ENRN

I can not decide whom I should ask for an LOR for my DNP.

1. Chair of my ADN program, my association capstone adviser, former BON chair, always seemed quite fond of me and has remained my friend ever since.

2. My MSN capstone advisor, also former BON Chair, also posses her doctorate. Haven't spoken to since graduating from the program.

Any insight?

I hope I am not interrupting your high. I am a non-smoker, but for Reddit Secret Santa I got a young man who really really really likes to smoke. While I do not really condone smoking, in the Christmas spirit I want to get him the most 'dank' gift. Any suggestions?

There best ideas I have:

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http://www.amazon.com/Smoking-Marijuana-Funny-T-Shirt-XXX-Large/dp/B0109C1GDI/ref=sr_1_12?ie=UTF8&qid=1448417970&sr=8-12&keywords=marijuana

Sometimes r/nursing you make me shake my head and make me wonder if I should just stop posting. Yesterday I mentioned when someone said their wisdom tooth surgery was postponed due to the surgeon being able to start an IV that I would not go to them over concern for the clinical acumen. When I woke up this morning and went to review what other people said, I was shocked to find my post at the bottom grayed out after being downvoted.

Not being able to start an IV is a HUGE red flag about the skill and level of training of this facility. A significant number of patients have died in dental offices due to poor management of sedatives. It is hardly surprising when you look at the regulations

Flew a patient recently who was on minimal peep but as I increased rate and tidal volume they started to get hypotensive. It was easily managed with increasing preload, but made me think if minute ventilation was directly proportional to average intrathoracic pressure, or are there strategies to manipulate minute ventilation and augment it in such a manner to favor different sides of the heart.

Flew a patient recently who was on minimal peep but as I increased rate and tidal volume they started to get hypotensive. It was easily managed with increasing preload, but made me think if minute ventilation was directly proportional to average intrathoracic pressure, or are there strategies to manipulate minute ventilation and augment it in such a manner to favor different sides of the heart.

The policy I would change is calling in sick. I do not understand the punitive nature of calling in sick. Why can't the rule be, that calling in sick is fine, but when you do you are expected to pay it forward and come in when someone else calls in? The unit should be covered, and nurses aren't coming to work sick.

With the large addiction problem and drug seeking behavior seen in our hospitals, why are PRN pain medication still written in a manner that solely relies on subjective data? Are there are negatives to writing PRN orders based on objective findings such as a low dose analgesic for guarding and a higher doses when tachycardia and hypotension is noted.

I am thinking about going back to get my doctorate. It will need to be online, or one where you spend a few weekend a year on campus. I am not looking to go to a for profit school such as University of Phoenix, Walden, or Western Governors, nor I am looking to spend my life savings. What are people seeing out there?