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

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All Content by moonshadeau

  1. moonshadeau

    ANP wants to get credentialed as FNP

    moonshadeau replied to kitty9898's topic in Nurse Practitioners, NP

    U mass has an excellent program for post-masters
  2. moonshadeau

    question to NPs

    moonshadeau replied to Cindy-20's topic in Student Nurse Practitioner

    Entirely personal question and ultimately you have to figure out what your priorities are (and how exhausted you want to be). Is it something that can be done different than something that should be...
  3. moonshadeau

    Help! I am looking for CNS preceptors in the Oklahoma City area

    moonshadeau replied to BPnursie's topic in Clinical Nurse Specialists, CNS

    I am a CNS and went back for Adult-Gero NP. I would respectfully disagree that CNS clinicals can be done with someone other than a CNS. The role is very different than other APN/MD roles. Given that...
  4. moonshadeau

    Pulling out the trach

    moonshadeau replied to EGVnurse's topic in Pulmonary

    What the above posters said is correct about re inserting the trach if able ASAP. One patient in the ICU decannulated himself and ended up intubated with ETT in his stoma because there was so much...
  5. moonshadeau

    New Primary Care NPs

    moonshadeau replied to tussah10's topic in Nurse Practitioners, NP

    My place of employment set up my NPI,DEA and insurance right when I started. It only took 3 weeks tops. I didn't do but a small amount of paperwork to get
  6. moonshadeau

    From CNS to NP - UMass Boston?

    moonshadeau replied to pilgrim192's topic in Nurse Practitioners, NP

    You have to have a contract with the facility to have a clinical there. I had no problems with clinicals, just the hours and still working full
  7. moonshadeau

    Anybody still doing or just did or thinking about doing CNS?

    moonshadeau replied to stepbystep12's topic in Clinical Nurse Specialists, CNS

    Yes in Wisconsin a CNS is recognized as an APN, which allowed me to have a few other options. I even had interviewed for one position for a surgery center as infectious disease/management. After...
  8. moonshadeau

    Anybody still doing or just did or thinking about doing CNS?

    moonshadeau replied to stepbystep12's topic in Clinical Nurse Specialists, CNS

    I loved the CNS role despite the long hours and incredible challenges when dealing with processes and people, trying to affect change by turning a ripple into a tidal wave. That being said not so long...
  9. moonshadeau

    Anyone Drop out of Online Program d/t lack of Preceptor?

    moonshadeau replied to SlyFoxRN's topic in Student Nurse Practitioner

    If you know you are going to do an online program, in my experience (two MSNs online) it is best to ask the school if they can send the contract to the places you think you want to go for clinical. I...
  10. moonshadeau

    From CNS to NP - UMass Boston?

    moonshadeau replied to pilgrim192's topic in Nurse Practitioners, NP

    I am an adult Med Surg CNS who just finished the Adult Gero primary care NP post-masters. The program was relatively straight forward. I paid probably about 11K all said and done. You cannot count...
  11. moonshadeau

    How old were you when you started Nursing School?

    moonshadeau replied to NursingStudentMomof3's topic in General Students

    ADN 19-21, BSN 25-26, MSN 26-28, Post-MSN 32-34. Never stop learning. My husband is eventually going to get tired of me in
  12. moonshadeau

    Need Guidance- CNS student already working in a CNS role

    moonshadeau replied to zip1026's topic in Clinical Nurse Specialists, CNS

    I worked 3 -12 hour shifts with lots of overtime, and was pregnant/delivered my second child. I was busy at the time, but then when it was all done I didn't know what to do with all my free time. I...
  13. moonshadeau

    UMass for post-master's certificate?

    moonshadeau replied to gapeach427's topic in Student Nurse Practitioner

    What was your experience? I am starting the GNP/ANP post-master program this fall and don't want to get too involved if something major is wrong with the
  14. moonshadeau

    CNS! Is this a Dying Specialty!?

    moonshadeau replied to Visuals's topic in Clinical Nurse Specialists, CNS

    As a CNS with prescriptive authority (functioning in the "NP" role), I can tell you that I would rather have kept my job as a CNS that I had prior to the hospital eliminating the majority of the CNS...
  15. moonshadeau

    Labeling IV lines

    moonshadeau posted a topic in MICU, SICU

    I am curious as to what is the practice at other hospitals regarding IV tubing labeling of the drug in the line. Our critical care areas label the name of the drug in the tubing at the distal end....
  16. moonshadeau

    Ultrasound PICC

    moonshadeau posted a topic in Infusion, Intravenous

    For those of you that do place or know of a team that places PICCS, are the nurses required to go through additional training on the use of ultrasound? Any advice would be greatly appreciated....
  17. moonshadeau

    Was anyone else shocked with this propofol story?

    moonshadeau posted a topic in MICU, SICU

    So like the rest of the world, I have been loosely following the MJ story with slight interest. Though the other day I was reading a story on CNN, where it was reported that the sedative he was...
  18. moonshadeau

    Myers-Briggs Profile Typing and Nursing

    moonshadeau replied to metal_m0nk's topic in General Nursing

    ISFP- Introvert Sensor Feeler Perceiver It fits me because I always see two sides (or more) to every story. My life is definately not black and white, so I tend to have friction in nursing with...
  19. moonshadeau

    help with groin sheath pulls - any pointers?

    moonshadeau replied to kcmosue's topic in CCU, Coronary, Cardiac

    Technique comes with time. My best advice has always been to make sure that either you or the patient has the call light in reach- just in
  20. moonshadeau

    Equipment question

    moonshadeau replied to aCRNAhopeful's topic in CCU, Coronary, Cardiac

    I love my Master Cardiology scope. I have had it for over ten years and it has only walked away once or twice (which is a pretty major feat). It sounds weird, but I like how it fits in my ears...
  21. moonshadeau

    Viterbo University

    moonshadeau replied to admorn03's topic in General Nursing

    I am a Viterbo grad. For me it was a hoop that I had to jump through. It was five times more expensive for my BSN than it was for my ADN. I don't really know if I would choose the same path if I...
  22. moonshadeau

    haemofiltration and APTT, can i ask......

    moonshadeau replied to dissle's topic in MICU, SICU

    We anticoagulate the circut with citrate and use calcium chloride to bind the citrate prior to re-entry into the patient. We very rarely use heparin to anticoagulate the patient or the
  23. moonshadeau

    Codes and RRT more frequent day or night?

    moonshadeau replied to pH7.40's topic in MICU, SICU

    I evaluated the data from when our RRT's were being called. Almost all of them were on off shifts (late evenings, nights and weekends). The code data was a little more sporadic and didn't...
  24. moonshadeau

    Scandal...I may have my license revoked? help

    moonshadeau replied to enmack's topic in General Nursing

    I agree with the others- probably not enough to get your license suspended but enough to feel the hot water. It always feels so much worse when multiple incidents get lumped together. Best advice is...
  25. moonshadeau

    Last name on badges?

    moonshadeau replied to BroncoSmoLVN's topic in General Nursing

    Honestly it was more scary for me to think that in the last unit I worked in was an isolated, unlocked critical care unit where emotional families, drugs and alcohol were a frequent mix. Someone...