Thursday, June 30, 2011

Review Courses:

**coming soon***

There are tons of books, discs, guides, online lectures, and courses out there to help you review. I have a list of books in some of my older posts I can work on reviewing. There are also websites that can help you. A great resource is always the website that makes up the exam. They usually have test content information, sample questions, some tips, and more. Plus, they have a break down of topics on the latest test that changes.

NCLEX:

I had books before my NCLEX exam but I never much used them. We had some for school and completed sections for a class. The more practice questions, the better. I also took the Hurst Review course. It was great for me because I got a book and could go more than once for a one-time price. I didn't try any of the online content. I bought a Kaplan book also because it helped with test taking strategies. Also, I watched the Drexel videos on You Tube.

Here are some of the review courses available. They usually provide a book but usually offer more. They may have discs with questions and online review or lectures available too.

FREE videos:

YouTube actually has a few videos available. Some may be a little old but they don't hurt.You can check out my YouTube profile, MyNursingLounge and see what I have subscribed to!
Websites:

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Nurse Practitioner/CNS:

For my FNP exam, I took the Fitzgerald Review course. NP/CNS review courses are more limited based on specialty. As an FNP, I also had two options for who I wanted to take the exam with receive my certification through.

............coming soon...........

Portrayal of Nurses on TV and in Movies:

***coming soon***
Center for Nursing Advocacy: http://www.nursingadvocacy.org/news/2009/jun/discuss.html
Nurse Jackie
HawthoRNe
Grey's Anatomy
ER...
House

Monday, June 27, 2011

Mal-Practice Insurance:

***COMING SOON***

Can I get sued? YES, absolutely!

Types:

1.)

2.)


Should you have your own?



Resources:

  • Nurses, Neglect, and Malpractice by Eileen L. Croke: http://www.nursingcenter.com/library/journalarticle.asp?article_id=423284
  • http://www.burke-eisner.com/practice-areas/medical-malpractice/Nurse_Malpractice.html

Ph.D vs. DNP:

***More to come!*** I am publishing my draft so you have an idea of where this might be going and can go ahead and comment so I can get some input or opinions.

Ph. D:

DNP:

Originally, nurses had to get a doctorate in other areas such as sociology and psychology before it was an option in nursing.

The DNP was started in

Nurse Practitioner vs. Physicians Assistant what's the difference?

***Haven't quite finished. ***


If you Google the topic, "np vs pa", you come up with several discussions that basically leave an NP offended or with nothing. You'll read that PAs don't even have a clue. PAs are referred to as "mini-doctors" and "doctor wannabes" and NPs, well, a nurse is some sort of nurse...Being an NP, maybe I am a little bias, but the patient's well-being is #1.

Overview:

Nurse Practitioner (NP): An NP is an "advanced practice RN" in the nursing world and a "mid-level provider" (sorry AANP)  in the medical world. The Board of Nursing regulates NP licenses and certifications in specialties are through different organizations. There are several types of NP certifications such as family, adult, pediatric, women's health, and so on. Laws vary from state on what NPs can do, prescribe, and whether or not they have to have a collaborative agreement with a physician to practice. NPs can diagnose, prescribe some medications, perform some procedures... They general see less acute patients. NPs are generally trained to be more focused on patient education. Nurses also have some other options for post-grad degrees!

Physician Assistant (PA): PAs are also mid-level providers but they are regulated by the Board of Medicine. They have one national exam to pass. They always practice under a supervising physician.

*Mid-level provider (MLPs): Sorry, AANP. There are three types: NPs, PAs, and CRNAs (Certified Registered Nurse Anesthetists). They almost always have a supervising physician (NPs in some states may not).

Education:

Nurse Practitioners: The majority of NPs have an MSN, since now it is an MSN program. Programs are usually 1.5-2 years. NP programs require you be an RN (except accelerated programs where you have a BS and get a BSN, RN, and MSN in one year). A BSN might be required, but a BS in another area may be fine. The amount of required and type of experience may vary based on school and program.

Some NPs may have a doctorate degree. Nurses have the option of a DNP, Doctorate of Nursing Practice, in addition to the traditional Ph.D option now. The DNP is more clinically oriented, rather than going the academic/research route. This is another discussion for later.

Physician Assistants:  PAs go to school at least 2 years post-grad with classroom and clinical training. Typically, the admission requirements seem to involve taking certain undergrad science classes, or a certain number of natural science classes (chemistry, physics). They are not required to have any previous medical training, however, some sort exposure to healthcare may be required. I believe they generally are exposed to more clinical areas than NPs, due to NP program specialties.

Duke calls itself "The birthplace of the PA profession". They report that:  
Working interdependently with physicians, PAs provide diagnostic and therapeutic patient care in virtually all medical specialties and settings. They take patient histories, perform physical examinations, order laboratory and diagnostic studies and develop patient treatment plans. In all states, including North Carolina, PAs have the authority to write prescriptions. Their job descriptions are as diverse as those of their supervising physicians, and include patient education, team leadership, medical education, health administration and research.
One-third of graduate PAs provide primary health care services, especially in family and general internal medicine. About 40% of graduate PAs work in hospital settings. About one-fourth of all clinically active PAs work in surgery and its subspecialities.

Acceptance by MDs into practice:

So, that is a fun topic...I am still working on this article but for now, my opinion: Doctors who have worked with NPs, seem to love them, but PAs are more widely accepted in the medical world by physicians.

My father is an MD, so he gets all these wonderful free journals and newsletters my mom (a CRNA) and I can read! The Board of Medicine in my state has had this on-going idea that NPs are not worthy providers and that they are trying to get more freedom and expand their scope pf practice, which absolutely cannot be tolerated. So, those are always interesting articles to come across.

There are some areas you may typically see PAs but NPs can certainly fill those positions too.


The importance of mid-level providers to healthcare:

If 30 million Americans would be in need of a primary care provider (PCP), should we all receive healthcare, how are we going to handle that when we already have a PCP shortage? We have a major shortage in rural areas already. Plus, have MLPs are cheaper than MDs or DOs (that difference is easier to look up).




Resources:


NPs:

  • Nurse Practitioner by International Foundation of Employee Benefit Plans, Inc. (2003): http://www.ifebp.org/pdf/harker/Nurse_Practitioners.pdf


PAs:
  •  Duke University School of Medicine:  Physician Assistant Program: http://paprogram.mc.duke.edu/PA-Program/
  • US Dept of Labor, Occupational Outlook Handbook 2010-11: http://www.bls.gov/oco/ocos081.htm

MLPs: 

  • "Midlevel Providers Fill Primary Care Doctors' Shoes" by Julie Rovner: http://www.npr.org/templates/story/story.php?storyId=129398647

    Sunday, June 26, 2011

    Government Health Resources:

    ***more to come***

    General:

    Public Health:

    Women's Health:

    Specialties:

    Friday, June 24, 2011

    Nursing Shortage:

    more to come



    hospitals, certain areas

    geriatrics/baby boomers


    teachers/education

    Thursday, June 23, 2011

    What do you want to know?

    In case anyone reads and hopefully enjoys my blog, what would you like to know?

    My goal is to help people out because I have been there and wish I had some help. Teachers are great and so knowledgable but sometimes they haven't been in your place for a while. Since I am a fairly recent grad, maybe I have some good advice. I believe I am a resourceful person, so I am trying to share that with people.

    Wednesday, June 22, 2011

    Internships and Externships:

    My experience:


    The summer before my senior year of nursing school, I did an paid externship at my school's medical center in the Peds ER and loved it! The requirements for when you can apply are different based on the time of nursing program. Some of the programs do require you to be enrolled in a BSN program or some may accept a BS. There are different specialty areas and it might be set up where participating units might take one or two students.


    This is where I worked:
    I could apply before my senior year with a 4yr BSN program.They had the option of an internship where you are paid, but you pay for college credit and could do anything within the RN scope of practice. The externship option limited what you could do, such as you could not administer medications, but you get to see and learn a lot. New graduates did a nurse residency. You basically follow the schedule of a preceptor. We did have some students that were in an accelerated BSN program taking classes at the same time. Many of the students stayed on as techs after the summer ended and some worked as nurses there after graduation. So, it can really get you in the door.


    During the externship we had computer training and orientation. I believe we met certain scheduled days to discuss and learn. The rest of the time we were with our preceptors.


    You do get paid but some also offer a stipend or even help you find a place to stay if you are from somewhere outside of the area. Each hospital uses different names so make sure to keep checking their employment opportunities or call HR when spring rolls around.


    Some terms:


    Internship: May be during school for college credit. Or may be for new graduates.
    Externship: May be during school or in the summer. Usually nursing students before their last semester or year.
    Nurse Residency: I see this as a program used for new graduates and sometimes experienced nurses that are going to be starting out in a new clinical area.
    Other examples: The Mayo Clinic calls it "Summer III" and other places have their own titles.


    The process:


    I applied to three different internships. First there was the application; all of mine were online. Then the interview. And lastly, the offer or rejection. (I am doing this from memory; it's been 5 years.) ALWAYS CARRY YOUR RESUME!!!

    Then I was selected to interview at all three hospitals...fun. Hospitals are very into behavioral interviewing, so please check out the links below and look it up!!! They basically give you a scenario and want you to respond with what o would do in that situation.


    At all three you had brief interview with different areas I was interested in. 1.) One place had it set up where you speak with HR then interview with 2 or 3 nurse managers and wait to hear back. 2.) Another place (CHOP: Children's Hospital of Philadelphia) had you come in (they had people from all over) and spend time in the auditorium learning about the hospital, taking a tour, and sign-up for a few areas where you would like to interview. 3.) Finally, where I worked (my school's medical center) we went and and listened to HR. We made a list of a certain number of areas we wanted to meet with. Then they had nurse managers in various rooms and went to the ones on our list when we could. We had brief interviews and hoped for the best.


    Links:


    Reflective Journals:

    In nursing school we would have to write reflective journals weekly for clinicals to turn in or post in a discussion thread on Blackboard. For a while it seemed to be just more homework on top of everything else we had to worry about finishing. At some point I finally realized how important it was when classes and clinicals started to come together more.
    It helped process how we used what we were learning in class and what we needed to learn. Instead of being involved and wrapped up in the moment, you can now sit back and make sense of everything you saw.
    "Why did you do this?" "Why couldn't you do that?" "I can't believe what I saw without vomiting." "I need to read up on this disease."
    What can also be helpful is keeping track of types of patients you worked with and what you did. Just remember not to use any identifying information. Then you have an idea of what diseases you may need to read up on more, age groups you have worked with, and skills you have used for when you look for you first nursing job.
    Sample:

    Tuesday, June 21, 2011

    Some Helpful Articles for Job Hunting:

    Looking for more of me? Check out MyNursingLounge!!!

    You can check out, subscribe, follow, join, or whatever MyNursingLounge profiles:




    Actually, I started out on Facebook with a group, probably around the end of 2006 or beginning of 2007. I started a  Twitter account where I am follow helpful nursing tweeters. Also, I subscribed to YouTube where you can check out my profile so you can see the channels I am subscribed to and favorites. Maybe I can eventually upload some of my own content!

    Mobile Resources:

    Considering I am addicted to phone applications, I thought I would try to share a list of a few that I have that might be useful to healthcare professionals. I have an iPod Touch but my phone uses Android. Before I had a phone with Palm OS, which has since done away with supporting Epocrates, sadly. I also have a Palm Pilot with several references. Of course, if you are a smart phone user and a nurse, there are a few that everyone should be aware of, such as Epocrates.

    I only use the free apps on my phone and iPod, but there are plenty of others you can purchase should you need any. Some of them require you sign up for a free membership, but you get some helpful e-mails from it. There are some that only give you limited free content, like Skyscape, but better than none.

    My Phone:

    Gmail-Google Docs: Have a Gmail account is great! One great feature, besides my blog, is Google Docs. You can create documents, presentations, and spreadsheets that you can edit. Also, you can upload documents like your Word docs, Power Points, and pdfs (like article) from your computer. Everything you need if in one place, so you can access it anywhere with internet access. You can even share your docs with others and even have the option to let them just view or edit them.

    Picture Gallery: One application I use that everyone has is my picture gallery. I have a separate folder in my phone gallery for medical pictures. I save algorithms, various charts like for insulin types, lab values and anything I can find. Plus, you don't need internet access to use. You could also sync pictures with your computer using Google's Photo feature.

    PDFs: Similar to using the gallery, I also download pdf files for my phone.You can search within the documents and access them even when the web is not available as well.

    Bookmarks: I am also obsessed with bookmarks on my mobile web browser. You can bookmark sites for just about anything and when you need it, just search for some keywords. It's also great when websites have their own mobile version so it is even easier to access information. You can also save some books on Google that are free to read; even exerts can be useful.

    Remember: You can not always trust the content in all of the applications available, just like you can't trust everything you find on the internet.

    Thursday, June 16, 2011

    Helpful Blogs!

    I am trying to start a list of helpful nursing blogs such as I did for my other nursing resources that began in 2006. I am trying to "follow" any I can with my blog, so you can check those out too.

    YouTube:

    YouTube is also not a bad place to check out videos and subscribe to channels. I am actually starting a user account where I'll subscribe to some useful channels. Please visit me at MyNursingLounge!!!

    This is a work in progress, so please keep checking back.

    List of Nursing Blog Lists:
    • Top 25 Nursing Blogs (By the Numbers): http://noedb.org/library/features/top-25-nursing-blogs-by-the-numbers
    • 50 Best Nursing Blogs You Aren't Reading Yet: http://www.mastersofnursing.org/50-best-nursing-blogs-you-arent-reading-yet.html
    • The Nursing Site Blog: http://www.thenursingsiteblog.com/


    Nursing Student Blogs:

    New Grad Nursing Blogs:

    Nursing Blogs:

    • Nurse Connect: https://www.nurseconnect.com/Community/Blogs.aspx 
    • Advance Healthcare POV: http://community.advanceweb.com/bloggroups/22/home.aspx

    Nurse Practitioner Blogs:

    • A Nurse Practitioner's View: http://npview.blogspot.com/

    Other Fun Nursing Blogs:

    Tuesday, June 14, 2011

    Resumes, CVs,Cover Letters, and losing my mind.

    Resume:

    I like the About.com's Career Planning definition of resume: "A resume is a written document that lists your work experience, skills, and educational background. It is used as a marketing tool for job seekers". Employers spend an average of 10 seconds reviewing a resume so keep it short and sweet. I know there is "resume food" but it is just so much information to pile into 1-2 pages.

    CV/Curriculum Vitae:

    You also have something called a CV or curriculum vitae. This is a bit more detailed than a resume. It may include your publications, research, and some more accomplishments. It is usually used when applying for academic or research positions.

    Cover Letter:

    A cover letter may accompany your resume and highlights some of the skills that better qualify you for that position. This gives you a chance to stand out. Every time you submit a cover letter, you need to tailor it to fit that particular position you are applying for.

    Resources:

    There are more than enough resources available on the internet to guide you. Try to use a template specific to your profession. Just remember to use more than one. College website career centers are always helpful too. Job sites like monster.com and careerbuilder.com also have pages. Don't forget to check out professional organization websites. Other sites more specific to healthcare like healthcareers.com also have some great articles and information.

    Finding a job:

    Online: So many jobs these days have online applications so it is a challenge making a first impression on "paper" or the computer so work on your resume and cover letters. Use your cover letter as your chance to make a good first impression and stand out.

    The search: Searching for jobs is overwhelming. You can narrow down your search criteria, but you still have to read all of the descriptions to see you would even meet the qualifications. Sign up for e-mail notifications if possible. Remember to check professional organization and specialty websites, like the American Nurses Association, for opportunities too. Join a job website like monster.com or careerbuilder.com. Begin by applying to jobs that you are interested in and not everything all at once; some sites do have limits too.

    Networking: Attend events that will give you a chance to meet people. Talk to former employers and co-workers that might know someone. Join a social networking site like Linked In. It's also great to attend conferences and maybe meet people, and if you are a student you may get in free or get a discount. Check out this article: 5 Clever Ways to Get a Job Using Social Media.

    Career fairs: You could also attend career fairs and meet some recruiters and/or managers in person and make a lasting impression. Always have copies of your resume readily available. Advance for Nurses hosts some online career events as well.

    Follow-up: They have lots of applications. If you don't hear back, why not give them a call? Show them you are interested, but don't bug them too much. Some organization sites let you check the status of your application online too. I have been told in the past to call if you do not hear anything in two weeks, but I have also been told that they will only contact you if they are interested in you.

    Always do your homework prior to your interview:

    Do your homework. Do not go into an interview without researching the company you are interviewing with. There is a chance they will ask you what you know about the organization and you should always come prepared with information and also any questions you might have. Review their website and you may also look on hospital ratings websites, for example, for information on number of beds and accreditation. For example, I always like to know about the orientation process. Be prepared with questions ahead of time so they know you are interested. Plus, both of you know what to expect from each other. Be enthusiastic!

    Know your background information from your former schools and employers. For example, I have been asked about the number beds in both the hospital and the unit where I have worked. Now I have index cards with that information that I can always refer to.

    Communication etiquette:

    You most likely will have contact via telephone, e-mail, or in person. Always be professional and use your manners. Plus, always use spell check and check your grammar. Do not use abbreviations like you would in a text message or posting on someone's wall. If you leave a voicemail, be professional and include briefly why you are calling and all of your callback information clearly.

    Be careful what you post:

    Social networking is everywhere. Even our moms are on Facebook now.


    My opinions:

    To me, looking for a job is pretty much like applying to college. Prior to applying, you research the school and decide if it would be a good fit for you; do your research on your potential employers too. You have the application like everyone else. In school you might have been an "over-achiever" with your extracurricular activities. You have a chance to include some of your accomplishments in your resume too, such as memberships, community service, and certifications. You have a transcript and references like everyone else. Some resume templates give you the option of including your gpa too. And you have a personal essay, which would be your cover letter in the job world, like everyone else. Your personal essay is what gives you the chance to stand out and show them a little bit of who you are and what you have to offer the school.

    I just want to say, in my experience, recruiters are like the gate keepers. They see if your skills and experience meet the required job qualifications for the position you have applied for, then if you pass they forward your application to the hiring manager. I believe it is really helpful if the recruiter is a health care professional. Sometimes it really is who you know.