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NICU Before Moving to L&D
I'm think they were referring to my comment about the NICU babies being "fun," not poking at your earlier comment, but I agree with you... In no way did I intend to say that I take joy in babies who are really sick, or that spending an entire night titrating drips or resuscitating is "fun," but I really loved working with babies and immensely enjoyed my time in the NICU. Maybe my word choice of "fun" was poor in that context and I apologize for that. I just loved my NICU babies.
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NICU Before Moving to L&D
As a WHNP student who has worked in both L&D and NICU, I would say if you are seriously considering WHNP in the future go with L&D. I absolutely loved working in the NICU, and the skills I gained there did help me as an OB nurse (and really, the NICU babies are just really fun :) ). But ultimately, my L&D experience has really set me ahead in my NP program compared to my other classmates who don't have experience in that field. In the long run it may not matter, but trust your gut. You may have time to dabble your feet in both areas! Best of luck to you :).
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WGU vs University of Utah for MSN
No problem!! Hopefully you find something that works for you! And by the way, Primary Children's is IHC :) it's just attached to the U's campus. It makes it convenient for all the high risk deliveries they do at University of Utah. Also Utah Valley Hospital (also IHC) in Utah County has a smaller PICU they opened last year on their peds unit that is an extension of Primary's. If you're going to be south of Salt Lake that might be an option. Best of luck though!! I'm sure it will all come together :)
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Good online program for Women's Health NP??
yes, absolutely!
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WGU vs University of Utah for MSN
Hey! To be honest, my friends who obtained their degrees from WGU are still working the floor at the hospital, it seems they got their degree for the sake of having a degree. I kind of suspected the attitude of "it's cheap and flexible, why not." On the other hand, my friend who went to University of Utah is actually teaching as an adjunct faculty for BSN students while she still works the floor prn. She seems to really like teaching. You are right, Utah is one of the lowest paying states for nurses, it's terrible :/. Cost of living is rather high compared to what they pay nurses, but it depends on where you live. Salt Lake County is probably the priciest, I'm sure nothing compared to California though! :). Your schedule depends on where you work. I knew a few nurses who worked at University of Utah Hospital and they were on variable schedules, switching back and forth from days to nights. However they are the largest hospital in Utah and one of the only trauma 1 centers in the state, so if you like that kind of environment it might be a good fit. I worked for Intermountain Healthcare and actually had a really good experience. I felt like they valued their employees and I liked their approach to providing healthcare and being involved in the community. Intermountain has a bunch of hospitals along the Wasatch Front and in southern Utah, so you'd probably be able to find something no matter where you are. There are also several HCA hospitals if you have experience working with HCA.
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WGU vs University of Utah for MSN
Hey! I have friends that have done their masters in nursing ed at both those schools. Most of them chose WGU to be honest because of the flexibility in schedule and cheap tuition. I'm not sure who they're accredited by but accreditation would be my main concern. My friends that went to WGU had a very positive experience, though some complained the program was not as rigorous as they had hoped in terms of the new knowledge they gained (i.e. they felt it was a lot of self-guided busy work...but then again they were very busy plowing through assignments to get done sooner and decrease tuition cost). On the other hand, the friend that went to the U said her program was fairly rigorous, and even though it was mostly online, she was local and had access to the university library, professors and advisors in person, etc. She felt she had a lot of support. It is definitely more pricey though :/. I feel your pain, I worked in Utah once and the tuition stipend from the hospital was pitiful. One other thing you also might want to keep in mind is that WGU is pass/fail only, so if you plan on any other schooling after that degree, the pass/fail system might be frowned upon by other universities. But if this is your end goal it might be a great choice! Good luck in whatever you decide to do!
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New Nurse - help with cervical exam
Hello! I too had a problem with this for my first few months on L&D. Honestly, it just takes practice :) and take opportunities to familiarize yourself with the lady partsl tissue and cervix on moms who have epidurals! The trickiest part of finding a cervix is when the cervix is totally closed. However, once it starts dilating you just need to find the opening of the os. Usually when a cervix was hard to find for me, it was because of a few things...a) the cervix was still very posterior (in which case curving your fingers up and around as you reach the back can help) b) the cervix was not midline (sometimes happens when the baby's head is transverse) and you have to feel off to the side to find it, or c) the baby's head was not engaged and in -4 station and it was just too high to reach. That said, I think the "approach" that worked most for me was to run my fingers along the posterior lady partsl wall (vs just going through the middle) and keep going until I hit cervix...and sometimes that meant that my fingers and hand had to really stretch. Sometimes if the cervix is very high and posterior, having the patient make a fist with both hands and put them under their hips can help adjust the pelvis and make it easier to find the cervix. That's my advice for what it's worth, it may not be that helpful. But maybe it will give you a few ideas. Don't give up, you'll get the hang of it!
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WHNP MSN Program Duke University Spring 2018
Sorry this post is a little late, but hello! I am halfway through the WHNP program at Duke and I have LOVED it (I am finally starting my women's health classes and it's starting to feel real!). Overall, I have had a really good experience at Duke. The MSN program and NP programs at Duke are very highly ranked, but you won't find much about the WHNP program since it was just recently brought back to the university. I think the first set of grads from the WHNP program graduated just last December, but from what I hear they haven't had a problem findings jobs or passing boards. If the success of the other NP majors at Duke is predictive of the success of the WHNP program (which I assume it would, as the faculty are all the same!) then I would not be concerned at all. I have loved all my faculty and my experience at this school. I will say though that I have not met any nurses from any of the NP majors that have been nurses for less than two years at onset of the program. I don't say this to discourage you...it may be to your advantage in some ways because everything from undergrad will be fresh. I had to do a little more reviewing (especially in pharm!). I'm sure there are others in the program with little working experience that I have not met. If they say they are willing to admit fresh BSN grads, then they must be willing...I think if Duke admits you and invests in you they must believe you will succeed at their school, so I say give it a shot! Anyway, I definitely recommend the program. Good luck!! If you have any other questions feel free to ask!
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Good online program for Women's Health NP??
Hello! I'm currently doing my WHNP online at Duke and it has been fabulous, but the price tag is not much cheaper than Georgetown if you're worried about cost. However you can complete it in 6 semesters full-time, or 8 semesters part-time. I also looked into University of Cincinnati's WHNP program which would have been much cheaper, and I was impressed by the correspondence I had with them. I had three co-workers that went through Cincinnati (FNP and CNM programs) and they all had a good experience. I have another co-worker who did her CNM with Frontier, and she liked it because it was cheap and she was also able to plow through her DNP a lot sooner than other schools. So I can't personally speak for any program other than my own but I have heard good things about University of Cincinnati and Frontier. My co-workers did have to find their own preceptors though, and Duke has a clinical placement office that does that for you. Best of luck!!
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Who has ever thought about this?
You mentioned some of the NICU nurses are leaving, will you have many experienced nurses on the floor that can perform these skills? I've worked at a few smaller hospitals with level IIb NICUs where the only doctor we ever had in house 24/7 was in the ED. When needed while waiting for the ped/neo to come in, we could put in the UVC's and we always had RT available if we needed an ET tube (though we practiced intubation also during NRP cert class, and could do that if necessary). Of course, the nurse in me would agree it would be nice to have a neo or nnp in house at all times, but in slow, lower acuity nurseries I don't know if it's necessary. I think the AAP even published at one point that level III and higher nurseries were defined as having continuously available personnel. All that said, my experience in the nursery has not exceeded level II care. I'm sure there are other nurses here who would have much better insight than I.
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Family Maternity Center CNA
Yes, congratulations!!! This can be a hard area to get into! I'm an RN in mother/baby and peds and I LOVE it. All three units are a little bit different paced and provide different types of care...but still 10x's better than med/surg IMHO! If you like babies and little kids this is the place to be :). Best of luck to you!
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Switching to LD????
Thank you for the feedback! This particular position requires 3 months of full-time training on L/D (including two weeks of OR circulation...I've already previously trained to do PACU as a M/B RN so I wouldn't have to do that) and then would require a minimum of 6 shifts a month. I would need ACLS-OB and fetal heart monitoring, but I do already have STABLE and NRP. I echo the thoughts that were shared...I would never feel comfortable on my own, but the director of the maternity center seems adamant to have me train L/D and then work in all three units (L/D, M/B and NICU). I mean, the extent of my experiences on Labor & Delivery have been the two hour recoveries, catching babies and watching strips from the NICU. Which is not really Labor & Delivery experience at all. So I'm not sure why the director of maternity services at this hospital is pushing so much for me to do labor. I don't want to lose this opportunity for a job (since there's not very many job opportunities in this area) but like has been mentioned...I totally don't feel like doing labor so infrequently is safe and would rather just do mom/baby and NICU
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Switching to LD????
Alright OB friends, I need some advice. I'm currently working as a float nurse in m/b, peds, NICU, and gyn surgery...the facility I work at delivers about 450 babies a month. I've gotten to see quite a few things, it's a great place to improve clinically. I've loved it but I'm finding myself overwhelmed working full time while in grad school. A hospital I worked at a few years ago (a small community hospital) has offered me a prn position on L&D to help me have less hours while going to school. While this would be a great pace for me (prn) I'm nervous about losing clinical exposure to all the conditions I see at the hospital I currently work at. However, there's no way I could switch to prn there because I don't have enough seniority. Should I take the position? I've never done labor and delivery before and I'm wondering if anyone has any advice. I'm nervous about stepping into a whole new ballpark, I welcome all thoughts and suggestions!
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WHNP program at UC???
Hi Trina! It took about 8-9 weeks before I heard back that I was admitted. Unfortunately I can't help you out with your questions because I decided to go with another program. One of my coworkers however is in UC's FNP program and said the pharm and stats class was pretty similar to what she did in undergrad. Best of luck to you!! Hope you hear back soon!
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Help!! NP program interview at Duke
@Future thank you! I think I would go crazy if I had to wait until spring to find out about acceptance! Haha. The interview was not what I expected at all. I've heard that they are similar to job interviews but mine didn't seem that way. In fact, I thought I did pretty poorly but I guess they liked it! Are you applying to Duke as well?