Cynthia_S

Thanks for the reply! The MICU that I was working in had no policies and procedures for the cryo YET they wanted us to participate in this procedure. I thought it was dangerous in a liablility aspect b/c we had no policy and procedure or education on the procedure to protect the staff. When approaching the manager of the unit, she gave me the good old.. well, write up the educational piece, policy and procedure yourself then submit it to administration. NIIICE ...

Thanks for the info. It was very helpful!

LMAO :chuckle

My school is starting a FNP program in addition to all the other NP programs they offer. I think that one is more marketable having a FNP vs. ANP. being the scope of practice is a bit broader. I did some research and found that getting my JD was quicker and cheaper than getting a PhD or DNP. I was a bit shocked. Nurses should be more empowered to make their voices heard and not put up with sub-standard pay or treatment. We are the backbone to the healthcare system and as NPs, we are essential team members in the healthcare arena. My bliss, I agree with you both in that, you should not let life happen, you should make it happen. Thank you both for inspiration.

I needed the same things and I hit up all the drug reps I could find. I even asked my own physician what he had in the cubbards collecting dust that I could "borrow". Hence, I got everything I needed and did not pay a dime.

Thank you so much for that GREAT LAUGH!!!!! OH, how I needed that! Your postings are very informative and interesting. I am currently in an Adult track but seriously considering switching over to Family. It is so hard to believe that these docs think the salary is fair. It's all BS, especially since there is a SHORTAGE of primary care doctors and nurses. I wonder when the "supply and demand" theory will smack them right square in the face! This whole salary thing really turns me off. I will graduate with my MSN but I am seriously considering going to law school (another 2 years) and getting a JD.

"Evidence-informed nursing is the integration of professional judgment and research evidence about effectiveness of interventions. It provides a sound and rational basis for the decisions taken about patient care by nurses." McSherry, R., Simmons, M., & Abbott, P. (2002). Evidence-informed nursing: A guide for clinical nurses. New York: Routledge. I am a graduate student in an Adult NP program and just finished the summer session in Research II- which we developed an EBP as our assignment. The class was divided into groups and each group had a different topic that was ours to choose. My friend and I got an "A" for the class! I am going to try and email you some information (I hope it works). Cynthia

It's been a great summer especially after the pure hell I went thru with the spring semester ( ethics and pharm ). I took research 1 (done), research 2 (ends the 18th) and health policy (done) this summer. I still have to re write my ethics paper, left over from the spring semester. Topic was financial incentives to increase organ donation. The prof TORE IT APART and I have NEVER EVER failed a writing paper before.:angryfire I was truly traumatized and depressed. I am so dreading the rewriting of it that I cannot stomach to even get started.

I know it's a bit off topic..but, can you bill for your hospital time like you can bill for your office time? Does anyone ( state ) have admitting privledges for NPs?

Thanks for the replies!

Thanks for the replies... Does your hospital have a formal procedure to follow when you hibernate patients or do you have standing orders or what instructions do you follow when you do the procedure? Do these instructions have tidbits of information on what to look for? We have nothing and what is really scary is that if something should happen, we have nothing to back us up on why we did what we did and no education on the matter. They just expect us just to follow orders- which is BS in my opinion. If I do not know why I am doing something and what to expect and such, I will not to the procedure. I think this is a huge liability. I can see someone on the stand sitting there in front of the jury saying, oh sir, I just did what they told me to do.:trout:

I think we are onto something here! Do you use your cooling blankets for the neuro pt to cool them down to a temp of 91. ? There are specific physiological aspects that you want to watch out for and for example you do not treat a low k unless it is below 3.2... because it's a false low and if you would treat a 3.5 you could cause much harm to them. normally, we would be calling the dr immediately to treat a 3.3 but in this case you dont. This would be a procedural issue that would need to be address when cooling someone and doing the reverse. I have read that this procedure has worked for the neuro patient also. It is very interesting material... thank you so much for the info.. whatever you can tell me and send to me even via email would be great !!!

Hello all I am an experienced CC RN and work weekends while attending school for my ANP. I have had some really crazy experiences this past few weekend and am really worried and need some guidance for all of my fellow workers and me. This past weekend, we used for the second time our arctic sun machine for rapid cooling of cardiac arrest patients. However, my facility and unit, stupidly and dangerously, decided not to have any written policies and procedures for this machine. Ironically enough, last year during my master's studies, I did a group project on the Arctic sun and gave a class presentation on the physiology and research of the cardiac arrest pt. Does anyone use this machine and concept? Anyone willing to share their P/P? The few weekends prior to the Arctic sun... we had a young man with gangrene lower legs that the surgeon wanted on dry ice over the weekend so that surgery could be done on the following monday and tuesday. Again, does anyone have any experience with dry ice and have P/P they are willing to share? I don't want to reinvent the wheel here with the P/P but we need guidance and I have no where else to turn. Thank you to all my brothers and sisters out there !!

What an exellent choice in schools!! You will be very happy with continuing on to your master's there.. excellent reputation. My school - Kent- has a joint MSN/PhD program with them (and share instructors too)and I have heard nothing but the best. So, far, my instructors have been enlightning. Good Luck !!