myoglobin

myoglobin ASN, BSN, MSN

ICU, trauma, neuro

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All Content by myoglobin

  1. 50% days 50% nights- making it work.

    myoglobin replied to jessicanurse247's topic in General Nursing

    There have actually been studies that indicate that working night shift actually shortens your life span https://www.smithsonianmag.com/smart-news/one-more-reason-sing-night-shift-blues-180953810/ ....

  2. Is the student loan for CRNA programs manageable?

    myoglobin replied to viprn21's topic in Student Registered Nurse Anesthetist

    I agree with much of the above and I speak as someone who owes 160K in student loans (starting when I had an associates degree adding over the last decade plus). All of this for a PMHNP rather than...

  3. Critical care RN to PMHNP, am I crazy? Looking for advice

    myoglobin replied to ScottMedicRN's topic in Student Nurse Practitioner

    While I agree that psych experience is optimal it isn't essential (at least not to get a job and perform at something that approaches competency). My wife is a PMHNP who graduated in 2016 after...

  4. What's the least saturated specialty in APRN?

    myoglobin replied to soljhs's topic in Advanced Practice

    It took every ounce of my scant, inate "OCD" ability to survive in medical/surgical ICU those relatively few times that I had to float to CVICU (where the nurses tend to be perhaps a standard...

  5. What's the least saturated specialty in APRN?

    myoglobin replied to soljhs's topic in Advanced Practice

    There will always likely be NNP’ shortages because most wouldn’t dare do something so demanding both technically and emotionally. Even if you offered me a million per year I wouldn’t even...

  6. 2 years med/surg means nothing in job hunt

    myoglobin replied to stren003's topic in General Nursing

    The "sad" but often reality is that it is often harder to advance (or change units) from within an organization than without. Why? I'm not sure possible reasons include that when an organization has...

  7. ICU experience for CRNA school

    myoglobin replied to Micu 2020's topic in Student Registered Nurse Anesthetist

    Also, keep in mind that a new hospital means a new orientation. This is always a potential "pitfall", because you run the risk of "running afoul" of someone who is more of a self appointed...

  8. Is it the idea of NPs in general Dr. Leah Houston is disgusted with?

    myoglobin replied to the VEGAN Professor's topic in Nurse Practitioners, NP

    Rather than anecdotes it would be more helpful to cite studies that compare outcomes between MD and NP's. Most of the studies that have been conducted have shown no difference in outcomes: a....

  9. What's the least saturated specialty in APRN?

    myoglobin replied to soljhs's topic in Advanced Practice

    Maybe, but as a new grad I'm stilling getting offers in the 170k range (albeit not in

  10. What's the least saturated specialty in APRN?

    myoglobin replied to soljhs's topic in Advanced Practice

    If I were asking the question it would be “if I went to school to become an NP which area offers the best demand relative to supply”. Although geographic issues will play a significant role I...

  11. Failed -- unacceptable reason

    myoglobin replied to yolonono's topic in General Students

    Yes, in some cases the professors seem to have such a poor sense of the material that a detailed understanding of the subject matter may actually compromise your ability to get a question correct. How...

  12. Best States for RN's and NP's both in terms of pay and practice?

    myoglobin replied to myoglobin's topic in Nurse Practitioners, NP

    Also, if you are looking to open a NP practice the “24 hour” nature of Vegas presents unique opportunities for being open late at night (or 24 hours). Nevada however is NOT IP from day one as I...

  13. Best States for RN's and NP's both in terms of pay and practice?

    myoglobin replied to myoglobin's topic in Nurse Practitioners, NP

    I agree that makes sense. Although, from a practical standpoint I don't have any likely offers from around the Oregon/Washington border. The cities where I might get offers (Seattle/Everett, and...

  14. Best States for RN's and NP's both in terms of pay and practice?

    myoglobin replied to myoglobin's topic in Nurse Practitioners, NP

    I talked to a psychiatrist in Oregon (Eugene) today who pays 55% and will give $5000.00 zero interest loan every month for the first three months while you are building up a clientele and awaiting...

  15. Effect of 12 Hour Shifts on Patient Care and the Nurse: A Need for Change.

    myoglobin replied to LindaGracie's topic in General Nursing

    HCA laughs at the law and complaints result in people going missing (at least professionally). You would be safer with illicit photos of Donald Trump and Hillary Clinton than complaining against HCA....

  16. Board of Nursing Complaint

    myoglobin replied to Power2020's topic in Advanced Practice

    Keep in mind we are talking about an NP role not an RN role. In almost half the states NP's can operate independently and are able to diagnose and prescribe fully without a collaboration agreement...

  17. Best States for RN's and NP's both in terms of pay and practice?

    myoglobin replied to myoglobin's topic in Nurse Practitioners, NP

    Also "Titanium Plates" I have been a member here for many years and my "autistic style" has little changed. That is to say I explore (perhaps you would say debate) a subject until there are few (if...

  18. Effect of 12 Hour Shifts on Patient Care and the Nurse: A Need for Change.

    myoglobin replied to LindaGracie's topic in General Nursing

    The best way to make 12 hour shifts "better" would first and foremost be to adopt the California "ratio law" (which has teeth) and to adopt the California "lunch break"/break law which also has teeth....

  19. Best States for RN's and NP's both in terms of pay and practice?

    myoglobin replied to myoglobin's topic in Nurse Practitioners, NP

    My previous discussion was in the context of moving as an RN (travel assignment). This is in the context (primarily) as an NP (specifically PMHNP). The discussion is intended to be useful not only...

  20. Best States for RN's and NP's both in terms of pay and practice?

    myoglobin replied to myoglobin's topic in Nurse Practitioners, NP

    My friends have been told by their travel agency contact that Kaiser is particularly aggressive about canceling contracts. As a travel nurse this is not optimal especially if you are someone who...

  21. Best States for RN's and NP's both in terms of pay and practice?

    myoglobin replied to myoglobin's topic in Nurse Practitioners, NP

    Does that include night and weekend shift differentials? For example I earn about 30% more by working nights and weekends (even though my hospital has since gone to a blanket $4..50 for nights and...

  22. Best States for RN's and NP's both in terms of pay and practice?

    myoglobin replied to myoglobin's topic in Nurse Practitioners, NP

    In short they work travel assignments like my friends Dave and Patty (husband and wife). For example their last assignment in the San. Fran area one took the housing paid for by the company, but then...

  23. What to say in exit interview

    myoglobin replied to Nurse Beth's topic in Career Advice Column

    Here is what I will say if I find the courage. Working at HCA over the past ten years I have been blessed to work with some of the finest human beings on the face of this planet. Were I to live a...

  24. Best States for RN's and NP's both in terms of pay and practice?

    myoglobin replied to myoglobin's topic in Nurse Practitioners, NP

    I believe that FNP's are being paid less due to oversupply. This situation will also likely manifest with PMHNP (arguably it has since my SO was hired for her telepsych position in 2016 with almost a...

  25. Best States for RN's and NP's both in terms of pay and practice?

    myoglobin replied to myoglobin's topic in Nurse Practitioners, NP

    Just a few points of clarification (typed from I phone after a miserable ICU night w/o sleep) a. I think California is number one for RN’s period. Their ratio law is a game changer. Just come to...