November, 2007 Archive

September 25, 2016, 7:35 pm

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From the “I-show-up-where-I-least-expect-it” file located in the Shameless-Self-Promotion department:

If you read “Fitness” magazine, zetia 10mg pills $207.00 I’m quoted in the December issue article on how to stay healthy. Zetia 10mg pills $207.00 I’m on the sidebar!

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September 25, 2016, 3:45 pm

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Speaking of nurses and graduation, minoxidil 5% solution 60ml bottle $118.00 how much clinical time do you believe is required in a nursing program to produce a competent, minoxidil 5% solution 60ml bottle $118.00 functional registered nurse?

We all know that the hospital-based diploma programs were jammed full of clinical time, minoxidil 5% solution 60ml bottle $118.00 with the student nurses essentially used as staff nurses on the wards. Minoxidil 5% solution 60ml bottle $118.00 Those days are gone, minoxidil 5% solution 60ml bottle $118.00 and nurses are now educated in colleges and universities.

So, minoxidil 5% solution 60ml bottle $118.00 are new nurses getting enough clinical time?

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What is more important to focus on in nursing courses: the clinical or theoretical? Should nursing students be proficient in clinical skills on graduation and learn theory on the job? Or should they be steeped in theory and learn to think critically in school followed by learning the technical aspect on the job?

Is there time in a nursing program to address both of these aspects of nursing effectively?

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As an ADN grad, minoxidil 5% solution 60ml bottle $118.00 I did not feel that I had enough clinical time to become proficient in the technical aspects of nursing care before I graduated. Minoxidil 5% solution 60ml bottle $118.00 I’m talking foley catheters, minoxidil 5% solution 60ml bottle $118.00 naso-gastric tubes, minoxidil 5% solution 60ml bottle $118.00 monitors, minoxidil 5% solution 60ml bottle $118.00 IV starts, minoxidil 5% solution 60ml bottle $118.00 etc. Minoxidil 5% solution 60ml bottle $118.00 It may just have been my youth and insecurity, minoxidil 5% solution 60ml bottle $118.00 but I was scared to death when I graduated. Minoxidil 5% solution 60ml bottle $118.00 No one cared that you could spout the adaptation theory of Sister Callista Roy by heart and backwards. Minoxidil 5% solution 60ml bottle $118.00 There was work to be done.

I would say that you cannot do everything in two years, minoxidil 5% solution 60ml bottle $118.00 yet my BSN colleagues had even less time at the bedside than I did.

Then there are the programs that allow people with previous experience in a medical-related area to become an RN through a program that condenses the entire clinical experience into a two-week period. Minoxidil 5% solution 60ml bottle $118.00 Two weeks? Medical, minoxidil 5% solution 60ml bottle $118.00 surgical, minoxidil 5% solution 60ml bottle $118.00 OB, minoxidil 5% solution 60ml bottle $118.00 pediatrics and psych in two weeks?

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I’m interested in what you thought of your nursing clinical education. Minoxidil 5% solution 60ml bottle $118.00 Did you feel prepared to take on the clinical tasks right after graduation? I put in one foley and one NG before I graduated. Minoxidil 5% solution 60ml bottle $118.00 No IV starts. Minoxidil 5% solution 60ml bottle $118.00 No training on monitors.

What are the clinicals like out there now? How many hours a week are you actually at the bedside? How many chances are there for you to do procedures? At what point do you take on what would be considered an entire “assignment”? Do you take report and give report? How involved are the staff nurses involved in your clinical education?

And, minoxidil 5% solution 60ml bottle $118.00 if you became an RN through one of the distance-education programs, minoxidil 5% solution 60ml bottle $118.00 how did you fit in your clinical experiences?

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I’m asking from the perspective of someone who is considering going into nursing education. Minoxidil 5% solution 60ml bottle $118.00 If you are a nurse blogger, minoxidil 5% solution 60ml bottle $118.00 write a post about your clinical experiences. Minoxidil 5% solution 60ml bottle $118.00 Current students and those who were students when the Summer of Love was not a distant memory – let’s compare!

Send the posts to me and I’ll put them in the December 13th issue of Change of Shift.

Have things really changed over the last few decades?

Inquiring minds (mine) want to know!

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September 25, 2016, 4:40 pm

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Tenormin 100mg pills $91.00 A funny thing happened on the way to creating the Office of National Nurse.

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Here are the changes the Office of National Nurse will bring, tenormin 100mg pills $91.00 as stated on the National Nurse website:

  • Establish symbolic national leadership by elevating and strengthening the Chief Nurse Officer of the USPHS to make this position visible to the nursing profession and the public.
  • Complement the work of the US Surgeon General.
  • Promote involvement in the Medical Reserve Corps to improve the health and safety of the community.
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Tenormin 100mg pills $91.00 Then why aren’t the leaders of the nursing profession on board? This is a simple, tenormin 100mg pills $91.00 yet profound change that will have far reaching results in terms of the visibility of nursing and a positive impact on public health.

Tenormin 100mg pills $91.00 This post was inspired by a recent article in Nursing Spectrum that is no longer available online. Tenormin 100mg pills $91.00 The article quoted many leaders of nursing groups who are opposed to this change in title. Tenormin 100mg pills $91.00 I was dumbfounded. Tenormin 100mg pills $91.00 I wrote to express my concerns and my support for the Office of National Nurse. Tenormin 100mg pills $91.00 Here is my letter to the editor of Nursing Spectrum, tenormin 100mg pills $91.00 they asked for permission to use it so it may be in a future issue:

Tenormin 100mg pills $91.00 Dear Editor, tenormin 100mg pills $91.00

Tenormin 100mg pills $91.00 This is a response to your article, tenormin 100mg pills $91.00 “National Nurse Debate Fuels Concerns” by Debra Anscombe Wood, tenormin 100mg pills $91.00 RN, tenormin 100mg pills $91.00 on November 9, tenormin 100mg pills $91.00 2007.

Tenormin 100mg pills $91.00 I’m a registered nurse and member of the Emergency Nurses Association and the California Nurses Association. Tenormin 100mg pills $91.00 I fully support making the position of Chief Nursing Officer into Office of the National Nurse.

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Tenormin 100mg pills $91.00 I want to see Rear Adm. Tenormin 100mg pills $91.00 Romano on TV, tenormin 100mg pills $91.00 hear her opinions, tenormin 100mg pills $91.00 have her opinions sought out regarding health care issues so that the public sees and hears that nursing is relevant. Tenormin 100mg pills $91.00 What a wonderful, tenormin 100mg pills $91.00 under utilized role model we have already in place!

Tenormin 100mg pills $91.00 It is hard to grasp the reasoning behind the dissent expressed by the nursing leadership of our various organizations. Tenormin 100mg pills $91.00 Everything Teri Mills envisioned for the ONN is already in place! All that would be required would be funding to increase the visibility of this current national nursing leadership position.

Tenormin 100mg pills $91.00 Why is it so hard to envision this is a win-win situation for the country, tenormin 100mg pills $91.00 for nursing and for our patients? Is it solely a question of money? Fund the Office of National Nurse and increase the visibility of the USPHC and their work in public health and you will have more nurses choosing public health as their specialty, tenormin 100mg pills $91.00 which leads to greater patient education in the community and more efficient use of health facilities for care (better use of clinics, tenormin 100mg pills $91.00 primary care providers such as Nurse Practitioners and appropriate use of the ER are just a few examples).

Tenormin 100mg pills $91.00 Ah, tenormin 100mg pills $91.00 there is the rub. Tenormin 100mg pills $91.00 Funding. Tenormin 100mg pills $91.00 Everyone is afraid of losing their funding and so we once again see the disconnect between nursing leaders and those of us on the front lines. Tenormin 100mg pills $91.00 How will nursing ever get the respect it deserves when its leaders cannot even support the expansion of a leadership position that already exists? The Office of National Nurse is a grass-roots effort funded by educators and staff nurses (like me!) who see the need for a more visible presence of nursing in the media and in the communities. Tenormin 100mg pills $91.00 The American Association of Nurse Executives can’t see funding the Office of National Nurse because they feel all money should go toward fixing the nursing shortage. Tenormin 100mg pills $91.00 The quote from their representative, tenormin 100mg pills $91.00 Jo Ann Webb, tenormin 100mg pills $91.00 states, tenormin 100mg pills $91.00 “…we don’t see the need for a national nurse.”

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Tenormin 100mg pills $91.00 There are no losers should the CNO become the Office of National Nurse. Tenormin 100mg pills $91.00 Why that can be so obvious to a staff nurse and not to the leadership of the ANA, tenormin 100mg pills $91.00 the AACN or the AONE is hard to fathom.

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About Me

My name is Kim, and I'm a nurse in the San Francisco Bay area. I've been a nurse for 33 years; I graduated in 1978 with my ADN. My experience is predominately Emergency and Critical Care, and I have also worked in Psychiatry and Pediatrics. I made the decision to be a nurse back in 1966 at the age of nine...

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