myoglobin

myoglobin ASN, BSN, MSN

ICU, trauma, neuro

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All Content by myoglobin

  1. I would hold out for the RN position as long term it will probably not be to your advantage to accrue LPN experience. I suggest that you extensively explore the cities mentioned above in California...
  2. So how about an NP who is also an RN how is this different? How about an MD who is also an NP, and or RN (rare, but I've known a couple)? Indeed, one of the NP's I worked with in the ICU was the...
  3. PMHNP prescribing questions

    I would also add that I read (just yesterday in reviewing Stahl/ and clozapine) that he advises that clinicians consider prophylactic metoprolol for patients on clozapine. Also, I was just listening...
  4. I believe that based upon travel assignment needs (which can be seen as a proxy for overall RN demand) that you will find the greatest need in San Jose, Bakersfield, Fresno, San Francisco and...
  5. Transferring to ICU

    I've never understood the logic of "rotating shifts". I love nights plus it pays more. I know very few day shift people who would work nights even for the extra money. Why force people into a shift...
  6. DNR/transfer to hospital

    Many people place themselves (or their family members place them in conjunction with the patient) into a DNR status without fully considering the ramifications. I have probably cared for at least...
  7. RNs giving patient lab results.

    There are several points that should be understood at a minimum. a. It is simply not possible to function in the modern hospital environment without sharing lab and diagnostic values with patients....
  8. I'm not sure, but the US News site that I posted above lists in detail the programs offered by each
  9. Basically, a company or employer wants to use the cheapest resource that the law, and market will "let them get away with" and still market their product (healthcare services in this case). If people...
  10. RNs giving patient lab results.

    In my 11 years as an RN I have probably relayed lab results several thousand times not only have I never gotten in trouble for this I have never seen anyone get in trouble for this. I just reviewed...
  11. Move to a state (or a different part of California) where you will have an easier time finding employment. Why is it that my friends are in California right now earning about $70,00 per hour as...
  12. Improving Nursing Practice

    Well these answers are pretty much guaranteed to not get you a job. But here are my ideas: a. Almost every hospital would benefit from a nursing union to help ensure due process and fairness. Nurses...
  13. Oversupply of Nurse Practitioners

    You will find that this list covers many of the online distance education NP programs in the nation https://www.usnews.com/education/online-education/nursing/rankings . One of the parameters not...
  14. Experienced nurse turned down several times..

    My approach is to "present my worst side". I highlight my weaknesses (which are many) and minimize my strengths (which are few). I would rather not get a job and set low expectations, than get one...
  15. Delirium & neuro patients

    No doubt if you (or anyone else) had done q1hr neuro checks for five days you would have put your patient into a state of psychosis, perhaps even precipitating extreme HTN, hyperglycemia, and other...
  16. Help! Turned Down for 5 Jobs

    I generally go out of my way to highlight my weaknesses and essentially explain all of the reasons that they "shouldn't" hire me. With that said my "success" rate has been about 50% with job...
  17. Manager Retaliatiin

    There are two important (maybe more) take away lessons from your experience: a. EVERY nurse needs a union, not for better pay or benefits (although these are always nice), but just to help insure...
  18. Yes every online program will require clinical. Most do not provide preceptors, but some do (much more common when you live in the same area as the school). Not sure about WGU, I had eliminated them...
  19. Oversupply of Nurse Practitioners

    As long as you think it should be optional we have no disagreement. Have you guys encountered distance education schools that are able to place students at diverse locations around the nation? If so...
  20. Oversupply of Nurse Practitioners

    Just know that so long as I have breath in my body I will be a "change agent" dedicated not only to opposing any effort that would restrict opportunities for those like myself who are working adults...
  21. Oversupply of Nurse Practitioners

    It is not "a disgrace" it is an option. Also, many ADN programs have challenging admission standards. My class at Ivy Tech in Indianapolis had something like 600 applicants for 45 spots all of whom...
  22. Oversupply of Nurse Practitioners

    It is the de facto standard for most distant education schools. Of the ten or so NP's that I know who went via distance education (9 FNP's and one PMHNP my SO) none went to schools that "found" them...
  23. Oversupply of Nurse Practitioners

    Okay let me tackle some of these: 1. Johns Hopkins (I use them as a reference since they are one of the programs that takes distant students and indicates they find preceptors). Here is a link from...
  24. Oversupply of Nurse Practitioners

    We are told that we need to find preceptors upfront when applying and have to sign forms attesting to that fact. I was also told that if I was willing to relocate to Evansville or Indianapolis that...
  25. new nurse, rotating shifts, sleep tips needed!

    Whenever you are in such a horrible situation you should plan to "sleep extra". So plan on trying to get at least an extra two to three hours per 24 hour cycle to help offset the effects on your...