Latest Comments by Miiki

Miiki, BSN, RN 22,746 Views

Joined: Jan 10, '12; Posts: 1,648 (37% Liked) ; Likes: 1,599

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  • 0

    Ugh autocorrect....

    *intubated

    I even fixed it and it autocorrected back to incubated.

  • 0

    Under 25 gets incubated. 25 and over gets a NIPPV trial (in & out surf if needed).

    So no, no 23/24 weekers not intubated (although NIPPV & CPAP uses a vent so the age is actually a lot higher without the vent)

    *In my unit. YMMV

  • 0

    I know a MSN program and a DNP program (I attend this school for NNP) that find your clinical placements for you. But you have to move. IDK how the MSN program works, but with my school, they just pair you with a preceptor. You arrange your time with the preceptor. In FNP, many preceptors work M-F 9-5 type hours.

  • 0

    You should be able to. FNP is primary care across the lifespan. An AGPCNP may be a little more prepared for geriatrics. I would do the FNP then if you really feel compelled to get your AGPCNP, do it as a post-graduate program (at a lower cost).

  • 0

    I had a nightmare that involved me forgetting to feed a baby the whole shift. Scariest nightmare ever...

  • 2
    onthego782 and mattb1989 like this.

    ***If you don't know, ask or go find the answer if you know where to find it.***

    As soon as you get the chance, go around to the nurses, introduce yourself, and ask if they have anything interesting they could show you. Even if they don't right then, they'll probably remember you and come find you when something is going on.

  • 1
    SopranoKris likes this.

    As more and more states move to the consensus model, you'll find that FNP isn't the "work anywhere" option it used to be. My state has fully implemented it and has specifically mentioned that hospital acute care is outside the scope and training of FNPs and on the job training isn't appropriate. So while I don't know the rules of your state, things are moving in that direction. I'd urge you to pursue ACAGNP if you want to remain in the ICU. You'll also find yourself better prepared for it vs. FNP where you'll only learn primary care.

    For future planning, if you eventually get tired of the 24 hour nature of hospital/intensive medicine, ACAGNPs can work in specialty clinics.

    "Emergency" NP programs tend to be dual FNP/ACAGNP. I know University of South Alabama has a program like this, and I'm sure there are more. This may satisfy your needs the best, and you don't have to work in the ER (unless you want to), because it is basically an FNP program and a ACAGNP program done at the same time. You get both certifications.

  • 1
    Luckyyou likes this.

    Quote from Altalorraine
    It does sound heavy to me. After all Nicu is an *ICU* which should mean a limited patient load for each nurse.

    Not all NICU babies really need intensive care. Unless there is a separate "special care" or "Level II" nursery, the NICU will have a mix of patients. I like to simplify it and say that Level III babies are ICU, and Level II babies are like med/surg.

  • 0

    I like it! If I did big people, I'd choose that.

  • 2
    LadyT618 and TheFuture09 like this.

    Figure 1

    But not for immediate help. Just for learning purposes. And not an academic source.

  • 2
    wondern and brownbook like this.

    Our charting has name fields. When giving report, you actually attach it to a specific person in the system. First, middle (sometimes initial), and last name shows up.

  • 0

    That pop up doesn't mean you passed or failed. You'll just have to wait for them to finish their review.

  • 1
    chare likes this.

    Quote from zoidberg


    the snark. this made me chuckle
    Yes. I've had lots of practice. I just need to remember to sprinkle in some emojis so people don't read my tone as aggressive or rude.

  • 3

    Spanish!!!!!!!!!! And persue becoming a certified medical translator. You could possibly have that count as an independent study topic in a high level Spanish course. <<<hint hint Talk to the Spanish department about that.

    That will be so valuable on your resume and I'm envious.

  • 1
    elkpark likes this.

    Write everything (EVERYTHING) as if you have to prove it. At least use something like UpToDate at the minimum. There's plenty of things that nurses "just know" that have actually changed since they went to nursing school 2-80 years ago. And plenty of hospitals are slow to implement evidence based changes into practice and policy.

    And my teachers (in grad school) check all citations. I've had them ask me to send them copies of articles that they for whatever reason couldn't access themselves.

    So just cite the stuff.


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