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  1. mmc51264

    Why do you love your specialty so much?

    I am an orthopedic nurse and I love it!!! When I went into school, I thought I wanted to do peds. When Isaw my first child go into resp distress, I knew I was not going to be able to handle it (my kids were 6 & 9 at the time). My first job was in an ortho rehab unit and I fell in love with it. I am now in a large teaching hospital (my dream job) on the ortho floor and I still love it 6 years later. I even finished my MSN in Informatics and have chosen to stay on the floor. I have, myself, a long hx of ortho injuries/sx, so I can relate in a major way to what my pts are going through. I understand pain. The pts really appreciate it when you can tell them your experience and it matches theirs.
  2. mmc51264

    Orthopaedic Certification

    I used the powerpoint packet that I got at a review session and the CD-ROM to prepare. I thought the test was easy. I was worried about peds because I work with adults, but there are 2-3 questions, tops about that. I thought the test was pretty easy.
  3. mmc51264

    Religion & ectopic abortion

    Not sure if this helps, I was curious, "Full Question What is the Church's teaching on ectopic pregnancies? Answer Moral actions that produce two effects need to be evaluated under the Catholic understanding of the principle of double effect: The action must be either morally good or neutral. The bad effect must not be the means by which the good effect is achieved. The intention must be the achieving of only the good effect; the bad effect can in no way be intended and must be avoided if possible. The good effect must be at least equivalent in proportion to the bad effect. An ectopic pregnancy occurs when the fertilized ovum implants in the fallopian tube or in some other location. A mother facing a tubal pregnancy risks imminent rupture of the fallopian tube and thus there exists a danger to both the life of the mother and the child. Removing the fallopian tube is considered in accordance with the principle of double effect: Removing a part of the body that is about to rupture and cause the death of the individual is a morally good action. The death of the child is not direct intention of the procedure. It is the removal of the fallopian tube that saves the life of the mother, not causes the death of the child. The death of the child is not willed and would be avoided if at all possible-if, for example, re-implantation in the womb was reasonably possible. The life of the mother is, of course, equal to the life of the child.
  4. mmc51264

    Religion & ectopic abortion

    I had a friend who had a ruptured ectopic pregnancy. She lived. She also was told she would never have a child. She got pregnant on her honeymoon :) She could have died. I was raised Catholic and I don't know how they view ectopic pregnancies.
  5. where I live, it is very difficult to get into ADN program. There are several pre-reqs. Most end up with 2 associate degrees.
  6. mmc51264

    Is Giving 2 Weeks Notice Ancient Practice?

    the only nursing job that I left, I had to give 4 weeks/30 days
  7. mmc51264

    Who will do CNS role?

    I am not terribly concerned about the title I get. The plan is to be a CDE and if I can get the CNS great.
  8. mmc51264

    Who will do CNS role?

    I am going by what my hospital is telling, which has been approved by the NCBON. I have not delved into what are the exact requirements and time frame is for the portfolio requirements. I am assured that I will be able to be licensed as a Clinical Nurse Specialist and an Adult Diabetes Educator. I originally applied for an adult diabetes educator, in fact they rewrote the job description because I did not have the CNS cert. When speaking with the ACNO over the AP nurses, she is the one that brought up the idea of working toward the CNS via portfolio. I had never heard of it before. As soon as I get particulars, I promise to share them.
  9. mmc51264

    MSN only requirement for CNS?

    I have discussed this in another area. I am in NC and I can become a CNS by portfolio. CNSs do not have prescribing privileges in NC. I am on track to get a diabetes educator position (adult; mostly insulin pump education). I can work as an educator w/o my CDE for a period. I can sit in 6 months. After that, I can complete a portfolio to submit to get my CNS that route. One of the inpatient diabetes educators got her CNS that route. She has a BSN and an MBA. I have an MSN in Informatics and a MA in teaching. I will do whatever the Advanced Practice administration says-they want me and are willing to help me get where they want me fairly soon (
  10. mmc51264

    Most valuable experience

    I've only had jobs related to ortho. I love it and we get many pts with a wide range of comorbidities. Other than peds and cardiac pts (like CTICU) I have developed some confidence in caring for pts with non-ortho related conditions
  11. mmc51264

    Leaving Job While on Orientation

    Find out what is proper notice. I had to give 30 days for my first position when I was offered my current position. Nursing is a very small world and you really need that "eligible for rehire" status when you leave your current job. Hopefully the new positions are ones that you plan on staying in-you don't want to look like a flighty job hopper. Good luck and I hope you find your dream job :)
  12. mmc51264

    Pain control in pt. With hx of opiate abuse

    We have a separate Acute Pain Service to help with hard to manage pain issues. We use regional nerve blocks, try to maintain home doses of pain medication, ice, we also have alternative medications like Ketamine gtts and Lidocaine gtts, which can be extremely useful. It is very difficult for people to get treatment for chronic pain. They do what they can, sometimes getting stuff on the street which does blow their pain contracts. I have chronic pain and go to a pain clinic. I take it very seriously and follow my plan to a T. Even when I was in a car accident, I told them no narcotic pain meds because I had a pain contract. Toradol is a magnificent medication!!!. I do my very best to help my chronic pain pts. I work orthopedics (no spines-which can be very difficult to pain manage) I don't judge and I know that I am not going to rehab them in the few days to a week that they are going to be under our care. One of our NPs was in pain management before she came to her current position, so she is a good resource.
  13. mmc51264

    RN's are you happy with your career, why or why not?

    I LOVE my job! Unfortunately, we got a new manager that I do not have a great "fit" with. Getting ready to move into a more advanced role. I have been an ortho nurse for 6 years and am leaving because new manager is making every anxious and miserable plus, an opportunity has presented itself to me that is a fabulous opportunity that I can't pass up (use the MSN I earned last year)
  14. mmc51264

    Soon to be new grad looking for advice

    Doubtful. They want the experience there for a reason. You can try a different med/surg specialty like ortho or urology. I did both (stayed an ortho nurse). I found it easier than a broad med/surg setting.
  15. mmc51264

    Places with most demand for RNs??

    Eastern NC. 3 level one trauma centers within 50 miles, i think 5 in a 100 miles; 2 VA hospitals less than an hour from me (one in one direction and one the other). Duke hires, BSN, ADN, and diploma nurses (with the caveat that a BSN is acquired in a certain amount of time). Every specialty. Duke is building a new tower as we speak, UNC hospitals are expanding and they are buying up some community hospitals. The is Vidant and Novant in the area too. A hospital system near ECU/Greenville are. So saturated with hospitals and pts, not enough nurses by any stretch. New clinics/urgent cares/specialty areas needing help. Because of the need, the pay is competitive, I believe. Some have sign on bonuses, tuition reimbursement, moving stipends. Look into it if interested. Great place to live, I think!