scottaprn

You need to focus on finding a clinical experience that will give you want you want. It sounds like you want some OR time so look for a rotation with a surgeon. The only way you are going to learn these skills is to do them repeatedly. I learned to first assist in a clinical for the surgeon I work for now.

Congratulations and you are correct. Almost all the stories about the Nclex are myths. But they are harder to kill than almost any horror movie ghoul

Rereading the post I do think the poster may have a legal claim against the school with damages in the amount of lost potential salary. The real question for the OP to consider is whether or not it is worth pursuing those damages. I don't see how the media or anyone besides an attorney would be helpful. The best course of action may be to contact your local bar association for a referral to an attorney to discuss your options with. They may tell you it is worth pursuing or they may tell you it isn't worth dealing with. Based on your posts you seem angry enough that you probably need resolution so that you are able to move forward. A conversation with an attorney would probably be the best way to get resolution from an outside source. Sometimes you can't fight city hall- but sometimes you actually can.

I thought the entire purpose of an EMR was to make copy and paste easier. As always I turn to gomerblog.com for further understanding. Surgery Resident Successfully Writes an Entire Consult Note Using only Copy-and-Paste | GomerBlog (Yes this post, just like gomerblog.com is satirical in nature)

The only thing that matters in this entire situation is YOU. Not "you the nurse" or "you the coworker" or "you the worker". It is YOU There are always other jobs (better than one we have ever imagined) other hospitals (with sicker patients who need our help) and basically a world that can be better in everyway than your current world. But if you aren't there for that exciting new world it means nothing. You need help right now. Please get it. Call a local crises hotline and get started on your way to better health. If you have no other way to reach out to someone please let me know and we will find a way to get help to you. When you are better physically and mentally come back and we will help you figure out your career.

Ehhhh I agree with there probably being not much to do at this stage but the loss of 3 months of potential income would have me upset. I doubt the BON would care but you might find a sympathetic ear in career services or the President's office.

If you have looked it up like you said and BON doesn't prohibit it why are you worried about it? Print out the sheet of paper from the BON and hand it to the nurse who has no reason to be in your business and tell her to kindly get lost. Then quit talking to people at work about things unless you want them broadcast everywhere. There is no such thing as private conversations at work as long as there are busy bodies with nothing better to do than stir up trouble. You will find this is an over represented class in nursing.

It was merely an example and just like EVERYTHING it is state specific since each state has it's own practice act. For that matter in some states an RN can declare someone in hospice care dead but the same RN could not declare someone dead on an acute care floor. Since you work in hospice your scope of practice may differ greatly from a majority of other nurses- again depending on the state and situation. Now if you will look past those trees you got caught up in you can see the forrest which was the purpose of the post.

I work in a tri-state area and practice in three states. It is amazing the difference that a couple miles makes in what I can do in practice. Luckily none of the three states are among the more restrictive nationwide but I don't believe in any restrictions that keep me from practicing at the limits of my education. Lobby your state government. Your state senators and state representatives represent fewer people compared to our congress in Washington and it is much easier to meet and talk with your state representatives (who will ultimately be in charge of your state practice act). Take your time to educate your state representatives. I deal with one state rep who always wanted to talk about the role of my "supervising doctor" and lump NPs and PAs together. I stopped him every time and reminded him that a PA signs a supervisory agreement with a doctor but I have not ever, nor will I ever sign a supervisory agreement. Nurse practitioners sign a collaborative agreement with physicians because we are independent health care providers who work in collaboration with members of the healthcare team, including physicians, but the physician does not supervise me. Focus on the fact that you want the state practice act to allow you to practice at the fullest level of your education. You are not asking the state legislature to turn you loose in the OR to do a CABG. You are asking them to let you put into practice the knowledge you have gained through structured education- Nothing more and nothing less. Never concede that physicians are better equipped due to more hours of training. Anticipate that they will trot out the same story about how physicians have x amount of hours more training compared to x amount of training for an NP. Every time they bring it up ask them for the study that has shown the number of training hours necessary to be competent to be a practitioner. No such study exists. Does anyone think that the orthopedic surgeon I work for is a better orthopedic surgeon because of his rotation through the medical ICU as a resident? Give me a break. Language matters when speaking to your patients as well. You are never "just a nurse practitioner" if someone says that (gently) correct them. You are a highly educated and skilled healthcare provider and not "just" anything. OK off my soapbox now.

Do you really think if you get called as a witness you are going to get away with only answering things in your scope of practice? If the case is about the MDs failure to diagnose/treat you will be asked about your nursing assessment, changes in the patient's status, interactions you may have witnessed between the patient and the MD, the behavior of the patient, the behavior of the patient's family etc. etc. etc.. If the attorney asks you if the patient was alive are you going to decline because it is outside of the RN scope of practice to declare someone dead? Not only that but one of the first questions you will be asked is if you discussed this case with anyone. The answer to that question is yes. And when they ask with whom you will get to tell the court that you posted about the case in an online forum. Any attorney who is worth anything is going to pull up this thread where you talk about appearing in court "in scrubs and sleeping" and the limits you are going to put on your testimony. A good attorney is going to put you in a negative light very quickly. You are correct that without a subpoena you don't have to go and answer anything but if you get subpoenaed you will wind up as a case study for staying off the internet when it comes to talking about litigation.

You can make your own decision about wether or not to speak to the attorney now or risk getting called and being forced to do it later- Which one do you think would be the more pleasant experience? And just a quick word. Having RN after your name is a big deal. It shows you are a professional licensed healthcare worker with your own scope of practice. It means you are held to a standard. You are not subservient to MD, NP or PA. We can't demand that we be given the respect we deserve in the nursing profession and then act like our professional designation doesn't matter.

Used a classic Littman 2 all through nursing school so I think you would be fine with either. That said if you can afford a classic Littman 3 I would take it in a heart beat. There is a pretty big difference in what you can hear easily.

Allergy to Narcan- the patient "felt awful" after she received it

Don't compare yourself to other people but do compare yourself to yourself. Are you a better nurse today then you were six months ago? You mentioned you were an introvert and I can certainly relate. There're a couple of great books you can find on Amazon that discuss the power of being an introvert. Susan Cain also gives a great ted talk on the power of introverts. Susan Cain: The power of introverts | TED Talk | TED.com Don't try to change yourself into something you are not but do try to change yourself into the best version of yourself you can be. That is what life is about

I practice in three different states in each one have separate rules set by the board of nursing. In no states am I allowed to prescribe for myself. There are different rules regarding prescribing for family members which range from you can't do that to you can prescribe to a family member if you're able to separate any emotional ties. Given how vague the rules are I do not prescribe for my family. I do prescribe for some providers within our group but it is understood that none of us will prescribe controlled substances for each other. This rule came into place when one of our providers self-reported alcohol abuse to the Board of medicine. Prior to his self reporting he did receive prescriptions for controlled substances from other partners. Thankfully, no one got in trouble because of this but it was a wake up call for us to establish a policy. I usually tell friends and family that I am too far in debt with student loans to take any chances the last thing they want is me living under their roof if I lose my job.

assuming you were both treating the patient as members of the healthcare team and the information was not disclosed to anyone not on the healthcare team you are fine. Look up the number of hippa cases HHS takes action on yearly- the number is so small it will shock you.

Joint commisions list of problems with texting from 2011 when they were first against it are all problems that are easily overcome. Now they have a blog post worrying about abbreviations in texting? I can can name a few more pressing matters if they are interested.

I swore I would never give my number out again after a patient drove me crazy for 2 years. That said I gave it out 3weeks ago to a patient. It was an important situation and this patient has been very respectful. So I am pretty wishy washy.

I see nothing wrong with collecting whatever certifications you can have the hospital pay for. That said when you turn in your resume to a hiring manager focus in on the certifications that matter to that floor. I am old school and believe every resume you submit should be geared toward the job. I know with the newer online applications it is harder to do so but that is why you network so you can hand that piece of paper into the decision maker's hands.

I did a hospitalist role with a MD for one of my rotations. I did an ICU rotation where I was technically with a NP but it was a teaching hospital so I spent as time with MDs, residents, fellows and NPs.

In my first bachelor's degree I needed an extra couple hours and decided to take a PE class where the students taught pre-school children to play different games. Figured it would be a piece of cake (Yet another reason i was a dumb*** if you are keeping track). I was the person who was in charge of teaching the first day. I stood up an proudly started "Today, we will learn how...". That is how far I made it into my speak before my 75 year old professor of Indian descent had (approximately 6) strokes in quick succession. He sat me down and told me I couldn't teach anything if I didn't already know how to do it so saying "We will ..." should be embarrassing to me. He told me that he may speak English with an accent but when I spoke it in his classroom I would use it with correct grammar. Funny how life works out. I went looking for a quick and easy grade and instead learned an English lesson that will stick with me forever. Now if I could just hunt him up and help me break the habit of calling the patient's parents "Mom/Dad" instead of their real names I would be in business.

I will disagree with some posters. I hear you mention experience being wanted to get a better job. Get the best offer you can get immediately and then start job hunting.

I never advise anyone to get a master's unless they know what they want to do with it. Often in nursing we "plug and play" master's degree specializations without realizing that the specializations exist for a reason. If you want to be an educator get an MSN with a specialization in being an educator. It won't make you an instant expert but it will help prepare you better than other specializations. Decide what you would want to do with your masters and go for it.

Not only are ER patients getting more ridiculous the entire society is getting that way. Ask a long term server at a restaurant if they see the same trend. We all have things that stick in our gears and upset us as providers in a magnitude greater than they really should. My list of things doesn't look exactly like the OPs but it exists. Part of the reason I don't work in an ER anymore. For some reason the "Can you get me a sandwich" question drove me up the wall. No problem getting something for a patient that is showing signs of hypoglycemia, the homeless or other reasonable people. If you have just been roomed and you have been in the department for 45 minutes, with the complaint of abdominal pain, with no lab or imaging results back I refused to take responsibility for the fact you haven't eaten in 10 hours. On the other hand I had coworkers who hate to deal with drug overdoses, alcohol abuse, parents of pediatric patients. None of these bother me at all. Before we lambast the OP remember that we all have our triggers.

I second a rescue. Going to the pound and getting a 2 year old beagle was the best decision of my life.