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RobBSNRN

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  1. You can do research with DNP as well, plenty of nurses do. Good luck!
  2. I agree, they would be great performing those activities and maybe more but I am confused about how much more their scope could realistically change. Paramedics are great at the ACLS skills as you mention and could function partly on rapid response teams and partly under an RN's direction for follow-up care when there services are not required on the teams? Not sure. I just can't see how it works to provide them fully with their own patients/ responsibilities just like the RN without completely juggling the requirements and accepted ideas of professional scope of practice. Also, I would like to point out that while you can become an RN with an associates degree in nursing (as long as you pass the NCLEX) this path is becoming less accepted in the environments we're talking about. Nationally speaking, a bachelors of science in nursing is close to a requirement for many of these inpatient/ED positions. I'd be interested to see how this gets implemented in Texas.
  3. Many of the same yes but definitely not close to all. I don't think anyone believes a Paramedics license means nothing. Paramedics are the difference between life and death for many people.
  4. Certified and Licensed Paramedic are not the same in Texas. This is like saying CNA and RN are the same. They both have the same basic skills, and many need a background check. But, after that it is very different. Very strange thing to say. Both certified and licensed Paramedics are both literally Paramedics doing remarkably similar (identical?) jobs, but CNA's and RN's are so far apart it is like comparing the environmental clean up faculty and the RN's. Not intending to disrespect CNA's but they are not nurses, they are nursing assistants. RN's and LPN's are both nurses and even those two levels have significant differences in scope of practice in the hospital and especially in the ED setting. Are we saying here that only Paramedics with an associates or bachelors in paramedicine/emergency services be moved out from under the Registered Nurses direction in the ED? I think that is a different argument then claiming all EMT-P's can practice equal to CEN or CCRN credentialed RN's. The requirements for certifications/licensure (or even if licensure per se is available) vary wildly from state to state and school to school. Some states/schools only need an intensive 3-month course and no college degree, other more strict states have a year in school and a two or four-year college degree for "licensure". RN's take the same NCLEX-RN after completing healthcare professional specific ADN/BSN degree's and obtaining extra certification through CEN/CCRN/ACLS. I work with Paramedics and EMT's, and they both have skills that I do not have and are life savers in emergency situations... but let's not lose sight of the obvious.
  5. Did you give her the script!??
  6. The research I've seen on this topic has shown the opposite of what you're saying. Is there evidence of this lower standard of care from something other than your personal experience?
  7. I did the MAT exam instead and am happier for it :) It wasn't easy and quizzed a lot of obscure knowledge but I had no essay to write, no geometry to do, and only studied for 4 weeks before the test. I got accepted to a good brick and mortar NP school 15 minutes from my house with my 60th percentile... So it worked out!
  8. Wow, scary... I'm glad the patient will be ok and that all your co-workers were understanding. Could have been much worse for everyone but during an intense high paced situation who couldn't envision a mistake happening once a career?
  9. You should talk to your doctor about this. These kinds of meds can run away from people without monitoring. Good luck!
  10. 4 minutes late = go home and pretend like you never came at all? Really?... I'm having a very hard time believing that. Never heard of such a thing through my experience in HS/BSN RN school/grad school/ anything I've ever heard from colleagues. This professor sounds like a lunatic if this is true. I'd go to the Dean if you end up getting the boot because 4 minutes late means you should be docked 4 minutes from the 12 hours to miss. So yes you should be early for class but god going to school is hard enough without that kind of anxiety added on top.
  11. You will have to work as an RN to become an NP. At a minimum maybe just for school to meet clinical requirements for a direct entry program but it is called NURSE practitioner for a reason. Also, mental health and women's health are very different and you can't do both unless you specifically get licensed as both a PMHNP and WHNP.
  12. I think 17 is an adult as far as sexual behavior goes... At least in MA and maybe even NY too. Creepy as heck but it does depend on the state/ hospital policy.
  13. I also used clinical Pathophysiology made ridiculously simple... And got an A in Advanced Pathophysiology :). The book for the class was just WAY too big to do anything but read the chapters once (quickly lol).
  14. Unfortunately my facility makes us do "bottom bunks" for everyone on detox because of seizure risk. Seems totally unreasonable because of the high # of young healthy guys without history of seizures all getting "bottom bunk orders". Anyone else's work do this?

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