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NICUmiiki BSN, RN

Sparkle Master

Excited NNP student!

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  1. NICUmiiki

    How did your program teach physical assessment?

    That sounds amazing, but I wouldn't think it's common.
  2. I don't understand what another nurse being late on my floor has to do with me? Why would I refuse to take report? We don't have the same patients. I'm in no way depending on another nurse to start my assignment. I'm just super confused on how this is a question. If my relief is late, that is super inconvenient to me, but I just sit there until someone comes and gets report from me. In this situation (which is not the same as the one we are discussing), I CAN lose my license if I leave without giving report. This is why its fully expected that we are on time for work. And yes, sometimes life happens, but taking your sibling to school is not an acceptable reason to be late. Life happens sometimes. You get a warning when you are late to clinical. Get over it. I see your answer is no, you don't respect the time of the nurses you are using for your clinical experiences.
  3. I've never said that. So no answer needed. What's egotistical is to say "I pay the school. I don't care about your time. This learning experience is all about me. Shape your day around me. And oh, I'm late? That's ok, you've got time to fill me in." You seem pretty entitled telling me that expecting a student to be on time is driven out of ego. Reporting to a student takes more than 5 minutes, especially in my specialty where I'll have to stop and explain most things. I've already volunteered to spend a large amount of time that I could be doing something else and you don't care about the burden that already places on me? Do you have any respect for the nurses? What I did say is that I'm empathetic in emergency/unavoidable situations, but this is not an example one.
  4. Mmm, I don't agree. I get to work, get report, and start check ins within 10-20 minutes later. You honestly want me to disrupt my schedule and get behind because of your non-emergency? My son also needed to get to school, but guess who wasn't late because of that. You might be paying the school for your education, but you aren't paying those individual nurses. That said, I am pretty empathetic in emergency/unavoidable situations, but this isn't that.
  5. NICUmiiki

    How to retain nurses?

    That isn't what they are really asking because I'm sure they could think of quite a few things themselves. What they are really asking is "How can we retain nurses without spending any additional money?"
  6. So as a nurse, report happens at a specific time. If I'm not there on time on my scheduled time, the nurse who's been on all night can't leave until I get there and get report. If I'm really late, the charge will try to shuffle people around so the night nurse can give report and go home. No, I won't lose my license over tardiness, but they can fire me. Obviously no one is depending on you to get there as a student, but that's part of this whole learning to be a nurse thing in nursing school. I think a warning is totally fair. Don't make tardiness a habit. Put a calendar up at home and mark off your schedule. "Clinical 6am-whenever" so your family knows they need to make other arrangements that day.
  7. From the Oregon BON: It looks like OHSU and University of Portland have graduate programs. I don't know what they offer or if they are online. List of Out-of-State Schools with current approval Although they state that other schools may qualify. To do clinicals within Oregon, the school needs approval from the BON. Picking a school from the list that are already approved would probably be the easiest route.
  8. NICUmiiki

    FNP's in acute care

    And rereading your earlier post, I'd add one more thing. If you are looking to work with children in the acute setting, an Emergency track wouldn't meet your goals. The FNP would allow you to provide non-acute care to children, but the AGACNP portion is only for adults. You'd need to find a PNP-AC program.
  9. NICUmiiki

    FNP's in acute care

    There are acute care PNP programs popping up. My university has one and right off the top of my head, I know South Alabama has one. Many do require experience in inpatient pediatrics if not PICU much like neonatal programs. PNP comes in two tracts: acute and primary. Many schools have options to let you do a dual program.
  10. NICUmiiki

    FNP's in acute care

    1. The FNP program doesn't prepare you for acute care (you will see some who will tell you that they did all of their clinicals in a hospital setting). The certificate program is the NP specialty portion that focuses on acute care. It qualifies you for certification in a new specialty. You just don't have to repeat a lot of the graduate core courses like research, pharm, patho, etc. If you are really interested in working acute care, do an acute care program from the start. If two new grads are applying to a hospitalist position, one FNP and one AGACNP, who would you hire? 2. Depends on the state. In my state (which has strictly enforced the role portion of the consensus model), an FNP absolutely cannot care for acute patients regardless of the setting. Not only can you not get hired, but they've forced FNPs that have been working those roles before to go back to school and get certified in acute care or leave the job. In other states, they don't enforce roles so strictly so you'll see FNPs all up in acute care. Being an ACNP doesn't mean you can't work outpatient at all. They can also be found in outpatient specialties. This might mean that you have clinic hours and hospital rounding. You could also look at some of the "emergency" dual track programs. Although emergency might not be your goal, they are typically an FNP and AGACNP program rolled into one and would prepare you to provide primary care and acute care.
  11. NICUmiiki

    Working: Which job would be best suitable?

    I worked full-time as an ER Tech. It was 36 hours/week. It was only doable because we made our own hours (with a few limitations) and almost all of us were nursing students so we'd help each other out and swap among ourselves. Set Fridays and Saturdays would be doable, but I'd carefully consider the fact that you'll never get to go out with friends.
  12. NICUmiiki

    How did your program teach physical assessment?

    After people posted after me, I realized that I should add to mine. My NNP program is B&M with in person classes. The neonatal assessment class is in person, but there is only so much assessment you can master on a doll. In adult assessment courses, you can be checked off on an instructor or on a classmate with the instructor present. In babies, you really need a baby in front of you and the university just doesn't have any lying around, lol. In my lifespan course, we had small segments of infant and pediatric assessment, but never checked off on it. How prepared are FNP students really to assess those populations? I'm assuming that in the end, it got pushed off on their preceptors in later courses. At least my preceptors (neonatologists and NNPs) know that I'm in an assessment course and my clinical hours are strictly for learning to assess real babies.
  13. NICUmiiki

    No More TB Tests?

    Quantiferon Gold
  14. NICUmiiki

    No More TB Tests?

    My current hospital and my former hospital don’t routinely test, but have yearly questionnaires. I end up getting it every year because we travel out of the US. I’m guessing so many hospitals are adopting this change relatively quickly because it’s cheaper not to test.
  15. NICUmiiki

    What if/Is it possible?

    Is it ok? Definitely not. Thank goodness that isn’t an option Could someone study to test and pass? Probably. Although it’s a ton of content to be motivated enough to self teach.
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