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WestCoastSunRN MSN, CNS

CVICU, MICU, Burn ICU
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WestCoastSunRN has 24 years experience as a MSN, CNS and specializes in CVICU, MICU, Burn ICU.

WestCoastSunRN's Latest Activity

  1. ^^ This 1000%. Nurses should be able to have patho/pharm knowledge far beyond what they do when they exit nursing school. This knowledge, paired with the ability to speak and write coherently, would certainly translate to being respected as knowledgeable healthcare professionals whose clinical thinking is essential to the entire interprofessional team. I understand nurses are educated as generalists - I am not suggesting nursing schools provide nurses with deep, disease-specific patho (THIS is something specialty residencies could provide) - a very firm, know-it-like-the-back of my hand understanding of even the basics seems to be lacking for many. And then skills .... some schools are not even teaching students how to put in an IV. I agree nurses should understand other aspects of professionalism such as basic tenets of ethics, research, public health, and interprofessional collaboration. However, the expectation of deep-diving into any of these areas should be reserved for graduate programs. Knowledge is power. For bedside nurses, clinical knowledge is especially powerful.
  2. You are not a bad nurse. You haven't been doing it long enough for that judgement to be made. What you do with this experience and the thoughtful wisdom others have shared with you, though, will be a determination of what kind of nurse you are going to be. You are in a mode of wanting to be told exactly what to do and when to do it. It's understandable because you are NEW... but as others have said, do not let this become a habit of thinking and operating on your part. The ONLY way for it not become habit is for you to hit the books on your days off and review, review, review that patho and pharm! In many cases, you will be looking up things you DID NOT learn in nursing school. Read, watch You Tube, Podcasts... soak it up in more than one way. When someone (an experienced nurse, MD, therapist, etc) is willing to teach you something recognize that for the PRECIOUS moment it is and soak that up, too. As for this particular MD, worry not. It sounds like you have plenty of time to prove her wrong - and make sure you do so. What you did was stumble. You didn't even fail (but you'll do that in your career and life, too). You can recover from both - but a stumble is easier and faster to get up from. Get to it!
  3. WestCoastSunRN

    Asked to give an anesthesia medication

    indeed.
  4. WestCoastSunRN

    Shortest NP program

    Most NPs feel inadequately prepared by their two-year programs. There's a lot in NP education to be improved upon and you can read about much of that in past AN threads. In short, the journey to becoming an advanced practice provider - one who holds ultimate responsibility for correctly, safely, and effectively providing medical management - should not be fast and easy.
  5. WestCoastSunRN

    last year of FNP school but want PMHNP

    You're welcome. Best to you!
  6. WestCoastSunRN

    last year of FNP school but want PMHNP

    I'm a CNS, so our clinical rotations were expected to be specialized. FNP is different. However, you may be able to ask for a geri-psych rotation (even a short one) to fulfill all/some of your geriatric requirement. It's definitely worth asking. I like the idea of teaching and getting tuition assistance - but you won't make much money doing that (if that's a factor) - but it could be worth it depending on how much the cert savings is.
  7. WestCoastSunRN

    last year of FNP school but want PMHNP

    I think it's completely reasonable to get the post-grad cert. I also think, the way APRN consensus model has changed things, it's not unusual for someone to realize they may need another certification to do all that they really want to do. I agree - if you can get some psych nursing experience maybe during this last year of your DNP - that would be so beneficial for you. It would also test the waters really well about your decision to venture into PMHNP!
  8. WestCoastSunRN

    NURSE SALARIES... RN, NP, CRNA, etc...

    Maybe I misunderstood the point of your first post, or maybe you were looking for a sounding board/confirmation that you are doing what you are supposed to be doing. Regardless, you sound like a GREAT nurse and pretty contented! I'm glad you are using your MSN to educate - you sound exactly like the kind of educator nurse/nursing students need and appreciate. Your post reminds me of a friend who now has multiple advanced degrees (nursing and otherwise). He was telling me how his most contented work/life balance was when he was working bedside and teaching as an adjunct professor. Like you, he has a thirst for knowledge, but like you, he also appreciates the practical considerations of salary v. time and effort making it. You sound like you are in a pretty great position right now - and you explored other possibilities because you knew you had the ability to succeed in CRNA or NP, but ultimately decided it wasn't going to be worth it. Kudos to you for figuring that out before you invested so much to obtain either one. There have been others who miscalculated and now are underpaid and unhappy. Also, I love the vascular access nurses -- especially the ones who love what they do.
  9. WestCoastSunRN

    NURSE SALARIES... RN, NP, CRNA, etc...

    You make a good salary for being able to be a "ghost". I'm guessing that is why you didn't like CRNA or ACNP - bc APRNs work their tails off, and in some cases are not compensated as well as they were when they were bedside (true for NPs, not for CRNAs). Generally speaking, if you want to make a lot of $$$ you have to network, work hard, and often do things you don't necessarily "like" - and a lot of it has to do with being in the right place at the right time. I think there are three kinds of work people - 1) people who like work and working hard - as in, they gain satisfaction from the actual act of working -- and 2) people who work because they have to pay the bills or it is a means to some other end (early retirement, etc) -- and 3) a combo of 1 & 2. I could be wrong, but it seems like you are a #2 or #3 -- in which case, you are doing GREAT! If you live simply (you don't say if you are supporting a family, etc) and invest wisely, you probably could retire early! Very few of us get to 'have it all'. There are trade-offs most of us have to make. My own story? I'm a #3, and one who really likes to work, married to someone who really likes to work. For me - I enjoy living beneath my means in such a way that allows me to take some financial risk with my job - job satisfaction trumps salary for me (because I like to work). I haven't had to do that yet (risk), but I'm a newly minted APRN, so the risk is around the corner.
  10. WestCoastSunRN

    Completing DNP While Working Full-Time

    Since you already have your APRN MSN, the DNP should be very doable for you. Most of the APRNs in my DNP cohort are working full-time. But you need to work it out with your employer - as there are the on-campus requirements you mentioned and there also will be more clinical hours (500 for the doctoral portion, I believe per AACN). Honestly, my MSN clinical hours were way more stressful than I think my DNP hours are or are going to be going forward. I worked part-time during my MSN and it about killed me. That said, I have a year left on my DNP and I'm probably not going to pursue an APRN position (unless it's part-time) until I'm done with my DNP. The flexibility of bedside RN job is feeling pretty perfect as my capstone ramps up.
  11. WestCoastSunRN

    Suspension of clinicals d/t COVID-19

    whoops, missed that part
  12. WestCoastSunRN

    Coronavirus and Intubation Question

    Aerosol is certainly produced during IPV treatment and/or with a VDR ventilator, for example. Most patients vented with infiltrates will be receiving these types of modalities. Also, have you ever had the vent tubing disconnect and blow in your face? Positive pressure + warm air = aerosol - as I've experienced it. I agree that I don't understand how just intubating someone would create aerosol. Droplet precautions should be fine for intubation, I would think.
  13. WestCoastSunRN

    Suspension of clinicals d/t COVID-19

    Would your facility allow students at this time? The ones around here will not.
  14. WestCoastSunRN

    COVID - Cancelled clinicals

    GREAT idea.
  15. Don't have anything to add. Just want to say this and the post right before it gives a very thoughtful (different) perspective to think about. I also think @LibraNurse27 articulated it beautifully and respectfully. There are gray, and sometimes, messy ethical considerations in any healthcare business. It doesn't serve us to pretend that doesn't exist. Well said and something the OP should consider along with everything else.
  16. WestCoastSunRN

    Working and Clinicals

    I work part-time. It's absolutely grueling. There's no way I could do full-time (I have a family). I'm almost done. Like someone said, you can make it work, but it's been super hard --- and quite honestly the time I spent working would have been EXCELLENT time spent studying or picking up more clinical hours. Something to think about.
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