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Nurses General Nursing

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Specializes in Trauma, Emergency.

Okay, my apologies for really blowing up the AN "general nursing discussion" wall today...

I will get my ADN in May 2013 if all goes as planned and after that I had my heart set on attending an RN to BSN program at near by UNC-Ch. This past year they cut the RN to BSN program (due to budget cuts :mad:) but they still have their RN to MSN program running. In my initial "plan," I was going to do RN to BSN and THEN pursue a masters program. So I would end up as "RN_in_Training, RN, BSN, MSN." I'm not married to the idea, but I like the idea of UNC-Ch since it's an excellent school and nearby...if I went straight to the RN to MSN program and never officially got my BSN, I would be "RN_in_Training, RN, MSN," right? How is this perceived in the field? Are people who "skip" the BSN and go straight for the MSN frowned upon? Strange question, I know, I just don't want to cut any corners now that I've found the thing I'm passionate about.

Ultimately I hope to be an APRN (CRNA or FNP prob most likely?)...do you think attending an RN to MSN program puts me at any type of advantage or disadvantage on either of these career paths?

Thanks so much for any light you can shed on this...I'll disappear from AN for a while when school starts in mid-August, don't worry, haha! :smackingf

do it. and don't look back.

any new grad will take some time to get feet underneath him/herself. you'll be far better off if you do it having earned a mn than a bs once that first year or two is over (which you will have to do anyway).

Specializes in Critical Care/Coronary Care Unit,.

I say go for it. Some employers may not like the fact that you'll have a msn. However, at the end of the day, you'll still be a newbie RN and won't be paid any differently than the diploma, ADN, or BSN nurse on the floor. I do suggest you get work experience before attempting to be a crna or np. Most CRNA schools require 2 or more years of ICU experience anyway. As far as the NP requirements, it varies from school to school. I have a BSN and am currently enrolled in a master's program for family nurse practitioner/education. However, I also have 3 years of nursing experience. So in my opinion, most employers will focus on the work experience rather than the degree. Best of luck to you.

Specializes in Trauma, Emergency.

thanks so much, awesome nurses. :nurse: anyone else having insight, please give it! i appreciate any wisdom i can get.

I thought UNC-CH is one of the only schools in the state that offers a BSN half way through the RN-MSN program. I could be completely wrong on this. haha. But I remember looking at their program and always thought that part was interesting and stuck out. I decided to go to ECU, because pirates are better anyways.

I realize that the person who started this thread plans to go on for an advanced degree, so I'd definitely recommend getting the BSN and working the floor for a while before going back to school....From what I understand, going from BSN to MSN via an online school isn't a problem for employers- a lot of people need a way to continue their education while still keeping up with real world issues like kids and paying the rent. I also understand that there are some good online nursing programs these days.

Now for my unsolicited opinion LOL...:lol2: And I'm writing this with a smile and fondness for my experiences- no hostility at all :)

JMHO based on 26 years (19 before becoming disabled; 7 as a patient who's an RN & kept up my license and CEUs).... I love that I'm a nurse- but I wouldn't pay a dime to go back to school for nursing. I haven't read all of the posts (head hurts a lot tonight), so if I'm beating a dead horse, I apologize :)

I'm an ADN. No regrets. I worked mostly in central TX before moving back to the Midwest (which I'm not fond of, but physically can't get back to TX from medical problems). The patients in TX, who had primarily LVNs for direct care (I was the only RN for a 27 bed acute med-surg floor on 12 hour nights, or the only RN on campus of a 95 bed chemical dependency center on weekend days) did not have any difference in recovery rates than those who had more RN care-- JCAHO consistently gave the hospital the highest accreditation, with mostly LVN direct care nurses. And the facility demanded regular attendance at seminars/meetings to keep up with the latest info (small town hospital that had equipment 10 years sooner than the places I worked when returning to the midwest; better palliative care as well)...I was fortunate to have worked there.

The LVNs were well trained, and good at what they did. For 27 beds, it was generally myself, and a CNA, and 3 LVNs from 11p-7a; the first 4 hours of the twelve hour 7p-7a had another nurse or two- sometimes one was an RN for those 4 hours; I still had to see those patients to cover the last 8 hours of the shift). It was a great group to work with, and a very well-oiled machine that I miss greatly compared to all of the RNs bumping into themselves here in the midwest, worrying more about not getting 1 thing more to do than their co-workers. It was nuts.

I had no need for anything beyond an ADN- based on where I wanted to work. I had no desire to teach, and depending on where you work (in the country) experience alone was enough to be in management- most of my years were either charge or department head level. No book in the world can make someone a good manager. I had to assess each patient each shift, deal with all MD calls, RN admission assessments, care plan updating, chart checks, MAR updates, processing orders, etc....just part of the deal. :eek: I never had a patient ask me about nursing theory...and never met a charge nurse who was good because they had a 4 year (or greater) degree. Those who left MSN programs with no (or little) floor experience were horrible- not their fault. They just didn't have the practical experience to apply to situations or people skills.

If someone wants to teach, or lives somewhere that requires someone to spend horrible tuition rates to get some letters after their name, then by all means, get all the credentials you need/want-- I'm definitely PRO-Education....just against the divisiveness within nursing. I get frustrated when ADN/Diploma nurses are looked down on... we had to take the same boards, and experience is invaluable. :nurse: I won't even get into what differences I saw in ADN vs BSN students in the hospital (and in all fairness, the instructor for the BSN program in question was a flake:uhoh3:-- not the students' fault). The ADN students were always very well prepared.

The BSN and ADN students I've seen as a patient didn't actually DO anything....that shocked me, since my class was running around doing whatever we could as soon as we'd learned about it, and had the instructor sign off by observing and approving the first time something was done. Nowdays, it seems they just follow a floor nurse around and ask questions... the question part is good, but who do they learn on? Some vinyl manequin???

I wouldn't have traded my 2 year program for anything. But that's what worked for me. I went to school in the midwest- so not some bias re: TX and the staffing situation there. When I graduated in the midwest, I was the only RN educated person in the building on nights (and often evenings, since I worked a lot of doubles to save to move to TX) until I got my board results and license.... how times have changed. I miss how things were done. They were arguing the BSN mandate back in the mid 80s... bedside nursing does not need a 4 year degree IMHO....and a lot of it doesn't even need an RN, as long as there is an RN assessment every 8 hours, and on the floor continuously for condition change assessments.

There's room for all levels of care providers without all of the infighting that has been going on for decades. I've worked with CNAs who I'd trust more than some RNs who were 'too good' to do direct care and get their hands dirty...

Just what I've experienced :) I love being a nurse, and miss patients so much. Glad to have found this forum to reconnect with all nurses. :)

do it. and don't look back.

any new grad will take some time to get feet underneath him/herself. you'll be far better off if you do it having earned a mn than a bs once that first year or two is over (which you will have to do anyway).

agreed!

Don't consider yourself an "RN-in-training" after earning your ADN. Upon receiving your ADN & passing the boards, you are an "RN," period, no self-deprecation required. If you want to continue school after that, you are adding on to your RN, you're NOT trying to legitimize the RN you already earned.

AMEN :):nurse: :nurse: :nurse: :nurse: :nurse: :nurse: :nurse: :nurse:

Specializes in Trauma, Emergency.

awesome wisdom!!!:yeah:

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