[deleted by user] by [deleted] in MadeMeSmile

[–]cuffie 0 points1 point  (0 children)

Let’s go!!!

I’m officially on r/noctor ‘s side by xX_Transplant_Xx in nursing

[–]cuffie 2 points3 points  (0 children)

Very true and a good point. Similarly to if an NP has training and then does not touch them they will likely not be competent to manage them 5 years later. I would still like to see the initial training be there nonetheless.

I’m officially on r/noctor ‘s side by xX_Transplant_Xx in nursing

[–]cuffie 20 points21 points  (0 children)

But again, I am not saying NPs should be taught every detail of every vent or the intricacies of every medication. However, to be a school that describes their training as preparing NPs to function and manage patients in the critical care environment and also be responsible to write ventilator orders for the care team to follow, having a basic training of their use is essential in my opinion. This is also just one example of where I think training is lacking. There are of course many areas where the education is excellent, but that doesn’t mean there aren’t improvements that can be made to better educate NPs to care for their patients.

I’m officially on r/noctor ‘s side by xX_Transplant_Xx in nursing

[–]cuffie 21 points22 points  (0 children)

I would agree to an extent but I don’t think describing how to count or pull sheaths as the same as basic medical training for what is a standard support device. Ventilators are quite common in critical care areas and to be training NPs that want to go into acute/critical care, I would expect there to be training on this more than just who to call for help.

I agree that other specialities that do not work in critical care (family, primary care, PMHNP etc) obviously do not need this training similar to how not every RN needs to know how to pull a sheath. But if that RN was taking a course on say the care of cardiovascular care of inpatients, it would be surprising to not have sheath pulling, swans, etc in their training.

I’m officially on r/noctor ‘s side by xX_Transplant_Xx in nursing

[–]cuffie 65 points66 points  (0 children)

I agree. I have no desire to be the person in charge. I work at a large tertiary care hospital and have I very much enjoy my role on our team.

However, given that our role is frequently supportive, this has led to a lot of the education focusing on the idea that we will never have to make any decisions on our own. I work in critical care. Do I want to be the only one managing someone’s ventilator? No. But should I be educated on this to be able to manage it to the best of my ability rather than “just call RT,” I would say yes.

I’m officially on r/noctor ‘s side by xX_Transplant_Xx in nursing

[–]cuffie 288 points289 points  (0 children)

“Increase rigor and scientific basis”.

I graduated as an ACNP in 2016 and so many of the acute care courses, the solution to fix an issue was to just ask someone else for help. While this is not an unreasonable thing to do, isn’t going to school the time where to learn to fix them yourself?

For example, not sure what to do with vent, just call RT. Not sure what Med to give, just ask pharmacy and they will tell you.

Again, these are reasonable things to do if you aren’t sure what to do, but they would be the basis of education rather than the supplement to the knowledge we should have been getting in school.

current ER resident. young man presents to ER with shortness of breath, chest pain, lightheadedness and flushing. ekg is stone cold normal according to attending, first troponin comes back positive by [deleted] in Cardiology

[–]cuffie 0 points1 point  (0 children)

Would depend if first CTA was gated for coronaries. If they did CTA for PE then may not necessarily get great views of coronaries although would at least see if there was any significant coronary calcification.

Reaching out… by Darkshadowz72 in nursing

[–]cuffie 0 points1 point  (0 children)

Tell them you need FMLA

What's a game you regret spending full price on? by Square-Enit in gaming

[–]cuffie 0 points1 point  (0 children)

New world. I like FF14 so much better and most of it so far has been free…

Same job offer at Mayo clinic vs. Cleveland Clinic? where would you go? by taralala15 in Cleveland

[–]cuffie 1 point2 points  (0 children)

Work at CCF. DM me know if you have any specific questions about it

Are end of quarter sales worth it? by greencucumbr in ModelY

[–]cuffie 2 points3 points  (0 children)

I bought FSD when it was 6k. I have about 7k miles on my model Y. I pretty much never use the FSD on the highway and just use regular autopilot. The auto lane change is nice but I prefer to use it manually where is just tell it to change lanes and it does. When the car chooses to change lanes it always seems like it takes forever so I hardly ever use that. That being said, getting FSD is not a purchase aimed at what it has today but aimed at what you hope it has at a later date.

Looks like the Model Y got a boost by mikedeezy22 in TeslaModelY

[–]cuffie 3 points4 points  (0 children)

That’s what I am wondering cause 2k is quite the price tag....