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Tacomaboy3's Latest Activity

  1. Tacomaboy3

    Going to PA as a nurse

    I've had thoughts about PA school after a couple years of nursing. I think PA school has a couple advantages: 1) about 3x as many clinical hours with a variety of clerkships/specialty rotations; I feel that the clinical component of programs is where you really learn how to practice medicine. Yes, I believe NPs practice medicine. 2) increased lateral mobility; like RNs, PAs can more freely work in a variety of settings (ED, ICU, internal med, peds, NICU, trauma, outpatient, etc.). NP programs are more pointed towards specific patient populations (albeit FNP is sort of an enigma in that regard). For instance, if a PNP wants to switch it up and work with adults, they'd need to go back to school and earn another certification. That being said, NP programs have their advantages as well: 1) if you know EXACTLY what kind of work you want to do (e.g. working with neonates), you can enroll in a NNP program - you don't need to "waste your time" learning about things (like how to treat a sick/injured adult) you'll never use. Your ~600-700 clinical hours are all about the population you chose. 2) NP programs often offer more flexibility for working adults. Many are online, self-paced. Many RNs maintain an FTE while attending school (also taking advantage of employer tuition reimbursement). 3) It's easier to find a cheaper NP program (especially masters) than PA program. People might bite my head off for this, but we live in an age in which my generation is plagued with student loan debt. I think the cost of a program should absolutely be a consideration (as should the quality of a program).
  2. Tacomaboy3

    If your manager falsely accused you of something

    Why do you need to report her to anyone? Did she accuse you of doing something, or did she ask you if you did something? The distinction is slim but important. I would talk with her one-on-one and simply tell your truth.
  3. Tacomaboy3

    Struggling with report

    I like organizing my report like this: 1) room #, patient name, age/gender, date of admission, isolation precautions, code status, provider group following them. 2) admitting dx; other hospital problems we're treating 3) course of hospitalization (any notable procedures, surgeries, or other hiccups during their length of stay); what happened to the patient today 4) health history 5) assessment data; at bare minimum, I include neuro status (A&O, CVA hx, baseline tremor, etc), CV status (rate, rhythm, BP, heart sounds), pulmonary assessment (lung sounds, chest tubes w/ drainage amount, RA or O2), GI/GU data (diet, fluid restrictions, ACHS, Foley), skin (skin breakdown, wounds, CHG bath) and mobility (independent or level of assistance with ADLs), IV access with running gtt rates, pain assessment/interventions, pertinent lab results 6) plan of care, including possible discharge plans or future procedures/surgeries; for this part, it's helpful to look into the provider's most recent progress notes. I think the way you arrange your handoff report also depends on the unit you work in. I work in a cardiac PCU, so I ALWAYS include a detailed cardiopulmonary assessment. This setup up isn't perfect, but it works for me - it also helps me see the "bigger picture" as you said.
  4. Tacomaboy3

    Nursing School Drug Testing

    Dang, that's bizarre to me. My mistake!
  5. Tacomaboy3

    Nursing School Drug Testing

    Two things: Firstly, as far as I know, schools of nursing DO NOT drug test their students. Rather, the clinical sites that the school is affiliated with require drug tests. I may be splitting hairs here, but I think it's an important distinction. For instance, in some BSN programs, you won't have clinical rotations until your second year, so you likely wouldn't be drug tested until then. In my program, we had clinical rotations every term, so you had to pass a drug test for each new institution you were at. Secondly, nothing is truly going to alleviate your anxiety over this until you pass the drug test. If I told you a certain cutoff, there's still nothing more you can do except stop using marijuana (or try to cheat the test!), which you already have.
  6. Tacomaboy3

    Med school drop out, now a CRNA. ask me anything...

    Great information, although the conversation took some interesting turns. 1) When did you start telling your colleagues and management team about your CRNA pursuit? Were you open from the beginning, or did you keep it quiet until you were ready to apply? Any recommendations on this? 2) Who did you ask letters of recommendation from? 3) Has anything surprised you about the CRNA career path? 4) Any student loan debt? Any financial aid, scholarship, savings advice in preparing for CRNA school? If you have debt, when do you expect to be out of it?
  7. Tacomaboy3

    Does anyone use "SN" in email signatures while a student?

    I personally wouldn't use it either, though in the past I thought about using it in email exchanges with my professors. If you used SN, I don't think anyone will be impressed; at worst, I could see people thinking you're an up-nosed nursing student using a made up title to distinguish yourself. I'd just wait until you passed the NCLEX - then you can use your degree, licenses, and professional nursing certifications all you like!
  8. Tacomaboy3

    What To Do When A Professor Is Insensitive

    Besides the comment to Billy, I think she sounds like a reasonable instructor. It's reasonable to read the chapters even when it's not covered in lecture. It's reasonable that you must get SATA questions exactly correct to receive a point (this mirrors the NCLEX). Also, it's reasonable for her to not evaluate your head-to-toe assessment when you failed the class - it's a waste of her time. I think I'm missing the core concept of your post...even if an instructor were super dragon-y and harsh, I'd still bust my butt, study the content and try to ace the exams and assignments. Sounds like she got into your head and you're trying to rationalize why you failed and changed programs. Failing a course is 99% of the time because of the student, not instructor.
  9. Yeah, racism still exists, people. The race card is still valid in modern-day America. But, regardless of whether you were discriminated against based on your skin color, you still established a pattern of behavior that demonstrated an inability to show up on time (or call out within a reasonable time) and also that your anxiety may inhibit you from being a competent nurse.
  10. Tacomaboy3

    CNA vs Serving

    I'd stick with the BBQ place - you already know it and it pays you the most. CNA experience has been beneficial to me during nursing school because I was already familiar with the hospital setting and confident in interacting with patients and their families. I also think it played a role in helping me land the residency spot I wanted. However, I don't think CNA experience is necessary for either of those.
  11. Tacomaboy3

    Should I go get my DNP? HELP!

    They probably locked you into the 5-year track because you don't have a lot of RN experience - more competitive candidates probably were offered the 4-year track. Not trying to diss, but I can't come up with another reason why they would force you into the longer program. If I were an experienced nurse, I likely wouldn't do it. If I were still a new nurse, though, I'd definitely give it serious consideration, especially if it gives you a way to pay tuition while working and not take out loans (or taking out minimal loans). Also, my thought is that the extra RN experience would hopefully be beneficial as you become an NP. Five years is a long time, especially compared to a 2-year master's program which would let you work too.
  12. Tacomaboy3

    This is becoming boring

    I respectfully disagree. I think#firstworldproblems puts the situation in a different perspective, something that I think could be helpful. I get the OP is bored and may not find his/her job meaningful or challenging anymore, but he/she is also passively complaining about making well over a 6-figure income. I would think 99% of people would kill for that kind of money. The only other advice is simplistic: change your career path if you're unhappy or try to find more meaning in your current work.
  13. Tacomaboy3

    This is becoming boring

  14. Tacomaboy3

    Addressing the Predicted Nursing Shortage

    Uh, are we reading the same posts? I never initiated snark with you. What other low brow remarks did I make to you directly (besides the changing your soiled panties response?). I'll admit, that was a reaction to your response. You're awfully passive aggressive. Honey buns? Again? You seem to be the kind of person that ENJOYS pushing buttons and getting underneath peoples' skin. Cooooool. Love those people.. What IS Trump-esque is your denigrating my valid opinion and displaying your own as omniscient. No, I never did. You going to denigrate me more because I haven't? How Trump-esque. Sigh. This is the horrible thing about forums. The online anonymity makes even the COBs (as you put it) bullies.
  15. Tacomaboy3

    Addressing the Predicted Nursing Shortage

    I have several things to say: Firstly, you're comparing me to Trump? Seriously? Lol. Additionally, your "that's cute" and "honey" comments are passive aggressive -I don't get it. Why are those comments necessary? To passively denigrate me? It's unprofessional, but I suppose the anonymity of an online username gives you great courage. Bravo! I prefer liquor, but at least I don't turn mean. Secondly, you said nurses don't see returns on their educational investments. I kind of get what you're saying, but your statement isn't the most accurate. Wages/salaries for bedside RNs, regardless of degree, are fairly similar within institutions, but a BSN or higher greatly increases your income potential - whether it's leaving the bedside or transferring to a higher-paying hospital while still at the bedside. Thirdly, I'm unsure why you brought up the history of nursing and telling me to brush up. Hm okay, I will? But, registered nursing is still a profession. Fourthly, I never said in my post that BSN-opposers should shut up and drink the poison...nor all that other rambling you did. I think you misinterpreted my post. If RNs are content with their jobs and plan on retiring in the same role, all power to them - a BSN certainly won't help their pay or clinical competency. But, I also feel that the culture of nursing is changing, with fewer RNs retiring at the bedside and fewer RNs staying within the same department or employer - a BSN gives them flexibility to move around and augments their competitiveness for higher-paying jobs. It's not imaginary employment. That's like calling Warren Buffet a fool for investing his money in the stock market, all for the sake of future imaginary payoffs. Perhaps my original post was lacking in brevity. This is what I meant - a bachelor's degree in nursing has NEVER been about increasing one's clinical competence, which is why it seems a bridge program is filled with useless classes. But, if you want future career flexibility and better income potential, then pull up those panties and take those seemingly useless classes. Whether it is personally worth it is up to the individual's circumstances. Additionally, you ABSOLUTELY DO NOT have to accrue massive debt for a BSN, so I don't get your martyrdom analogy. And if you do, then it's your fault, and no one else's. Personal finance and awareness is a great skill. I'm not yet for a mandated BSN. And until it is, I likely will never get one. Now, go change out of your soiled big girl panties, please.
  16. Tacomaboy3

    Addressing the Predicted Nursing Shortage

    I don't quite understand the dissident when it comes to pursuing a BSN, or at least increasing the proportion of BSN-prepared RNs. Does it make you a better and more skillful registered nurse? That's debatable, but the commenters on the post seem to think not. I think pursuing higher levels of academic education is a great thing, and it's really only those who do who really impact the profession in nursing research and policy. Mad about wasting your time on unnecessary classes? Big whoop. You think lawyers and physicians are better in their fields because they took an Underwater Basketweaving class in undergrad? No. But those are the academic hoops you gotta jump through. EVERY SINGLE person who's earned a bachelor's degree has likely taken a course unrelated to their major or profession of choice. Pull up those big girl panties. Nursing school isn't trade - it's a profession.