Cllaws889

This is a debate in my hospital where I work. They are currently not allowing uncredentialed RNFA NP's to assist in surgery due to insurance liability, but will assist/pay for RNFA training (Which is completely ridiculous because you are not billing as an RNFA so it truly is a meaningless investment). As for preferences; I am currently in Ortho as a bedside RN and a few MDs do use NP's and a few others use CNS's. Most don't prefer PA's over NP's per say because the bottom line is the PA education model doesn't provide much meaningful OR experience (this coming from most PA's I've spoke to). A lot of physicians would rather someone who is going to truly stick with them be teachable and learn their preferences so that they can generate more revenue (Total Joint Orthopods love to run 6-7 cases/day sequentially around here) The short version is if your institution provides an RNFA then great, if not don't worry it can be obtained later if necessary. Don't sweat it, just get into a program you like and learn.

OP I would recommend looking into a CE course near you. A lot of people that I know speak highly of them (my facility incorporates several Rapid Response RN positions and many have done a variety of 2 day courses. They all talk highly about them in terms of bizarre rhythms that aren't traditional and are subtle.) You might even be able to work it into your compensation package. Hopefully that's useful and gets this post back to the point. Oh, and I'm sure your practice will know that no one is proficient at EKGs starting out and can give you some more "seasoned" resources. Best of luck and congratulations on your position!

I would say just get a post masters in acute care setting, it's not that long or expensive. Then if you're really worried after awhile down the road you can always get Fellow of Hospital designation for a resume. Membership – Fellow Criteria | Society of Hospital Medicine

I would definitely say FNP is the most marketable. Even if it is a primary care track depending on your prior experience with acute care you shouldn't have any trouble landing an inpatient job or something along those lines. At least in my state (IN), we are stretched so thin for providers that anyone is deemed trainable in any setting.

OP: This sounds like an advocacy issue. Remember as a RN you have an innate TALENT to advocate for the safety of the patient. The surgeon sounds like a real egotistical jerk. Peer to peer violence in the workplace is a recognized issue by numerous health care initiative groups currently; and is a common theme followed by hospitals correlating with employee satisfaction (believe it or not HCAHPS isn't the only thing administration is concerned with.) My advice to you is to understand you are important, and in all reality doing a great job I'm sure. Report this issue to your Nurse Manager, write up the situation in regards to how it objectively happened and advocate for yourself. A surgeon who demeans the bedside nurse taking care of the post surgical patient is creating hesitancy in calling when critical changes in assessment happen. This is a real problem for the patient. Advocate for the patient.

Hello all! i just got accepted into a prominent FNP program in the Midwest that is online focused and have been going over all of the admission materials the last week. I have recently encountered a little bit of anxiety due to the amount of self coordination of preceptors. I have noticed that I should be able to network enough to find my Adult Heath/Pediatric preceptors. However, when it comes to the Women's Health portion I anticipate it being a tad challenging due to the fact that I am a Male nurse. I have been talking to some male NP friends and coworkers who say that it's not challenging finding the preceptors, but it is more challenging to be able to perform the assessment portions due to most patients avoiding Male GYN's/Providers (understandably so). My recent advice from a friend was to find a female GYN to precept me. I just wanted to see if any of you had any advice/experience from this situation and what is the best way to prepare in order to meet the clinical requirements such as Paps and exams.

Our college lets professors or instructors develop tests, however the clause to the situation is that anytime there is a dispute it must be reviewed by the professor or instructor administering the tests. If not to the students satisfaction it must be reviewed by the Dean and College's BON. If the dean and BON see nothing wrong then there is "nothing wrong".

Always get there early and... (1)look at labs/diags, then fill out any pathology, lab results and medications due for your care plan, (2)next attend rounds with your nurse(s), (3)meet your patient and dive into your head to toe w/vitals ASK ABOUT PAIN! (remember when you're talking with your patient you can examine little (4)things about them without taking dedicated time for it such as vitals and brief neurological), (5)I usually then will ask pt about any preferences for the day such as bathing or walking, (if ortho you need to talk about getting them up and checking their last dose of PRN pain meds), (6)then meet up with CNA find out any quirky things about the patient, (7)chart all above, (8)get meds ready and pass, (9)help with pt bathing/walking/anything else, (10)lunch comes, (11)do any procedures that you have reserved for the day, (12)chart some more. This is a really wacky schedule that is pretty much for any basic med/surg floor, if you do that you should have plenty of time to fill out your careplan in the beginning or after lunch, that includes all your NANDA diagnosis/interventions that are applicable. As for books, any NANDA diagnosis book will save you time, and any care plan book really will half your time. You also might want to consider a labs and diags book too such as Mosby's manual of laboratory and diagnostic tests 8th edition. Thats what I personally tote around. Nurses are usually rude wherever you are, just know your place and keep quiet and it will all be fine. Nurses eat their children and don't think twice about it so always keep that in mind. I almost forgot to tell you too that you should definitely consider an App on your phone if you have an iphone called Skyscape, its pretty pricey for the subscription but it is a lifesaver because it can tell you anything from careplanning, to medication dosages.

I would say that if the Dean reviews the course and finds no reason to revamp the class then there shouldn't be any reason to revamp the class. At my college I've heard of this situation coming up with a few of the instructors that used to teach the entry level assessment courses for the bachelors track (1 of which I had). Out of this situation came the dismissal of 2 faculty members and the replacement of another who was more fit to teach the DNP track anyways. With all of this information being said, I noticed that there were 3 things that made the students in these faculty members' classes panic and do poorly (they all are very intelligent...they're going to have no problems passing NCLEX next Fall) they had anxiety about the faculty member from poor previous experiences w/ her, they didn't particularly fall into the critical thinking aspect naturally, and finally they over studied (The biggest thing IMO that ruins Nursing students.) Basically, what I'm saying is you're going to do well, don't let your poor previous experiences dictate your future because if you do what you've always done you will get what you've always gotten (switch it up and find what helps with this class), and don't study till the point you need Haldol. Good luck!

I'm pretty sure if you got the Charge Nurses okay and the Nurses "okay" and your instructors okay the incident becomes nullified because you had direct communication with a higher staff member, the nurse herself and your instructor...hand hygiene is a must but I've seen worse...way worse than that. In other words if you get in trouble I'd be surprised because in indiana at least the Nurse, yourself, and your instructor are ALL responsible for the patient. And all parties agreed on course of action.

My school allows summer coursework in Nursing classes. right now I'm taking Psych Nursing and Med/Surg I. I don't recommend taking summer course loads UNLESS you know how a summer schedule routine works and are confident you can keep up. You have 10 weeks to do what a typical semester of 17 weeks requires. This means you read all the time, do care plans all the time, live at the hospital and eat breathe and crap nursing. But you get smaller classes more/unique opportunities and most importantly can stand out to your instructors. You have to really be confident because remember every time you fall behind in skills or your pharmacology you're not just jeopardizing your GPA anymore, you could be jeopardizing your patients treatment. Not to scare you but be confident and ready to get with the quickness because life will suck for 10 long weeks.

Lets see...med/surg II, pediatrics, and the ever famous research in nursing. It'll probably be another semester of late nights, early mornings, and coffee...lots of coffee.

I would strongly suggest that you invest your money in a diagnostic book of clinical microbacteria of some sort, I can't recall which one I used for my labwork but I do know that most micro labs require you to identify an unknown culture and correctly name it. This will help you take an easier approach rather than "shotgunning" a bunch of random tests that are pretty much useless. Good luck Micro is a really interesting class!

I cannot begin to explain to you how important it is for you to have a microbiology, chemistry and physics base in order to understand and grasp fully what is going on in the body for the physiology portion of your coursework. There are so many things going on in the body that depend on these foundations. It's like building a house, if your missing a corner of the foundation chances are the house is going to tumble at some point, or your going to be spending a lot of resources to repair what was already missing. I would strongly and I mean STRONGLY advise you in taking at least some sort of micro and chem course. Physiology will make you appreciate your trials and tribulations when you get that A and understand what is going on perfectly. Not to mention physiology is crucial in knowing patho, you gotta know how something runs without issues to understand how to correct pathological issues people experience in a clinical setting am I right?

I don't think you understand the role of the nurse completely. To care for a person in their time of need requires you to put ALL personal thoughts, likes/dislikes, and bias aside to focus fully on keeping a persons "ticking" if you object to something as petty as a lady partsl assessment during l/d I hate to see how you act if someone were to go into labor spontaneously. You can't shun them off. You have to provide care. It's a legal obligation. If your afraid of awkward contact then you clearly can't begin to understand what sort of things you will be required to do. Wiping grandpas butt after a void, foley cath'ing grandma pre-op, awkward invasion of privacy is just part of the game. And it's not invasion of privacy as soon as the patient signs a waiver of consent to treat. Good luck I hope you realize this is such a small and normal thing to have anxiety over and it quickly passes for most.