myoglobin

myoglobin ASN, BSN, MSN

ICU, trauma, neuro

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All Content by myoglobin

  1. Nursing as a career change in your 40s? A good idea?

    myoglobin replied to ESP808's topic in General Nursing

    Why not get your DNP and open your own practice? Hawaii is an independent practice state and if you had expanded hours, weekend hours, and perhaps made home visits you could probably be very...

  2. University of Southern Indiana (USI) PMHNP - 2019

    myoglobin replied to JENFKB's topic in Student Nurse Practitioner

    I forgot to add that you should subscribe to the Psychiatry and Pharmacology Podcast by David Puder MD it is free and very good. The psychopharmacology Institute podcast, which is also free (or at...

  3. Carrer options for an AP RN?

    myoglobin replied to njxcrush18's topic in Advanced Practice

    You could probably teach as adjunct faculty at many CRNA schools. If you went back for your PhD it would be optimal, but even without it I bet you could get hired by many

  4. Anyone an Herbalist?

    myoglobin replied to Mnstn's topic in Holistic

    What diet do you find most effective for depression, and

  5. Anyone an Herbalist?

    myoglobin replied to Mnstn's topic in Holistic

    I will soon be graduating as a PMHNP and would be interested in integrating holistic and integrative medicine (including herbals) into my practice. I've read many placebo controlled studies for some...

  6. How would you improve nursing education either at the undergraduate or graduate level?

    myoglobin posted a topic in General Nursing

    I would work to implement "computerized adaptive learning". If we can use computerized technology to test as we do for the NCLEX and for the GRE why can't we use it to teach? After all we all have...

  7. What one law would most improve nursing?

    myoglobin replied to myoglobin's topic in General Nursing

    They are the organization that represents our union so I should have known that. Somehow I saw them as a "union" rather than a pro nursing lobby, but I suppose they are both. Perhaps, they can...

  8. What one law would most improve nursing?

    myoglobin replied to myoglobin's topic in General Nursing

    Is there a national nursing organization pushing for an expansion of California ratio laws? If not it would be a good reason to form an ANA alternative. Perhaps a little competition might motivate the...

  9. Nurses Are Leaving the Bedside In Droves

    myoglobin replied to panurse9999's topic in General Nursing

    My advice would be to go into ER or ICU for a few years and start your NP. Then go to an independent practice state and open your own shop. If you want to stay in bedside then consider travel nursing...

  10. What one law would most improve nursing?

    myoglobin replied to myoglobin's topic in General Nursing

    I would argue that the California law "sets a minimum" for acuity by specifying that ICU be "no more" than two to one or that medical telemetry be "no more" than four to one. The problem with less...

  11. Nurses Are Leaving the Bedside In Droves

    myoglobin replied to panurse9999's topic in General Nursing

    I have a few good things and I work for HCA in Florida no less. I like the fact I get to wear scrubs. Being a night person who enjoys video games I like the fact that I get to play games or read books...

  12. What one law would most improve nursing?

    myoglobin replied to myoglobin's topic in General Nursing

    What separates California is that their ratios are actually followed. I had a friend who traveled to a HCA facility and even they followed the ratio law ( and they actually provided relief nurses for...

  13. Nurses Are Leaving the Bedside In Droves

    myoglobin replied to panurse9999's topic in General Nursing

    Every profession has it's up's and downs. A few years ago Disney World notified that they would be laying off essentially the entire computer programming/data processing dept, and they would be...

  14. What one law would most improve nursing?

    myoglobin replied to myoglobin's topic in General Nursing

    Well I understand the hospitals opposing and even some providers. However, the ANA should be pro nursing as the AMA is pro MD. However, this is one issue worth "spending PR money on" especially during...

  15. What one law would most improve nursing?

    myoglobin replied to myoglobin's topic in General Nursing

    I would argue that the "unintelligent blind staffing ratios" via the California model should be the "entry point". ICU should never be more than two to one, and PCU should never be more than three to...

  16. Delirium & neuro patients

    myoglobin replied to carolelainern's topic in Neuro Intensive Care, ICU

    Consider, that better than 50% of patient over 50 in the ICU will have delirium (according to many studies). I get frustrated with this topic because delirium is "almost the norm" for significantly...

  17. What one law would most improve nursing?

    myoglobin replied to myoglobin's topic in General Nursing

    That's too bad because Mass. is one of the states that I believe would be most likely to pass ratio legislation. However, I believe that it could also be successfully supported in other states like...

  18. Nurses Are Leaving the Bedside In Droves

    myoglobin replied to panurse9999's topic in General Nursing

    I consider unionization as an entry point. However, the union is only as powerful as the state laws and membership. So for example here in Florida only about 20% of the hospitals are unionized and...

  19. Nurses Are Leaving the Bedside In Droves

    myoglobin replied to panurse9999's topic in General Nursing

    Your scenario illustrates why you should consider becoming an NP and opening your own clinic (in a state that permits it). In this way you could have an impact on the dynamics regarding the very...

  20. Nurses Are Leaving the Bedside In Droves

    myoglobin replied to panurse9999's topic in General Nursing

    You make good points that is why the "California route" probably only makes sense when you are looking at a husband wife "travel team" where one can take the housing, and the other take the extra...

  21. Nurses Are Leaving the Bedside In Droves

    myoglobin replied to panurse9999's topic in General Nursing

    Often the reality is that these issues either won't be fixed or won't be fixed for many years. That is to say the issues are "structural". Thus, since we all have finite lifespans often the easier...

  22. How to be on an ICU Nurse's good side?

    myoglobin replied to Nkukiller's topic in MICU, SICU

    The one thing that makes me annoyed at residents is when they order labs at "the end of my shift" that could have been ordered earlier. There is an unwritten rule that you should get all of the work...

  23. Nurses Are Leaving the Bedside In Droves

    myoglobin replied to panurse9999's topic in General Nursing

    It sounds as if you live in California. California is the pinnacle, the absolute zenith for nursing related laws. Mandatory ratios, overtime pay after 8 hours, you actually get a lunch break (in 11...

  24. Nurses Are Leaving the Bedside In Droves

    myoglobin replied to panurse9999's topic in General Nursing

    As I tell her all the time the only way to have any assurance of long term prospects is to move to an independent practice state and "build" our own practice where the clients will be more inclined to...

  25. Nurses Are Leaving the Bedside In Droves

    myoglobin replied to panurse9999's topic in General Nursing

    I'm not sure about "making bank", but you can earn a reasonable living as an NP especially if you are willing to move where they are most needed. In addition, if you are willing to open your own...