Secel

Anyone know with the phasing out of the MS NP and the new DNP if they are looking at changing the by state independent/non independent practice (needing a physican overseeing in some states). DNPs and MS-NP generally make the same which makes little sense most industries pay more depending on education. Also im my state were restricted practice- which i understand why doctors feel NPs with a Masters were not a replacement for a physician. But even with DNP u dont make the same as a physican and dont have same practice rights. Im curious if anyones heard about a petition to change pracitioner rights.

I am writing this post because I'm feeling guilty on how i dealt with a patient. I apologize this is lengthy I had a patient who came in for for pain management. Throughout time i had him i was careful not to over drug him. He had signs of being a drug seeker. Talking about schedules. Setting alarms for his next dose. Pain never less than 7. No expression. Yet he was getting up to the bathroom, even showering. if i found him asleep i knew his pain was controlled and refused to give him meds when his alarm went off. I waited usually until he was alert. He told me he passes out from the pain When he was falling asleep during conversations i told the doctor this. I never said he wasnt in pain because he did have a medical reason for having pain. I do think he had pain. Simply that he wasnt reporting it to me adequately. I only said the truwhich is he was sedated. The doctor cut his drugs and he was ****** with me because of it. No explanation was good for him. I felt as though i was objective about his pain and the meds and i sought other nurses advice and the doctors with my decisions. They backed me up. Where i think i failed however was with communiating to the patient. What ways have you found to explain the risks of these meds or your decisions or that theyre sedated without essentially calling them a drug seeker or alienating them?

First of all, congratulations. Second of all, dont tell HR/ your manager until 1. you have the job offer for the ER residency. 2. you need to give your two weeks notice for leaving the job for the Residency. Why you might ask? B/c #1 - you dont want to burn a bridge when there's a chance you might not actually have the residency. #2 Most places dont consider that you have the acutally position until you start the first day. They can call you the day before you're supposed to start - and it's no skin off their shoulders. Secondly about the residency. If ER is what you want to do, a residency is how you want to do it. So if you get offered it... TAKE IT. I've done extensive collecting of research on residencies. It takes about 2 yrs for a novice nurse to be competent on an entire ER unit. The residency helps you through additional training and help to combat the stress of this fast paced environment so that you dont get burned out. Why is that important? Because you need to worry about your well being too

I've heard stories from other graduates in the last two years - some of them (most that i've talked to say it takes a year or more time to find a nursing postion). I'm not sure if this is a nursing home position, or a nursing position for a specialty, such as med/surg or icu. I've took my NCLEX exam in February and passed in 75 questions. I was so excited about this accomplishment (until i realized later that it mattered-little). With liscense number in hand, i started applying for positions. I applied in Massachusetts, New Hampshire, Maryland, and Virginia to stay close to family. (Now I'm going to vent for a bit). I got one call back/ phone interview for a residency program at an ICU. (I'm worried that without the additional training and help from a residency/fellowship, that i wouldnt be able to survive in an ICU.) They scheduled an interview. I was so excited because out of 50+ applications, someone was finally interested! I went down to Baltimore, arrange and paid for travel myself, and took time off work. When i got there, the secretary said it was cancelled. I was shocked. I said i didnt get a phone call. They checked my phone number and said they must have forgotten to call me. They did an extremly short interview because i was already there. They told me that they were accepting internal applicants first and if they had space left they'd call me back to finish the interview. I was a little upset. Mostly discouraged. For all the time and money that i spent, they gave me $5 for their cafeteria. And no apology. I understand that things happen and i decided to change my strategy for positions. But it makes me wonder how to go about interviews in the future, if i have to take a plane for instance. I've now applied to over 100 positions all over the U.S. Mostly med/surg, but in skilled nursing facilites too. No callbacks. It seems most applications i come across say 1-2+ years of experience. Obviously i dont have experience as a new grad. I'm becoming frustrated. I kind of wish that nursing schools didn't go about quoting how low the unemployment is for nursing, when its largley new grads that are unemployed. Because now i have all these student loans that i have to start paying back... (Venting completed) Can anyone give me advice? Does anyone know of any places that ARE hiring new grads for med/surg? Or can you give me advice on how to go about interviews that are far away? Or advice on where is best to start looking for a position? Help please! --- and thanks in advance