Jump to content
February 2019 Caption Contest: Win $100! Read more... ×
JellyDonut

JellyDonut

Registered User
advertisement

Activity Wall

  • JellyDonut last visited:
  • 130

    Content

  • 0

    Articles

  • 2,103

    Visitors

  • 0

    Followers

  • 0

    Likes

  • 0

    Points

  1. JellyDonut

    Gave up DNP

    If I were younger I would go the MD route... I know now they are not that bright and I could coast their program
  2. JellyDonut

    FNP thinking about joining the military

    I served as an RN and it is something I am very proud of. I would suggest requesting to shadow an FNP as it is a different world in the military. I encourage everyone to serve... it is the ultimate honor, but know exactly what you are getting into...esp as an FNP...I have several friends who have gone that route
  3. JellyDonut

    What made your first year of NP difficult?

    My first year was horrible as I was a spanking new grad in a specialty with two physicians who help pulmonary and critical board certifications. It took two full years to receive my very first compliment. And by year three i no longer received the "side eye" for questioning their plan of care. I studied..asked questions..spent hours reading..and finally reached the point where i earned their trust...I can now tell either of them they are wrong and they do the same. it takes a while...but in the end it is so worth it!!!
  4. JellyDonut

    Hitting a wall, I hope it gets better fast

    I have worked in a specialty for several years now and I often work on my own. However, I always have specialist who know way more than me to check in with if I am unsure or I need more of an expert opinion. I cannot imagine treating patients without support with only a fe months training. I can't see that being a safe environment and you could be opening yourself to liability.
  5. JellyDonut

    Oversupply of Nurse Practitioners

    i had to chuckle at this one...No one on Earth orders more useless testing than do residents. The hear hoofbeats and immediately think Zebra or unicorns.
  6. JellyDonut

    FNP working in acute care

    Depends on where you live. Where I practice the NP hospitalist and most of the NPs rounding IP are ANP or FNP. I have met maybe 3 acute care NPs in the past five years. Sure, we were told about the consensus model in the state I completed my FNP, but it has not seemed to gain the traction we were told. Even if my state adopted it everyone would be grandfathered in as there is no way they could replace all of us with ACNPs. If you work in a state with the model - stay in your lane, but if you have the opportunity to work acute and don't mind a learning curve - then make it happen. You can always bridge later if you need to.
  7. JellyDonut

    Should I sign other NP's order

    In my practice we sign for each other all the time. it is usually refills, rehab referrals and oxygen. Did not even think of it as an issue.
  8. JellyDonut

    What diagnostics can NPs order independently

    In clinic anything...however, there are some off medicate rules about rehab and home care. In patient is different, you require sign off by MD (i have been told this is still the case in full practice states, but i have not confirmed it).
  9. JellyDonut

    Writing doctors orders without an actual doctors order

    Way back in the olden days when i was an ICU nurse we commonly wrote orders for certain providers daily. This was back when paper charting was all the rage (LOL). it was how I learned the ropes in the ICU and I worked with very experienced nurses. Often the surgeons would leave and yell out verbal orders along with, "and whatever else you think they need". Our open heart standing orders had at the end, "or whatever else the RN deems necessary". Those were different times back then. Years later I move and work for a teaching facility where you did nothing without a physician order. I found it frustrating and honestly felt it sometimes got in the way of caring for the patient. I remember a patient desaturating and I started bagging the patient and performing some deep suctioning. I was later reprimanded for not calling a rapid response as nurses cannot determine the proper treatment for saturations under 90%. In reality they wanted the residents to handle these type of situations. in the end I think it was my frustration with the restrictions that pushed me to get out of nursing and reach for new goals.
  10. JellyDonut

    Open visitation in the ICU

    i never ever thought open visitation was a good idea in the ICU. I have read a few studies, but always questioned the validity as there is more than family satisfaction. In Texas we had a unit that allowed 30 minutes ever two hours and it started at 0900. We could could take care of AM care before families arrived then when they left we could do dressing changes, reposition, clean and take care of other procedures that needed to be taken care of and then when families visited it was their time with the patient. I have worked in open visitation facilities and most families are okay, but there are always a few who make it difficult to care for the patient. they keep the patient awake and make it difficult to get things done. In the ICU the focus needs to be on the patient and not the crazy aunt or drug addicted sister. I have some horrible stories of families twisting ETT or climbing into bed with burn patients. ICU nurses thrive on control and open visitations impact the ability to be in control.. Sorry...but in most cases I feel it is more harm than good.
  11. JellyDonut

    Don't trust my FNP

    Go with your gut. not every provider/patient relationship works and it is sometimes better for all to seek another provider.
  12. JellyDonut

    Brave or just stupid?

    Experience as an RN is still experience and helps to broaden the depths of knowledge the person has. I attended NP school and it was much easier because I had the experience of being a critical care nurse for 100 years (at least it felt like it). NP school only scratches the surface to get you into an entry level role but the experience does help fill in some of the gaps along with a good mentor and hours upon hours of self study. There are many ways to get to the entry level role of NP but to state that RN experience is not benefit is just sadly incorrect. It plays a role and depending on the experience and the individual it may play a larger or smaller role. Most NPs come out of school and do not know jack, the best ones know that and work to make up the difference.
  13. JellyDonut

    Ohio BON Restricting FNP Practice

    So arbitrary. FNPs practice in more acute care settings than ACNPs. If the goal is to align specialties then there needs to be more available specialty programs available to rural areas and it needs to be set with the same deadline as DNP requirements. The consensus model is a urban myth where I live and practice - maybe the next generation will deal with that along with the for profit NP factories, but I doubt it impacts me in the near future.
  14. JellyDonut

    Best Doctorate Degree

    There are dual DNP/PhD options available.
  15. JellyDonut

    New nurse practitioner

    Amen to that! We always pay attention to the school for new graduates. We all know the handful of online programs who churn out less than qualified graduates. Maybe they will turn out to be good in time, but who has the time to teach them all they did not get in their for pay program. Our HR will not even forward for consideration... If you have to select an online option at least select one from a reputable school.
×