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Brennan Parmelee

on 3 March 2017

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Transcript of Nursing

Thank You!
Review a brief history of nursing in the US
Understand the many avenues of nursing degrees, workplaces, specialties and advanced practice
Analyze a sample timeline of a nursing education/career
Explore the importance of scientific research and its implications
Brennan Parmelee, MSN, RN, CPN, CNE
Bachelor of Science in Nursing (BSN) from UT Austin
Master of Science in Nursing (MSN) from Duke University
PhD candidate 2019 at the UT Health Science Center Houston
Certified Pediatric Nurse
Certified Nurse Educator
Houston Methodist Stem Cell Transplant Coordinator
History of Nursing in the U.S.
Wasn't always a profession; began as a sort of "generational" knowledge
1907: Dock & Nutting published "A History of Nursing"
Alive during the rise of Florence Nightingale
Early 1900s: Several states pass licensure laws for nurses
One year of high school education required
Disarray during WWI; using students for cheap labor and not hiring them when they graduated
WWII meant we needed many many more nurses
The 1960s brought Medicare and Medicaid = many more patients
The 1980s brought HIV and AIDS = many more patients
We've been in a nursing shortage ever since
A little about me
Brennan Parmelee, MSN, RN, CPN, CNE
Nursing and the servant heart
Bachelor of Science in Nursing
Institute of Medicine's influence in 2010's "The Future of Nursing"
Most hospitals will aim for 80% BSNs by 2020
Typically a four-year degree with some summers
Curriculum models are changing!
Didactic, clinicals, capstone
Licensed by the NCLEX-RN
Licensed Vocational Nurse
Diploma program
Licensed by the NCLEX-PN
Less duties/responsibilities than BSN
Less clinical decision making
Typically one year program
Associate's degree
Typically two year program
Results in "RN" behind your name
Less autonomy/responsibility than BSN
Harder to get a hospital job
Master of Science in Nursing and Advanced Practice Nurses
Post-baccalaureate (BSN required)
Specialties in education (like me!), informatics, leadership, administration, or nurse practitioner (NP)
Typically two to three years
Work in hospitals, private practices, specialty clinics, administration, management or academia
Doctorate of Philosphy (PhD) and Doctorate of Nursing Practice (DNP)
PhD=science and research/academics/admin
DNP=practice and academics/admin
PhD is considered the "terminal degree" of nursing
DNP is typically four years and results in a nurse practictioner licensure if you want to
PhD takes as long as eight years
Enter BSN
with BSN
Start first job
at hospital
Back to get
your MSN
Graduate with MSN
Sit for licensure exam or specialty
What's a typical work day for hospital nurse?
12 hour shifts, 3 shifts per week = 36 hour weeks
Always an opportunity to work extra and make bank ($$)
Typically stick to your specialty unless you're hired to something like a float pool
ER, Oncology, ICU, Neurology, Psychology, OR, Transplant etc.
Responsibilities of a hospital nurse
Interpret and draw conclusions about lab results/radiography/tests
Administer all medications, perform bedside procedures
Serve as the front-line provider
Recognize declines in status based on physiological assessment
Ask for what the patient needs
Coordinate the care for the patient (doctor, PT, OT, speech, nutrition)
Build individualized plans for each patient based on their disease, personality, age, mobility, and financial situation
Real Talk:
You never stop moving
You will experience extreme happiness, and extreme sadness
You will be yelled at for something that's not your fault
You will be given the credit for saving a life
You'll have patients that remember you forever
You'll have patients you remember forever
Careers in Nursing
Acute care (hospital) nursing
Family practice
Urgent care
Skilled nursing facilities
Nurse Practitioner
Flight Nursing
Forensic Nursing
Home Health
Legal consulting
Non-Profit Work
Nursing Informatics
Care coordination
Hospital Education
...but every bit of the hard work is worth it.
Myths about Nursing
Nurses are pre-med drop outs
Nurses follow orders all day
Nurses don't make very good money
Nursing is the same everywhere you go
You don't have opportunities to "climb the ladder" in nursing
What's nursing school like?
Sometimes difficult to get in, but 90% of admitted students finish
You learn in-depth physiological processes, diseases, congenital disorders, each body system and how each organ works in conjunction with other systems, microbiology, pharmacology, ethics, leadership, and public health
About 83% of BSN graduates pass the NCLEX on first time
Clinicals are long days (about 12 hours)
There's too much to learn, and they know that
Balance is hard, but key
My Role as a Scientist
Cancer and Stem Cell Transplant
Improving hospital outcomes
The role of psychological health on healing
Latest research
Full transcript