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UnicoRN93

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  1. I am currently entering my second year as a med-surg nurse. I am wanting to go back to school and was considering getting a Health Coach certificate as a start into holistic therapies. I have an interest in PMHNP, but have no desire to sit at a desk and pass out pills all day. I am more interested in therapy. We get a fair amount of psych patients on my floor but they are usually chronically ill, not wanting to get better. I want to try to get into pediatric/family PMHNP and integrate health coaching to make it more of a holistic approach. Any thoughts, should I go for both degrees?
  2. Look into nurse health coaching and the American Holistic Nurses Credentialing Corporation
  3. Ever since we went to self scheduling, our nurses chose to be off on certain days (like weekends) so these days run chronically short staffed. It also takes a long time to on board someone fully if they are a new grad, so we still run short in the meantime
  4. our pharmacy has a ton of med shortages, we arent allowed to piggyback medications with NS if they dont have running fluids. A lot of our suppliers have been changed or substituted and we are also out of potassium diluted mixes.
  5. The nurse has to Assess whether that patient can stand to receive that much medication and remain stable. Just like you would with any other medication. the patient isnt required to receive them every 2 hours if it isnt safe and might cause her to code, etc. And its the nurses responsibility to communicate to the doctor if there are any changes in mentation or alertness. if the doctor should have seen it then that nurse should also have noticed
  6. My Lexapro decided to stop working. Pristiq was the one I had a hard time quitting. Had brain fuzziness and ringing ears for weeks. Hope you feel better soon
  7. I hate skills lab. i have a really hard time with it. and we hardly ever get to practice skills in clinical... i feel like i always break sterile field in the lab and im afraid that im going to mess something up.. what is the real world like? how do i practice? i dont know what to do...

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