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offlabel

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All Content by offlabel

  1. Paths To Critical Care (true story)

    Buyer beware. Although for certain advanced practice degrees and leadership/administration roles, a BSN from Marquette carries more gravitas than a piece meal pathway to entry into practice. After...
  2. NP to physician... is it possible?

    Best thing to do is speak with docs that are mom's as well. It's also a specialty sensitive answer, ie, a CT surgeon who is a mom (pretty rare IME) would probably give a way different answer than a...
  3. new grads go into level 3's, why wouldn't you be able
  4. Medical Aid in dying

    Slippery slope is a term that is used a lot in conversations like these, but I think a better term is 'logical progression'. So called 'involuntary euthanasia' is practiced at least in the...
  5. Medical Aid in dying

    After one year, 40% of applicants were permitted to use the medical system to end their lives in NZ. Canada's system has grown by about 30% per year since 2016. The trend is pretty demonstrable and as...
  6. Medical Aid in dying

    This is the stuff I worry about, and that's just for starters. Read this to the end. The road to hell is paved with good
  7. Where do I go?

    It sounds like you already have your answer
  8. Where do I go?

    Not seeing much enthusiasm for MICU applicants from
  9. Impella Heart Pump

    According to the manufacturer, the 5.5 can go
  10. Physical Restraint in Critical Care

    Mostly these in the ICU's. Mostly with
  11. Sterile item expiration date

    If the packaging says "Sterile unless damaged or open", and it wasn't damaged or open before you opened it, you're
  12. Crusty Old Bats

    Used to roll surgery patients right past the surgeons lounge from which smoke was frequently
  13. Experience

    No argument. There does need to be a separation and contextualization of nursing experience translated to advanced practice, though. In anesthesia, the baseline/advanced technical knowledge,...
  14. Is there some unwritten rule about getting the patient breathing before you wake him up? Suggesting to an SRNA to keep the patient on mechanical ventilation right up to the point that he opens his...
  15. get 'em breathing

    Well now the trend is an opa and a non-rebreather mask to recovery for everything from a crani to a tah...smh.....I gotta
  16. Apex CPC modules

    Nope. The AANA front NBCRNA is mandating these for the enhancement of the 'nurse doctor' narrative. They're busy work to give credibility to the Nurse Anesthesiologist title as well as enrich the...
  17. get 'em breathing

    FTFY
  18. BSN->DNP or MSN->DNP?

    Won't change a thing. Don't waste your
  19. Did this nurse behave unethically?

    I guess I'm looking more at the physicians that sent this lady home before she even delivered. PROM? Heavy bleeding? So much for health care. They just sent her home? 3 times? If this woman was robbed...
  20. Crusty Old Bats

    Dial-a-flow
  21. Experience

    This does make a lot of sense. There is a cultural mindset that must be shed when an RN enters advanced practice. I tell my DNP students the need to stop thinking like a nurse. That sounds like an...
  22. Nurse Practitioner Abuse

    Bedside RN's making sure you know who's the boss is incredibly frustrating. The irony is a lot of them have aspirations to enter advanced practice at one point but no one has clued them in that they...
  23. California CRNA Schools Pros/Cons

    Ultimately, the pro's and con's come into play when you get into more than one. Apply to all of them, get admitted, and then if you're lucky enough to be able to choose between 2 or more, check
  24. NICU new grad NG tube insertion

    yeah...go straight back, no
  25. Newborn unmonitored and alone is room

    way less of a monitoring problem than a kidnapping one. Arbitrary time frames for discharging a baby like that to an unmonitored environment (home) are...arbitrary. Someone walking off with the...