March, 2009 Archive

June 25, 2016, 9:18 am

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Viagra 50 mg capnoseMuch to the amusement of her classmates, viagra 50 mg Nurse Jones belatedly discovers she is allergic to her nursing cap.

Viagra 50 mg If that cap was any larger, viagra 50 mg she’ d be into “Flying Nun” territory.

Viagra 50 mg Aw, viagra 50 mg who am I kidding.  I didn’t have a capping ceremony, viagra 50 mg but I bawled my eyes out when I put that plain white cap on my head for the first time. Viagra 50 mg It was my second quarter of nursing school.  I was nineteen, viagra 50 mg and had coveted that cap for ten years.

Viagra 50 mg I wore it around the house.

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Code blue.

Overhead page.

Dammit.

Why the hell an ER nurse has to respond to these is beyond me. Viagra 50 mg Fifty thousand staff members all monitor certified and an ER nurse has to go.

Tonight, viagra 50 mg that’s me.

*****

I grab the intubation bags.

Oh, viagra 50 mg there is intubation material upstairs but our docs like specific things.

Not a problem, viagra 50 mg 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.

Viagra 50 mg Watch the monitor.

*****

CPR in progress.

Someone is intubating.

Someone is pushing drugs.

On cue, viagra 50 mg I push a button.

Charging.

Clear.

Shock.

Nothing.

Lather, viagra 50 mg rinse, viagra 50 mg repeat.

Nothing.

*****

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, viagra 50 mg mom, viagra 50 mg aunt, viagra 50 mg granddaughter, viagra 50 mg grandmother, viagra 50 mg sister.

Friend.

Phone calls are being made.

Lives are being altered.

Devastated.

Shock. Viagra 50 mg 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. Viagra 50 mg Intoxication is screaming profanities at me.

(Whore? Hell, viagra 50 mg I’d probably make more money, viagra 50 mg but the benefits are terrible.)

The Entitlement family demands antibiotics for all seven kids, viagra 50 mg right now!

But do we have samples? You see (they say while covering up the mouthpiece on their iPhone(s), viagra 50 mg 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, viagra 50 mg monitors are unhooked

Airways are removed.

The patient is detached.

So was I.

I thought.

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June 25, 2016, 10:44 pm

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Anti-fungal and parasites > primaquine 15mg pills > 30 pills > $207.00 The nurses over at the NurseConnect blog have some great posts this week.  Nurse Kathy gives a get-your-kleenex-lump-in-throat post as she describes her Unforgettable Patients.  Ah, anti-fungal and parasites > primaquine 15mg pills > 30 pills > $207.00 nursing care plans. Anti-fungal and parasites > primaquine 15mg pills > 30 pills > $207.00 Haven’t seen one for a bazillion years (god bless the ER).  But…why do we have them and are they actually useful? Nurse Kathy asks Are We Charting Separate Courses?

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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, men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 it’s just that my personal goal is a doctorate, men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 specifically a PhD.

Well, men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 nursing is full of debates and the BSN-to-PhD is apparently one of them.

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

The writer, men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 Editor-in-Chief Diana J. Men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 Mason, men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 PhD, men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 RN, men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 FAAN doesn’t think it’s a good idea.

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Ms. Men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 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. Men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 She notes that, men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 “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. Men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 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.

Agreed.

*****

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. Men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 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. Men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 According to the AACN, men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 by the time they are ready to enter tenure-track professorships, men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 they are, men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 on average, men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 46.2 years old and have only about two decades in which to teach.

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Men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 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?

Men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 If a clinically competent teaching force is the goal, men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 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. Men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 Not to mention that not all MSNs practice as nurse practitioners; some of them begin teaching with the Master’s degree.

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Let me answer some of Ms. Men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 Mason’s questions, men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 from a personal standpoint.

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

Men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 Ms. Men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 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, men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 in fact, men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 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?”

Men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 By using exactly what Ms. Men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 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, men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 experience.  You can teach the theory, men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 you can teach the clinical. Men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 You cannot teach intuition, men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 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?”

Men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 No.  But they would certainly benefit from two decades of teaching from a nurse that has four decades of clinical experience.

Men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 And finally, men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 a response to this comment in the editorial:

Proponents note that not all faculty must teach clinical courses; instead, men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 they argue, men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 some faculty spend much of their time conducting research. Men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 But researchers who haven’t practiced are unlikely to investigate the concerns that are important to practice.

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*****

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, men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 but anyone can apply with clinical experience, men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 it is the nurse who can demonstrate something “extra” that gets accepted.

God willing, men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 I have something “extra” to demonstrate.

*****

Assuming I am accepted into a BSN-to-PhD program in the fall of 2010, men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 I will be 53 years old when I start and 57 when I finish.  I will have, men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 by the end of that time, men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 37 years of clinical experience at the bedside.

I intend to do research, men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 and I intend to teach.  And I do not intend to retire.  So, men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 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, men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 be considered a detriment because of their age?

The answer to Ms. Men's sexual health > viagra 25mg pills (generic) > 360 pills > $270.00 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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