adventure_rn MSN, NP

I'm a peds cardiac NP with a background as a NICU nurse, so I can take a stab at answering this one. It's actually a really interesting question. Breaking it down into more manageable questions: 1) Why do we generally not use PGE? In a norm...

I feel like this should be repeated for the people in the back. First of all, multi-state licenses for work for people like travelers who are taking temporary positions; if you move to the new state full-time, you need to be licensed in that state or...

I don't think NICU will be as hard to move out of as you expect if you change your mind down the road. Yes, there will be a very steep learning curve going from NICU to adults (the same way there is going from adults to NICU), but if it's a question ...

I always have, the only circumstance as a nurse in which I wouldn't is if I were a travel nurse. A couple of random tips: Depending on how much you make, both H&R and TurboTax have a 'free' version. I think the income cutoff is around $...

I could see inpatient RNs in CA possibly making that much if they were getting shift diffs and picking up a boatload of overtime with incentive differentials (I know my east coast hospital mid-pandemic was giving up to $115/hr on top of your base sal...

Not sure about outpatient, but for what it's worth my classmate (also a new grad acute care PNP) just got offered an inpatient PICU position in CA starting at $200,000, plus $20,000 in signing/relocation bonuses. Probably not the norm in CA (eve...

Oof, this comment section is pretty hard to read. UW also had a great program, and it closed a few years ago, too. Penn still has a program, but the recent cohorts have only been 2-3 students from what I understand. So many programs are closing becau...

I have to agree with @offlabel, I think you're making a few bold and sweeping generalizations. I think your points about the financial benefits of going through the ADN route are entirely valid. I also think that people who go through the ADN ro...

I know I already responded, but I was looking back through some of your prior posts and had another thought. By your own admission, it sounds like you probably jumped into your FNP program a little sooner than you should have before you really knew w...

I also struggled with the NP vs. MD question when I was first deciding whether to apply to NP school. I had a lot of self-doubt throughout my NP Program, but now that I'm out and working on a daily basis alongside residents, I feel like I dodged a hu...

I don't know if this is a trend in Children's Hospitals since there will always be people willing to work for them, but the last two where I've worked required all new people (new grads and experienced) to start on rotating shifts; the shifts weren't...

Ugh, that's tough. My only friend who had a harder time getting a job really wanted to relocate to DC and work at Children's National. She was eventually able to do it, but it sounds like HR strung her along for a while, and she had to be very persis...

You should definitely still apply. In my experience, the 'preferred experience' is more like a wishlist. For instance, if they posted the job and only people with adult med-surg experience applied, they'd eventually have to draw from the applicant po...

Also, I wouldn't limit yourself to applying to positions that specifically say they're accepting new grads. Nearly all of my class were accepted to positions that said they 'preferred experience,' and only a handful completed programs that were speci...

Are you willing to relocate? I think there are a lot of large children's hospitals nationwide that are expanding and actively hiring new grads, especially if you're interested in doing ICU and have experience. A bunch are even starting to hire PAs wi...

I knew an NNP who did botox on the side under the supervision of her MD friend, but as a PNP I personally never would. I can't speak to the legality or state regulations, I'd be way too worried about being sued. If someone didn't like their results a...

One of our local hospitals is trying to cut costs for overtime shifts by pushing all inpatient APPs into a float pool. The goals isn't even to block people into certain practice areas for a set period of time, but rather to show up the day of your sh...

As a former NICU nurse, I know it's hard adjustment to have a baby off-monitor since all NICU babes have full continuous monitoring, but it's quite common on pediatric floors if the kid doesn't have active desat/respiratory concerns--more likely to h...

I don't know, IMO financial aid is much easier to come by as a first-time undergrad than as a second-degree student (speaking from ABSN experience). Perhaps NYU has specific scholarships that I'm not familiar with, but in a lot of second-degree and g...

I recently worked in a NICU that uses kardexes to this day. It was like stepping back in time. God forbid you lose it, or everybody panics (but at least nowadays it's all in Epic). This is such a fascinating topic--I'm not quite as crusty as man...

I think it depends on the context, and what is relevant to your practice. As a bedside nurse, I would list [my name] BSN, CCRN, RNC-NIC in my formal email signature, since my degree and areas of specialty (critical care and NICU) were pertinent ...

Another point to consider: as a new employee, your maternity leave may be much shorter than you think. Most people take maternity leave through FMLA, which ensures that your job is protected for up to a 12-week (3-month) leave. You won't be elig...

You should definitely listen to @klone, she's the L&D pro. The most valuable asset you can offer the unit is your brain, not your stature. I'm sure that if you need assistance from your coworkers to maneuver a patient, they'll have ways to m...

That is wild. I wouldn't call it a "freak accident," I would call it "exactly what you'd expect to happen when you let a giant metal bed get too close to an MRI machine." There were so many blatant MRI safety violations. I hope Kaiser gets slapped w...

Yeah, I've worked in inpatient peds my whole career, and I've never heard of getting 'consent' for any routine medications (PRN or otherwise). When kids get admitted, their parents sign a blanket 'consent for treatment,' which includes most medicatio...