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WestCoastSunRN MSN, CNS

CVICU, MICU, Burn ICU
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WestCoastSunRN has 25 years experience as a MSN, CNS and specializes in CVICU, MICU, Burn ICU.

WestCoastSunRN's Latest Activity

  1. WestCoastSunRN

    DNP: Mirroring the Path of DO?

    Well said and thank you. I, also, am an APRN getting my post-masters DNP. I did think about a PhD, but at the end of the day, I want to be a clinician who is prepared for translating research and leadership in community and population health. Because I am an APRN, my clinical hours must include expanding on my clinical practice by working toward/attaining clinical skills I did not get (or need) to graduate with my MSN. That said, my didactic DNP classes are leadership and research focused. It is all material I did not get in my clinically-focused MSN. My school has a separate DNP track for those with non-APRN MSNs, though many classes are shared in common. Now would I make adjustments to the curriculum? Yes. Do I think it should be like the PhD or put me at the same level as an MD? No.
  2. WestCoastSunRN

    DNP: Mirroring the Path of DO?

    Great discussion! I agree, collaborative agreements don't bother me and I do not want to be out "on my own" in a provider role - even as a niche/specialty CNS provider. I do, however, want my salary to reflect the additional years of schooling - AND - I really think it should reflect the years of experience I have in nursing - bc I am an advanced practice nurse. One of the problems with APRNs is that the salary discourages nurses who have put in real time at the bedside to return to school. And yet, most nurses (I think) really value the idea of a somewhat seasoned RN in the APRN role. As for the DNP - yes, it is diluted. I am also attending a very reputable state school for my DNP, and I am determined to get my money's worth. So I am doing a clinical residency outside of my own specialty (and actually clinical hours are a requirement for my program, tho I guess these are different for non-APRN students). My capstone is no joke, either. In fact, the idea for my capstone was the impetus for me pursuing the DNP. But it shouldn't be a "it is what you make it" thing. As a profession, we can do better. Thanks for the topic!
  3. WestCoastSunRN

    Driving 1.5 hrs (one way) to work. Good idea?

    I would abhor such a commute before or after a 13 hour shift. If you want to stay at mom-in-law's house for two nights - maybe that's an option, but for me ... driving that commute would be untenable.
  4. WestCoastSunRN

    Ethics and patient follow up

    This is the stuff healthcare reform should be made of.
  5. Social media is a big big deal - for ALL professions. Nursing schools and hospitals are figuring out how to leveredge it to their advantage. Those nursing students are likely being encouraged to post what they do. Quite honestly, I think nursing, as a profession, should make the most of social media - it's here to stay. We do ourselves no favors by being the quiet, subservient handmaidens to the physicians and others (who are also posting on social media) - for some kind of 'honor'. Also, the "I'm-too-cool-to-be-excited-to-be-a-nurse" thing is tiresome. And I'm a (sorta) old nurse. I have every reason to be jaded and suspicious and tired, - but I try not to be - that is not who I want to be, ever. And, I post very little on social media about being a nurse, but I'm not going to knock it.
  6. WestCoastSunRN

    New grad first job - peds or adults?

    Well I'd go with the adult ICU and here's why - if you can cut it there and you still want to do peds later, you can do it. In my experience, adult-critical-care nurses are welcomed into the peds world a little more readily than the other way around. Also, I think the best time to work on your current peds floor as an RN - is AFTER you have spent some time in the work-world away from them. It is exactly for the reason you suggested - the transition from seeing you as CNA to nurse will be difficult for them. If you leave on good terms and go get some bonafide experience under your belt, they will be MORE than happy to welcome you back because: 1. You left on good terms 2. You left to get critical care experience 3. If/when you come back - you are coming back solidly as a nurse (with some impressive experience) in their eyes. Time away will help them disassociate you from the CNA role. 4. If/when you come back - it is an obvious huge compliment to that peds floor - that you would want to come back to them even after having other experiences. Not very many people can do both kids and adults and/or have experience in both. It may end up being a pretty highly valued skill set for you later down the road.
  7. WestCoastSunRN

    New grad burnout

    Wow. Reading this makes me angry on your behalf. I agree, you are NOT burned out. You are experiencing the moral distress ANY of us would in these circumstances. I hope you can find a new position soon. In the meantime, I echo the notion that you continue to stand up for yourself and your patients. It is the RIGHT thing for you to do. If nothing else, hopefully you will leave this unit and those who manage and work in it, with a solid understanding of what it feels like to be called out on unprofessional, unsafe, and unhelpful practices. By "calling out", I mean - escalating these unsafe situations up the chain of command until they are dealt with appropriately, exercising boundaries ("I can work this, not that", "I can be a sitter for one patient, or I can care for a group of patients that either have sitters or do not need them" -- sitters by the way are sitters bc they are one-to-one). And the CNA who pulled you aside ..... oh my. You are very kind in your assessment of that situation. I would have given her a "professional learning opportunity" right back. I hope you have some nursing friends in your life that you can talk to about this. What you are experiencing is not normal, not acceptable, and needs to be addressed by someone with the power to do it. That is not you, so I suggest you move on and wash your hands of it at your earliest opportunity.
  8. WestCoastSunRN

    NP: Age limit?

    Hi! Very cool that you are doing Telehealth in Washington from Florida! (That's what I understood?) If I got that right, you are licensed in WA - and that is how you are allowed to do the telehealth visits? I ask, because since COVID many previous over-state-lines restrictions have been lifted to make telehealth more accessible. Has any of that impacted your practice, or do you see how it might (ie., allow you start seeing patients in other states?)
  9. WestCoastSunRN

    Prepare Nurses to Pass NCLEX, or Prepare Nurses for Real World?

    ^^ 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.
  10. 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!
  11. WestCoastSunRN

    Asked to give an anesthesia medication

    indeed.
  12. 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.
  13. WestCoastSunRN

    last year of FNP school but want PMHNP

    You're welcome. Best to you!
  14. 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.
  15. 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!
  16. 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. 🙂