SHGR MSN, RN, CNS

nursing education

Member

All Content by SHGR

  1. SHGR

    Can FNPs work in case management?

    SHGR replied to correr82's topic in Case Management

    Agree with the above two responses. Case managers need well-rounded nursing experience that you will not get in a FNP program. Not only is it not a direct route, it is totally a different
  2. SHGR

    The *EXPERT* Beginner

    SHGR replied to Kelly_the_Great's topic in Patient, Colleague Relations

    Increased compared to what? New grad from prior
  3. SHGR

    Primary Care nursing - new to me!

    SHGR replied to lshell7's topic in Ambulatory Care, Clinic

    I love the Briggs telephone triage book and highly recommend that. Are you talking about Clinical Guidelines in Family Practice (Uphold and Graham)? That is more than you will need. For the RN scope...
  4. SHGR

    APRN and NP, same thing?

    SHGR replied to BeachsideRN's topic in Student Nurse Practitioner

    http://www.aacn.nche.edu/education-resources/APRNReport.pdf Hi, here is the link to the LACE model which explains it all! On page 10 of the document is a diagram of the model. There are four groups...
  5. SHGR

    What does your username mean?

    SHGR replied to LifesAJourney's topic in Nursing Humor

    Lil' bit of sugar, Sugar. OK, really, the sugar
  6. SHGR

    Does your office/clinic allow walk-ins to see the nurse?

    SHGR replied to BlueLightRN's topic in Ambulatory Care, Clinic

    Let me fix this for you...how about FORTUNATELY your manager is on her way
  7. SHGR

    Entry level Master in Nursing

    SHGR replied to khangl1's topic in Diploma, ADN, BSN

    The entry-level MSN does prepare entry-level nurses (they are intense programs offering an ABSN, and then take the NCLEX, before the masters course work). It's a generalist degree, not an advanced...
  8. SHGR

    Dealing with difficult patients over the phone

    SHGR replied to Mrs.LaDuke09's topic in Patient, Colleague Relations

    I completely agree with the above posters. You can learn the skills to be better on the phone. Is your manager able to role play with you to figure out new skills? One thing that really helps me is...
  9. SHGR

    It is Nursing-Yoda I seek!

    SHGR replied to JennM_RN's topic in General Nursing

    Hi OP. For one thing, never pay for an article. If you are in a BSN program you can request the article from the librarian- often they can get it for you. You have identified an immense problem!...
  10. SHGR

    Heart transplants and high risk cards, oh my

    SHGR replied to Catchall_RN's topic in CCU, Coronary, Cardiac

    OP, have you contacted your facility's medical librarian? I bet he or she would be an immense help in searching for answers to your questions. You have really honed in on your specific topics...
  11. SHGR

    Fork in the road, need career advice, goal is to be case manager for insurance co

    SHGR replied to CM72's topic in Case Management

    The job you are describing sounds like disease management, which is a sub-set of case management. I really like disease management personally...but the literature shows that purely telephonic disease...
  12. SHGR

    Most topics here non-clinical knowledge ones

    SHGR replied to Emergent's topic in General Nursing

    Yes, there are certain members that I know will take the time to write these and I really respect them. Of course evidence-based information can be looked up, but the expertise of our members is...
  13. SHGR

    Afraid to kill a patient

    SHGR replied to ward81's topic in Patient Safety Issues

    Yup, that's why we have three-label check (has caught many errors before they happened!), nurses and RPh go over chemo orders together, double-check MAR, narc count, all kinds of systems of checks and...
  14. SHGR

    What area of nursing can you spend a lot of time talking/working with patients

    SHGR replied to Nola009's topic in General Nursing

    Diabetes. It's all about communication. To answer your other question, what do patients perceive to be good care? Listening, first and foremost. Being listened to, and not having assumptions made...
  15. SHGR

    Unifying the Advanced Practice Roles

    SHGR replied to matthewandrew's topic in Advanced Practice

    Having a unifying title is a good idea. Calling all APRNs NPs is not a good idea. How about APRN? APRNs in my state have brought this forward, a movement started here by NMs and the state nurse's...
  16. SHGR

    Advocacy: Florida House Committee passes APRN power bill

    SHGR replied to futureeastcoastNP's topic in Nurse Practitioners, NP

    Excellent news for APRNs! (I am sad to note that CNSs are not included however.) Let's hope that more of this moves
  17. SHGR

    Stethoscope covers OK for men?

    SHGR replied to leftysoftball's topic in Men in Nursing

    Personally, I have covers I made out of t-shirt material in solid colors that look unisex/nonfeminine (dark green, black, navy). It protects the tubing and my neck from each other. I can throw them...
  18. SHGR

    Vent about coworker

    SHGR replied to NightNurseRN13's topic in Private Duty

    That's what Nannycam is
  19. SHGR

    Diabetes Education in corrections

    SHGR replied to SteveDE's topic in Correctional

    Not in corrections, but a CDE: when we get pts at our clinic who are establishing care on return to community living after incarceration, often their DM is way out of control (T1 as often as T2) and...
  20. SHGR

    Is this peripheral neuropathy?

    SHGR replied to mikasa's topic in Nursing Student Assistance

    While PVD and neuropathy might be comorbid, did the pt have ABI (would show the first one) or a monofilament exam (would more specifically show the second). Sometimes extra data can throw you....
  21. SHGR

    Unpreparedness for computer downtime

    SHGR replied to Emergent's topic in General Nursing

    When we first got our EMR we sometimes had hours of downtime and we had a protocol of paper charting that was very specific. Our IT people must be magic now (multiple servers?) because we literally...
  22. SHGR

    Overtime dependent nurses

    SHGR replied to Emergent's topic in Patient, Colleague Relations

    I agree that there are shift differentials for important reasons, and I really appreciated it when I worked nights- but this was a HUGE differential that could not last forever, closer to time and a...
  23. SHGR

    The job market is tough... "How tough is it?"

    SHGR replied to Guttercat's topic in Job Search, Interview, Resume

    Lil'mama, did you still write back? Please tell us you
  24. SHGR

    Is there really a nursing shortage?

    SHGR replied to hoppingpete's topic in Activism, Healthcare

    There are recent threads about how entire regions are not hiring. I saw one new grad looking for a job anywhere near Las Vegas and one for Florida. As in, no nursing jobs in those regions. It is...
  25. SHGR

    Overtime dependent nurses

    SHGR replied to Emergent's topic in Patient, Colleague Relations

    Our hospital, during the height of the nursing shortage (yes, it really did exist not that long ago) went to a system of a huge shift differential for full time nights, and other differentials for...