Quote from clee1
I would have liked to go straight to RN; either ASN or BSN, but due to the need to maintain a fulltime job during school, and the lack of available schools (with room therein) nearby, I had to do a stairstep method.
The school I'm in does a CNA course while in prereqs for LPN clinicals; hence my current CNA status. I worked in a LTC facility while in CNA clinicals - definitely NOT for me.
Once I'm through LPN licensure, I'm going to go straight into a bridge program for RN. My goal is to work in an ED with eventual plans to become a flight nurse or perhaps an NP.
Due to previous experiences, I have a wider skill set than the average person at my level of licensure... I was just considering what would be best for my career at this point.
A word of caution. I was a paramedic from 1992-1998 when I had my first seizure and they wouldn't let me anymore. I applied to nursing school in 2002 and graduated with my BSN in 2004. When I applied to various ER's of choice and referred to my EMS experience, it is true that I was told that unless you are currently practicing and licensed, the experience won't be weighed as heavily. Which makes sense because many procedures (such as ACLS), really do change over the years. In fact, I have a secret piece of advice for you. If you feel very confident in your speed, efficiency, assessment skills and especially IV and splinting and you want to get into a good ER and be respected
right off the bat, here is what I would do...
I would keep your current job for school (unless your EMT license is still good in which case I would work as a night EMT). Then, after
graduating with your LPN, I would take a tech job in an ER (again, you must
be very confident in your skills to make a bang impression), and work that job part-time through your LPN-BSN process. Then, your ER will be very impressed with you and hire you off the bat.
I would not
go just the senior internship in the ER route, because it's a lot harder to impress/make friends that way. Techs and others feel threatened by nursing students and everyone is on alert because they are green (to nursing) by default. I speak from experience because I chose this route... and it wasn't the right one. Granted the ER I wanted to go at the time had 30 applications for like 4 positions, and 2 of those positions were saved for techs who were already working there
. Because this was a top ranked ER with level 1 trauma, ER and peds combined which you don't find around here anymore. Of course I didn't get one of the other two. I ended up in the SICU instead which has benefits and drawbacks (benefit.... eligibility for CRNA/ drawback... no good opportunity to develop strong IV skills). However, I was less than confident at the time ( when I was doing the ER internship) and was more or less eaten up by some witches who now I could eat for my mid-morning snack skill wise but that was then in and this is now.
Also remember that if you go straight to ER, your NP options will be more limited to acute care/ critical care NP instead of CRNA which seems to be the hot (read well payed) ticket right now.
So... my advice is biased to my own experience. Perhaps ER nurses on the board here will chime in and completely disagree with me. You may consider making another post to the ER nurse forum, they may be more responsive there.
Either way, best of luck to you- you've got a long haul but I see you are dedicated and I know you will make it.