TX911

"Contrast that number to the number of hours US trained physicians spend in medical school, internships, residencies and specialty training. I would suggest that the enormous difference between NP education and training and physician education and training has something to do with the situation you are referring to." Now, now, just because someone got their FNP cert by taking a few online classes, delving deep into "nursing theory", and doing a minimal amount of actual rotations doesn't mean the care they provide is of any less quality than a physician....er wait, yes it does.

Oh please, get serious. A stray dog would have little trouble with the FNP curriculum in it's current incarnation. Or any so-called "advanced" nursing curriculum for that matter. All the APN role is doing is lowering the bar for care which horrible for our country. Get rid of the nonsense and add a real curriculum and maybe people would take it seriously.

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Nurses are so funny. They just concentrate on the minutiae of absolutely everything. Saved your patient's life through 12 hours of hard work? Don't care, you forgot to relabel the IV lines. Doctor of Nursing PRACTICE curriculum? I know, let's add about a billion utterly useless "theory" courses. Don't have an M.D., D.O., or PhD? Don't care, don't call me mid-level! /mini-rant I'm currently in a "DNP" CRNA program which thus far has been underwhelming to say the least. Out of 2 semesters we've taken one useful course- Advanced pharm. The rest of this stuff is more of the same ol' nursing fluff that every other profession laughs at. That's why we are considered mid-level; because we are.

You didn't really say anything at all. You just ranted.

If this is a response to my post then clearly you did not read my post. And if you did you are either having difficulty placing it in the proper context or you simply do not understand what I am saying. Inherent "rights" are an existential question, not a simple healthcare question. It seems you are more focused on a question of exchanges of goods and services based on tax contribution. If this is the case, then society deems that you should of course have access to te goods and services (healthcare included) that you help to fund. Incidentally i am a huge proponent of government provided pharmaceutical birth control. I would happily pay the tax necessary in order to provide that service

I am one of those Paramedic/RNs and I certainly didn't learn how to manage a scene, RSI someone, extricate an entrapped patient, or manage prehospital life threatening situations in nursing school. So I fail to see how a nurse operating within a prehospital environment deserves anymore money than a paramedic. There are plenty of ADN flight nurses and any paramedic at our company held the same Associates degree except it said - Emergency Medical Services-Municipal Fire Protection at the end of it instead of "Nursing." And it's pretty funny that medics are getting the tip of your sword regarding personality when nursing is populated with some of the biggest backstabbing, crybaby, gossip vomiting, passive aggressive people around. I doubt any of those people blamed you for their pay scale, but when there is no logical reason for a nurse to make more than a medic in a prehospital environment I can certainly understand their frustration. However, the EMS community has no one but ourselves to blame for pay scales and reimbursement rates. If they'd quit responding until Medicare/Medicaid decided to quit reimbursing roughly 5 cents on the dollar of ambulance bills, perhaps the industry could afford to pay more. I also find it funny that communities want to sub-contract out their emergency services to the lowest private bidders but are just shocked when they wind up receiving sub-par emergency services. The whole system needs to be blown up and done over.

It does, that was my whole point.

No, you do not have a "right" to other people providing you with a service of any kind. Tax contributions and the willingness of society to adhere to the system in place are reasons why those services are available to you. Not to mention the willingness (whether it be altruism or simply financial motivation) and ability of the providers is not in your hands and you certainly are not entitled to demand that anyone be made to help you do anything. You were born. You have a "right" to attempt to survive. You are LUCKY that you live in a world and a society in which such brutal and insensitive truths do not necessarily guide legislative practice and are not part of societal norms. No, you are lucky to live in a world in which most people generally do not want others to suffer. As such, there are systems in place to provide you with care and in return, you pay in your contribution in order to keep the system afloat with your (presumed) tax dollars. You do so mainly because you have been conditioned to do so. From a very young age society taught you how to behave and introduced you to the system in which you exist. You have no "right" to anything, and certainly not to someone else's services or expertise. Nobody asked you to be born. Nobody asked you to exist. Your existence, as well as mine and everyone else's, is a tiresome burden to the planet in the grand scheme of things. The Big Bang did not happen with you in mind. The universe did not expand and its original elements did not cool and cook into heavier elements so that you could breathe oxygen or drink water. You are not special and it is not your life, my life, or anyone else's life. Life is simply life. And you should have no expectations from it. Again, you should be thankful that you are in a society in which a system is in place (that you had no part in constructing) that affords you the ability to be so presumptuous as to assume you have a "right" to other people doing anything to help you.

What you're describing is not a "right." What you're describing are public benefits that are being funded by the generosity of others and by your own tax contributions which you (and others) are compelled to pay in by law. Once again, if you people think you have an inherent "right" to anything simply because you exist then you need a logic class and your head checked. A "right" to something like health care is an existential question that bears actual, serious thought. Not a Fox news rant.

No. No one has a "right" to another person's services

As well you shouldn't be. The best nurse with an active nursing license should get that job, period

That's interesting. Have you ever considered the possibility that perhaps you aren't as talented as you think you are since the VAST majority of RN-BSNs work full time while going to school? And I'm dying to know what it is you think qualifies as "deeply intellectual" about a BSN program. It's not theoretical physics. Pretty much ALL BSN programs offer a laughable "research" portion due to the fact that there tends to not even be a tenuous grasp of actual, functional statistical methods from their students. So again, please enlighten us about this "deeply intellectual" class you teach. I'm dying to know what that freshman level college algebra class, 2000 level stats class, and ACT math score of 21 gets your students. Yeah, that's called "sacrifice." It's what people used to do in order to attain things back in the day when a bunch of entitled brats didn't populate the world. I was a paramedic for 7 years before I transitioned. I went on at 8am Friday morning and got off 8am Monday morning, went to nursing school and did clinicals 4 days a week and got done with those just in time to go back to work. It sucked, but it's called sacrificing to succeed. I then did an RN-BSN program from a well-respected and accredited institution where I graduated with honors all while working full time and then some. JUST LIKE A TON OF PEOPLE DO EVERY DAY. Now as I prepare to enter a DNP program in the spring I'm aware that with class time and having to take call, working is simply not an option and it will actually get you excused from the program. I say all of that to say this: quit being a baby and quit casting aspersions on people who are willing to work harder than you. And once again, if you think any BSN program anywhere on the planet Earth qualifies as "academically rigorous" you have a big wake up call in front of you should you decide to move on.

I got my CCRN, CMC, and CSC certifications and hadn't gotten a dime more for my trouble. So I left to travel so they can search for a new bypass nurse.

Uh, I have a BSN and a BS in Applied mathematics so I'm not sure what you're on about as you said nothing to convince anyone that a BSN is necessary for a staff nurse not wanting to go to grad school.

You say this as though docs want to be licensed drug dealers. Trust me, they don't. Physicians constantly tell stories about administrators routinely chiding them for not "controlling patient's pain more effectively" i.e. give the drug seekers in the ER what they want so they'll give good Press Ganey responses. We have allowed extortionists like JAACHO and Press Ganey to hold healthcare hostage which is just as much our fault. Our current associations that we continue to give our money to (ENA, AACN, etc) are apparently not doing an effective job of lobbying or acting in our best interests, so maybe it's time to start sending our money to organizations that actually do something to help nurses and healthcare as a whole break free from these sanctioned extortionists.

A BSN is a stepping stone to grad school and nothing more. There is no reason to spend the money on a BSN unless you want grad school or an admin position. It's a real shame that nursing is pushing this garbage as if to say that a BSN prepared nurse is somehow more qualified or able to actually take care of patients than an ADN nurse. Complete garbage. TX911, NREMT-P, RN, BSN, CCRN-CMC-CSC

Good lord, what year is this? Next topic: Pros and Cons of Women Voting. If you're a good woman voter please send me your stories!

Eh, part of the gig. I mean, i definitely feel ya but I'm also making A LOT more money than the poor saps that are core staff. These are not good situations, that's why they need us. The last assignment I had I ended up babysitting a lot of their new CVICU staff because they had so many new grads. Our role is at times a dubious one, but hey we're getting paid. I was literally making 2 1/2 times what their charge nurses who had been there a decade were making and remember how much is tax free. At the end of the year I'll clear over 90K probably working 3 days a week and be long gone, and they'll be stuck there at the same dead end place making less than half of that if they're lucky. C'est la vie. It's who we are Sue.....til grad school anyway. See you on the road!

Well great. I'm headed to Summerlin Monday on a travel assignment. I only signed for 4 weeks though. We'll see i guess

Thanks for all the knowledge everyone. Filed away and looking forward to using it

Yeah, seen this done with RSC triples and split-caths just inferior to them in temp dialysis pts

Yeah, I got to write a paper on ToF which I know is one of the simpler "plumbing issues" that a kid can have. I wish I had the patience for children, it all seems pretty interesting

I'm not sure about your facility, but I know IICU or IMC is usually where we send our post-op CABG/valve/elephant trunk pts when they're hemodynamically stable, no vasoactive drips, pacer box off, etc but still have chest/MS tubes in. That's one type of pt I can think of but I work CVICU so I'm sorry I don't have more examples. Your biggest thing is going to be affability, a smile, friendly tone, and the statement that you want to learn. People can be taught but you have to be able to stand being around them long enough to teach them, lol. Good luck

Lol, I can definitely see how walking in and seeing your kid's chest open after surgery might be a little off-putting. Also, that Norwood procedure is pretty wild. Well, all three (Glenn, Fontan) are actually, my goodness....