y********7 发帖数: 196 | 1 背景ADN的RN, 现在在州一个大型医院附属LTAC工作。 想做NP. 现在有nurse
leadship program是可以没有bsn申请的。 或者先parttime在本医院的附属学校读个
adn to bsn再申请硕士?如果这样的话读ACNP还是FNP比较好?
人已经三十多了, 没有身份的问题
谢谢了 |
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y********7 发帖数: 196 | 2 背景ADN的RN, 现在在州一个大型医院附属LTAC工作。 想做NP. 现在有nurse
leadship program是可以没有bsn申请的。 或者先parttime在本医院的附属学校读个
adn to bsn再申请硕士?如果这样的话读ACNP还是FNP比较好?
人已经三十多了, 没有身份的问题
谢谢了 |
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w******z 发帖数: 1872 | 3 等一下,你这个kindred hospital 要搞清楚到底是acute care hospital 还是LTAC,
很多LTAC打着医院的头号,其实是 long term care facility. ICU dumping ground
sounds more like LTAC. Please be careful before you accept the offer? 通常
ICU不会超过2个病人对一个护士。一定要问清楚,病人护士比例。这最反应问题。 如
果他们告诉你会带3个以上的病人,这就不是什么ICU了, 即使是ICU, 给你三个病人
,建议先保住你的license再说,别去。自己要慎重!
上一帖是针对真真的医院, 一护士对less than 2 patients ratio的情况下,可以接
。
祝好运! |
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v*********r 发帖数: 41 | 4 1. Long-term acute care (LTAC) 的医院,时薪少一些
2. Nursing home,时薪比较多
请问如果我以后想跳去好一点的general hospital,是不是应该选LTAC比较好,还是其
实也没关系
谢谢啦! |
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a*********4 发帖数: 352 | 5 据我了解的情况,当然是LTAC。LTAC基本跟医院差不多只是没有ED,以后去医院会很快
适应。 |
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w******z 发帖数: 1872 | 6 transitional care hospital 一般就是所谓的LTAC,--long term acute care
hospital.他们提供比一般rehab和nursing home高一级的医疗服务,但是不是acute
care hospital. They take care mechanical ventilation dependent patients, or
so called ICU patients or at some places, they are called acute rehab.
We have capacity for 24 intensive care patients and provide
in-house physician coverage 24 hours per day, seven days per week. 真正的医
院不用这样说明,这样说明是为了区别rehab和nursing home.
把握住病人和护士ratio就对了,一对二就好,否则就看那个对你更重要了, license
?Or the fame of the so c... 阅读全帖 |
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s*******y 发帖数: 1739 | 7 go BSN first, and then go to NP. Don't go nurse
leadship program, you will not find a job easily after you gradate |
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s*******y 发帖数: 1739 | 8 go BSN first, and then go to NP. Don't go nurse
leadship program, you will not find a job easily after you gradate |
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c*******n 发帖数: 29 | 9 请问你在哪个州?
我也在考虑LEADERSHIP,也是ADN TO MSN。。。。 |
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w**d 发帖数: 362 | 10 新手老中找工作,先前想找ICU,到处碰壁。到处都要求工作1年的经验。后来就med-
surg, ER, OR都申请。
几天前面试了Kindred Hospital ICU,今天就打电话给口头offe了。
面试的时候对方始终非常友善,我答不出来的时候,还帮我开导。
上网查了下,这个医院口碑不是很好:
Feb 1, '11 by NeoPediRN
I worked at Kindred and I can tell you it's a dangerous place to work.
Dangerously short staffed, dangerously inexperienced nurses, dangerous
amount of travel nurses, dangerous patient load. The turnaround is extremely
high, which means that very few people stick around to know what they're
doing. The ones who have been ther... 阅读全帖 |
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w**d 发帖数: 362 | 11 另外,如果下面是真实情况:
Kindred is also an ICU reject dumping ground. When a patient's
short-term insurance runs out, they get sent to an LTAC like Kindred. It
doesn't mean they're stable enough to be transferred, that they should be
out of the ICU, it just means insurance won't pay for them to stay there
anymore。
那么,Kindred Hospital到底是怎么盈利的?病人在先前的医院呆太久了,保险公司都
拒绝付账;病人就转到Kindred Hospital。那么Kindred Hospital就这么傻呼呼的接盘
?不可能啊。 |
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k*********i 发帖数: 183 | 12 同意楼上说的。这个医院是LTAC.我以前在methodist上班的时候有时会把病人转到那里
。这个工作也许对你今后找别的icu有帮助,但对麻醉护士学校申请没有直接帮助。 |
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w**d 发帖数: 362 | 13 多谢楼上回复。Kindred有很多医院,每家都还不一样。这家里面有24-hour的医生,应
该不是纯nursing home性质的吧。
上星期面试的时候,这个icu nurse manager是有给我介绍long-term acute care (
LTAC). 她说这个ICU的病人多是从其他医院转来的,很多病得很重,很多呆的时间很久
。
然后就说,等我拿到license后第一时间给她打电话。所以,我当时没有时间去问她关
于科室的详细情况。但是,两天后她主动给我电话说给我offer了。
请问susufairy,你原来医院的ICU里面护士:病人的ratio也是1:2吗?真的是“
Dangerously short staffed, dangerously inexperienced nurses, dangerous
amount of travel nurses“吗? 好怕怕。我给我们的clinical faculty发邮件问了一
下,她答复说:Make sure they have a true intership program. 暗示说有的医院培
训是走过场,置新人于危险之中。 |
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w******z 发帖数: 1872 | 14 http://pulmccm.org/main/2012/review-articles/mechanical-ventila
这篇文章值得参考, 和我们的平时的操作比较相仿。 但是,那个prone position,
我很怀疑有多少护士会去做!!!pH> 7.20 is acceptable in this scenario.
Fluid problem is a difficult thing to manage in your patient. Push and pull,
given high concentration albumin and lasix at the same time to increase IV
volume and deplete interstitial volume. It's not guideline recommendation,
but it worked in some pts. It is fairly expensive too. Need CVP and PA
monitoring at the same time.
Need mo... 阅读全帖 |
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w******z 发帖数: 1872 | 15 http://pulmccm.org/main/2012/review-articles/mechanical-ventilation-in-ards-2012-update/
这篇文章值得参考, 和我们的平时的操作比较相仿。 但是,那个prone position,
我很怀疑有多少护士会去做!!!pH> 7.20 is acceptable in this scenario.
Fluid problem is a difficult thing to manage in your patient. Push and pull,
given high concentration albumin and lasix at the same time to increase IV
volume and deplete interstitial volume. It's not guideline recommendation,
but it worked in some pts. It is fairly expensive too. Need CVP and PA
monitoring ... 阅读全帖 |
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k*********i 发帖数: 183 | 16 如果没记错的话,webmd是在LTAC的ICU上班吧,工资应该比普通医院要高一点的。而且
加班工资是平时的1.5倍,所以平时工资应该是30出头了。那也不错啊,比我原来在icu
的时候要多。我原来是29,白班。 |
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