zmansc ASN, RN

Emergency

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All Content by zmansc

  1. zmansc

    Thinking of transferring to the ER

    zmansc replied to Catch22Personified's topic in Emergency

    Each facility is different. In my community hospital ER, the nurses that tend to thrive are those that value teamwork and work well together. I think another trait that seems to be consistent is the...
  2. zmansc

    APRN Advocacy: Article Disparages NPs

    zmansc replied to futureeastcoastNP's topic in Nurse Practitioners, NP

    Anytime someone has a monopoly and someone else tries to get into that monopoly there will be a turfwar. That is all that is going on. Stick around and you will see this in every state where someone...
  3. zmansc

    Requiring Bedside Experience for NP

    zmansc replied to matthewandrew's topic in Nurse Practitioners, NP

    Several things, all of which he thinks she had from birth. There were several small septal wall defects and the entire wall appeared to be developed with a large weakened section that he was concerned...
  4. zmansc

    Requiring Bedside Experience for NP

    zmansc replied to matthewandrew's topic in Nurse Practitioners, NP

    Interesting the the women went to the UC and saw a provider the day before for the chest pain and was not sent to an ER or a specialist for followup. I worked for a cardiologist when I was going...
  5. zmansc

    Frontier Class 125 CFNP

    zmansc replied to bebbercorn's topic in Student Nurse Practitioner

    Check your private
  6. zmansc

    How does your ED handle stocking

    zmansc replied to That Guy's topic in Emergency

    Night shift typically has a down time and the night tech is suppose to restock all rooms. Day shift tech is suppose to restock as needed if time available. RNs are suppose to check rooms at minimum...
  7. zmansc

    Any advice or words of wisdom for precepting new grad ER nurses?

    zmansc replied to turnforthenurse's topic in Emergency

    I've precepted several newbies in our ED, and although I don't have anything formally written down, the general approach I take is: - 1) observation and skills. During this phase the newbie will...
  8. zmansc

    Giving notice when changing jobs

    zmansc replied to jennylynn_1983's topic in Nurse Practitioners, NP

    Most professional level jobs would probably not be too upset with two weeks, but expect a month. If you have a contract it might be specified in the contract as
  9. zmansc

    rn to msn or bsn to msn? ?

    zmansc replied to jkaur159's topic in Nurse Practitioners, NP

    I will preface this with I am not an expert on all of the paths to becoming an NP, I'm not sure there is anyone who is an expert on all of them, but that's another issue. Also, your location, and what...
  10. zmansc

    Frontier Class 125 CFNP

    zmansc replied to bebbercorn's topic in Student Nurse Practitioner

    congrats to both of you! When is bound? I would suggest you setup a private FB group for your class. Most classes have one, and it is a great resource for sharing information about upcoming...
  11. zmansc

    Conscious sedation in the ER

    zmansc replied to merilynRN's topic in Emergency

    ^^^^^ Exactly! When I get a CS pt, I usually ask the provider what they are going to want, and start to prep accordingly. Gather the proper meds, if narcs are being used I always pull narcan as well,...
  12. zmansc

    How does your ED treat chest pain?

    zmansc replied to dsherman's topic in Emergency

    Except you already stated you work in Ohio and Kentucky, did you not? lol The protocols for chest pain are fairly standard and I can't imagine a NP with 4yr experience asking for them on this board....
  13. zmansc

    Migraine treatment in er

    zmansc replied to dsherman's topic in Emergency

    A good read on opioids and rebound headaches is Migraine, narcotics, & rebound headaches Basically, the blocking of the receptors causes the release of more transmitters, so when the opioid wears...
  14. zmansc

    Rn to medic

    zmansc replied to KCTRN's topic in Emergency

    Pay is not everything. I made way more in my previous occupation, but I'm way happier as an RN in a severely underpaying community hospital ER helping my community everyday. If you like the paramedic...
  15. zmansc

    Bipap and oral medications

    zmansc replied to Superman_RN's topic in Emergency

    I don't see an issue. I would have asked the second doc, why she thought PO meds was an issue. Was it the BIPAP or the laryngeal edema? Those K+ pills are huge and I could see her being worried they...
  16. zmansc

    Requiring Bedside Experience for NP

    zmansc replied to matthewandrew's topic in Nurse Practitioners, NP

    My program only requires 1 yr prior to entering the program. I think it is an interesting debate, and I think Cardiac-RN hit it on the head, the more experience you have in the tasks that overlap,...
  17. zmansc

    Questions regarding NP programs

    zmansc replied to lonnaRN's topic in Student Nurse Practitioner

    Without going into too much detail (because I'm not an expert on each type of NP and their scope of practice), yes, each type of NP has a scope of practice and you would not be able to switch without...
  18. zmansc

    clinical placement

    zmansc replied to rrhrn's topic in Student Nurse Practitioner

    Building your network within the medical community is an ongoing job that should be started ideally before you even apply to a program. To attempt to do it while doing school full time and probably...
  19. zmansc

    Rn to medic

    zmansc replied to KCTRN's topic in Emergency

    I'm fairly sure eastern new mexico university was advertising a program like this
  20. zmansc

    Advocacy: Kentucky Gov. Signs Law allowing APRNs to prescribe independently

    zmansc replied to futureeastcoastNP's topic in Nurse Practitioners, NP

    Good to know WildcatFan. I personally think we stand in a unique point in time when we need to push every state legislature for full autonomy, but each state organization should be more intune with...
  21. zmansc

    NP and ACNP schools that don't require RN experience?

    zmansc replied to BebeSunshine07's topic in Student Nurse Practitioner

    OP - There are many programs, I personally do not have a list of programs that do not require RN experience, but all require you to either be an RN at the beginning or the first few years of the...
  22. zmansc

    Dealing with stress, guilt, and emotions

    zmansc replied to 1fastRN's topic in Emergency

    I don't have a solution for you, that's something that only you can come up with. For my wife and I, we like to debrief with each other, it helps us to decompress a bit after a shift. We also try to...
  23. zmansc

    back pain

    zmansc replied to dsherman's topic in Emergency

    Has the patient discussed her need for additional relief with her provider at the pain management clinic? Why are the epidural injections not meeting her needs? This situation seems like it needs...
  24. zmansc

    Experienced ED nurses please help me make a decision!

    zmansc replied to snbell's topic in Emergency

    OP - I don't think you can make a mistake here. As for your DNP, both will offer you excellent experience that will help you tremendously. The ER experience will be more wide ranging in the types of...
  25. zmansc

    Requiring Bedside Experience for NP

    zmansc replied to matthewandrew's topic in Nurse Practitioners, NP

    Future, Please tell us, are you even an RN yet? How much experience do you have, please go into detail? You seem to think your an expert on all things nursing and especially nurse practitioner...