phil1968

What about aerosolized virus particles? The device is self contained, but I cannot imagine that would not generate virus scatter. Any data out there to suggest otherwise?

A friend of mine who does PMHNP at the VA in New Orleans gave me a heads up that the VA is going to role out a residency program at selected VA hospitals within the next year of so. The residency program she described would be at least one, possibly two years.

I will graduate in December from the University of Southern Mississippi in the FNP track, and I too want to do PMHNP. I was given this tip from a WHNP who is doing FNP and that is to delay graduation from the university that you attend to continue in the PMHNP program. The advantage is to still be eligible to obtain loan help while you are able to take boards and practice and garner experience.

Can anyone list what states enforce the consensus model? What is driving this? Medicare? States? BON?

As programs shift to DNP this high bar will hopefully stem the tide of grad mills. I am a bit worried....I am in a fnp program and the thoughts of finding a preceptor much less a job have given me much reconsideration.....I am thinking of attempting to switch to mental health as the actual program has not started. I completed adv patho and pharm. I am in the last msn program at my university...USM....and going forward all np programs are dnp.

I just got accepted into the last MSN FNP at USM in Mississippi. I have been around the block (26 1/2 years) and I am not expecting much. There are too many FNP's....too much comptetition for jobs with a watering down of salaries. I anticipate getting a cirtificate for psych in which there is much more demand post grad. I feel like my relevant experience in many areas gives me a leg up, but I am not expecting much as an FNP till my experience base makes me competative. I wasn't really wanting to be an FNP because of the above, but I think that having an FNP base with Adult and Psych certs with put me ahead in the long run. I have NO desire for DNP.....it is a fluff degree with no real value. Until DNP is about actually making one a better provider, count me out.

Hey my dyslexia is acting up again...I meant room 12

Is he clear yet?

How is the prep going?

"Um....that was actually a barium swallow"

Can you make some coffee?

Bad hair day?

So, I am guessing chineese is out of the question?

Did you know he expired?

Need a hand?

"Your ride is here"

Sorry, what I actually said was "the eczema is all clear"

Nice...God really IS a doctor

Find another job, leave notice, then get out as fast as you can. You are in a toxic work environment and I promise you, things will not get better, but will likely get worse. I would be willing to bet they are under scrutiny from a regulatory agency.

I really like the idea, but I think the real problem is communication. I work on an oncolgy floor, and some of our oncologists will not talk about hospice or comfort care untill the pt is in the throws of death. Hospice is such a wonderful service, but it is nearly useless whe someone is mere hours from death. Physicians do not want to talk about end of life issues. I have been put in a position too many times of having to have this discussion with the family about their loved one who is just about to die, trying to figure out do I need to send them to ICU or not. All because their doctor would not talk to the family. What we really need is a better dialogue with patients and families.

I agree. It is strictly entertainment. My teacher wife loves medical show, while I never bother. Why do I want to see work after I just left it?; even as it is fantasy. Besides, the only thing about them I enjoy is picking apart the many technical mistakes they make. Makes one wonder what their medical "advisors" do. The truth is probably closer to using medical props for "dramatic effect", as when on a soap opera some years ago, the lead actress ridiculously had an ekg lead on her forehead! Hollywood dramatizes our profession, and the public believes that our work is as exciting as potrayed. The same for doctors, lawyers, ect. Our work is mostly mundane with sporatic drama thrown in. Why are people so facinated by what we do? I would rather watch a documentary.

If that is true, I would think it is due in part from the availablity of cheap meth made across the boarder. I can't imagine it would be that usage is less, but that you don't have to make it and risk blowing yourself up.

I remember on a visit speaking with the nurse at the clinic in the Magic Kingdom when my daughter needed a band-aid. She did not speak ill of WDW, but she said the pay was less than average-about on par for a Dr's office, which is about what she did-clinic work. I didn't sound interesting enough to make me want to work there, although. The hospital where I work seems to have the same philosophy about worker enlightenment. We have quarterly seminars that are mandatory. It seems the focus is not just service recovery, but employee retention as well. So if you don't attend, you are fired. So much for loyalty.:trout:

For the E.D Nurses: TTR = Tooth to Tatto Ratio

It sounds like a knee-jerk reaction from the hospital in response to the tradgedy. I wonder if anyone has seen a "code H", and how it went? I bet it will only take a few trivial responses to render the code as a pointless exercise when one is called. I just cannot see how a mechanism for calling into question the judgement of nursing or medicine by laypersons is going to help. Would you want a "code H" to be called on your patient without your consent or knowledge? Would you want to be on the response team? Probably not. I know I wouldn't. At the hospital I work at we have a similar team available to nursing any time called CAT - critical assesment team, and from my experience it works well. If there is good communication from patients and families, I just can't see a need for a rapid response team designed for non-medical folks to activate. Phil