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Case Management vs Health Coach: How To Land A Job
You can start getting experience as a case manager in the home health setting. It is very rewarding and allows you to get the number of hours required to pass your certification as case manager, this is strictly required in some states (Florida for example) to be hired as a case manager in certain environments. https://ccmcertification.org/
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How do we prevent Nurse Practitioners from undervaluing themselves?
well, my humble opinion..... The schools, yes nursing schools, should stop lowering their admission standards into NP programs. Sometime before, it was a strict requirement having prior clinical nursing experience to apply for a NP Program and be admitted, now (no offense) recent RN and not RN graduates can apply and be admitted following some accelerated programs or whatever they call it. They will be excellent students and not doubt, excellent nurse practitioners but with time and experience. Most organizations know that and they take advantage of it. Would you blame them? of course not, the same NP knows and is aware that her or his experience is minimal as such internally understand that cannot get paid as a seasoned nurse. Once I said to myself that the time will come when nurse practitioners will be at the bedside. When you have too much of something, what happen? You get bored, you take it for granted, you don't appreciate it.
- Temporary Disability
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What's your dream nursing job?
all of the above plus asynchronous work from home ??
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Concerns
I don’t think we are discussing specifically about Trump or Biden, or Obama,Bush or Clinton. We are talking about society in general, political and socio-economical systems that are pretty well intertwined and one influences the other like a never ends circle. It is still unclear for me why so much hate against a president that showed so much love for this nation than no other in modern times, however, I’m very open-minded, I need someone who explains to me why the hatred, with facts. We can have an amicable discussion.... When we allowed the government “to provide to us” we are allowing the government “to decide for us” that is my message, and that is what big government does for a country. It is unfortunate that a large number of individuals focus on “feelings” instead of facts and take decisions based on emotions. I believe that is mostly what’s going on everywhere....
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Concerns
In a Socialist country no one cares about the others, no one cares about the services you provide or receive because it is not your business. We are, unfortunately, seeing a lot of that most places you go. When you provide a bad service to your clients and the owner does not "correct" it, the business loses customers and money; in a socialist (no free market, no privatization) country no one cares, and the "owner" which is the government cares less because it cannot, even though wants to, control everything as an individual can do with his own business. Nothing is perfect in this life, but the individual's freedom and responsibility for his or her own destiny is the most precious asset you could inherit from your parents.
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Concerns
I took this quote from one of our colleagues... "The democracy will cease to exist when you take away from those who are willing to work and give to those who would not" ---"I prefer dangerous freedom over peaceful slavery" Thomas Jefferson I believe you are mixing concepts, it is true that the USA is not a perfect capitalist country, I don't think there is really any, but we are the closest you can think of. We have a blend of approaches but this is not a socialist country not even in the dreams of the most imaginative person. Ordering food? you cannot order food in a socialist country and you get it here because the "owner" wants you to buy from him (her) so money can be made. That is private economy, private industry. The government subsidize certain industries? Yes, but it does not mean that this is a Socialist enterprise, if you want you can develop the same industry and compete against the government. In a socialist country you cannot do that. You don't have the "means" and the government will not allow you to do so. In a Socialist country you cannot bear arms, this is the first thing the government will take away from you, saying that is dangerous. It definitely is, but for the government itself. In a Socialist country you cannot decide which school to go, how to educate your kids and how to raise them [everyone gets vaccinated, you like it or not ? ]. Socialism does not regulate private companies, it does not allow them to exist, and prosper, period! unless you are a government official. In a Socialist country you have no freedom of speech or thoughts!! You have to think, do and make how the government decides for you. If you don't, you are an antisocial and can be imprisoned for lengthy years. Nicely compare https://en.wikipedia.org/wiki/Nineteen_Eighty-Four this is Orwell 1984 vs https://en.wikipedia.org/wiki/Animal_Farm#:~:text=Animal Farm is an allegorical,equal%2C free%2C and happy. by your same Orwell but in 1945. It maybe he likes to "explore" and write fiction on every topic. However, his 1945 looks like to what my country has been for the last 60 years...not much to the USA. Taxes? are not part of a Socialist country, no need, the government is the absolute owner of every industry and everything you can think of. You cannot become richer than the government, unless you are the government. Anyhow, just let's keep thinking that it will be a better world tomorrow where everyone's ideas can be discussed respectfully and the disagreements don't take us to unpredictable wars. Be in peace!!
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Concerns
I really appreciated all of you giving your time to read and comment on my thoughts...I did not expect much....due to the "difficult" topic, which has brought me happiness and sadness as well. It is extremely difficult to take one side or another but I find it more, when your ideas don't get along with the progressive narrative and you are a conservative in modern days. It is sad to see how the hope and voice, of many, are in danger of extinction; and the reason that made me come here is becoming the reason I'm becoming afraid of being here. I wish you all the best!
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DNP- owned private practice Salary?
back on the days it was about a "mission" or a "vocation", now it is most about the "money", soon will see nurse practitioners at the bedside...
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Concerns
I'm still not sure if this is the appropriate venue, if this is the right place but I'm so concerned and in extreme need to share it that I will deeply apologize if I'm choosing the wrong venue, the wrong place. The last days, or should I say the last years? I think that would be more precise. The last years have been extremely difficult for our country; and I should clarify I was not born in the U.S.A., but I consider myself as American as anyone else. Once more, the last years have been extremely difficult for our country and the last days have brought back memories I had "burned" in the back of my mind and thought will be there forever. It should be worrisome for anyone, regardless of their political identification or affiliation, the course the country is taking and being witness of actions that some have only seen in history textbooks or from storytellers. I was born in a Socialist country, I had free education from Kindergarten to College (completely designed for me where I didn't have a choice, neither my parents), I also had free medical care (excellent service when you were not in need or you had a family/friend that could advocate for you). All of that came with a price, a big one chunky price!! We could not think for ourselves and we could not express what we thought, we could not dissent from the government without receiving a painful punishment that sometimes include one's life. I came here, to the land of opportunities to raise myself and my descendants in the "land of the free and the home of the brave" as my forever home. The younger generations may not understand my point, although I am not old yet, I have had my share of experiences.... This place has a lot of other things I usually do not agree with and one of them is the important place the money has and even though it may corrupt the most adorable and innocent individual. However, I was able to "deal" with and place it in the "back burner" when having my freedom of thinking, my freedom of speech and my freedom of respectfully dissenting from the elected government without fear. Well, I believe those my "freedoms" could be in danger of disappearing or being repressed. We all do not have to think the same, we all do not have to believe on same, even we all don't have to believe but we should be respectful to each other and live like a civilized society. Everyone's rights should be respected. We have become a society based on feelings and not on facts. Some people get offended by other's way of thinking that is incredible and unthinkable to happen in this land. We "cut" people out because the way they think or who they "support”, but we accept inappropriate behaviors from the ones that supposedly think alike, is that the new norm? Where are the principles, the moral (yes, that word exist and is part of a civilized society) and the values of the individuals, regardless of their age? I am afraid we are losing them, yes! We have become so accustomed to comfort and delicacies that we do not realize the high price we are paying for those, and unfortunately, it is not only in dollar bills....
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Covid Vaccine
do not worry, South FL will be receiving 1 million of doses for 9.4 million approximately residents, you will have time to see how it goes, besides it will not be mandatory because of its emergency use, however, as some people think, if you are at risk I guess will be better the risk of the vaccine than the COVID https://www.clickorlando.com/news/local/2020/11/19/florida-governor-says-covid-19-vaccine-will-be-distributed-relatively-soon/
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What to say in exit interview
It does not matter and may not make a difference but I don’t agree with the advice. Unfortunately, that is one of the reasons we are mostly crushed, disrespected and our profession despite of thousands of schools, degrees and desires to stand up cannot do it. We eat each other and allow it on a daily basis. Having the opportunity to go somewhere else is fantastic and amazing but you will be “jumping” places to places because mostly everywhere you may find that. There are other ways of succeeding in the work place. I hope you will find yours because there is no magic recipe.
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The pathophysiology of sepsis
are you asking for us to do your homework? you can find that in your textbook and sometimes google may help. I suggest you to read and understand it, in the future many of your patients will present all or some of these s/s and you will have to be able to recognize them, now it is your time to learn to do so.
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Question from a doc on NP education
A pseudomedicine field its being created
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Do you deal with IVs on your unit?
no, never!! liability issue