JellyDonut

I remember having this discussion years ago with an LPN when I worked as an ADN in a long term acute care hospital. I explained that even with similar responsibilities the pay should not be equal. The RN has more education and has invested more tim...

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

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....

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 ...

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 witho...

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.

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, ...

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.

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).

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. ...

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 a...

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

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). N...

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 requireme...

There are dual DNP/PhD options available.

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...

This is common with many new providers. We all want to cure/fix the patients and you can easily drive yourself nuts in attempts to make them "get it". The best you can do is to present the information to them and explain that without change what th...

You took the words out of my mouth..now stop that. I think many of us wish there were measures in place to address the overall quality of these for profit NP mills who are pumping out poor performing graduates. The DNP is nice but is the goal to hav...

Unless I am looking at my map incorrectly, Georgia is on the east coast.

NO NO NO NO NO!!! Eeeekkk!!

CNS ...I didn't know those were still an option.

Training as a circulating nurse can be beneficial should you ever want to travel one day. PACU...it is not the Most challenging area to work. To quote a friend, "A trained monkey could work PACU". Not my words, but that description always stuck i...

You may not like what I said, but it is just true. I was an ICU nurse for many years and started out where we did make decisions and start medications then informed the providers of what we did. That does not happen anymore. It is a role of checki...

I was an ICU nurse for many years but it is a different world when you step in as the provider and make decisions. In the beginning you may have some older RNs who think they know more than you and want to question every order you make..You learn ho...

I do not agree. When you put your ego above the patient care it is a problem. We need to keep things as clear as we can when interacting with patients, families and other members of the healthcare team. In the hospital the Physician is the team le...