myoglobin

myoglobin ASN, BSN, MSN

ICU, trauma, neuro

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All Content by myoglobin

  1. Nihss stroke scale and float pool need advice

    I'm not sure if it is legit but Course Hero advertises they have the answers https://www.coursehero.com/register/?get_answer=16448272 of course you have to join and pay a
  2. First E-Cigarette Ban: Mark a Win for Public Health

    A take a "counter position" in that I believe there is research to show that ecigarettes are considerably safer than smoking https://www.sciencedaily.com/releases/2017/02/170207104358.htm , and...
  3. 12 Hour Shifts Issue

    To me the very best thing about nursing are the 12 hour shifts (and being able to work nights). In fact the worst thing about becoming a PMHNP will be working 0800 to 1700 (really more like 1900 with...
  4. Do you have a side hustle?

    I believe that many bartenders would actually out earn strippers while keeping a bit more of their
  5. Bullied as a kinda new nurse

    Keep in mind that the primary goal of orientation (from the perspective of the orientee) is to survive orientation. I've never been "fired" per se, but both times that I was "transferred" from ICU (to...
  6. Single mother working 12 hours night shift

    There are some home monitoring devices that allow you to interact via a smart phone. While not a substitute for your presence they can be a tool to augment your child care
  7. Did I bomb this phone interview?

    It always helps to have a job that you can tolerate, and will at least "pay the minimum bills" while you are searching for the job you want. I have always found that their was inverse relationship...
  8. Do you have a side hustle?

    I used to wait tables, but am trying to get my son (future aspiring nurse) to learn bartending. It has the potential to bring in $200.$300 in cash tips for a double shift and is somewhat congruent...
  9. Did I bomb this phone interview?

    I have always tried to do as "average" as possible on interviews, cover letters, and resumes. My reasoning is that I would rather not get a job where the expectations are higher than I can deliver....
  10. Single mother working 12 hours night shift

    My SO and I both worked nights (in the ICU together) and homeschooled our son. Our approach was as follows: 1. We hired an "over night" child support person and also had a "day shift" child support...
  11. PICC Line Dressing Change Question

    I would actually add that in the case of certain drugs (ie life saving pressors and even perhaps chemo drugs) maintaining access may be so critical that it would justify delaying changing a dressing...
  12. Am I Too Old?

    Well, I guess it's time for me to dig out my Peggy Morris article https://www.recordcourier.com/news/local/for-peggy-morris-81-its-all-in-her-attitude/ . She didn't even start her nursing career...
  13. NP vs MA vs MD power struggle

    I believe that some of it may come down to the state where you practice. I would expect this in say Alabama, Florida, or Mississippi. However, I would not expect it in Arizona, Oregon, Washington, or...
  14. PICC Line Dressing Change Question

    Sometimes, you may not have a choice with certain infusions. For example a patient is on a pressor in the ICU, and has limited IV access. However, in general it is a bad idea. I have (despite my best...
  15. Another reason that I believe that NP's fare so well in studies (and a potentially confounding variable) is that as a percentage of practitioners women outnumber men as NP's verses MD's...
  16. My first medication error, I'm freaking out

    It goes without saying that if this is a union facility that you should notify your representative (just another reason why unions are important beyond pay and benefits). This is mostly as "systems...
  17. How Do You Build Your Client Base as an NP?

    You might also consider using a direct mail company that offers highly specialized lists (for example people with chronic conditions). You could emphasize that you use evidence based approaches and...
  18. Well Cochrane isn't known for publication bias in favor of nursing https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD001271.pub3/full and they seem to favor at least parity in outcomes in...
  19. No Order

    Several lines of thought here: 1. Yes, some facilities may have protocols. 2. At our facility it is the responsibility of the provider to enter the order CPOE (we are not allowed to do so) unless it...
  20. Transferring to ICU

    What is someone motivated to find a job offered to work every night, weekend, and holiday (so long as it didn't involve overtime)? Wouldn't this be a powerful incentive to consider that
  21. How Do You Build Your Client Base as an NP?

    I believe that one of the best ways is to offer "less serviced hours". Thus, if you are willing and able to work evenings and weekends this is a significant benefit for many who work 9-5 or who have...
  22. Perhaps you are correct, but they will surely be more likely to work for less than MD's if they can be educated for less, have less in student loan debt, and do it in far less time. I for one would...
  23. Even with equal pay (rather than the 85% reimbursement that is common) they might still be cheaper. Consider, that it is reasonable to graduate from NP school with less than 50K in debt at the age of...
  24. My point is that NP’s can produce at least roughly equivalent outcomes at lower cost and will eventually supplant physicians in primary care. Indeed, I believe the superior outcomes are in part due...
  25. It should go without saying that you should probably express being open if not an out right preference for night shift in your cover letters since this is the shift that usually has the highest...