info stated here I would extremely nervous to have you as a student. If you get a chance to explain be prepared! Good luck and keep us posted on what happened.
  12. m4howie

    What do you think about this?

    I would recommend getting the RN degree the fastest and cheapest way possible which includes possibly the associates RN. If you have a Masters in Public Health you don't need a BSN to get a PhD in nursing. You could also skip the nursing completely and just get the PhD in Public Health. I am curious why you need the "nursing" piece?
  13. m4howie

    Anyone admitted to PhD program this fall?

    I'm in the process of looking at schools. I am curious if you have a BSN or a MSN. I currently have a BSN and am considering getting a masters in Public Health or Informatics before getting a PdD. Quite a few PhD programs are fully funded but you have to complete them in 3 years. Going from BSN to PhD, that is a lot credits in short period of time. I feel more comfortable going from MSN to Phd in three years. I am also curious if the schools you applied to are online or do you plan on moving?
  14. Have you started in a PHD program? How is it going so far.
  15. m4howie

    New Med Surg RN...feeling slow and low

    I have been a nurse for 6 years and I still get out late from time to time. Most of the time if I look back at my shift I can see where I "lost time". I work night shift and I'm a med/surg/stepdown float nurse. In general there are 3 main reasons why I get out late. 1) Poor planning or I'll do it later thinking. Ex. Pt got up twice in an hour at 2 am to pee. I thought, "Hmm I should bladder scan him. Nah I'll do it later if he goes pee again." I did scan him after the 4th trip to the toilet at 6:30am. My shift is from 11:30pm to 8am. I screwed my self. Page doc, they call back, wait to see what order is put in etc. 2) Lots of social time. If I am working with certain nurses I can be very chatty. I loose a precious hour or two by the end of the tour from just chatting. 3) Focusing to much on Pt "feelings" and not on good nursing judgment. Sometimes I decide to let a pt sleep longer instead of getting vital signs or a weight, or labs. Or maybe wait to do a dressing change because family is there. But then I will get a critical lab at the end of my shift when I have less time to hang and IV. The nurses that I see get out on time do a lot of the same things. 1) They have a do it now or do it early philosophy. If IV abx need to hung at 5am they will hang it at 4:01. If pt has a dressing change q-shift it is done in the first 1/2 of their shift. 2) These people are constantly moving. They are friendly but you won't see them constantly checking their phone, on the internet, or excessively chatting with coworkers and patients. 3) They have mastered the balance of being respectful of pt rights and following orders. I hate waking people up in general so if I have to do vitals on someone who is sleeping it could take me 5 minutes. I watched an aide do the vitals on 3 sleeping people in the time it to me to do one. I feel like I am promoting sleep when I wait to do things. It is better to just do it and get it out of the way. To go back to the beginning. I would look at your day and see where you are loosing. These are areas where I loose time. My background in work is all customer service. On one hand it makes me a well liked nurse by my coworkers and my patients. However, my customer services ways can affect my productivity. Nothing will pull my from a task at hand faster then someone asking for a glass of water.
  16. My Entry would have been, "Hay, I'm back from break. Thanks for your help with browntown."

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