WestCoastSunRN MSN, CNS

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, m...

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 ...

Am I the only nurse here who refers to the physicians I work with as "my docs"? I have only heard "my docs" refer to any of our team as 'my nurse" on a couple of occasions where one of us was being assaulted or harassed. I see "my" in the same cont...

The first question I have is, what are you doing being a sitter for a patient while you are in residency? Residency is about education and building competency -- a time of intense study and orientation with a preceptor(s) and educators who plan assi...

what ^^ she said! No advice, just -- wow -- how super it is to have two great jobs to choose from. The pro/con list and a talk with your hubby will probably help it become clear.

Sometimes (many times, actually) you have to move to an new organization in order to advance in the way you want to advance. The closer-to-home, free parking, non-rotating shifts are not small things to me. These represent very real benefits. If ...

This is a tough situation and it's really hard to have so much responsibility when you are struggling with high anxiety. I believe you can get help for this and it sounds like you are doing the right things in being proactive towards that. Do you ...

I second Rose Queen's thoughts/advice. I like to think of this in terms of Benner's Novice to Expert framework -- it takes a lot of time/hours/years to move through those stages and you cannot hasten that progress (well higher acuity helps you move ...

Just want to add my encouragement. You can do this! It really is rough out there - regardless of age. I'm going to challenge you to mentally take your age off the table as a factor. You are identifying yourself as a "RN at 55" -- while it is fact...

Thank you for sharing your background, as your initial posting was unclear and it seemed that you were not yet a practicing nurse. I think part of the confusion is that the flu shot issue seems to be just now becoming a concern for you -- perhaps it...

I read through this whole thread thinking the OP would show back up, but hasn't. This is a tangent, but I'm so curious as to the focus of a DNP for someone who has never worked as a nurse? I guess it's just a direct entry NP-type degree? It's not...

I am not yet a practicing CNS but am studying to take my boards as a Acute Care CNS - Adult Gero. I can answer your questions from that perspective, but not as an experienced CNS. PM me if you'd like my response.

Hello all, I am preparing for my ACCNS-AG exam and I would love recommendations from other APRNs for study materials. I especially need some robust materials for critical care -- CV/Pulm/Renal -- and also endocrine and immunology. Practice exams an...

This nurse is being passive-aggressive. The reason is bc she is either too cowardly (or too smart) to be direct. Her critical words were not delivered in a meaningful way. Her intention is not to mentor you through weaknesses (which we all have). ...

I would not get involved with the insurance company for the following reasons: You will benefit GREATLY from any clinical experience you can get, if you plan to go into academia. And this is a biggie - based on what you said about intentions to teac...

One of my preceptors is an ACNP who works for the surgical team. She does do surgery -- perhaps akin to FA (I'm not sure what all FAs do)? She will harvest veins, close, man the robot.... She also follows the services surgical patients and performs...

If you are not credentialed by an institution as a provider, I don't see how anyone can hold you liable for not writing/changing orders on a patient (which no one can do unless they are credentialed/privileged by the institution) -- and this is reall...

If you are really interested in this job, contact the medical staffing office to see what the process is for an NP to get privileges/credentialed. Then you can follow up with this potential employer about what the process is. It sounds like this pa...

You have many years of clinical experience. Plus, unless you are going for acute care NP, I don't think you need to stay in acute care. You will benefit from your past clinical experience, for sure (don't let anyone tell you you won't -- even as an...

Yes scrub the hub. It's the right way to do things and there is a reason for it (takes less than 5 seconds for bacteria in air to get onto hub). That's why the oncoming nurse said something. You should also know your policy, but if your policy doe...

You will be responsible for writing orders to wean patients off vents? Is there a residency that will be preparing you for this kind of work? With FNP cert in the new age of Consensus Model, you may be walking a dangerous line, here. Look carefull...

there are plenty out there. Keep looking -- with consensus model, I bet you will see more and more of these as APRNS will need them for their populations of interest.

See, I think I'd LOVE working heart failure, but I hear you -- the team you work with makes ALL the difference. Truthfully, it's one of the reasons I love my RN job -- the team is amazing. I agree one NP job is not like another. As a soon-to-be C...

Yes, one of things I love about Florida, BUT.... the east and west coasts do have different demographics. I don't think what the OP is seeing is discrimination, but I do think it *could* be a bad sign. I totally understand wanting to see diversity ...

My state's NPA also doesn't say. I am finishing up my ACCNS-AG academic prep. In practice I find the ages to be 13 or 14+, but I don't see hard and fast rules for this published anywhere - even in the certification materials. This is an important...