KYAPRN

It has been my experience both as a nurse and a surgical patient that Zofran does work marvelously for preventing nausea if given before the procedure or immediately afterwards but not so with stopping vomiting. Zofran onset of action is 10-30 min; peaking in 2 hrs; Phenergan IV is 3-5 min on set of action http://www.drugs.com/pro/zofran.html and also Davis Drug guide http://www.drugguide.com/ddo/ub/view/Davis-Drug-Guide/51637/3/promethazine HOWEVER, Zofran is less sedating and fewer other side effects than phenergan.

Thank you.

I used the terms only to indicate that there are those who do see those who are NOT equally trained/educated as underlings; similar to military ranking. I did NOT say I did this. It is because of the past that I make every attempt to not act arrogant or think of myself as any less or more important than any others of the other hospital staff. I put my pants on the same way as everybody else.

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True I do not own the staff...the use of the word my in this case is not meant to indicate ownership but rather a relationship. Do we not say my mother, my child, my co-workers (or do you say: the people I work with)? Do we own them?

Try working in a small (23 beds only) rural hospital where doctors are considered nearly divine by the administration and you will discover that there is a true hierarchy. And I have heard more than once from a doctor: What medical school did you graduate from to tell me this or that? And I have been told when I was an aide: "You're just an aide, what do you know?" I just added the wording because of the way I have been treated in the past by both doctors and nurses. I am not saying that all doctors feel nurses are inferior or nurses look down on aides the same way. However, there are those out there who do. One bad apple spoils the bunch. We all have a job to do and each contributes the best of their training and expertise.

My apologizes for not articulating exactly what I was trying to say. Sometimes what is in the mind doesn't always come out clearly when you write it down. What I meant when referring to new NPs and new MDs is that they are both NEW progessionals. All thru school you've been the student, even internship and residency, an MD is still the student. Once you are out on your own, you don't have the mentor or instructor to fall back on. Some new professionals cannot handle the boss role well. Some let it go to their heads, are "bossy" know it alls, while others are so insecure they are wishy-washy. And some others need to prove that they are boss. That because their underlings do not have the same training therefore cannot possibly contribute to the current case. Does this make sense in this light? I think the situation described in the initial post was a case of somebody (the NP) not knowing what they should have known and too proud to admit it. As another said in a post..."we are all nurses" and the goal is to provide quality patient care AS A TEAM. (Not all people are good team players and that goes on both ends of the spectrum.) Yes I concur that going straight thru all the way to the top at NP without the nursing experience may not be the best thing, given the short amount of training that we have. When the NP program started it was for experienced nurses who had learned what most MDs do in med school by their yrs of bedside experience. However, you still have to prove yourself in NP courses. Anything less than an 85% is failing...not so with med school. Also there are some NP programs that have a full yr of 5 days a week full time clinical rotations. I myself have over 1,000 hrs clinical rotation time in. Plus I have 10 yrs RN experience; if you add in my yrs as an aide, that would be 18 total. And here's food for thought that will most likely get me hung...none of us will argue that nurses are the front line forces in health care. They are with the pts daily and most often the ones providing life saving treatments, yet they only have to have 2 yrs of educational training; LPNs even less or so I've been told. It is what we learn after we graduate that makes us great nurses.

I am hoping someone out there may be able to offer advice or suggestions on how to prepare for re-entry to workforce after long absence and now low income. Here's the problem: four years ago, I had to resign my RN position at the hospital due to an injury and subsequent disability. I am currently receiving SS disability. I started my NP program just before I was injured and had to quit. I and my doctors believed that I would be capable of doing clinical type nursing. I had no problems with clinicals. Since NPs are the new thing, especially in rural care, I continued my NP program and have just graduated. My licensure is currently being processed. Because disability benefits are just enough to survive on, there was not enough to fully fund school even with loans. The Vocational Rehabilitation office has paid for my last semester and my licensing. However, there is more to starting back to work. While in school, I was fortunate enough that I could wear my "old" scrubs and get by. Now that I have graduated, I need "dress"/office attire for working in. I am not fortunate enough to have a large wardrobe. I have lost considerable wt and my old dress clothes do not fit anymore but I am still large enough that second hand/thrift stores do not carry my size. Does anyone know of assistance/loans/what have you that would help pay for things just until the paychecks start coming in? Thanks. Ina

Okay...I gotta add my 2 cents worth to this fight. I am an new grad NP with 10 years RN experience! I will say that my RN experience has definitely made me have a better bedside manner and honed my "listening" skills. When it comes to critical care, I am way over my head which is why I chose family practice where I hope I can prevent some of that critical care need--such as MIs, DM comas, etc. However, I do wish to agree with another post...NPs approach care much differently than RNs. We need to realize that an inexperienced NP is no different than a new grad MD. There is a lot to learn. What we need to realize is that we are all in this providing health care boat together and must work as a team. I know that NPs/MDs are human and make mistakes that experienced RNs know better. How politely was the error explained (as in the original post)? Attitude is everything. And, of course, if the NP/MD is adament about you following their orders to the letter, you do have the right to refuse their order--just document your behind off when you do. I guess I am the weirdo of the NP world. I came up the ranks starting as an aide. I have never forgotten what was like to be the peon; I treat everyone with the utmost respect and dignity and always thank my supporting staff whole heartedly.

The 9 months trial is just for receiving cash benefits. There is an extended period beyond that where you don't draw benefits but if you are not able to maintain the gainful employment, you can start receiving cash benefits again without re-applying. That is 36 months. I know I am in same boat as you.