RN 2 MD

[slopes23]

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I suppose if one really thinks about it it's not totally unreasonable, but it would be a totally new manifestation of it. The specifics of the patients peripheral neuropathy has been limited to mild lower extremity numbness/pain.
Obviously it could fit, I suppose. But being so mild, no prior hx, and a lot of other more glaring reasons. The next suggestion being well the pt also has a substantial hx of hypoxia and aortic stenosis.

But I'll delete it. Maybe the nurse was just looking on briefly and wasn't totally familiar with this. You're right

 

[flightnurse2MD]

Spent 5 hard years in a cardiovascular ICU unit on the night shift- titrating drips and weaning patients off the ventilator. Passed my CCRN certification and pretty much thought my s**t didn't stink. I am in my CV/pulmonary/renal block and even though I am doing well, I have to study hard because there is still TONS I dont know. Kinda pisses me off actually....

 

[Psai]

Spent 5 hard years in a cardiovascular ICU unit on the night shift- titrating drips and weaning patients off the ventilator. Passed my CCRN certification and pretty much thought my s**t didn't stink. I am in my CV/pulmonary/renal block and even though I am doing well, I have to study hard because there is still TONS I dont know. Kinda pisses me off actually....

You don't know what you don't know

 

[jsquared91]

nursing anatomy and physiology had much less detail and explanation compared to undergrad anatomy and physiology, never mind medical school courses
it helps like precalc helps for multivariable calculus, you get some of the language and the concepts but it's not even close to enough
the pace of medical school is much faster than undergrad bio or nursing and the volume is overwhelming. it's like being on finals week every single day
in medical school, you learn things in excruciating depth and have to put concepts together. then you have to apply them to real patients which is the hard part

i've seen accelerated nursing and the pace was impressive but they touched upon the information rather superficially. basically they just go through the "what" and not the "why"
for example they will say that thiazides are good for keep calcium and loop diuretics are good for getting rid of calcium but don't go in depth into how the glomerulus works or what ion channels are being affected or how the change in ion concentration of the fluid in the kidney tubules affects channel activity in the collecting duct. which is okay because that's not their job

Not a RN to MD here, but a to-be-MD who's been dating an RN for years, also worked as a patient care tech as part of the nursing team. The part I bolded above is the biggest difference I see between myself and my SO. She's on a specialized floor and has gained a lot of "why" knowledge while working, but it's highly specific and it wasn't the focus at her nursing school.

If it was me I'd worry about changing gears from the "what" to the "why", seems like it would take some time to re-train your brain. I'm sure others (and OP) are capable, but I think I'd struggle to change my perspective.

 

[popopopop]

^The thing is that practical knowledge/skills are needed while working as on the floor. The diagnoses are obviously left to the physician, so you lose any patho if you don't use it. I do agree with you, as the knowledge of medschool can't be replace.

 

[Psai]

Not a RN to MD here, but a to-be-MD who's been dating an RN for years, also worked as a patient care tech as part of the nursing team. The part I bolded above is the biggest difference I see between myself and my SO. She's on a specialized floor and has gained a lot of "why" knowledge while working, but it's highly specific and it wasn't the focus at her nursing school.

If it was me I'd worry about changing gears from the "what" to the "why", seems like it would take some time to re-train your brain. I'm sure others (and OP) are capable, but I think I'd struggle to change my perspective.

well yeah you pick things up when you're on the job. that's why nps that worked as nurses for decades are so much better than fresh out of nursing school grads who are pretty useless