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Gerontological, cardiac, med-surg, peds
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VickyRN has 16 years experience as a MSN, DNP, RN and specializes in Gerontological, cardiac, med-surg, peds.

Working on my PhD!

VickyRN's Latest Activity

  1. VickyRN

    APA style guide necessary?

    As nursing faculty, I have graded many student papers in my College of Nursing. I do have the latest edition APA manual. However, for the undergraduate baccalaureate students, IMHO, all they really need to know is on the 'OWL' site. Besides, the APA manual is terribly disorganized and full of errors.
  2. Aesthetic nurses (also known as cosmetic or plastic surgery nurses) provide patient care and assistance within a variety of procedural and perioperative settings to improve or enhance the patient's appearance. They assist in smoothing away wrinkles, treating aging skin, plumping up thin small lips, filling out cheeks, and improving imperfections such as scars. These nursing professionals care for patients undergoing elective minor cosmetic procedures, cosmetic and maxillofacial surgery, major reconstructive surgery, laser and microsurgery, and minimally-invasive body treatments to correct aesthetic problems such as cellulite or keloids. They also monitor patients' recovery after procedures, administer medications, and change bandages. Nurses employed in this specialty area need to have a good knowledge of procedures such as liposuction, dermabrasion, chemical peels, mesotherapy, face lifts, laser hair removal, laser skin resurfacing, photofacials, tattoo removal, sclerotherapy, and hair transplants, as well as more complicated surgeries such as facial reconstruction or breast reconstruction. They also need to be well versed in brands or therapies such as BOTOX, BHRT (bioidentical hormone restoration therapy), Dysport, Sculptra, JUVDERM, Latisse, and Restylane. According to the American Society for Aesthetic Plastic Surgery (ASAPS), the top-five cosmetic surgical procedures in 2012 were breast augmentation surgery, liposuction (removing excess pockets of fat), abdominoplasty (tummy tuck), blepharoplasty (eyelid surgery), and rhinoplasty (nose reshaping surgery). Similarly, the top five cosmetic minimally invasive procedures in 2012 were botulinum toxin (BOTOX, Dysport), soft tissue/ dermal fillers (CaHa, hyaluronic acid, collagen, fat, PLLA, PNMA), laser hair removal, microdermabrasion, and chemical peels. Last but certainly not least, the top five reconstructive surgeries the same year were tumor removal, laceration repair, maxillofacial surgery, scar revision, and hand surgery. Work Environment Aesthetic nurses work directly with board certified physicians/ plastic surgeons and surgical teams in the operating room (private suites or hospitals). They also work in outpatient dermatology practices, otolaryngology clinics, free-standing surgery centers, office practices, and medical spa settings. Duties / Responsibilities One of the primary goals of cosmetic procedures is to improve the patient's perception of self and psychological health by modifying body image. In order to function therapeutically in the cosmetic environment, therefore, aesthetic nurses need a skill set comprised of the following elements: sensitive and respectful communication; a positive, non-judgmental attitude; caring behaviors; a thorough knowledge of facial anatomy and the physiology of the skin and underlying tissue; a thorough understanding of cosmeceutical products; analytical skills; and clinical competence. Nursing duties in this specialty area often include Keeping up with the latest aesthetic surgery protocols. Patient consultations/ screenings. Assessment of the patient's general health, psychosocial status, and face and neck. Patient scheduling. Pre- and post-operative instructions. Administering chemical peels. Botox/ dermal filler/ volume enhancer injections. Laser and intense pulse-light treatments. Venipuncture and intravenous therapy. Liposuction nursing procedures (monitoring, positioning, post-operative dressings, and compression garments). Preparing the surgery room, including sterilizing instruments. Peri-operative management (preparing patients for surgical procedures; attending to patients during surgery; postoperative care; and avoidance of or dealing with complications). Inventory management. Education Requirements The road to becoming an established and experienced aesthetics provider is long and arduous. Aspiring aesthetic nurses must first be a licensed registered nurse with an ADN, diploma, or BSN. A BSN is the preferred degree within this competitive field. Most aesthetic nurses work in another field (such as general surgery or dermatology) before focusing on this specialty. Since there is presently no defined curriculum for a novice aesthetic nurse to follow, it is vitally important to get as much training and experience in a plastic surgery environment as possible. Post-baccalaureate certificate training courses are available that cover anatomy related to aesthetics and dermatology, aging, skin biochemistry and physiology, face and body sculpting, and skin conditions and the methods used to cosmetically treat them. Some feature hands-on experience in dermal fillers, botox, light-based treatments, ablative skin resurfacing, and chemical peels. A specialty credential is available from the Plastic Surgical Nursing Certification Board. In order to become a Certified Plastic Surgical Nurse (CPSN), the candidate must be a licensed registered nurse and have a minimum of two-years' plastic surgical nursing experience during the previous five years. Job Outlook Due to the aging Baby Boomers' insatiable quest to regain their youthful appearance, coupled with a significant rise in minimally-invasive procedures which has resulted in greater accessibility and lower costs, plastic surgery is one of the fastest-growing healthcare specialties today. From 2011 to 2012, there was a 3.1% increase in cosmetic surgical procedures, with Americans spending $11 billion on cosmetic procedures in 2012. Most job growth is expected in physicians' offices, as opposed to other settings. Salary According to Indeed.com, the average annual wage of plastic surgery nurses was $88,000 in 2011. The salary varies widely according to employer, specialty area, level of experience, certification, and location. Resources American Society of Plastic Surgical Nurses Body Dysmorphia and Plastic Surgery Core Curriculum for Plastic Surgical Nursing: Psychosocial Care of the Plastic Surgical Patient Cosmetic Procedures Increase in 2012 Cosmetic Surgery National Data Bank STATISTICS 2012 Journal of Aesthetic Nursing Plastic Surgery Nurse Plastic Surgical Nursing Plastic Surgical Nursing Certification Board The Ethical Dilemmas of Aesthetic Medicine: What Every Provider Should Consider The "Nuts & Bolts" of Becoming an Aesthetic Provider: Part 1--How Do I Get Started?
  3. VickyRN

    Medical Assistants

    Medical assistants are medical support staff who perform routine administrative and clinical duties under the direct supervision of a physician or other licensed healthcare provider. Nearly three quarters work in physicians' or other health practitioners' offices. Medical assistants are employed in outpatient/ ambulatory care facilities, medical offices and hospital-affiliated clinics. Their duties vary according to location, specialty area, certification, and state/ local laws. For instance, podiatric medical assistants make fiberglass foot casts, clip toenails, bandage patients' feet, and assist with foot/ ankle surgery; chiropractic medical assistants help prepare patients for chiropractic treatment, lift/ move patients, and apply hydro-collator packs; cardiology medical assistants obtain vital signs and perform 12-lead EKGs; and ophthalmic medical assistants perform the first series of tests before the actual eye examination (i.e., visual acuity tests, eye muscle tests, and vision measurement). Medical assistants should not be confused with physician assistants, who are mid-level providers who diagnose and treat patients. Work Environment Medical assistants work in a medical office environment or clinics affiliated with healthcare facilities. Most work in physicians' offices, to help ensure the medical office is running smoothly. Those who are employed in larger physician practices tend to specialize in medical specialty areas with additional duties associated with the specialty's unique set of characteristics and specific roles. Those who work in hospital-affiliated clinics generally have a greater scope of responsibilities, with higher salaries and better benefits and perks. Duties / Responsibilities Medical assistants need to be able to multitask - that is, handle multiple responsibilities at the same time. They are cross-trained to handle both administrative services and clinical duties, such as: Using computer applications. Recording information in health records systems. Filing patient medical records. Handling correspondence, billing, DRG coding, and bookkeeping. Scheduling appointments or arranging hospital admissions. Ordering supplies. Communicating effectively to patients. Taking medical histories. Providing education to patients. Measuring heights, weights, and vital signs. Administering medications, injections, and immunizations. Applying splints and dressings. Removing sutures. Preparing exam and treatment rooms. Explaining treatment procedures to patients. Setting up patients for examinations. Preparing medical instruments, equipment, and supplies, including sterilization. Collecting and preparing specimens. Inserting urinary catheters. Drawing blood. Performing basic laboratory tests, electrocardiograms, and allergy skin tests. Education Requirements Medical assistants currently are not licensed in most states, nor are there national standardized educational requirements for becoming a medical assistant. The entry-level education is a high school diploma or GED and many learn through on-the-job training. Some states require education and/or credentialing as a legal prerequisite for the performance of certain duties. Diploma or associate-degree college programs in medical assisting are available. The majority of medical assistant training programs are one year in duration. Most employers prefer applicants who are certified by the American Association of Medical Assistants (AAMA) or the Certification Commission (SCMA). Job Outlook Medical assisting jobs are one of the fastest growing careers in America, with a projected increase of 31% from 2010 to 2020. Demand will stem from a rapidly aging population, the increasing number of group practices and clinics, the shift in healthcare focus from acute inpatient hospital care to outpatient settings, and the growing need for more support personnel who are flexible enough to perform both clerical and clinical tasks within these community care settings. Medical assistants with formal education, certification, and clinical experience have the competitive advantage and are offered the best job opportunities. Salary The average annual wage of medical assistants is $30,550, or $14.12 per hour. The salary depends on experience, education, certification, location, and specialty area. Resources American Association of Medical Assistants American Society of Podiatric Medical Assistants Medical Assistants: Occupational Handbook Outlook Top 50 Health Care Jobs
  4. VickyRN

    Nursing Educators/ Faculty

    Nurse educators meld clinical expertise with a passion for teaching to shape future generations of nurses and advance the profession of nursing. They are prepared to function in a wide variety of classroom and practice settings to teach, prepare, and mentor current and future nurses, using diverse technologies and skills. They help aspiring nurses, novice nurses, and experienced nurses reach their career goals. In order to be effective in these multifaceted roles and functions, nurse educators need a firm foundation in the following key competency areas: adult learning theory; teaching/ learning principles; learning evaluation methods; curriculum design and development; classroom and online teaching strategies; program outcomes evaluation; continuous quality improvement; and scholarship engagement. Nurse educators need to be innovative and evidence-based in their approach to nursing education, to produce competent nursing graduates who will deliver safe and effective nursing care. Contemporary nursing education had its inception in Europe, with the "Order of Deaconesses" training school which was established in 1836 in Kaiserwerth, Germany. Florence Nightingale, the founder of modern nursing, received four months of formal training at this school. Almost all modern nursing protocols and techniques can be traced back to Nightingale, the original nurse educator. In 1872, the first nursing training schools in the United States began enrollment in Philadelphia at the Women's Hospital and in Boston at the New England Hospital for Women and Children. Presently, an estimated 1,900 nursing programs in the US offer degrees at the bachelor's, associate's, or diploma level. Work Environment There are many job opportunities for nurse educators, which make it a rich and rewarding career choice. Nurse educator positions can be found within diverse academic and healthcare service areas, such as university or secondary education nursing pre-licensure programs, health career courses, continuing education for clinical staff, community groups, or patient education. Outside of class time, the schedules are generally flexible. Nurse educators can Teach in four-year colleges, two-year colleges, distance learning programs, vocational/ technical schools, and hospitals as an instructor or professor. Teach in healthcare organizations as staff development coordinators, continuing education specialists, and nursing professional development specialists. Teach in nursing care facilities, community health departments, government agencies, physician's offices, outpatient care centers, and home care agencies. Duties / Responsibilities Teach, advise, and mentor students throughout the learning process. Use assessment, measurement, and evaluation strategies. Serve as leaders and role models to facilitate learner development and socialization. Maintain a high level of clinical competence. Participate in course development, curriculum design, and evaluation of program outcomes. Engage in scholarly activities, writing grants, professional service to the college and community, peer review, and leadership. Use evidence-based knowledge to advance the science of nursing education. Design innovative programs of learning that develop clinical reasoning skills. Lead change/ advance health in the redesign of healthcare systems and policy making. Develop/ promote evidence-based approaches to coordinated population-based care. Engage in life-long learning/ continuous quality improvement in the nurse educator role. Present and speak at conferences. Education Requirements Academic nurse educators are licensed registered nurses with a specified minimal amount of clinical experience (usually two calendar years of full-time clinical experience as a registered nurse), and an advanced education in nursing (as specified by the state board of nursing). In most cases, a master's degree or doctoral degree is required. Education at the doctoral level for aspiring nurse educators is strongly encouraged by the National League for Nursing (NLN). At this present time, however, only one-quarter of full-time nursing faculty hold doctoral degrees (e.g., DNP, DNS, EdD, and PhD). Due to this low figure, the Institute of Medicine (IOM) recommends a doubling of the number of nursing faculty with a doctorate by 2020. Most nurse educators teach nursing coursework within their particular sphere of expertise, such as gerontology, pediatrics, cardiology, neonatology, and family health. There are two certifying bodies for this unique specialty area of nursing practice: one for academic nurse educators and the other for staff (clinical-based) nurse educators. The Certified Nurse Educator (CNE) Examination is a credentialing tool for academic nurse educators. The NLN created this specialty certification in 2005 and it has since grown enormously in popularity. The American Nurses Credentialing Center (ANCC) certifies nurse educators within hospitals (i.e., staff development) with the Nursing Professional Development (NPD) credential. Job Outlook Overall, job opportunities for nurse educators are promising. New educators are needed with energy, stamina, and fresh approaches to teaching. Employers in some areas of the country report difficulty attracting and retaining nursing faculty. Some nursing programs have been forced to turn away qualified applicants to nursing programs as a result. Employment for nurse educators is expected to grow in the US by 17% by 2020, as enrollment in postsecondary institutions and nursing programs continues to rise and waves of aging nursing faculty retire en masse. This is in stark contrast to a projected increase in overall employment of just 14%. The National Council of State Boards of Nursing (NCSBN) reported a total of 15,574 full-time nursing faculty positions in 2012, with an overall 7.5% national vacancy rate for nursing program faculty. During the same time period, the American Association of Colleges of Nursing (AACN) identified 1,181 faculty vacancies in their survey of 662 nursing schools. Salary Full-time nurse educators typically earn a salary of $25,000 to $122,000 or more per year, depending on educational preparation, specialty area, geographic pay differentials, or certifications. Educational preparation does make a difference. Nurse educators with master's degrees average $49,000, whereas those with doctoral degrees earn average annual wages of $61,000. Nurse educators in administrative leadership positions (such as nursing school deans) can earn a regular salary in excess of $200,000. In acute care hospitals, nurse educators average salaries between $60,000 and $81,000 per year for staff development. Resources American Association of Colleges of Nursing Association for Nursing Professional Development (ANPD) IOM Future of Nursing Report Postsecondary Teachers
  5. VickyRN

    OFFICIALLY A RN! passed at 265 questions

  6. VickyRN

    Low Census-what's up?!

    I totally agree. Shrinking Medicare reimbursements, more stringent Medicare requirements, and threats of accusations of Medicare fraud, make providers reticent nowadays to admit elderly patients into the hospital (especially if they just got out of the hospital within the past 30 days or there is no bullet-proof reason for admitting them). I have seen this trend in our ER. Formerly, elderly Medicare patients would be admitted right and left to our medical-surgical unit. Not so anymore. The providers are very picky as to whom they admit. If there is any possibility of the patient being treated in the community, this is what they choose over an admission.
  7. VickyRN

    Nursing Diagnosis Help! Anemia

    Episiotomy thread merged with anemia thread, since involves same OP and same patient scenario.
  8. VickyRN

    Gerontology vs. Geriatrics

    I have always distinguished the two terms as follows: n ]Geriatrics] - Branch of medicine that deals with problems & diseases of old age, aging people. n ]Gerontology] – Comprehensive, multidisciplinary study of aging process & problems of older people with holistic focus, including biologic, sociologic, psychological, spiritual, & economic issues. ]Gerontology is holistic, encompassing more than the medical model, and involves all aspects of an older person’s life.
  9. VickyRN

    A Nurse with POTS Disability: A Great Success Story!

  10. VickyRN

    PCA job for high school student

    Moved to CNA/ Medical Assistant Forum as more appropriate for this type of inquiry :)
  11. VickyRN

    Information about Air Force COT?

    Moved to Military Nursing Forum for better response :)
  12. VickyRN

    Medical retirement - inactive too soon

    A warm WELCOME to you, Retired APRN :welcome: I look forward to your posts and interacting with you. I am sure you are a fount of valuable knowledge and expertise and have much to offer our wonderful nursing community :)
  13. VickyRN

    Bolus of saline

    We are so sorry for your loss. However, it is outside the scope of this Internet nursing community site to offer medical or legal advice. Wishing you peace and closure in this situation.
  14. VickyRN

    Hospital Marketing FAIL

    This is a huge fail in the Eastern part of North Carolina, and a public relations disaster: Beaufort County To Push For ER In New Health Care Clinic
  15. VickyRN

    Nominated for Daisy Award :)

    Congratulations!!!! :)
  16. VickyRN

    I need some personal help

    We are very sorry you are going through this. That said, giving you medical advice is beyond the scope of this Internet community. Please consult your healthcare provider.

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