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MurseJJ

MurseJJ

Neurosurgery, Neurology
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MurseJJ specializes in Neurosurgery, Neurology.

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MurseJJ's Latest Activity

  1. MurseJJ

    Advice On Becoming an Excellent Neuro Nurse

    I would definitely recommend joining the American Association of Neuroscience Nurses. They have an annual conference (next one is in March 2019 in Denver, CO), and they also have an annual stroke conference (coming up in August in Louisville, KY). When you join you also get a subscription to the Journal of Neuroscience Nursing. The American Board of Neuroscience Nursing has two certifications for neuro RNs: CNRN (certified neuroscience RN) and SCRN (stroke certified RN). I have the SCRN. Studying for the certification exam definitely expanded my knowledge base (especially related to neuroanatomy and pathophysiology), and has helped me better understand the rationale for various interventions, stroke presentations, etc. I think studying for either the CNRN or SCRN would be a great way to become a better neuro nurse. Hope that helps
  2. MurseJJ

    CNS or NP

    Even if you do CNS you could always apply for positions that are related to the CNS competencies but may not specifically be titled CNS (i.e. quality and safety specialist, professional development, even management). Especially if you aren't interested in direct patient care. But i agree with you and MGMR, I go through this dilemma all the time. Although NP is interesting to me, I'm much more interested in being a "nurse specialist" and "nurse expert", and working with nurses and leaders (and being a clinical leader). I'd like to maintain some contact with the clinical setting and practice, though I'd be fine with less of that than being at the bedside or as an NP. At the moment I'll be starting an MSN in leadership in the Fall (luckily reimbursed by the job), and will decide after that what to do (may do a CNS DNP or possibly a PhD program, who knows, haha).
  3. MurseJJ

    Advise on transitioning to management

    Typically an assistant nurse manager position is something you could look into first. Perhaps look into that.
  4. MurseJJ

    New York hospitals with the best schedule for nurses?

    I work at NYP/Columbia. Yes, we do work 13 shifts (all 12 hour shifts), however I will say that the salary is about $20K more than Stony Brook (I was hired at Stony just before I got hired at NYP a little over a year and a half ago, as a new grad).
  5. MurseJJ

    I HATE contingency orders

  6. MurseJJ

    Beyond Bedside? Advanced Practice? Really?

    It's interesting, I work with a nurse that has around 8 years experience, all on our unit, has two masters, two certifications, presents at conferences, chairs a hospital committee, clinical ladder, and is a permanent charge and preceptor, and she has no desire to leave the bedside and go into leadership or anything else. She likes her 3 12s and the flexibility that offers. She just did the last level of the clinical ladder, and is happy with that (the ladder is specifically stated to be for those that want to advance in nursing but remain at the bedside, and it does offer pretty substantial pay raises). We also have nurses that have been on the unit for 18+ years, some as permanent charges, others taking patients, and i really don't know how they do it.
  7. MurseJJ

    Entry level MSN masters CNL CNS

    May be helpful to get a letter of recommendation from a nurse.
  8. MurseJJ

    You don't need RN experience to get an NP job

    Saw this article on Twitter, thought I'd share here: Independent Practice: Both Nurse Practitioners and Physicians Should Be Outraged.
  9. MurseJJ

    NP jobs that work 3days

    Agreed. Our inpatient neurology NPs do 3 12s.
  10. MurseJJ

    Omg I'm so broke!!!

    That sounds hard. You could basically double your salary as a new grad, let alone as an experienced RN, at various hospitals in the city (Mt Sinai, NYU, NYP, etc), even LI (St. Francis, Northwell).
  11. I prefer "advanced practice provider" or "APP". There are many in-person NP programs around the country. Here in NYC we have Columbia, NYU, Pace, LIU Brooklyn, and CUNY Hunter, in addition to a number of others in the metro area. Good luck!
  12. MurseJJ

    SCRN Experience

    Recently I passed the ABNN Stroke Certified Registered Nurse (SCRN) exam. When I was preparing, I searched for info on the exam, how others prepared, etc., but didn't find too much out there. So I'll briefly share my experience in the hope that others will find it helpful. I have a year's experience on a neuro step-down unit, and studied about a month. The resources I used were: -Comprehensive Review For Stroke Nursing: this is the review book from AANN. It is very detailed, there are some charts but it's mostly text. Looking back, this book has a lot of info that wasn't on my exam, however the details do help in understanding. -Fast Facts for Stroke Care Nursing: this is a quick small review book that covers the essentials to know about caring for stroke patients. It covers a lot of what is on the exam, so I went thru it after I did the Comprehensive Review. It includes a lot of tips that are helpful, and helps you make sense of the details from the Comprehensive Review. -Stroke Chapters in Clinical Practice of Neurological and Neurosurgical Nursing: I looked thru the cerebrovascular anatomy (definitely need to know this), ischemic, ICH, aneurysm, and AVM chapters. Doesn't cover everything on the exam, but good overviews, and has a good chart on stroke syndrome symptoms by vessel, which you need to know. -Stroke Certification Study Guide for Nurses: Q&A Review: this is by the same author as Fast Facts. It's a 300 question review book, covering each section of the SCRN exam, and the number of questions in each section is based on the percentages from the exam blueprint. Good practice, and great rationales. -SCRN Practice Test: I also bought the 75 question practice test from AANN. The only downside to these questions is there are no rationales. Also, once you submit, you can go back and review the questions, but you can't do them all over again (you'll only see your answer choice, as well as the correct one if you got it wrong). If you can get these used or from the library, I'd definitely recommend each resource if you like to study on your own. I personally don't like to sit in review classes, however you may find that useful if that's your style. As far as the test, it was pretty straightforward. I didn't feel like they were trying to trick you, and I didn't have that uncertain feeling like I had during the NCLEX. If you reviewed with these resources, and reflect on your evidence-based clinical experience, it's honestly pretty easy and straightforward. There were maybe 2-3 questions out of the 170 that I just didn't remember ever covering (like a random medication I never heard of), and the ones I figured I got wrong still sounded vaguely familiar. You're allowed to bring a basic calculator, and the only calculation you might have to do would be related to tPA dosage. Hope that helps, and good luck
  13. MurseJJ

    NVRN vs CNRN

    Hey just letting you know, I took the SCRN earlier today and I passed! I'll post a separate thread on what I used and what I thought (when I searched there wasn't too much info on it so hopefully I can help others) on the weekend after I recover haha.
  14. Agreed. I also work on a neurosurg stepdown, and we get neurology patients as well. A psych background will definitely not go to waste in neuro, even in the neuro ICU (I actually have a coworker on my unit that was a psych RN for years then came to our unit, and she's great). She recently did an inservice on managing psychiatric presentations and therapeutic communication on the unit). I'm actually doing research on post-stroke depression, a major stroke complication, and have looked into the psychiatric implications of neuroscience diseases. There's a lot there. And yes, with neuro, many either love it or hate it. Many times when I say I work in neuro, I get the s visceral, "why would you do that?" look/reaction, haha. If you're interested in the brain, neuro-trauma ICU can be fascinating. Presumably in addition to the usual ICU interventions, you'll also have brain-related monitors (brain tissue oxygenation, definitely ICP monitors, cerebral microdialysis, cerebral blood flow monitors, EEG, transcranial dopplers, etc). Think about it, you're basically expanding your knowledge related to caring for patients with brain disorders and diseases. Good luck!
  15. MurseJJ

    Seeking Advice: Direct Entry Blues

    I agree. While the roles of bedside RN and NP are different (just like the roles of bedside RN and physician are different), there is also some overlap, and I agree that there is a connectedness between the two roles. For example, as a clinical RN, one is hopefully: -performing physical assessments and correlating findings with normal and abnormal findings related to disease states -interpreting laboratory test data and correlating with presentation, disease states, and interventions -understanding indications, contraindications, etc related to pharmacological interventions -understanding common indications and contraindications for radiologic and other diagnostic studies and their relevance to your area The NP of course will add a deeper understanding of pathophysiology and pharmacology, as well as the diagnostic perspective of being a provider to all of that and more, however it is clear that the clinical RN, functioning at the "top of his/her license" should be more than a task-manager/order-fulfiller (as we are often perceived as being).
  16. MurseJJ

    NP + RN - can I do both part time?

    A colleague works both as an RN on our neuro step-down and as a neuro NP at a different hospital (at least for now).