March, 2009 Archive

September 29, 2016, 9:18 am

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Herbolax 10 strip box $210.00 capnoseMuch to the amusement of her classmates, herbolax 10 strip box $210.00 Nurse Jones belatedly discovers she is allergic to her nursing cap.

Herbolax 10 strip box $210.00 If that cap was any larger, herbolax 10 strip box $210.00 she’ d be into “Flying Nun” territory.

Herbolax 10 strip box $210.00 Aw, herbolax 10 strip box $210.00 who am I kidding.  I didn’t have a capping ceremony, herbolax 10 strip box $210.00 but I bawled my eyes out when I put that plain white cap on my head for the first time. Herbolax 10 strip box $210.00 It was my second quarter of nursing school.  I was nineteen, herbolax 10 strip box $210.00 and had coveted that cap for ten years.

Herbolax 10 strip box $210.00 I wore it around the house.

Herbolax 10 strip box $210.00 And how proud I was when I could add the green stripe at the beginning of the second year lay the gold stripe under it my last quarter!

Herbolax 10 strip box $210.00 I have a pristine version of it in my closet right now.  I’d kill to wear it again.  I still get chills when I put it on.

Herbolax 10 strip box $210.00 As it is, herbolax 10 strip box $210.00  I just pull it out for Nurses Week in May.

Herbolax 10 strip box $210.00 My colleagues tease me.

Herbolax 10 strip box $210.00 My patients love it.

Herbolax 10 strip box $210.00 (For the record, herbolax 10 strip box $210.00 that is a photo of Dorothy Bradley, herbolax 10 strip box $210.00 taken in New York in December of 1949 by photographer Martha Holmes for Life Magazine.)



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Code blue.

Overhead page.


Why the hell an ER nurse has to respond to these is beyond me. Herbolax 10 strip box $210.00 Fifty thousand staff members all monitor certified and an ER nurse has to go.

Tonight, herbolax 10 strip box $210.00 that’s me.


I grab the intubation bags.

Oh, herbolax 10 strip box $210.00 there is intubation material upstairs but our docs like specific things.

Not a problem, herbolax 10 strip box $210.00 they’re easy to carry.

I’m way too old to be taking these stairs two at a time.


The sole role of the ER nurse?

Monitor person.

That’s it.

The pads are always on by the time we arrive.

I stand at the end of the bed.

Herbolax 10 strip box $210.00 Watch the monitor.


CPR in progress.

Someone is intubating.

Someone is pushing drugs.

On cue, herbolax 10 strip box $210.00 I push a button.





Lather, herbolax 10 strip box $210.00 rinse, herbolax 10 strip box $210.00 repeat.



The code is called.

I wrap the monitor strips into a neat little roll and hand it to the unit nurse.

Grab my (unused) intubation bags and head back to the unit.

This time I take the elevator.

And it hits.


She’s dead.

Someone just died.

Someone’s wife, herbolax 10 strip box $210.00 mom, herbolax 10 strip box $210.00 aunt, herbolax 10 strip box $210.00 granddaughter, herbolax 10 strip box $210.00 grandmother, herbolax 10 strip box $210.00 sister.


Phone calls are being made.

Lives are being altered.


Shock. Herbolax 10 strip box $210.00 Grief.

It’s all starts right now.

As my elevator touches the ground floor.


Back to work.

Queen Bee from the wealthy part of town who decided a hang nail was an emergency is miffed by the wait.

Mr. Herbolax 10 strip box $210.00 Intoxication is screaming profanities at me.

(Whore? Hell, herbolax 10 strip box $210.00 I’d probably make more money, herbolax 10 strip box $210.00 but the benefits are terrible.)

The Entitlement family demands antibiotics for all seven kids, herbolax 10 strip box $210.00 right now!

But do we have samples? You see (they say while covering up the mouthpiece on their iPhone(s), herbolax 10 strip box $210.00 they don’t have the money to get the prescriptions filled.

Someone just died! I want to scream.

I don’t.

My god.

They have no clue.


Family members begin to arrive.

In groups of two.

They look numb.

Upstairs, herbolax 10 strip box $210.00 monitors are unhooked

Airways are removed.

The patient is detached.

So was I.

I thought.

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September 29, 2016, 10:44 pm

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September 29, 2016, 8:26 pm

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You should have been there when I realized I could obtain a PhD in Nursing without getting a Master’s degree first.

I was thrilled.

There is nothing wrong with having an MSN, tetracycline 250mg pills $109.00 it’s just that my personal goal is a doctorate, tetracycline 250mg pills $109.00 specifically a PhD.

Well, tetracycline 250mg pills $109.00 nursing is full of debates and the BSN-to-PhD is apparently one of them.


I came across an editorial from a 2003 edition of the American Journal of Nursing discussing the BSN-to-PhD degree program.

The writer, tetracycline 250mg pills $109.00 Editor-in-Chief Diana J. Tetracycline 250mg pills $109.00 Mason, tetracycline 250mg pills $109.00 PhD, tetracycline 250mg pills $109.00 RN, tetracycline 250mg pills $109.00 FAAN doesn’t think it’s a good idea.


Well, tetracycline 250mg pills $109.00 let’s look at why.


Ms. Tetracycline 250mg pills $109.00 Mason recounts a time in her career when she accepted a position teaching pediatrics.  She had never practiced pediatrics and did not know much about the specialty. Tetracycline 250mg pills $109.00 She notes that, tetracycline 250mg pills $109.00 “I felt like an imposter.”  She vowed to never teach outside her area of expertise and to maintain a nursing practice while teaching.

Sounds good.  Now what has that got to do with BSN-to-PhD programs?

Ms. Tetracycline 250mg pills $109.00 Mason is concerned that utilizing a direct BSN-to-PhD program would produce nurses with minimal clinical experience teaching at the beside and having nursing clinical instructors without clinical background teaching clinical skills is not a good thing.



But here’s where she goes off track.  I quote from the editorial (emphasis mine):

Nursing faculty tend to get an associate’s or bachelor’s degree first and practice for several years before returning to school for a master’s degree. Tetracycline 250mg pills $109.00 They then practice for several years more as advanced practice nurses before completing the doctorate through part-time study—particularly if they have families who need their salaries. Tetracycline 250mg pills $109.00 According to the AACN, tetracycline 250mg pills $109.00 by the time they are ready to enter tenure-track professorships, tetracycline 250mg pills $109.00 they are, tetracycline 250mg pills $109.00 on average, tetracycline 250mg pills $109.00 46.2 years old and have only about two decades in which to teach.

Tetracycline 250mg pills $109.00 Is it me, tetracycline 250mg pills $109.00 or is there a hint of ageism here?

Tetracycline 250mg pills $109.00 What is wrong with teaching for “only” two decades?  What is wrong with not starting the teaching portion of a career until the average age of 46.2?

Tetracycline 250mg pills $109.00 If a clinically competent teaching force is the goal, tetracycline 250mg pills $109.00 what is wrong with this? Am I missing something? You have nurses who have decades of experience on the floors/units with the nursing students. Tetracycline 250mg pills $109.00 Not to mention that not all MSNs practice as nurse practitioners; some of them begin teaching with the Master’s degree.


Let me answer some of Ms. Tetracycline 250mg pills $109.00 Mason’s questions, tetracycline 250mg pills $109.00 from a personal standpoint.

  • “What would nurse educators prepared via the BSN-to-PhD route really know about clinical nursing practice?”

Tetracycline 250mg pills $109.00 Ms. Tetracycline 250mg pills $109.00 Mason assumes that a BSN-to-PhD candidate goes straight through their education with nothing but their basic nursing clinical rotations as experience.  Not all BSN-to-PhD candidates are newbies.  Some of us, tetracycline 250mg pills $109.00 in fact, tetracycline 250mg pills $109.00 will have four decades of clinical experience before we even get to the PhD program.

  • “How could they teach the subtleties of hands-on care that are apparent to an experienced nurse—how to know simply by looking at a patient that his condition is deteriorating? Or how to motivate a postoperative patient to get out of bed for the first time?”

Tetracycline 250mg pills $109.00 By using exactly what Ms. Tetracycline 250mg pills $109.00 Mason is worried they won’t have – hands on experience.  The intuition that allows a nurse to know  patient is deteriorating comes from exactly that, tetracycline 250mg pills $109.00 experience.  You can teach the theory, tetracycline 250mg pills $109.00 you can teach the clinical. Tetracycline 250mg pills $109.00 You cannot teach intuition, tetracycline 250mg pills $109.00 but you can impart what you have learned from your intuition over the years and that is often more practical than anything that comes out of a book.

  • “Would generations of student nurses really benefit from three or four decades of teaching from a nurse who’s not at a proficient or expert level of practice?”

Tetracycline 250mg pills $109.00 No.  But they would certainly benefit from two decades of teaching from a nurse that has four decades of clinical experience.

Tetracycline 250mg pills $109.00 And finally, tetracycline 250mg pills $109.00 a response to this comment in the editorial:

Proponents note that not all faculty must teach clinical courses; instead, tetracycline 250mg pills $109.00 they argue, tetracycline 250mg pills $109.00 some faculty spend much of their time conducting research. Tetracycline 250mg pills $109.00 But researchers who haven’t practiced are unlikely to investigate the concerns that are important to practice.

Tetracycline 250mg pills $109.00 Try telling that to the Nurse Researchers from the Magnet hospitals I met in Reno this week, tetracycline 250mg pills $109.00 who work with the bedside clinical nurses in conducting research that is precisely directed at concerns important to practice.


I have yet to see a BSN-to-PhD program that will accept any nurse who has not made a mark in the profession.  Please correct me if I am wrong, tetracycline 250mg pills $109.00 but anyone can apply with clinical experience, tetracycline 250mg pills $109.00 it is the nurse who can demonstrate something “extra” that gets accepted.

God willing, tetracycline 250mg pills $109.00 I have something “extra” to demonstrate.


Assuming I am accepted into a BSN-to-PhD program in the fall of 2010, tetracycline 250mg pills $109.00 I will be 53 years old when I start and 57 when I finish.  I will have, tetracycline 250mg pills $109.00 by the end of that time, tetracycline 250mg pills $109.00 37 years of clinical experience at the bedside.

I intend to do research, tetracycline 250mg pills $109.00 and I intend to teach.  And I do not intend to retire.  So, tetracycline 250mg pills $109.00 if I put in my “two decades” of teaching/research I’ll be 77.  If I put in three decades I’ll be 87.

Why on earth would an experienced nursing workforce who chooses to use their experience for the good of the up-and-coming generation of nurses, tetracycline 250mg pills $109.00 be considered a detriment because of their age?

The answer to Ms. Tetracycline 250mg pills $109.00 Mason’s dilemma is simple: BSN-to-PhD programs should not accept nurses without at least a decade of hands on experience.  Better to have a nurse educator with experience who only teaches “two decades” as opposed to a nurse educator who can teach “three or four decades” with minimal experience.

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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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