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PatMac10,RN RN

Nursing Education, CVICU, Float Pool

Adjunct Nursing Faculty | Float Pool Nurse

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PatMac10,RN has 8 years experience as a RN and specializes in Nursing Education, CVICU, Float Pool.

PatMac10,RN's Latest Activity

  1. PatMac10,RN

    PhD or DNP to become Faculty?

    Never heard of the DNE. But there are reforms to make more DNP programs with educators tracks, at least 3 such programs already exist, that I know of. 2 other programs offer subspecialties that cant be pursued at a track in Ireland, but offered as a track that can be added to another specialization pathway like APRN, or leadership. Regis University: https://www.regiscollege.edu/academics/majors-and-programs/doctor-nursing-practice-dnp-post-ms-option/dnp-nursing-education American Sentinel University: https://www.americansentinel.edu/degrees-programs/nursing/online-doctoral-degree-programs/dnp-educational-leadership/ Grand Canyon University: https://www.gcu.edu/degree-programs/dnp-educational-leadership Programs who offer sub specialty options to add to another DNP concentration: George Washington University: https://nursing.gwu.edu/dnp-nursing-practice University of South Alabama: https://www.southalabama.edu/colleges/con/nurseeducsubspec.html
  2. PatMac10,RN

    PhD or DNP to become Faculty?

    But that is changing, and as highlighted, having a PhD doesn’t mean you will have much formal education in how to be an educator. There are schools out there who offer a PhD in Nursing Education and not just nursing in general, but they are on the minority, just and DNP programs with educator tracks are in the minority.
  3. PatMac10,RN

    PhD or DNP to become Faculty?

    I have the same question as I finish my MSN in nursing education. There is a desire to create more educator tracks for DNP programs. AACN and NLN have both mentioned that utilizing both PhD and DNP prepared faculty in the academic and clinical training of nurses will be needed to meet the diverse needs of future nursing students. As of now, most DNP programs are still focused on APRN training/leadership and Nursing Executive and Administrative Leadership. There are only a handful of schools that offer the DNP with a education/educational leadership track. I think a DNP with a Educator Track options makes sense. The DNP-prepared nurse is suppose to be an expert clinician, prepared to take the lead. All educators should have at least some level of expertise in Nursing, if they are going to be teaching. Because teaching is an elevated function. Teaching requires that you know the subject yourself well. Additionally, nurse educators specifically, are preparing others to practice nursing, so the educators themselves must, again, be excellent practitioners (not necessarily NPs) of the profession of Nursing. We have so much research sitting there, waiting to be implemented, not just at the bedside, but in the classroom. Nursing curricula needs updates and redesigning and innovation, all of which are things the DNP is well suited to, as well as PhD. I enjoy discovering new research that can practically help me as an educator and as a bedside nurse. However, I know that I wouldn’t want the focus of my career to be in Producing that research. Like someone mentioned, historically, PhD program curriculums typically includes little or no formal coursework on pedagogy or the art of teaching or curriculum development and the like. So if a person didn’t get a MSN that focused on nursing education or have a previous degree or course work in adult education, they will have limited preparation in education. I realize that some PhD programs allow for some degree of curriculum customization and design, but the majority of the work and curriculum in that program type is focused developing new research and adding to the collective body of nursing knowledge. The EdD (Doctorate in Education) is there and may have many courses in formal pedagogy, but it’s often not nursing or clinically focused and isn’t a terminal degree in nursing, but in Education. Although, there are a number of schools offering a EdD with a nursing education specialization or focus, such as Columbia University and a few others. Columbia’s EdD in a nursing education: https://www.tc.columbia.edu/health-and-behavior-studies/nursing-education/ Both DNP and PhD tracks have been noted to needed to have More options for formal educator prepRations, as this Sigma Theta Tau Article brings out: https://stti.confex.com/stti/nerc18/webprogram/Paper89662.html Many schools, and more each year, are opening up tenure tracks for DNP or EdD prepares educators, though the PhD still is the more traditional route to tenure at most (especially research-focused) academic institutions. Things are changing thigh, and it’s about time, because we need to change the way we educate nurses. Nursing isn’t even the same as it was 10 years ago, or even 6.5 years ago when I graduated with my ADN at 20 years old. We need a rebalancing of teaching nursing theory and practical nursing skills, because we are missing that mark in education on many levels. I’m attaching some articles that discuss the DNP and it’s role as a degree for academic and clinical nurse educators. the_DNP_and_nursing_education_highlights_potential_and_promise.pdf Endorsing the DNP pathway for Educators .pdf
  4. PatMac10,RN

    What's the real deal with Travel Nursing?

    That's awesome!!!
  5. PatMac10,RN

    What's the real deal with Travel Nursing?

    True Ned. Phil's first "sentence" was probably meant to be a transitional or prepositional tool, yet he presented it as independent, though woefully incomplete, sentence. A very good example of how we are all imperfect and how we all see things differently. Haha!!! Sadly it appears I can't correct the article at this point, however, I will endeavor to give closer attention to such things in the future. Constructive criticism is how I'll choose to view this!
  6. PatMac10,RN

    What's the real deal with Travel Nursing?

    Phil, In future I will do this. I was dictating much of this when it was originally written, and honestly I didn't do an in depth analysis of my grammar and fluidity. Another reason it may have been difficult for you to read is because of the format it was posted in, that being the form of Q&A post.
  7. PatMac10,RN

    What's the real deal with Travel Nursing?

    So many nurses have consider becoming a travel nurse but are afraid to take the step for various reasons. Below is an interview I did for my travel agencies blog! I threw in a couple more common questions and concerns I get as well. I have recently resumed work as a permanent staff nurse a major academic hospital in my state. I hope these questions and answers will help others take the leap and jump into the joys of travel nursing. How long have you been travel nursing? I was a travel nurse for 1 year, from late 2016 to let 2017, but I also travelled in the past for about 5 months. What is your nursing specialty? Cardiovascular Intermediate and a Critical Care Why did you start travel nursing? To save money. I hope to be a missionary in the future, and wanted to save money for being out of the country for a few months at a time. I also wanted to pay off my car faster! Haha! How much experience do you need? Most companies appear to have a policy of 1 to 1.5 years of recent experience in the field you are trying to receive travel in. For examples, if you used to be an ICU nurse, but have been working only in OR the last 5 years, your recruiter may likely match you only to OR jobs. Very companies policies and procedures are different however, so always refer to your recruiter. I personally had about 2 years experience (little more than a 1.5 years) before my first travel experience, and I personally felt prepared and was offered many jobs on my first resume submissions. What has your travel nursing experience meant to you and your career? It's made me a more flexible nurse. Being able to jump in and get to work in new places has increased my adaptability. I appreciate the freedoms that come with being a travel nurse, like with my scheduled days off, not having to ask off for my vacations or pre-planned events, because they are part of my contract, is a very appealing part of my work. I also like that I can't be forced into overtime, and can pick up extra days at my leisure. I am also learning how different regional health patterns can be. This hospitals has many admissions for one thing, while another may experience many admissions for something different. It's making me a more perceptive and well rounded clinician. Traveling has clarified my likes and dislikes in nursing practices and management and education. Can you travel with an ADN or Diploma? Can LPNs be travel nurses? Again, this may vary by region, but in my experience not having a BSN or being a LPN doesn't disqualify you from being a travel nurse! I am a very proud ADN prepared nurse who then completed and RN to BSN program. Many travel agencies don't have particular rules about being required to have a BSN or being an RN vs. an LPN. However, some jobs may prefer candidates to have BSNs, so not having it may limit job prospects in some areas. However, many institutions don't apply the BSN requirement to contract or per diem workers (travel nurses are contracted/temporary employees, even if you stay in the same assignment for a year). In many cases I've seen ADN travel nurses (including me when I first started) be hired at hospitals that exclusively hires BSN prepared nurses as actual permanent staff nurses. One of the best things to do, if you're unsure, is to speak with your recruiter and research the institutions you'll be applying to. Ask the managers in your phone interviews. Not all companies employee LPNs for travel positions, but there are many who do!!! There some who employee "travel-like CNAs too"! Many of travel opportunities I see posted for LPNs include Assignments to prisons, nursing homes, and outpatient offices and survey centers, and also case management. Don't let anyone tell you that LPNs can't travel, that not true, there may not be options available in some particular areas, but there are many options available nationwide! Go make that money and see the world y'all!! Haha! Have you had any fun, unusual or exciting experiences while traveling that you can share with me? Of course! At my last assignment , there was faucet in the employee bathroom that comes on by itself. It's kind of creepy. One of my coworkers likes to joke that it's the ghost of a patient who was NPO (meaning not able to eat or drink) at some point during their hospital stay. Also, my coworkers were always amazing! I enjoyed going wine cafes and local breweries with them when we were off! When on an assignment do you take the opportunity to explore your new surroundings, if so, what are your favorite things to do? I do. At my last assignment, I loved staying at this historical inn that is near an awesome Sushi place! Eating good food and drinking good wine is a hobby of mine, haha! There were no shortage of those things in this place where I was previously assigned. Is there a place you are looking to go in the future if a travel opportunity becomes available? I've always wanted to live in New Orleans (close to the French Quarter), just for a little while at least. I love music and am dying to eat some homemade Gumbo! Do you have any advice about travel nursing that you can share with someone who is new to it or considering becoming a traveler? Have a plan. Talk with others who have traveled, join a Facebook group to ask questions, and do your research on where you want to go. Some of the best advice you can get is from experienced travelers! Also, explain your goals and purposes for traveling with your recruiter, it helps them helps you. Don't be afraid of going into new situations and places. Like to keep a few small reference books in my work bag that I can pull out when something I'm unfamiliar with comes up. Be honest about your skills and experiences with your manager, Recruiter, and coworkers. Of a procedure or skill comes up that you haven't been exposed to, there is nothing wrong with being candid and saying "I'm not familiar with this" or "I don't have much experience with this type of thing, could you show me what is standard or policy here"? I've never had a negative experience when I was upfront and honest. Many nurses are accommodating and realize that different institutions exposes you to many different ways of doing things or limits what other types of exposure you may have. Finally, the old cliche, "be yourself", rings true. Although it can be intimidating going to a new place, especially if you are like me and came from working in predominantly smaller rural hospitals, don't discount your experiences. Finally, the question of money??? How much do you make as a travel nurse?!?! Of course, this will differ according to you're experience level, education level, region you'll be working, and your travel agency. A good explanation of how much I made as a travel nurse is this: I bought home about 300-400 more, a week than what I made as a staff nurse getting paid every 2 weeks! So I essentially doubled my monthly income!!!! I traveled in one state, which is primarily rural. Of course, there are jobs that offered more than what I made, but being that I am single, healthy, with no kids, I was fine with my contracted rate. I also didn't ask for housing to be found for me and received my housing stipend to find housing myself, which sometimes effects your pay with some companies. I also took advantage of purchasing benefits from my agency, which was great, because it was inexpensive since it was just me and I'm Healthy! Generally travel companies will explain the way travel pay works, so if you don't understand, Ask your recruiter. Good questions to have in mind? What will your taxable hourly rate be? What portion of your weekly pay will come from housing, travel, and food stipends? Are there bonuses for contract completion or uniform purchases? Are there bonuses for competing your on-boarding process quickly? [My company gave you an extra $100 on your first check for doing this] How will this effect my taxes a year from now? [Ask this question in tandem with your tax preparer]
  8. PatMac10,RN

    ADN or BSN: What's the Big Deal?

    Personally, I believe that Places of employment and organizations that refuse to hire ADN nurses should think about this. They are the ones supporting this "propaganda". In many areas of NC, ADN nurses can get acute care jobs like anyone else. Every area is different. In fact, at one of the states biggest hospitals in the capital city, the community college has their health science education building on the campus of the hospital and the majority of their new grad nursing cohorts come from this community college, despite the fact that this hospital is in between 3-4 university that churn out nurses like rabbits have babies. Lol! At many of the institutions in NC and other places, they indicate that BSN is preferred, but that ADN graduates can be hired under a clause agreement, where the ADM nurse agrees to complete a BSN in 5 to 7 years. That is a much better compromise than to blatantly, ignorantly (lol), and somewhat Discriminatively, declare that ADN graduates won't be hired at their acute care facility. The percentage of ADN grads (especially in the last 5 years) who are returning to complete their BSN is steadily increasing, in my area.
  9. PatMac10,RN

    ADN or BSN: What's the Big Deal?

    Preach! I am all for higher education, but that "study" has so many flaws that I saw upon critiquing the article for a program during my ADN program. Although I don't think the BSN is just about money, I do believe money is a factor. I think it is important to remember that all AT&T and diploma programs are not created equal. In fact, I think a lot of ADN programs are changing to prepare their students to continue their education. For example, during my ADN program We had public-health clinical rotations, although we did not have a separate public health course. We had a separate physical assessment course as well as a nursing leadership and management course. We wrote detailed apa papers, almost weekly and we also made professional presentations at local nursing symposium is in healthcare institutions. I think it's sad that nursing education is so fragmented and inconsistent in some areas. However, I think it's pitiful that the nursing profession strives so hard to be hierarchal, like medicine tends to be. Nursing is a job that requires both humility leadership skills, along with collaboration and innovation. Why is there this big push to "eliminate" or "phase out" alternate forms of nursing education? I've always felt that one of the most beautiful things about nursing is that it gives many people, with many different backgrounds and situations, the opportunity to pursue The dream of becoming a nurse via multiple educational pathways. Yet, nursing continues to tear itself apart in some aspects, declaring and insinuating that one type of nurse is somehow "better" than another. I look at occupational therapy. That went to from requiring a bachelors agree to a masters degree, similar thing with PT, from Bachelors to Doctoral degree. Not that these were necessarily bad things, but the job roles saw no major change... At least not that I'm aware of, please correct me if I'm wrong. I hope that never becomes the case with becoming a entry level registered nurse. Though it wouldn't be a surprise if it happened in the next 40 years, the way nursing organizations seem to breed and encourage degree creep.
  10. PatMac10,RN

    ADN or BSN: What's the Big Deal?

    Good discussion!
  11. PatMac10,RN

    Best NP Specialties for Single Parents

  12. I am from a rural area and had 4 job offers 3 months before graduation. That's with a local BSN program cranking out 60-80 grads a year. Of course this may not be Ye case everywhere. Do research. It may be more difficult for you, but it may not be impossible. Your first job may not be in an area you want, but enroll in a RN to BSN quickly and get some work experience. Getting some work experience as a CNA in hospital may help in acquiring a job too.
  13. I am in a be in their's who got their BSN not too long after completing my initial licensure. I can honestly say that my RN to BSN program did not dramatically increase my clinical knowledge and competency. Do I feel the program was a waste? Not really. The program in the degree our requirement for further opportunities in nursing in the future. So in that aspect the degree has served its purpose. However, my BSN program did not teach me how to write a research paper or the basic principles and applications of clinical research. Only graduating 3 years ago from my associate degree program, The program I attended was what was considered a "new Age" ADN program. When I say "new age" I mean that our program director prepared us to be able to transition into higher levels of learning from the start. We wrote numerous APA formatted research papers throughout every semester. We completed 2 major Clinical capstone projects, the latter of which each group was required to all participate in presenting at a critical care Symposium at a local hospital. We completed community health rotations at the health department, a child care center, and with home health. Although we didn't have a separate class entitled community health. I realize that many ADN programs are not formulated like this. Many students from other local ADN programs were always baffled at the requirement of our program. My point is, I don't feel the BSN is a waste as long as it serves a purpose to the individual Attaining it. If I, knew, without a shadow of a doubt that I could work bedside until my late 60's (and I still may end up doing that) I would likely never have gotten a BSN, if I wasn't obligatory for my job. I knew from the get go, However, that I may want to pursue other things later in my life, this I went to an ADN program to save time and a lot of money. Both ADN and BSN programs have their place. I will not start on all of these studies about the increase outcomes of BSN nurses. I am a believer that education and knowledge is precious and valuable, despite what letters it gives one after their name in the end.
  14. PatMac10,RN

    Is Becoming A NP Worth It?

    I've been contemplating this myself. Just adds months ago I was all for being an NP, but the last 2 months I've been wondering whether it's really what I want? In the back of my mind, I know I would like to and that it would likely be an amazing job, but I stop to think of other things, like the likelihood of having a 3 12 hour shift l schedule. (The saying, "You can't have your cake and eat it too" comes to my mind). I realize that I probably would not like a job where I was on call for interventions. But maybe most providers don't like that, so that may be a moot point. Maybe with time providers come to find call not so terrifying! I love only working 3 days a week and not having to take work home. I know that there may be NP jobs that have this schedule or are similar set-up, but there don't appear to be a multitude for someone who was planning on being an FNP, like me. I've never wanted to work in a hospital setting and don't want to treat only adults. I like the variety that Family Practice provides. The new unit I work on Fulltime is a unit that cares for people from 5 years old and up. It is combined Chest Pain Center and Clinical Evaluation Unit (Short-Term Stay Unit). I enjoy working with patient's of varying ages. Although I have had a learning curve as my experience has been in adult critical care (CVICU, which I still work PRN). I've enjoyed seeing things outside the cardiac specific world, although cardiac is by far my favorite and I realized I have limited tolerance for post-GI surgical cases, but im getting better with that. Lol. I also think about the money that would have to be invested into schooling and I really don't like the idea of going into debt, even for such a good investment as a NP education. I certainly don't think it would be a waste to go to NP school. I feel content, I guess that is the best way to explain it. At least for now.
  15. PatMac10,RN

    Nurse Practitioner Restrictions

    In some ways it surprises me that North Carolina is as restrictive as it is with APRNs, being the frist state to develop a nursing board adn registry. However, I then look at how frequent bigotry, selfishness, and jealousy are in our part of the world (not that it is any less common anyhwere else) and I am not surprised by the "oppression" that is placed on nursing, in general. It would be wonderful for the South not to be the last to catach on that nurses and APRNs are capable and independent clinicians. If NC isn't going to let APRNS practice independelty from the get go ther e are other options. I think the model, where new APRNs are required to work in a collaborative agreement with a provider for x (12-18months) amount of months before fully independent practice, is a fair one (only if a state is hesitant for allowing full practice authority).
  16. PatMac10,RN

    Why did you want to be a nurse?

    There are mutiple reasons. I've always been one of those people who likes to to know about a lot of different things. I like to be spontaneous at times, I like routine at times, and I love to enjoy life, Nursing provides all of that. Knowing that I love to talk to people, learn new facts, and meets new people, I knew I needed a job that could complimetn those aspects of myself. I also wanted a job that I could give my all, but my career not be my all (if that makes sense). Nursing just fit, it kind of hard to explain, now that I think of it. Nursing fit my personality. It wasn't as simple as "I wanted to take care of people", although that was a portion of it. Nursing is the perfect blend of social science and clinical science. Nursing matched the goals I had for my life. Nursing catered to the schedule I want, It gave me the human contact/interacion I wanted.