moonshadeau ADN, BSN, MSN, RN, APN, NP, CNS

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All Content by moonshadeau

  1. moonshadeau

    The reality of educating patients about their meds

    For some of the chronic conditions it has been shown that the more that you educate costs are reduced by "bounce-back" admits. It is a nursing/medicine's responsiblity to educate, but it the...
  2. Thanks anyway. I agree that there should be some consistency with all of this. With the schools I have looked at the credits vary so greatly. I hate to say that it boils down to what I can get for...
  3. Anyone know of a program that offers a post-master's certificate for NP (preferably adult or acute) that is online, that counts the credits of completed CNS course work? I know that there are some...
  4. Mine disappeared after a code once. I put an announcement on the bulletin board at work and surprisingly enough it came back through interoffice mail. I always hated it though when coworkers would...
  5. moonshadeau

    I was just laid off

    Hang in there. I was in the same boat as you with losing a position I never really thought I would have to worry about. My colleagues and I had the intial "bad" karma, but have all since found some...
  6. moonshadeau

    silly nursing question, hope u can answer it...

    We had to practice starting IV's on each other. I still have the scar:D We never did NG's or anything else invasive. I hate to say that most of my practice was on real
  7. Just be honest with your hiring manager about your feelings. Be prepared to give 2-4 weeks as a professional courteousy, but they probably will not see it financially worth it to keep you around....
  8. question- uri prior to surgery? was there a clicking sound audible on his physical exam? respiratory versus cardiac. occasionally, you can hear a split s3 on a patient with a possible clot in the...
  9. moonshadeau

    MICU vs SICU-why the rivalry? Can't we all just get along?

    I have found that both units have equally challenging patients and patient flow issues. The biggest ah-ha I had about the differences between the two units is the physican management models are...
  10. moonshadeau

    It's all happening so fast....

    Ok, I take back my advice from above. (that is what I get by posting before I read the entire thread)! If you think you would love it, then I would go for it. But follow your heart because no...
  11. moonshadeau

    It's all happening so fast....

    In my experience, most leadership positions are filled with "someone in mind" even before the interviews start. It sounds like they want you. I agree with the rest, go for it and perhaps see if...
  12. moonshadeau

    Have you seen a decrease in verbal abuse by physicians?

    You would have to look at the article to see what the methodology was. I can't speak to that specifically. I would love to read the article myself, but do not currently have access to do that. I...
  13. moonshadeau

    Have you seen a decrease in verbal abuse by physicians?

    The Center for American Nurses recently performed a survey of over 800 nurses and found that surprisingly that NURSES were the most common cause of workplace hostility and violence. The other results...
  14. Never ever did I think that I would be unemployed, as I sit here on my first day of not having a job in over 10 years. It is a true shame that CNS' were not valued at my last job. To all my peers...
  15. moonshadeau

    SICU Nursing Perspective: Compartment Syndrome

    It sounds like you are speaking from an experience of abdominal compartment syndrome. Just remember that compartment syndrome alone can include a wide variety of pathologies and treatments....
  16. moonshadeau

    sterile or tap water for meds?

    I would bet that this practice is one of those "sacred cows" that people don't like to kill. Unless there is some reason that people are not drinking the water in your area, there is no reason that...
  17. moonshadeau

    Online CNS programs

    Texas Christian University was all online. I didn't have to go to campus, but I did once just to meet the instructors. Excellent
  18. moonshadeau

    First day of unemployment

    Thanks for all the support. I did find a job- though I have yet to start. I will be in a CNS in an "NP" role once I get through credentialing and get prescriptive authority from the
  19. moonshadeau

    Information Pearls: How to be a good ICU RN

    1. Ask questions, even when you get off orientation- still ask questions 2. Keep your rooms clean. There is nothing worse than coming into a shift and your patients room looks like a bomb went off....
  20. moonshadeau

    A question about danish , paper, and germs...

    No, not really and only because I know that in some bakeries things much worse happen on a daily
  21. moonshadeau

    Upsetting Day with a side of Ethics issues.

    Such an unfortunate situation. I am very sorry that this has happened to you. Good luck to
  22. moonshadeau

    Who does your time cards?

    I think that you should politely confront the person making these comments and tell him/her that if she has a problem with something on your time card that she should report it to the manager whose...
  23. I can't tell you how to become more confident. I can tell you that you have been taught critical thinking skills all of your life and "critical thinking" is not just a nursing process. Word...
  24. I applied for a new job the same day that I lost my last one. That was 5 weeks ago and I only recieved my first offer today. If you are looking for sympathy because it has only been a couple a days,...
  25. moonshadeau

    Can a new grad start as a travel nurse

    Definately not. It probably isn't the answer that you want to hear. Having done some travel nursing I can tell you that it can be a pretty scary situation for an EXPERIENCED nurse let alone a new...