confused over titles !! - page 2

by Tina Harrington 3,249 Views | 45 Comments

Forgive my ignorance... was reading some of the posts here and well quite frankly I'm confused ! I'm a UK RGN, USA seems to have so many "different" nurse titles, and yet ya all nurses !! Here in the UK we used to have 2 tier... Read More


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    In response to Tim's email regarding non nursing degrees. There are a number of programs now all across the US that offer MSN programs for people with non nursing BA/BS degrees and w/o a RN. I never thought these programs would have existed but obviously someone thought there was a need for them. 4 colleges in California offer the degree as well as a bunch in NY, Yale, University of Texas at Austin, Vanderbilt, and John Hopkins.
    These programs are around and appear to be quite controversial and frowned down upon on these message boards. These programs range from 2.5 -3 years long. The first year or so you do all your preparation for your RN exam(like a condensed BSN program) and then the rest of thr program is spent working on your concentration and your Masters. Are there programs like this in the UK?
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    Hi, Well you can do any of these courses in the UK, You can go directly into a degree course in Health studies - RGN BSC, or the diploma course - RGN Dip HE, we used to be able to do just a 3yr RGN course,then once you have gained the RGN course you can go on to study at any level, but with the advent of PK200, I'm pretty sure that the RGN course is now all at diploma level, The students are not trained as we once were ie: Good nursing care, diseases, intervention, and spending most of our training in the clinical area. The PK200 students spend the first year in college now and very little time is spent in the clinical area throughout their 3 yrs They do alot of phsycology and theory.. It has now been found that thay are not clinically competent on qualifying and therefore perceptorship programmes are in force, This September was the first intake of the new curriculum.. The common foundation programme is now almost all spent in the prctice area again !!! There are so many changes and have been for the last 7 - 8 yrs and no doubt more to come !!! but still I think this is less confusing than all the different levels of training that seem to go on in the USA.
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    Pardon my intrusion....

    I believe that some of the statements on this thread are VERY misleading...

    For instance, a person with a MSN and a BSN are not necessarily nurses... For instance, lets say for example that a person graduates college with either of the two afformentioned degrees. Just because they graduate with a "masters degree" or a "bachelors degree" in nursing does not by any means make them a "Licensed Nurse" A.K.A. "Registered Nurse". Also of interest, is the fact that just because someone goes to medical school and graduates does not mean that they are a doctor...

    In the USA, at least the last time I checked, anyone who completes a nursing program that is recognized by the State board of nursing where the school is located, must also pass the State's Board exam to become a fully fledged "LICENSED" nurse. (The same is true for MD's aka- doctors/physicians) Granted there are different tests for different breeds of nurses, RN's take one test, LPN's take another but MSN's, BSN's and Associate degree/Diploma grads that are RN's take the SAME test- regardless of what degree they have.

    And therein lies what keeps nursing here in the US divided.

    Also, in my experience, the level of education does not keep nurses "segregated" as to what type of jobs they can get. I have seen diploma RN's in the role of management and I have seen MSN's and Nurses with doctorates at the bedside... I have seen people without a license to practice nursing, act as "director of nursing" in different facilities. Here in the USA, we have businesses called HMO's that are driven by the stockmarket and shareholders and the CEO's of those companies haven't the slightest idea in many cases, what it means to practice medicine yet the companies that they manage literally, in many cases determine the course of thousands of lives everyday.

    So what the hell is my point?

    My point is that the various titles and the arguments about them are completely mute. Regardless of the "degree/level of education" -a nurse is a nurse is a nurse and here in the states that doesn't amount to much...
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    Tina. You've really started something here. I think you may complicate the issue by referring to all 1st level British nurses as RGNs. I qualified in 1995 and am an RN. There are no 'General' nurses being trained now. We are all educated in our own branch; therefore I am an RN (Adult), as opposed to Learning Disabilities, Mental Health or Paediatrics.

    By the time I qualified, the old RGN part of the register was closed to future graduates.
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    Pandora, forgive me, but I qualified in 1981, OMG, LOL, I have gone from SRN to RGN and now RN, all from the one qualification
    I didn't mean to stir up this hive of Bee's! as I said I was confused by all the US titles but lookin at all the titles I have gone through... Well, LOL. I know we are agents for change but old titles die hard...
    I recieved RN when I did the diploma and I suppose I really should be using it, I prefer however..... Tina, Nurse fullstop.
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    ... or should I say RN (Adult) !!
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    Seems to me that Tina may be a little confused herself!
    Less titles in the UK, but yet difficult to remember. ;0 It must be very frustrating trying to keep it straight. How do u cope?
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    Didn't mean to ruffle your nursing feathers. Just making the point that we are not all RGNs,which is the impression I think you may have given, if you refer back to your original posting. Sorry!
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    Hey Pandora.. My feathers ain't ruffled LOL,
    Just tried to make the point that I'm a nurse plain and simple, a very good one at that even if I do say so myself !!! With smooth plumage all of the time so no need for appo's, Your comments are valuable, as I do think I complicated my own confusion, LOL, Take care, Tina.
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    I am a Adult branch diploma trained nurse working in the USA, as a RN. First there are RN's which is the UK equivilant of RGN. These RN's can either have a diploma or 2/4 year degree. The only difference is that they two degrees. I am not sure about the standard of teaching, although I believe that the degrees and diplomas in the USA are similar to the UK, that the degree is more theory based and the diploma, although they did start to make the diploma more theory based in the uk. A Sister in the UK, would be a Clinical Nurse Manager, and a senior staff nurse would be a Assistant Clinical nurse manager. RNs are RGNS and LPNs are EN's. The differences with ENs and LPNS are pretty much the same in the uk, ie: may not be able to administer IV medications, without further education for example. Like EN's in the UK, they really do the same work as the RN's depending off course where you work.
    RNs in the USA do not specialise when they first do there training, like for example adult branch or child branch. So an RN can work in Peds or Geriatrics, depending on there interest. I dont know if that helps, at all, Good luck, Emma


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