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How the hell do you clog a peg? Prolonged use and buildup?
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Dec 15, 2015 04:26
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The last one I had to deal with, the nurse crushed the patients meds and then "dissolved" them in about 20-30 mls of water, essentially creating a pill paste. Note to future nurses: It's ok to dissolve feeding tube meds in, like, 300 mls of water. Some recent studies have shown that water is actually good for you.
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Dec 16, 2015 12:00
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No way man. You need your license revoked if you think exposing patients to deadly dihydrogen monoxide if "healthy" It's proven to be deadly when exposed to lung tissues!
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Dec 16, 2015 13:39
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Is it basically inevitable that you'll have to work the night shift for a while when starting out as an RN in a hospital setting? I feel like I'd have lot of trouble swinging back and forth between a nocturnal and normal schedule in a vain attempt to have a normal social life on my days off and am curious if that's at all avoidable.
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Dec 17, 2015 02:06
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Tacier posted:Is it basically inevitable that you'll have to work the night shift for a while when starting out as an RN in a hospital setting? I feel like I'd have lot of trouble swinging back and forth between a nocturnal and normal schedule in a vain attempt to have a normal social life on my days off and am curious if that's at all avoidable. I know plenty of people who started out as new grads on day shift. Working nights isn't really that bad. If you can work your three shifts in a row and then have a three or four day stretch off, it's totally possible to flip to a somewhat normal schedule for a few days.
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Dec 17, 2015 02:11
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What kind of a social life do you have that involves day time events? Staying nocturnal all the time and waking up at 4 or 5 for happy hours and dinners is totally possible. I stayed 99% nocturnal for years, and it was great. I actually can't wait to graduate and get back to night shifts.
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Dec 17, 2015 02:25
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Night shift is best shift. That sweet, sweet shift diff + having less interactions with family members is a win.
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Dec 17, 2015 02:58
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Tacier posted:Is it basically inevitable that you'll have to work the night shift for a while when starting out as an RN in a hospital setting? I feel like I'd have lot of trouble swinging back and forth between a nocturnal and normal schedule in a vain attempt to have a normal social life on my days off and am curious if that's at all avoidable. E: and nights are sweet as gently caress. I just hit a bout of SAD this fall so am coming off of nights-only (and only get $1 differential) but I'm still probably doing 75% nights voluntarily. E2: but you won't get days-only until you're really senior or working in something like GI lab. Ravenfood fucked around with this message at 04:32 on Dec 17, 2015 |
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Dec 17, 2015 04:28
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Night shift is awesome when you have no other responsibilities which cause you to stay up or run a day schedule on your day off. Night shift E.R was the greatest, because you were busy, crazy poo poo happened at that time and it was you, maybe two other nurses, a doc and a PA *hospital in a town of 75,000* Night shift sucked when you had classes at 9 A.M the next day though.
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Dec 17, 2015 15:45
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 First semester done! So tired, going to sleep straight to next semester.
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Dec 17, 2015 17:35
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Night Shift sucks when everyone on day shift quits and management makes night pick up mandatory days on-call.
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Dec 17, 2015 21:06
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Ravenfood posted:(and only get $1 differential) Whaaaaaaaat? This calls for a burn-the-hospital-to-the-ground riot. The only real benefits of night shift are knowing you make ~$10k/year more than day shift scum and avoiding The Joint Commission.
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Dec 17, 2015 21:14
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Epic Doctor Fetus posted:Whaaaaaaaat? This calls for a burn-the-hospital-to-the-ground riot. The only real benefits of night shift are knowing you make ~$10k/year more than day shift scum and avoiding The Joint Commission. On the other hand, I passed my CCRN about an hour ago, so I should be good to apply most places! e: To be fair, the system I work for seems to do pretty well with staffing ratios and benefits, its just wages that are a little low. Ravenfood fucked around with this message at 23:27 on Dec 17, 2015 |
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Dec 17, 2015 23:20
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Meanwhile in our commie French  province of Soviet Canuckistan  Union negotiations with our provincial government (employs 90% of all nurses) are almost done, and we've gone from the government wanting to give us 3% over 5 years, in addition to cutting night shift and critical care bonuses to: - 6 to 8% over five years of raise  - Expanding the critical care bonus to a few other areas  - Maintaining evening and night shift bonuses  - Going from 52% to 62% of postings being full time  - Implementing pilot projects with the aim of having legally mandated nurse/patient ratios in the next decade  The moral of the story is that socialism is awesome and unions are great, especially if the government gets embarassed by the fact that the media found out that they gave the MD guild retarded amounts of money with no strings attached. Nine of Eight fucked around with this message at 02:48 on Dec 18, 2015 |
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Dec 18, 2015 02:39
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Nine of Eight posted:MD guild There need to be more organizations referred to as guilds. That is all.
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Dec 18, 2015 18:31
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I meant the Order of Doctors, but close enough in practice.
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Dec 18, 2015 19:58
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Hi, I'm taking the NLN test in about a month and I was wondering if you all had any tips? I took the TEAS last year and did really well. Does the TEAS compare to the NLN? I don't think usually people take both but I'm applying to two different schools and they each require a different test.
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Dec 19, 2015 17:56
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Finally made it through 2015, and I start my program in two Mondays. Almost got all my books, have some sweet old-manesque shoes that I needed (all black, all leather sneakers are pretty hard to find), have a stethoscope, and need to get my scrubs still. Any other equipment recommendations? I'm super excited and nervous, mostly about having to wake up to make it to clinicals by 530 am. This thread seems pretty dead, does everyone just post over in the healthcare thread now a days?
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Jan 2, 2016 03:06
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Iron Lung posted:Finally made it through 2015, and I start my program in two Mondays. Almost got all my books, have some sweet old-manesque shoes that I needed (all black, all leather sneakers are pretty hard to find), have a stethoscope, and need to get my scrubs still. Any other equipment recommendations? I'm super excited and nervous, mostly about having to wake up to make it to clinicals by 530 am. This thread seems pretty dead, does everyone just post over in the healthcare thread now a days? We just drink ourselves into a stupor.
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Jan 2, 2016 03:17
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This is still a good spot for nursing specific information instead of just weird stories.
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Jan 2, 2016 03:39
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Iron Lung posted:Finally made it through 2015, and I start my program in two Mondays. Almost got all my books, have some sweet old-manesque shoes that I needed (all black, all leather sneakers are pretty hard to find), have a stethoscope, and need to get my scrubs still. Any other equipment recommendations? I'm super excited and nervous, mostly about having to wake up to make it to clinicals by 530 am. This thread seems pretty dead, does everyone just post over in the healthcare thread now a days? I always have a pair of trauma shears and a hemostat in my pocket. Don't bother trying to buy a hemostat, they are laying around everywhere in a hospital. A pen light could come in handy but flashlights usually aren't hard to find on a unit. Your school may require you to buy stuff like your own BP cuff and other miscellaneous equipment but I've never used my own things in a hospital setting because that's gross. Good luck starting out!
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Jan 2, 2016 09:53
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Koivunen posted:I always have a pair of trauma shears and a hemostat in my pocket. Carry two hemostats. Sometimes you need to MacGyver a pair of channel locks to remove the hubs off of PICC lines.
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Jan 2, 2016 10:57
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I'm applying to CNM school this spring and I have the option of going through and getting my DNP afterward. At Frontier they'll basically give you your DNP half off if you go straight through after your CNM and get it. It's still like 9 months more school and an extra $10k so I'm trying to figure out what the positives and negatives are so I can compare them. I can't really figure out what a DNP actually does for you in practice. I know they prefer you have it if you want to go into nursing administration (would rather die) or maybe into teaching but all I want to do is be on staff at a birth center. I feel like I've been told it allows you to open your own practice but I'm not super all about that either. I was told recently by a CNM that she wished she'd had her FNP as well because she struggled to charge appropriately for care she provided. She said she felt like she would have had a lot more money if she had been an FNP as well. Would a DNP degree serve the same purpose when it comes to billing or is that completely wrong?
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Jan 2, 2016 14:15
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Any nursing degree higher than bachelors that isn't CRNA is turbo trash.
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Jan 2, 2016 22:19
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Thanks all appreciate it. I'll pick up a hemostat most likely, and apparently a ton of booze and doxylamine to appease Roki B (and help me fall asleep early the day before 5am clinicals).
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Jan 3, 2016 00:50
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Iron Lung posted:Thanks all appreciate it. I'll pick up a hemostat most likely, and apparently a ton of booze and doxylamine to appease Roki B (and help me fall asleep early the day before 5am clinicals).
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Jan 3, 2016 01:52
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Ravenfood posted:Find out how strict they are on shoe dress code and if they are kind of slack, get yourself the most comfortable shoes you can. It seems to vary from site to site depending on the instructor but we were told to get all black leather sneakers, so I got some New Balance 574s that I can put comfy insoles in. I've heard they don't care too much, so if other folks are getting away with black sneakers that are not leather, I'll pick something up that may be more comfortable. I've done Disneyland and other walking/standing heavy trips in New Balances and never had issues so I'm hoping that continues here.
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Jan 3, 2016 05:27
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JibbaJabberwocky posted:I'm applying to CNM school this spring and I have the option of going through and getting my DNP afterward. At Frontier they'll basically give you your DNP half off if you go straight through after your CNM and get it. It's still like 9 months more school and an extra $10k so I'm trying to figure out what the positives and negatives are so I can compare them. I can't really figure out what a DNP actually does for you in practice. I know they prefer you have it if you want to go into nursing administration (would rather die) or maybe into teaching but all I want to do is be on staff at a birth center. I feel like I've been told it allows you to open your own practice but I'm not super all about that either. I was told recently by a CNM that she wished she'd had her FNP as well because she struggled to charge appropriately for care she provided. She said she felt like she would have had a lot more money if she had been an FNP as well. Would a DNP degree serve the same purpose when it comes to billing or is that completely wrong? I'm about to start my clinical hours wi the FNP program at Frontier. They have completely revamped their program so it's all doctorate level, and you just get your masters on the way. You do have he option to continue after your masters, take a couple terms off, or continue on to get your doctorate. If you never want to teach, do research, or administration there isn't much point in getting your DNP that I can tell. If you go in to the CNM program, you will have a DNP in midwifery so that doesn't really help with FNP billing. I know that you can go back and get your FNP there as well and only have to take a handful of classes. You don't have to make a decision about continuing until after you complete your masters. I'm planning on taking a term off to get licensed and get a job, then I'll probably continue on and get my DNP. But I want to teach in a few years. Good luck, the program is brutal.
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Jan 3, 2016 12:20
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LoveMeDead posted:I'm about to start my clinical hours wi the FNP program at Frontier. They have completely revamped their program so it's all doctorate level, and you just get your masters on the way. You do have he option to continue after your masters, take a couple terms off, or continue on to get your doctorate. If you never want to teach, do research, or administration there isn't much point in getting your DNP that I can tell. If you go in to the CNM program, you will have a DNP in midwifery so that doesn't really help with FNP billing. I know that you can go back and get your FNP there as well and only have to take a handful of classes. It looks like their PMC FNP program would take about a year to complete and cost about $20k. I like that they don't offer a discount for going straight through so I wouldn't feel obligated to do that straight away. There's nothing saying I can't start working after graduating with my CNM and if I feel like, drat I really would appreciate that FNP, I can always go back part time and hammer it out. They make a deal about it maybe taking longer if your credits don't transfer but since I'd be coming off a Frontier CNM program I doubt I'll have those issues. Since you went through it first hand, I'm curious whether or not you worked while going through their program. How did you juggle working (full or part time) with the FNP program (full or part time)?
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Jan 3, 2016 13:40
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JibbaJabberwocky posted:I'm applying to CNM school this spring and I have the option of going through and getting my DNP afterward. At Frontier they'll basically give you your DNP half off if you go straight through after your CNM and get it. It's still like 9 months more school and an extra $10k so I'm trying to figure out what the positives and negatives are so I can compare them. I can't really figure out what a DNP actually does for you in practice. I know they prefer you have it if you want to go into nursing administration (would rather die) or maybe into teaching but all I want to do is be on staff at a birth center. I feel like I've been told it allows you to open your own practice but I'm not super all about that either. I was told recently by a CNM that she wished she'd had her FNP as well because she struggled to charge appropriately for care she provided. She said she felt like she would have had a lot more money if she had been an FNP as well. Would a DNP degree serve the same purpose when it comes to billing or is that completely wrong? You're getting some seriously terrible information. DNP does not have anything to do with opening your own practice. From the standpoint of the law in every state that I am familiar with, an NP is an NP regardless of whether they're grandfathered in from the olden days, an MSN or a DNP. The only ones who currently care about MSN vs DNP are NPs themselves, and we don't even care that much. It's currently a degree without a meaningful distinction. Will it always be? That's the question that no one really knows the answer to. As for billing, the DNP isn't going to help you there either. Billing has nothing to do with the care you provide or the complexities or your degree and has everything to do with following inane documentation requirements. I can spend two hours admitting someone dying of liver failure and then auto bill for the lowest possible level if a "family history negative" sneaks into my note. I can also knock out a maximum billing admission in less than half an hour provided I have a good template set up with our EMAR that will drag the necessary information in. It's all about keeping abreast of medicare's lunacies (E.g. no "urosepsis" and lots of "Sepsis secondary to gram negative organism suspected urinary source") and embracing ridiculous note bloat (why yes, let me tell you more about my hospice patient's smoking history and family history of coronary artery disease...). Billing is entirely divorced from patient care. So yeah, the DNP isn't going to generate any more revenue for you at all. Nor does it allow for independent practice in a way that an MSN would not. I would also in general be hesitant about stacking NP degrees on top of each other. You might look like you can take care of a ton of folks on paper but it takes time and effort to actually be any good in any given area. If I were to stack and FNP degree on top of my ACNP one, I suspect I'd just be kinda lovely at both.
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Jan 3, 2016 16:13
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Ohthehugemanatee posted:You're getting some seriously terrible information. Duly noted. The woman who suggested I seek my FNP or WHNP for billing reasons, while an excellent Midwife, is also part of the older generation. Healthcare was simpler when she became a CNM. I believe you might be right regarding making sure you use the right terms and ICD-9 codes. As for the DNP and opening your own practice, I'm pretty sure my professors in nursing school were just really loving confused about the DNP. They also told us that it was required in 2015 (suggested =/= required) so I should have probably just ignored the other poo poo they told us. As of right now from what I'm being told and reading, I'll just take two years go get my CNM and go seek employment after. I can always come back for a DNP if the sudden urge to administrate strikes me.
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Jan 3, 2016 17:25
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Hey y'all, just popping in to ask, is the thread title still true?
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Jan 3, 2016 17:58
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slap me silly posted:Hey y'all, just popping in to ask, is the thread title still true? For the most part. Lots of jobs, if you have experience.
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Jan 3, 2016 18:11
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Definitely needs to change. In for life, lots of inland jobs, die from charting. Something along those lines. Still has the most trust of any profession from the general public but it is definitely not as rosey as the title suggests. Lots of upward mobility and still lands you solidly in lower middle class at worst but with the way schooling and jobs track today most nurses end up doing time inland before migrating to better pasture closer to an ocean. And student debt puts a damper on that ROI but can be tempered with a good benefits, retirement and solid union. Nurse & Nursing School Megathread: Become a Nercinary, meet new people, drug them
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Jan 3, 2016 18:15
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Roki B posted:Nurse & Nursing School Megathread: Become a Nercinary, meet new people, drug them Ok this is the leading candidate right now! Other suggestions welcome.
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Jan 3, 2016 18:58
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JibbaJabberwocky posted:Duly noted. The woman who suggested I seek my FNP or WHNP for billing reasons, while an excellent Midwife, is also part of the older generation. Healthcare was simpler when she became a CNM. I believe you might be right regarding making sure you use the right terms and ICD-9 codes. As for the DNP and opening your own practice, I'm pretty sure my professors in nursing school were just really loving confused about the DNP. They also told us that it was required in 2015 (suggested =/= required) so I should have probably just ignored the other poo poo they told us. You can only take so much time off in Frontier's program to continue on with the DNP. I think it's a year. I'm going to do it because, like I said, I'm already accepted and I do want to teach someday. I know several CNMs and WHNPs who got their FNP because it increased their scope of practice and they could see and bill for primary care patients. Maybe that's what the CNM meant? I've had to work full time during the program. It's doable, but very difficult. I did plan B, which is 2 classes most terms. The good thing about their program is that 3 credit hours a term is considered full time for financial aid purposes, so if you have to take one class per term you can still get financial aid. I'm also working full time while doing clinical. This is going to suck. I'm going to work Saturday, Sunday, and Monday nights then go to clinical from 8am-4pm Wednesday, Thursday, and every other Friday. It's going to take me about 34 weeks to get my 675 clinical hours this way. LoveMeDead fucked around with this message at 00:23 on Jan 4, 2016 |
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Jan 3, 2016 23:33
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Hughmoris posted:Night shift is best shift. That sweet, sweet shift diff + having less interactions with family members is a win. Love night shifts. Did my preceptorship a few weeks ago on nights and had the best time ever. I take my RN boards in two weeks and I'm worried because some girls in class that took it said it had alot of select all that apply questions. Can anyone recommend some good resources to review from before I take it?
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Jan 4, 2016 00:45
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Don't ever get a masters degree in nursing A PhD in nursing is completely, 100% pointless unless you only wish to do nursing specific research, make 80-100k/year max and work probably twice as much as any other nursing profession. DNP's are the new PhD's essentially, plus while you're dipping into academia fun bucks you can do your 1-2 days a week in the hospital and grab up an additional 30-40k or whatever you have worked out.
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Jan 4, 2016 00:50
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Risky posted:Love night shifts. Did my preceptorship a few weeks ago on nights and had the best time ever. Getting a lot of SATA questions usually indicates that you are doing well.
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Jan 4, 2016 00:55
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NCLEX is disturbingly easy. Seriously. Relax a bit. Your buddy is an idiot. Test is different for everyone so giving advice is pointless. And if someone daft enough to advise what an ever changing test will look like for you can pass. . . QED. Roki B fucked around with this message at 01:33 on Jan 4, 2016 |
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Jan 4, 2016 01:31
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