AGACNPTX

I would be interested to know as well. I had a Master Cardiology that was stolen recently. I preferred the Cardiology III over the Master Cardiology. I am trying to decide between another Cardiology III or the new IV. I would like to hear some reviews on the IV before I buy it.

Hi, I am a new grad Acute Care NP. I accepted a job and have been orienting with a team of inpatient NP's. I was not required to sign a contract when I was hired. The organization is supportive and the team I work with is great, good salary, good benefits. I am not loving my role because I feel like I don't have much autonomy and to be honest I am feeling bored. There is a lot of downtime with this group and I am more of an adrenaline junkie type. Another opportunity has come up with a group I have worked with before that is more in line with my interests. I feel that I would be much happier in this role because it is more interesting and challenging, I would have more autonomy (but still have adequate support for a new grad) and a much faster pace. Of course I know that this job would be more stressful, but I am the type of person who typically thrives in this environment. I am struggling with the decision because I feel loyalty toward the inpatient group I am currently working with, and I am worried about what bridges I will burn if I leave this job so soon. I live in a large city where jobs and hospitals are plentiful. Any advice from NP's who have resigned shortly after being hired? Did you feel you made the right decision or did you regret your choice afterward?

Prn jobs in Houston can pay about $45-$50 an hour. If you didn't need benefits, theoretically you could come close to 6 figures if you had a couple of prn jobs.

I have a dog walker who comes to let my dogs out mid shift. If you can find one in your area, I would highly recommend!

We took a standardized test (I think it was called ATI)every semester prior to graduation. Each semester was a different "level." We were given study guides and those who did not pass were required to go to remediation. I seem to remember your grade for the semester was also lowered one letter grade if you failed.

I have a prescription for a ADD medication. I have been on this medication for 15 years and was on it through nursing school, my masters program, as well as multiple jobs/hospitals. The way it works everywhere I have been drug tested is once your drug screen comes back positive, a doctor from the agency who performed the test will contact you to ask about what medications you are taking. Once you tell them about the controlled substance, you have 24 hours to submit verification of the prescription to the agency (must be filled within 30 days). I believe after they have verified your prescription, the result is reported to the school as negative. I believe I was "randomly" tested more often than other students, but I can't remember if I disclosed the medication I was on to the school. As long as you have a valid prescription and are not impaired you should be fine. Of course you should not take Xanax on the days you will be interacting with patients.

I would recommend contacting the scholarship committee to ask if they have any information on where other recent graduates have been able to find jobs. I would think if they are willing to pay for nursing school to staff underserved areas, they would have some insight on where the greatest needs are. And remember, even if you get 100 no's all it takes is 1 yes. Don't lose your confidence and determination. You have the right attitude as long as you have the willingness to move where needed. Good luck!

I don't know much about the new grad program but I know a lot about Baton Rouge. Will you be looking for an apartment or house?

I would urge you to be cautious with this program.

Trendelenburg Position CCN : Critical Care Nurse AJCC : American Journal of Critical Care FYI. Many argue that trendelenberg is not an acceptable intervention for hypotension.

Wow..... everywhere I have worked has had a hypoglycemia protocol. No glucose check or D50..... Sounds dangerous! As far as fluids, in one of the ICU's where I worked, we did occasionally give fluid boluses with no order. Where I work now, this would not be acceptable. It all depends on your patient population. If you are dealing with a cardiac/CV surgery patient, you could seriously anger some doctors by giving their patients fluid. That being said, all of our CV surgeons give us their personal cells and answer 24/7 so that we do not intervene on their patients without discussing with them. If I had a true emergency and was unable to get orders, I would probably just risk it and bolus to keep the patient from coding.

Very well said.

Depends where you are. Salaries vary widely on a national level.

I can't speak for the specific departments that are hiring but I know several people who have been at Methodist for years. They have been very happy with their experience.

I know a nurse with two years of experience (experience not in the specialty she was hired for, no sign on bonus) who was started at $31/Hr plus diffs for weekend, evenings and nights.

Great hospital to work for. Many believe they have the best benefits package of the Houston hospitals. A lot of research being done.

What city?

If you don't feel supported and staffing is dangerous change hospitals. I actually changed states and found a dramatic increase in pay, quality of management and staffing. Not all ICUs are like the one you describe.

Depends on the state. In Texas it's a >20 page application form and fee. We also apply for prescriptive authority, Dea #, dps#, npi#. Does the Bon website have a checklist of what you need? Did your school give you any guidance on credentialing? We received a long checklist of all the things we needed to complete to get credentialed.

How does D5W affect sodium? Chloride?

When in doubt, research the guidelines.

http://www.nhlbi.nih.gov/files/docs/guidelines/asthsumm.pdf

I used to work in an ER with a lot of psych patients. Had several swallow objects: needles, metal utensils, specimen cups, batteries, razor blades, chap stick while under our supervision. Eventually we started putting them in paper gowns and taking all of their belongings and everything out of the rooms. After the patient ate the utensils they switched to styrofoam trays with plastic utensils. Not sure why they thought this would be better, as styrofoam and plastic is easier to eat. Of course before long a patient ate the plastic utensils off of his tray and needed surgery. We went to finger foods only after that. A patient ate the lid off of his urinal. People have eaten their paper gowns. My co workers think I am crazy because I always request finger foods for people who are involuntary psych with potential for self harm. I don't trust them with utensils for many reasons. Don't even get me started on the things people put up their behinds.

No. In Texas there are certain mental health issues that the BON has a right to know. These include addition and "schizophrenia and/or psychotic disorder, bipolar disorder, paranoid personality disorder, antisocial personality disorder, or borderline personality disorder." That is from the BON site. Many nurses experience depression and anxiety and continue to be excellent nurses with treatment. As long as you are not taking medications that mentally impair you at work, it is none of their business what you do. It is best for your patients if you are happy and healthy, and if treatment helps with that I would urge you to seek help. 😃

The Importance of Beta Blockers in the Treatment of Heart Failure - American Family Physician Medscape: Medscape Access 403 Forbidden