[lawrence01]

Would a Nursing Internship Program be a good idea and viable instead of a possible 5 year BSN course?

This would be a post-grad program after the 4 yr BSN course for 1st coursers and after a 2-3 year course for 2nd coursers.

This would be patterned after the Internship program done for med. graduates where post-grads are mandated by law to serve in just one hospital for a minimal fee or almost free service for 1 year. Also, because of this law, Med Interns are actually getting all the basic procedures such as inserting IVs, Foley caths, NGTs, do wound care on their surgical rotations, do lumbar punctures for those w/ anesthesia rotations (under supervision of course) and other basic procedures.

I just think that this is better than having a 5 year course or having nursing students rotate on diff. hospitals. Just 1 hospital for 1 full year and you rotate on all the hospital's Depts. On provincial hospitals as well for those graduating from Govt' schools just like what they make Gov't med graduates do.

What do you guys think?

[pinoy_guy]

personally I don't think so.

I have handled some classes...and there is obviously an oversupply of students vis-a-vis cases.

have you seen a single baby in a Nursery surrounded by 12 to 16 students?

this is becoming the norm now. (and why the PRC is cracking down on the cases submitted for the NLE)

even if you add 1 year to training, there wouldn't be enough cases to go around.

even in government hospitals, where Nursing Schools jostle to get one of the prized, but limited, slots.

I think the current setup is good: additional training is received upon being accepted by a hospital.

if we have 40,000 examinees for the June NLE, and another 40,000 for December...that's 60,000 to 80,000 graduates per year. the 60,000 estimate is to account for the repeaters and the graduates of previous years.

how in the Philippines do you find hospitals and cases for these many RNs?

your proposal is feasible for Medical students, because they are few. less than 6,000 to 8,000 per exam? so 10,000 to 16,000 graduates per year?

even with these many Medical graduates, I don't think everybody gets adequate training.

my 2 cents.

[lawrence01]

Is this why it will be just better to just make it a 5 yr BSN course?

I think this already being considered (the 5 yr BSN course and not the one I just personally proposed).

Would it really make a diff.?

[pinoy_guy]

I think the answer is to LIMIT the number of students to the actual number of patients/cases that the affiliate hospital can actually provide, not lengthen the period of study.

the present situation is a glut of students (graduates), so much that we don't have jobs for them in the Philippines.

the result is a dilution of the skills required of a nurse.

US hospitals have begun to notice.

I predict US hospitals might start to limit schools from where they will get their nurses.

the first few graduates of an inferior school might get into US hospitals, but if they don't have the needed skills, they'll make it harder for the other graduates from that school.

I know of 2 cases where the US hospital asked the nurse to resign. their Nurse Managers are now wary of other applicants from their schools.

if we don't learn to cut down on inferior schools...other countries are moving double time to fill the need.

the "quick buck" is not the solution.

[Rep]

I used to remember in our time that each student has one or two patients to take care the whole 24 hours of clinicals of the whole week. We do everything and that is bedside nursing. And that is 24 hours per week for three whole years. That was back then.

But the situation now is different.

[lawrence01]

Originally Posted by Rep

I used to remember in our time that each student has one or two patients to take care the whole 24 hours of clinicals of the whole week. We do everything and that is bedside nursing. And that is 24 hours per week for three whole years. That was back then.

But the situation now is different.

Yap. That is what I'm driving at. The medical Interns are in the hospital for 24 hours when on duty and they are on duty every 2 days at that that's why they get all cases and procedures by default and they even don't need to handle a certain number of cases or do a number of certain procedures w/c they need to submit to the PRC but they still have tons of those by default simply being in the hospital for 24 hours on duty and office hours for post duty and pre-duty and there are even hospitals where there is only duty and post duty rotations because of the lack of interns and resident doctors. They are literally vomiting on all those cases and procedures.

But would it be feasible as pinoy_guy said ?

[gemini_star]

That would be a nice idea. Although one consideration is the proliferation of student nurses patient ratio in the hospital. There are so many students nurses out there and few hospitals to accommodate them. Before going to a nursing internship program, it's better to close those inferior nursing schools. There are many and the teachers of these schools are not teaching well also.

[lawrence01]

That would be nice. Putting a cap on he number of students to be accepted would also be a good consideration besides from closing down inferior schools.

But there is already a law that a school can be closed from if it has performed poorly on 3 consecutive NLEs. I wonder if it is being actually followed.

CHED should also have much stricter guidelines to prevent mushrooming of nursing schools.

[gemini_star]

Originally Posted by lawrence01

That would be nice. Putting a cap on he number of students to be accepted would also be a good consideration besides from closing down inferior schools.

But there is already a law that a school can be closed from if it has performed poorly on 3 consecutive NLEs. I wonder if it is being actually followed.

CHED should also have much stricter guidelines to prevent mushrooming of nursing schools.

Yep that would be excellent plus a rigid interview and with highest priority on those who got a high score in board exams or high grades from school. Now that would be competitive and a great motivation for rich, slackers, and cheaters to be serious in nursing. According to hearsay, that rule is not followed anymore which is exclusive for nursing only. You have unlimited takes on the exam.

[Rep]

Originally Posted by gemini_star

Yep that would be excellent plus a rigid interview and with highest priority on those who got a high score in board exams or high grades from school. Now that would be competitive and a great motivation for rich, slackers, and cheaters to be serious in nursing. According to hearsay, that rule is not followed anymore which is exclusive for nursing only. You have unlimited takes on the exam.

Used to be before...