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Content by knurse10

  1. knurse10

    Novice Providers & Mortality

    Maybe Nurse Practitioners are more prepared for the stress of practicing as newbies? I think back to being a new nurse, having little frame of reference for clinical judgement, pathophysiology, medications, and technique for nursing procedures (IV's working the pump, placing ng tubes and catheters, etc). Not saying I wasn't educated, but working through that lack of experience is not unfamiliar ground for new grad NP's. So in a sense, we may be more prepared than new MD's and DO's. We may have more skills with troubleshooting, researching, and asking for help. The role is certainly different than registered nursing, and it would be helpful if there was more of a structured entry into practice across the board. At least some sort of mentorship program with another health professional would be valuable,and would hopefully make it a safer situation for patients.
  2. knurse10

    Did you contract anything from a patient?

    Only from my coworkers who don't stay home when sick, and then spread their germs all over the breakroom... I've started wiping everything down before I eat lunch (along with the standard hand hygiene). So sick of catching whatever junk people bring from home.
  3. knurse10

    Nursing is not what it is made out to be..

    I somewhat agree with the OP. Nursing is very romanticized, especially during nursing school. The reality is quite different...
  4. knurse10

    Any one pursuing a DNP, this fall?

    "In 2008, 13.2 percent of the nation's registered nurses held either a master's or doctoral degree as their highest educational preparation. The current demand for master's- and doctorally prepared nurses for advanced practice, clinical specialties, teaching, and research roles far outstrips the supply." AACN retrieved from American Association of Colleges of Nursing | Nursing Fact Sheet Wish there were some more current stats...
  5. knurse10

    Any one pursuing a DNP, this fall?

    Yes, the amount of programs has certainly increased. However, the percentage of DNP prepared nurses is very small compared to MSN, BSN, and Associates prepared nurses. I remember seeing it broken down somewhere but am trying to find the official source. Will post when I find it....
  6. knurse10

    New at Charge, HELP!

    I was forced into being charge. It started off as "we need someone for Saturday nights" and then it turned into an every night I work I'm charge kind of thing... Being successful at charge nurse does not depend solely on your experience, although experience certainly helps. The right kind of personality and ability to be a team player as well as a leader are the most important things to focus on. Rely on the experienced nurses as resources and mentors.
  7. knurse10

    Any one pursuing a DNP, this fall?

    The only reason I am considering DNP when I am done with my MSN is because I love teaching. Also, I may want to be more diverse as a nurse practitioner. For example, teaching full time or part time and seeing patients full time or part time. Plus there is the prestige of having a terminal degree. Not a lot of people can say they have it. Drawbacks for me are cost, time, time away from my family, wanting to start a family, and me wanting a break from school. In addition, I struggled with my research project regarding the implementation. I am not looking forward to another in depth process of a huge project that is required with DNP or PhD.
  8. People with afib will can have odd readings, both high and low, that require a manual for accuracy.
  9. knurse10

    Patients Say the Darnedest Things

    "Show me how to work this bed alarm so it doesn't go off."
  10. knurse10

    Really hard choice

    What would your dad want you to do? Also, you could always have a discussion with your manager regarding scheduling so you can have more time with your family. You may be able to have your cake and eat it too. I suspect there will be difficulty and heart wrenching moments with whatever you choose. Good luck to you.
  11. knurse10

    My coworker was high and got away with it

    The policy at my work when someone is suspected of being under the influence is... Employee informs the charge Charge informs the manager Manager informs nursing supervisor Employee is taken for immediate bac/urine drug testing. Nowhere in this process are patients interviewed or the accused person's charting is checked. The op didn't do anything wrong. The charge should have looked up the policy and procedure for handing this situation.
  12. knurse10

    The Nurse at the Bedside

    I would love bedside nursing if my feet didn't hurt, my body wasn't sore, and the patient ratios were a little more reasonable and safe... And if I wasn't charge nurse, a role I was talked into performing by my manager.
  13. knurse10

    Math requirement for RNs?

    I think it depends on how you define math literacy. Setting up an equation for dosage calculations correctly shows that you are math literate. The people who can't make it this far have no place in nursing, calculator or not.
  14. knurse10

    Dysfunctional Unit?

    Attitude reflects leadership. Your leader is probably the one who needs the attitude adjustment. I think teams can be built back up over time, but it could take a while to regain trust on both sides regardless of who has been wronged.
  15. knurse10

    Dealing with a dirty old man

    It makes me wonder about the state of nursing when if given the choice, we choose getting groped over getting punched in the face...
  16. knurse10

    Charge Nurse

    On my unit, it's more like who is willing to be charge? Everyone hates it. We have no guarantees on patient ratios. We do get a differential, but I'm not sure the stress is worth it.
  17. knurse10

    Do you think nurses get special treatment?

    Where I live, side streets are not plowed. My husband flagged down a plow truck driver and said "My wife is a nurse and I don't know if she can make it to work tonight." First time my street has been plowed in ten years according to my neighbors.
  18. knurse10

    Graduation Vacation?!

    Meh, Alaska is okay.... If you want a relaxing vacation I would pick something else.
  19. knurse10

    Are nurses actually people too???

    Ugh... I need to start taking my multivitamin, exercise, wear support hose at work, and spend more time with my husband. I think having it all together is an illusion that we strive for. I try to just make myself happy and hopefully the rest will come.
  20. I imagine myself as an elder being very irritated reading this article. Or maybe I will appreciate my nurse/cna following tips suggested above. Only time will tell...
  21. Someone should do a study investigating baby blues and breastfeeding experiences among new moms. I think the results would show stories similar to your own, op.
  22. knurse10

    The Perfect Work Day

    My perfect work day is when I am not charge and when we order pizza :)
  23. knurse10

    What was the REAL reason you called off

    I love how we have two topics circulating. One is "Preventing call ins" and the other is "What is the real reason you called off?" Mental health days are definitely needed and necessary. I also called in after I worked all the winter holidays and had to work on my anniversary. I needed to spend some quality time with my hubby.
  24. knurse10

    Things LTC Nurses wish EMTs and Paramedics would understand.

    A lot of demented patients who come from LTC with "altered mental status" end up having sepsis or pneumonia.... It is a valid reason to call for help.
  25. knurse10

    The Enemy... The Nurse Manager

    I'll start by saying that the nurse manager role is most likely one of the more difficult jobs in the nursing profession. I do not wish this career on my worst enemy. That being said... There are certain things that nurse managers do that can be quite inexcusable. The main one that comes to mind is cutting corners when it comes to patient safety. To me, this means staffing issues which lead to unsafe situations. When the nurse manager doesn't have our back on this issue, my floor is at a lower morale. So take this lower morale and then demand mandatory education, meetings, mandatory extra shifts, and volunteer projects. Believe it or not, some people want to come in and work their required hours and then go home to be with their families. I think the model of having one nurse manager is not sufficient to meet the needs when you are pulled in so many directions. The ideal team would be a nurse manager and an associate nurse manager who can share the burden. Unfortunately that is not the reality we live in. Best of luck to you, op.

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