WestCoastSunRN MSN, CNS

CVICU, MICU, Burn ICU

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All Content by WestCoastSunRN

  1. WestCoastSunRN

    Reproductive health and more....

    Yeah. What I should have said was "I'm not trying to defend my beliefs on any certain thing in this thread". I can see how you could take "not looking for debate" as "I only want to hear from people...
  2. WestCoastSunRN

    Reproductive health and more....

    I think this is a great point. And one of the reasons I wanted to put this out there -- it is helping me process, for
  3. WestCoastSunRN

    Reproductive health and more....

    Hmmm. This is an important point. I, in no way, am looking for views only from people who have similar views to myself. I'm not sure what I said that would have alluded to that? I'm looking for...
  4. WestCoastSunRN

    Reproductive health and more....

    Hi Susie. I totally appreciate what you're saying. I guess what I meant by that is that I really do know my having any of these issues puts me in the minority. I didn't post the questions as a means...
  5. WestCoastSunRN

    Reproductive health and more....

    Thanks Offlabel. Of the entire scope of FNP practice, women's health appeals to me the least. I am not certain of this, but being that my uni is Catholic -- I may have support in not performing...
  6. Such good thoughts in this thread. I've never been one for direct entry NP programs. And truely I can't see how they make any sense for acute care NP or CRNA aside from making such programs much more...
  7. I'm not as far in as you -- just a little over 20 years for me. But I can attest with certainty that in my city you will not work (as a new nurse) in any one of the major hospital systems without your...
  8. Wow Dodongo. Looks like she put you in your place. Maybe you'll be worthy once you get that MSN.
  9. Very well said. Thank you. If you haven't worked in ICU, you may not be able to appreciate the scope of an RNs practice and knowledge
  10. No. I am not suggesting BSN nurses have superior anything. I am suggesting the world has changed. BSN is quickly becoming the minimum nursing degree. Just a fact. And you're right nursing is not...
  11. Clinically speaking, you have a point here. But I would argue that being clinically proficient is not enough anymore in view of progressing nursing as a profession and knowing how to play with...
  12. yes, yes, yes! The bedside nurse being at bottom of clinical ladder is a problem, for sure. There needs to be incentive to continue in education -- especially hospital-based educational offerings/...
  13. I think you're both right. And I think the answer lies in solutions that speak to all the
  14. WestCoastSunRN

    Advice for a New Burn ICU Nurse

    I will say, I wouldn't call dressing changes savage events. Many centers are doing them only QD now (as evidence shows cost/benefit of QD is appropriate), and we use pain meds appropriately....
  15. Great post. You hit the nail squarely on the head. And Katie, your calculations of debt vs. earnings support this idea as this is now math people are doing well in advance of nursing school. I'm...
  16. WestCoastSunRN

    Disappointed

    I totally agree with you, CardiacDork. APN has changed since I became a nurse 20+ years ago. It was always a goal of mine to grow and stretch into the role of APN someday. That was before it was a...
  17. WestCoastSunRN

    Return to the bedside

    ^^^ This is a real thing for sure. So much so that I'm almost inspired to write an article addressing it. Becoming an NP is more of a career CHANGE than a career PROGRESSION. And this is certainly why...
  18. WestCoastSunRN

    Please help!

    TraumaRUs and MurseJJ, Could you speak to the concerns regarding the CNS role as far as employability and ongoing certification of CNSs? I keep coming back to this idea, myself, mostly because I...
  19. WestCoastSunRN

    Hospitalist --- FNP or AGACNP?

    Yes, great point about needing dual cert programs like FNP/ACNP. And TraumaRUs, see that surprises me about a little about your nephrology clinic. I think some specialties like cards would like...
  20. WestCoastSunRN

    Hospitalist --- FNP or AGACNP?

    In my area I'm not seeing a ton of ACNP jobs the way I see FNP jobs. So that has me worried. That said, I have a top-ranked teaching hospital university in my backyard that has an AMAZING acute care...
  21. Thanks Boston. Well said. In fact poll the docs and see how much of ANY specific biochem they remember that does not directly pertain to their specialty. Some stuff will stick, but let's just face...
  22. Disclaimer: I haven't read through all the comments in this thread. To Globoid -- I agree you have made some SDN-esque comments. I think and hope that a bit more real-world experience will bring...
  23. WestCoastSunRN

    Time to remove the "nurse" in APN?

    This. This. This. And that is the real question the OP posed, does it make sense to refer to APNs as nurses anymore when by direct-entry they are divorced from the role of nurse as we've...
  24. WestCoastSunRN

    Time to remove the "nurse" in APN?

    Great post. The CNS's I know are also not in the provider role, but are more experts in a particular area of nursing and a huge support to the staff in those areas. The nurse's nurse. Yes! I would...
  25. WestCoastSunRN

    Time to remove the "nurse" in APN?

    This topic is near and dear to me. I'm an experienced nurse who really loves the profession. I appreciate all of the many opportunities this profession has to offer --- whether they are at the...