climberrn

climberrn

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  1. Any Acute care pediatric NPs here?

    I'd love to talk to you about your role, how you made the choice to do this instead of primary PNP, working with the docs, job security, etc., etc.
  2. How did you choose where to apply?

    I'm in the enviable position of being able to apply most anywhere so I'm having a difficult time figuring out what my criteria are. Currently i have PICU experience ( 10 yrs.) so that limits me unless I get adult experience. Any particular scho...
  3. How did you choose where to apply?

    Thank you for the replies. Sorry for the delay, I've been on my phone and hate posting from there. Sedatetime, that website is awesome, thanks for pointing it out to me. wtbcrna, those are all good criteria. Are these things I would find out on ...
  4. Vanderbilt Direct Entry Fall 2011

    Accepted to peds primary care focus, woohoo!
  5. Demand for NPs? Sources?

    I've been googling like a madwoman and I can't really find much on a projected demand for NPs. Does anyone have recent numbers from a reliable source?
  6. Demand for NPs? Sources?

    I could have sworn I replied.... Tammy79, thanks for all your research on costs! Unfortunately I'm looking for a program that's pretty limited (pediatric critical care NP) which has only a handful of programs, currently most are private universities...
  7. Demand for NPs? Sources?

    I mostly want to have information to present so I can convince my husband that I'll have a job after we pay 45,000 in tuition. By job forecast sites do you mean places like Monster?
  8. straight MSN?

    This didn't seem to fit in the specialty threads but please move this if you need to. I'm in the process of applying to grad school, NP programs. In my research, many of them have a certain number of credit hours required, with a lesser number if yo...
  9. What is considered ICU experience?

    A couple programs that I looked at (sorry, can't remember which ones) specifically excluded both ED and NICU as experience for CRNA.
  10. suctioning the intubated patient...1 nurse/RT or 2?

    Suctioning not a sterile procedure? Really? That's definitely not how I learned it and not how I practice either.
  11. Deciding between RN vs PA vs MD

    Eh, I have a history degree I never used either and the $30,000 in loans that came with it. I'm definitely not alone either. In the grand scheme of things it won't matter. Yes, I hate that loan payment but I don't regret my first degree or the kno...
  12. Very disrespectful !!!

    Ugh, sorry you got the eye roll. I'll never understand why some nurses feel the need to bring their fellows in the trenches down. I'm wondering about something you said though. Many times, when I'm following a new nurse I'll ask a lot of questions...
  13. PICU - mcg/kg/min questions

    Our facility uses different concentrations so I would not go with 'it's always x, y or z mcg/cc'. It will vary depending on your facility, on your doctor, on the patient's condition (do they need to have their gtt concentrated or diluted differently...
  14. Calling Docs by their first name...

    I vary. If I don't know them very well I'll call them Dr._____. If they've introduced themselves with their first name I'll do that or once I get to know them. I will call them Dr_____ in front of the patients though.
  15. We use them here and the patients on them seem to have wicked labile blood pressure that I never saw when pt's were on gtts made with rule of 6's (my other 2 hospitals). Anyone else seen this? It's mostly been a problem with our babies to 2 years, ...
  16. Nimbex IVP

    I didn't read that as Zookeeper saying it was a conscious sedation drug, I read it as like conscious sedation drugs, you need to be in a 1:1 ratio until it wears off. That being said, like the other posters I've only seen it given either as a gtt on...
  17. I want critical care, I just don't know what kind!!

    I've worked both PICU and NICU and depending on what level nursery the NICU is, it might not be that critical. Once the babies are about 27-28 weeks, they are critical for a very short time. After that brief window your job is to get them to their ...
  18. Why are RN-RN relations at work 'bad', but MD-RN ones okay?

    As a general rule workplace relationships are a no-no but that's pretty much only if it ends or ends badly. Since you are both planning on leaving I'd say keep up what you've been doing, keep it discreet and don't give anyone anything to gossip abou...
  19. Somewhat of a PICU nursing vent...

    So my husband and his partner started a PICU in a community hospital. I'm a PICU RN and work there part-time. When he gets paged, I can hear most of the conversation and some of it just blows me away. Doc: So, what rate is the vent on now? RN: 27 d...
  20. standard concentrations, does your facility use them ?

    That's what I do for most of my stuff anyway. I just don't get the hospital's priortizing. Hmmmm. Ceftriaxone or epi? six of one...:icon_roll PM on it's way. Thanks!
  21. standard concentrations, does your facility use them ?

    Our problem (as denoted by pharmacy) is that since we aren't a children's hospital, they have to load drugs for all age groups and there is a limited amt of data that can be loaded. Additionally, they've chosen to load drugs like ampicillin/ cefotax...
  22. standard concentrations, does your facility use them ?

    We use syringe pumps but we also have bags of drugs mixed. Our concentrations are either 4 mcg/cc or 64 mcg/cc. The former can end up with giving way too much volume, the latter has been resulting in the aforementioned swings in BP. I'm wondering...
  23. I've been contemplating going back and getting my NP (peds). For a long time I was only interested in the critical care programs (Duke, Vanderbilt, Rush and Penn) because that's my interest (currently a PICU RN). I've talked with a number of MDs re...
  24. standard concentrations, does your facility use them ?

    So the syringe pumps don't have that same delivery system? It makes sense but I never thought of it that way. Do you have a policy about it? I'd love to look at it...it's starting to be a big problem.
  25. DVT and Homan's sign

    I do agree that charting circumference, redness, etc. is more useful but you're not making a DX by charting Homan's (regardless of it's usefulness), you are reporting + or -, that's it. No CYA involved...