Lisa.fnp

Writing in metaphor, but hospitals are broken. It's like a water glass that fell and shattered, it's broken. You can not fix broken. The problem is and remains hospitals are broken. One can spend time and maybe they have a special glue and the shattered pieces can be held together to look like a glass again. But it is still broken, you will always know it's broken. You will never take pride because it is broken, nor will you drink out of it again. I went back to school became a NP. I deal with patients for the most part are compliant, happy and appreciative with the care received. For everyone unhappy with the hospital environment, and run the risk of losing your job after many years of faithful service. Do something about it. Get the additional education so you can with your head held high walk away from it instead being fired after your all used up. I seen the writing on the wall many years back and I went back to school got my graduate degree and went into primary care. It was the best thing I had ever done.

I had been their and felt the same way. Test anxiety is very real. I took a 3 day Fitzgerald review course and had the Cd's. I reviewed the APEA that was supplied by the University and purchased a 6 month license with BoardVital. Each contributed in their own way. But to me the most valuable teaching aid was BoardVital. It put me in the right fame of mind and I learned so much and retained the information. It wasn't just a review course. I also took a product called GABA, it's sold in health and vitamins stores. It's a amino acid for the brain that for me really helped with anxiety. This is a link to BoardVitals. Family Nurse Practitioner AANP Exam Review

Religion is left out of it. Since when did ancient writings 'scriptures' become a religion? If I said, 'as a Christian' or 'as a Jew' I would see your point. My comment was made to share knowledge. And who is a 'medically supervised tattoo artist'? Is their such a thing? That was rhetorical.

Stylists and Nail Technicians are expected to complete hundreds and hundreds of hours in cosmetology school and serve out an apprenticeship under a licensed mentor in order to legally work and then attain a license and be accountable to a high standard, and that is to cut hair. *But when it comes to puncturing a client's skin over and over with ink-laden needles, no license is required in most all of the states. * You have to jump through hoops to cut someone's hair, but anyone can give anyone a tattoo. People all the time get infected tattoos they received at a tattoo party or from someone working out of their home. Some scratchers are able to set up shop and advertise in the industry and more people are injured or put at risk for the transmission of disease. Where is the regulations? This*industry is where scratchers are inserting needles into other peoples bodies. The possibility of disease being transmitted this industry isn't licensed or inspected as a whole. Then where is the ink coming from? Who made it? What is it made of? What country was it made in? * * There have been published studies that showed a third of college students have had skin infections or permanent skin damage from tattoos and body piercings. Laws in states like Connecticut, tattooing is prohibited except under the direction of a licensed doctor, physician assistant or registered nurse. So if these articles continue to glamorise the tattoo's industry for glorification and because tattoos are somehow Pretty, or some kind of expression of self worth these articles are giving support to an industry that has no regards as a whole for ones health as a standard of regulation.* * Ones in the medical profession supporting such a unregulated industry is really taking Nursing back instead of moving forward. * Wouldn't we be better of following Scriptures counsel on tattoo's found at Leviticus 19: 28 ‘You must not make cuts in your flesh for a dead person, and you must not make tattoo markings on yourselves. I am Jehovah." NWT Something to think about*

That's terrible. You didn't fail a Academic class but failed according to the instructor a 'action' you stated (potential unsafe medication administration) and you continued to say it (wasn't fast enough.) Actions are subjective and many times nothing more then an opinion. Yes your instructor has that opinion and responsibility to make sure your professional and safe. Not knowing all the details but on face value it seems to me to more so reflect a failure on your instructor to properly teach. After all, your skills are a reflection of her teaching. No one should fail clinicals unless it was a medical error or you didn't follow policy. If you didn't measure up, to her speed, that subjective unless it is stated in the program. You should of appealed the grade. It might not change the results but it would call to account your instructors actions and more times then not if it where to be investigated could reveal the failure was the instructor and not yours. You should be sitting in office of the school dean and express yourself to him or her instead of here. We can't change things but the Dean can.

In a nursing home setting I was not a RN but a CNA. As a new nurse you have limitations and time management is one of them. It will get better, you will get better. What they expect 'management' and what you know you can safely do is a difference between night and day. Don't let it get to you. Remember it's your license and don't beat yourself up. Nurses are always pushed beyond what they can safely do, and as long as you do the best you can do, you should be proud. I left the nursing home Industry because of unrealistic expectations that couldn't be meet and went to the hospitals setting. When it became impossible to satisfy management and I found I lost my joy I went back to school and became a BSN-RN and worked in ICU. I worked nights and had one and once in a while two pts. But then a profit company came and purchased the hospital and we went to having 2 and 3 pts in ICU. I lost my joy and went back to school and attained my MSN and became a family nurse practitioner and left the bedside. Now in primary care away from the hospital industry, I found joy. Now if things change and I learned things always change that's why I am in a online DNP program and I'm ready to go into teaching and research. My health and happiness is more important then the job and career. So try to work 3/12's and work consecutive days so you have 4 days off to refresh your mind and soul. If working days and you hate it change it and work nights. I loved working nights. So my advice is take care of yourself first as you help others because if you don't you won't be their to help others.

Wow. Whatever has been prescribed continue to take it. It's having good results.

You didn't make a mistake becoming a nurse, but working at a nursing home, maybe. I was a CNA in a Nursing home many years ago. I loved the residence for the most part but it was so hard and so much was required and it was impossible to accomplish all that needed to be done. It removed the my joy, I had to get out. I did and got a job and worked in a hospital floor for years and those where the happiest days in memory. Sounds like you need a change.

Have confidence in yourself, people love talking about themselves so show interest in their accomplishments, educations, years in practices, philosophies. What do they like best about what they do? When your preceptors feels appreciated, they will see themselves in you. They then see you and a piece a clay that can molded and shaped. Let them talk and don't control the conversation. Show sincere appreciation. Be grateful. Yes this is a interview. Dress modestly and very professionally. Show enthusiasm and have confidence, wear a smile. Remember their is two important things on their minds. 1. Are you professional and teachable? 2. Will you embarrass them in front of their patients and employees? When you walk into the office, you will in all likely hood be greeted by others in the office. Be friendly and engaging. After you hear what they have to say then talk a little bit about yourself and experiences and goals. Have fun and it might even be a good idea to go into the office bringing treats such as chocolates, donuts or pastries for the office staff. It certainly won't hurt.

I too suffer in the past from test anxiety. A product called GABA might be worth considering. It's technically an amino acid sold in vitamin and health stores. I'm not suggesting to take this product but their is products available that claims it can help with anxiety. GABA For Anxiety

I also am hearing impaired and own the Cardionics E-Scope II Electronic Clinical Stethoscope. Had it for over 7 years when they first came out and paid over $600.00. They came down a lot since then and I here they are half of that now. You have the best unit ever made. I do not wear the headset nor do I recommend it. I'm deaf in one ear and wear a hearing aid with profound hearing loss in the other. When I was a ICU bedside nurse I would just remove my hearing aid and use the stethoscope when doing an assessments. I would of never of passed nursing school if it wasn't for the Cardionics E-Scope. It's the best and the company is amazing. When my unit was about 4 years old I had some muffling noises. I sent it back overnight shipped it back to be looked at. They fixed it and overnight shipped it back without charge. It was a 4 day turn around and out of warrantee, they are the best in my book. When it comes to nursing school and later at work and being hearing impaired I found out the best thing for me was never talk about my hearing problem. I would sit in the front row when I was in school and only once I talked to one of my professors about my hearing loss because she would always talk facing the black board when writing and not the classroom and for the life of me I couldn't understand what she was saying. I talked to her privately and it never was a issue after that. We are friends to this day. Down play your hearing loss because you think they understand but they don't, how could they? I have the Beltone force hearing aid and I'm very fortunate that I'm an excellent lip reader.

When I traveled I called HR at the hospital I was going to and got the list of hotels they had discounted contracts with. I would go their for the first week and the longest two weeks as I took my time finding a place and location I would be happy with. I had excellent results taking my time and starting my assignment first and getting familiar with the area.

The information about the hiring practices of Allina Health is a nice read thanks for posting, happy to see such a standard. But your choice of words "In Your Title" Fails! Why? When it comes to bringing attention an article you resorted to sensationalism and blanket statements that's just not true. Your title states. "Allina Health Not Hiring Online NP Grads". Do you think your able to properly communicate a truthful news worthy introduction? Here is an example, " Allina Health not hiring from all online NP Institutions"

You got that right! "C" means continue and this coming from someone who NEVER had anything less then an "A" and a perfect grade point National High Honors k-12 and 4 years with a full scholarship at a women's only University (at the time) and attained a duel bachelors degree in the arts Anthropology/Sociology. When I went back to school for my BSN, I worked full time in medical "my family needed the insurance and school required it" and went to the University full time, I had two grown boys finishing HS. Needless to say, a very busy life. After the 90 credits of prerequisites I was enrolled in nursing school, the class started with 28 students, two years later at graduation 7 finished. It was extremely hard with a very high level of Academic standards an A in class was the last thing on anyone's mind.

When I was a RN working in inner city trauma ICU unit, I loved working with male nurses. Male nurses are a great advantage to hospitals and hiring agencies and I have a piece of mind knowing that someone strong was their working on the floor with me at night especially with all the crazies and the pts families. Male nurses provide a balance, strength, perspective, additional security, and are more reliable not taking maternity leave every other year (figure of speech). On one occasion a males nurses working the room next to me helped me from a demented patient that had a psychotic episode and attacked me. I'm small just breaking a hundred pounds, male nurses are great.

While not as many opportunities in WHNP I did see 72 posting just now on Indeed .com in the US. Here is a thought. If your thinking of spending 4 years to get your DNP (I'm thinking you have your BSN) why don't you spend 2 years for your FNP then 2 years to get certified in Woman's Health. Now you will have the best of both.

You raised an interesting question. I'm a working FNP and a online DNP student and thought the same thing about being certified in woman's health as I desire to work in a rural area most likely on a reservation and having the skill set would enable me to expand my practice. I found this on the UCSF website 'School of Nursing University California San Francisco' Quote: The Nurse-Midwifery/WHNP specialty area also offers a two-year post-master's certificate program to registered nurses who are already prepared at the Master of Science level and seeking to become a CNM/WHNP. It's a two year program, I found no shortcuts on the different sites I looked up. The curriculum is intense and requires another thousand hours of clinicals.

Oh my, the anxiety you must be going through, so sorry. I Never face such a situation. You absolutely need legal counsel. Call your BON they should have a list.

Your signing a contract for 13 weeks, 36 hours a week for a total of 468 hours. They want the 468 hours, period. Now they will work with you if calling in sick but they want you to make it up. If at the end of the 13 weeks you didn't fulfill the total 468 hour required. The travel company has violated the contract they have with the hospital. Are they going to be penalize and have monetary penalties and fines applied. Are they going to hold you responsible? We know the answer. If I had to call out I always signed up to make up the time. Many times in the first couple of weeks of my contract I signed up for overtime after having a few days banked. I was good and those overtime days would be used to offset any call-in. In the end of a 13 week assignment I had the 468 hours. On the bonus payment the travel company I worked for paid time and a half for overtime and I had in my contract overtime started after working three, twelves. They would pay twice a contract the additional $100.00 per extra shift on top of the time and a half. This would be paid out on the sixth and 13th week. This would not be paid out if if my call-ins put me in the minus. I also many times negotiated a 13 week assignment to be worked in 12 weeks. This means I had to work 3 extra shift and did this my first few weeks and I would get time and a half. I would use the 4 day extra shift as my sick call in if needed. I would receive the overtime rate, time and a half on top of that. The seventh week I would take my week vacation and now I would still get my stipend (because the 468 hours would be fulfilled) and incidentals tax free money on my vacation week which meant I received about a thousand dollars tax free and go on vacation. Then the second half of my contract I would repeat the same thing working 4 extra shift. When I finished the contact I would take another week off and the bonus 4 hundred dollars would be paid out for the four days of overtime extra bonus. I would resign and stay at the same hospital if the sign on bonus was greater then $1,500.00 and many times it was, I once re-signed the maximum 4 times at once place because the sign on bonus was over $2,000.00. I worked for American Mobile Network the largest travel company in the US. Great company, rotten communicators. I would NEVER get my recruiter on the phone when calling. I would get her answering machine and she would call back but I never held my breath. I found it better to email everything. It's something about having a electronic trail you get results.

Wonderful news! And your in Virginia. You get a double congrats. It's a great feeling isn't it, your a RN.

A Nursing career is the most trusted, valuable and marketable way to go. Hands down more money, you will have more opportunities and career pass opportunities. Think of the community or county you live in, now ask how many kindergarten classrooms are their? How many teachers teach kindergarten in that county or school system? What are your chances to be hired? Now if by a miracle you are hired. Will you ever be able to relocate? Live where you want to live? Move to another state just because you wanted to and find employment within a few days in that state? Work three days week and have off 4 days a week? Make a low of one thousand a week to a high of three thousand a week lets say as a crisis travel nurse? Or if attaining a BSN go back to school for two more years for your Masters and become a NP and make $100,000.00 to $150,000.00 for the most part in primary health care. I know it is not all about the money. Nursing is demanding and school is hard and takes deep focus and work. But when you finish school take your N-CLEXS and pass and become a Registered Nurse. There Is no better feeling in the world over achieving such an accomplishment. Let somebody else teach Johnny and Susie how to tie their shoelaces, or count to 100 and learn the ABC's. I know their is more to it, I don't mean to degrade a Noble profession of a teacher. I will say this if going for a nursing career get your BSN. Yes classes are intense, but you take it one day at a time. When your reading and studying that pharmacology book or any other book you can only read one line and page at a time. This advise was given to me because as studying is was for me I had anxiety and would be overwhelm. I made friends quickly and found study partners in class. I searched for a mentor and found my husband fit that roll perfectly. Anyhow ask yourself why not you? I ask myself that question many years back looking in a mirror I remember that morning vividly and I never looked back.

I loved being a travel Nurse and went into traveling and didn't look back. You will make over twice what your making now. In addition your free from all the unit garbage that goes on and won't have to count meds or go to the mandatory unit meetings. You will experience the best and the worse from the know-it-all's and Barbie's when working as a travel nurse in your assignments. You must be on your game for you are expected to be an expert the second you walk in a new assignment, and will receive no more training. Are you ready? Only you can answer the question. Are you a skilled expert Nurse that has the skills and experience to make the correct decisions in a flash. Are you a superior nurse? Many take longer then 3 years to have the needed skills to reach expert status. Some 2 years plus and very very few under two years. Your saying your ready? The other cost is your contract. How much we talking for breaking it? How is it to be paid back? How fast is it to be paid back? How much is the travel company willing to to reimburse you? When would they reimburse you? Get everything in writing. You will love the doors opened to you being a traveler, it's the best. But remember it will be their next year and the year after that so don't let the recruiter pressure you. Your the valuable asset, it's your license. You are only a paycheck to the recruiter.

Why would it be consider what she said bad mouthing? We weren't their, we didn't work with her, we didn't experience what she went though. None of us are qualified to say she bad mouth. For all that was said by her in the news story about Western, could be absolute truth. Truth is not Badmouthing. Truth is truth. As far as that line of thinking it reminds me when Jesus told off the Scribes and Pharisees calling them 'wicked & offspring of vipers'. So would one call Jesus badmouthing? Absolutely not. As far as the administration not laughing, well maybe they should stop laughing for maybe they have been laughing way to hard for the last few years not caring about the nurses or anything else for that matter to bring about changes to make the nurses happy. When nurses work in a toxic environment that is broken and its leaders aren't concerned with improving things I think it's wonderful a nurse made such a beautiful (but I will agree maybe not to smart) statement. This puts a magnifying glass on the administration and maybe just maybe they will improve. Me I applaud her stand, creativity, determination, her thoughtfulness towards her fellow nurses and she could work for my practice in a heartbeat.

CHS hospital are the worse for profit hospitals in existence as far as I'm concerned. Having work in a CHS hospital for 14 years many years back the only thing, I repeat the only thing corporate is concerned about is profit. You mean nothing, you will have no voice, you will have nothing but the feeling of disparity and anger towards upper management and the company. I worked in the ICU Dept. with 78 other full time nurses, good nurses, no great nurses. In the course of 23 months this CHS hospital (not in Florida) went through 125 nurses in just this one ICU Dept with 28 beds. The CNO once told us nurses in a meeting; 'Nurses of nothing more then part of the room charge'. If that is the view point of upper management they can keep it. I maxed out my vacation time having 250 hours banked and unable to collect more time or money. I gave a 5 month advance notice for a 2 week vacation and was denied. I can go on and on but here a news article about the worse hospital with the highest bill rate look at the chart and see CHS wins hands down charging 10 times the Medicare rates. Study: Some for-profit hospitals charging 1 times Medicare rates | Tampa Bay Times

If this is terrifying to you. The medical field might not be for you. Believe it or not the body does have the ability to heal itself.