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NYMurse91

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  1. Okay thanks for the advice. I guess what I was more asking is do you feel that as a new grad FNP with no prior experience managing care, the military would be a good option. Are there training opportunities/ Continuing education/ Good mentoring by other NPs/ Docs. Or are you just thrown in to work somewhere and perform by yourself. Do you know if I should start applying 1 year before graduation or do i need a degree first before applying?
  2. I am graduating from FNP program 2021 and looking to join military. My question is, would this be a good avenue to go even as a new grad FNP? My second question is, which branch would people recommend? I have no prior experience in armed forces, I was going to join Navy reserve as a new grad RN but instead accepted a position in a civilian Emergency Department where I worked for a total of 6 years as an RN. I will have 8 years experience by the time I graduate. I would want to do primary care or specialty clinic. Was thinking Army or Airforce because I realized during the Navy recruiting process how dis organized everything is and my recruiter lost a lot of my documents. It was a mess, and left a bad taste in my mouth. Any advice is appreciated, Thanks!
  3. Coming from someone who works strictly nights, you will have a much easier time keeping the same sleep schedule working straight nights. Even on my nights off i make sure to stay up until at least 6am so that i'm on a semi steady sleep schedule. You will feel less lagged and won't have to rely on meds to fall asleep. Also, Like someone else said previously, rotating shifts have been proven to be terrible for your health.
  4. I have been a RN in the Emergency Dept. for almost 1 year now. I have come to the realization that I want to take the next step and advance my degree, even though it is so short in my career as a bedside Nurse. The problem is, i have no idea where to start looking. I want to start in january for spring of 2016, not sure if there are even programs that start in the middle of the school year. I have payed off all of my loans from undergrad, and am afraid to tack on more debt. I want to pay my schooling off out of pocket and go to school part time ideally while working as a staff nurse full time in the ED. If anyone has advice on the BEST program to go to for FNP in the long island/ queens area please let me know. I was looking into stony brook but i heard that part of their program is half online and I am not sure about taking online courses or if the program is even good. I basically want the best program at the cheapest possible price. Any advice as to where i should look would be appreciated. Thank you all !
  5. Thank you for the input, I think this is a good possibility. I just hope this was not my fault
  6. Let me start off by saying that I am a new graduate nurse in an ED fellowship program, I am about mid way through the fellowship and am currently on a telemetry floor. I am in no way an overconfident new grad, however, I do believe I am a new grad with a higher caliber of knowledge and experience than many new grads who start entering the field (many years of ED Tech experience). So 2 nights ago I had this DM II patient on accuchecks AC/HS, with orders for 20 U levemir + Humalog coverage at bedtime. He had a snack at bedtime and his sugar went down to 50 in the middle of the night, I took care of it, documented the event, no big deal. The next night I had the same exact set of patients, including this pt in particular. At bedtime his BS was 366. I called the house NP for advice and explained what had happened the night prior. She told me to hold his coverage and just give him the levemir. I thought that seemed like a good idea. I held the coverage, and only gave 20 U levemir, this time w.o a snack at bedtime because it had slipped my mind and I think his sugar being 366 made me think it wasn't anything to worry about...My PCA calls me to the room at 5 AM and says something isnt right. PT is diaphoretic, pale, lethargic, incomprehensible speech. Right away i know its hypoglyc. I grab the crash cart and his reading comes back The house NP arrived and was in shock and awe stating how that its literally impossible for his sugar to drop that low from levemir alone and was concerned that maybe the pt was on metformin or something similar that could have built up in his body over time...none of those drugs are in his history or MAR. Being that I am a new grad, This is obviously unsettling for me, I am well aware that I did not provide a snack before bedtime and I am open to criticism and worrisome that this was all my fault. I know about the symogyi effect and am well aware that people do drop at the middle of night...however I have never seen someone drop that low before b.c of that especially with a bedtime BS of 366. Please help. Thank you.

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