traumaRUs

It sounds like new job jitters to me. Its hard starting a new job with new co-workers and new culture. Give it some time is my advice. You've worked ER before - sometimes the nursing staff can be kinda dramatic. Let us know how it goes in a few weeks.

Can't agree with above poster more. ADN to MSN is the way to go IMHO. I did the LPN to ADN to BSN to MSN to two post-MSN certifications. Lots of money wasted on these interim steps. Best wishes on your decision. Let us know what you choose.

Its got to be hard to have been through all this stress. May I ask how old you are? Would taking a few years off and then attack it again be an option? If you are older, what other responsibilities do you have? Family, children, spouse? I wish you the best - think maybe some soul-searching would be in order?

I have heard of this. When a child is born with Potter syndrome which is bilateral renal agenesis, dialysis is the only way to rid them of the toxins with the idea that a renal transplant will be needed once the baby stabilizes and gains weight.

Wanted to circle back to the original poster - what did you decide to do? Hope you are at peace now.

Get out ASAP!!! This situation is setting you up for disaster. What is the penalty for not giving two months notice? Geez thats ridiculous! I would normally provide a long notice as well but this situation literally puts your license on the line. I would consult an employment lawyer in your state. Best wishes on finding a new great job.

I'm late to this but as someone who went thru a malpractice lawsuit and was found liable please, please take care of yourself: Although you can't discuss this with most people, try to get a counselor in whom you can confide even if just limited info. Take time away from work and your family responsibilities - just 30 minutes a week to get a cup of coffee with someone not connected to this incident can be helpful Understand that though YOU made a mistake, YOU are NOT the mistake. Don't minimize things but don't let it consume you (and believe me I know this is so much harder then it seems). Some days especially in the beginning will seem insurmountable. If you have a faith or a church, cling to that like never before. (For me, this was literally a Godsent) Be aware you might be in for a long haul. These things don't move fast. I wish you all the best - if I can help, please feel free to message me.

I have had NSO since 1990 (when I started nursing school). Yes, I did have occasion to use it twice - once with a work-related issued and then again with a possible interaction with the board of nursing. They provided me with a local attorney for discussion of both instances. I was very happy with the representation for both issues. I will say though that they became VERY expensive as I progressed in my career and last year they were at $2700. So, I did switch to ProLiability. No interaction so far.

I work in nephrology, not urology. However, I found this at the Society of Urological Nurses: Position Statement on Nurse Practitioners and Office Cystoscopy | Society of Urologic Nurses and Associates Hope this helps....

Why did you miss it? That would be the biggest concern probably of the recruiter. I'll be honest, they might be concerned that if you can't make a 48 hour window how will you make it to work on time.

I'm sorry you are going through such a rough time at the start of a career. Have you made a pros and cons list to kinda determine what was so stressful? Patient ratios? Patient disease processes? Pt/family interactions? Violence to healthcare workers? Is your personal life now more stable after the health issues and death of a family member?

Our EMR (Epic based platform) has all the changes listed when you first log in. You have to check a box stating that you read and understood it before you can move on to chart.

Just my $0.02 but DNP gets you no more money. IMHO DNP only useful if you plan to go to academia. What is your ultimate goal? FNP or Forensic Nurse? What kind of job do you want to get?

Great conversation! I can only speak for myself. I'm an adult and peds CNS but am in a full practice state where I have the same practice act as NP. I've been an APRN for 19 years now. My nursing background was 10 years level 1 trauma center ER, 1 year adult ICU plus some years in nursing home as an LPN. When I graduated, there were not a lot of jobs. I took a nephrology job which I really do like a lot. I had no nephrology experience when I started. I was hired because I could handle myself with sick vs not sick patients. I think going into a specialty right out of school is not an issue. Nephrology would fit perfectly with your cardiology background. (Hint hint). However, any specialty would welcome someone with your experience. As to call, work requirements, that can all be hashed out in your contract when you get an offer. Best wishes with school and new job and if you happen to live in Illinois, our very large nephrology practice is always looking for NPs

Cystotomy is a surgical procedure to drain urine directly from the bladder to an outside bag. Cystoscopy is the introduction of a cystoscope into the urethral opening to view the bladder. So...apologize but I'm still not sure what exactly you are asking? An NP would NOT do a cystotomy but MIGHT do a cystoscopy

I've lived in Korea, Japan and Spain for multiple years as part of the military. Healthcare is quite different overseas. In the US unfortunately every action has the potential for a lawsuit which will then drag on for years and years and years.

I would say if you are febrile, feel like crap, can't breathe and have a hacking cough you should not be at work.

Just a question to clarify: are you asking if NPs do urological invasive procedures like cystoscopies?

1. Dialysis tech but does require significant training 2. Blood bank tech 3. Phlebotomist 4. Hospital transport team 5. Hospital valet or concierge

I work in the midwest in a rural area. We have a huge population of Spanish-speaking pts along with a second population of Asian immigrants who speak a variety of languages. We are required to contact a language line and record the number of the interpreter as they can provide a transcript of the conversation should it ever go to court (and believe me....it CAN go to court). We do not use volunteers or co-workers.

So, a couple things: 1. You graduated and you are an RN - thats something to be proud of. Don't let "imposter syndrome" be your future 2. Learn to drive. That will expand the areas where you can work. 3. Learn to love scrubs! They are comfortable, washable and flexible enough to be realistic for many nurses. I'm absolutely positive you don't look "ugly" in scrubs. And...besides, even if the esthetic isn't great, you don't go to work to look for a partner. 4. Best wishes!

I'm in a very large 21 MD, 13 APP nephrology practice. When I'm in the office, one of the medical office assistants' rooms and does vitals, gets the lab results for me. This makes me more efficient as our pts are quite complex. It also makes me more profitable and able to see more pts quicker.

More then happy to help you but in all your posts you are posting what appear to be student assignment questions. Perhaps you could give us a little more context about the questions and the community will be glad to answer and help. Thanks.

Hmmm...I had a non-compete once that the radius was 25 miles and specifically in my specialty. I did not agree to this. How about a lawyer looking this over?

Agree with NrsKaren - what exactly are you looking for? As to treatment, a lot of factors go into choosing an antibiotic: 1. Is hardware present? 2. Bacteremia 3. Endocarditis present 4. Other comorbitities 5. Degree of chronic kidney disease?