Nurses Helping Nurses
allnurses Network: Central | Jobs | Books | Newsletter
allnurses: A Nursing Community for Nurses
Home General News Blogs Articles Students Region Specialty Degrees F.A.Q.
General Nursing Student Discussions /

Gn skills level equivalent only to NA level 2?



Did You Know?
allnurses is the largest community for nurses on the web. We now have over 388,526 members! Join today to network with other nurses, laugh, share, and much more.
Page 1 of 2 1 2 >

Dec 17, 2004 11:14 AM

Gn skills level equivalent only to NA level 2?

by aruray
Updated Dec 17, 2004 at 01:08 PM by aruray

Im finishing as an ADN and came across this skills checklist in many nursing positions. Quite surprised to find out my skills only measured up to a nursing assistant level 2. Its depressing to know that. I dont even know how to interpret a 10 lead data. Shoot, I was happy I knew how to apply the leads! (only to find out its a nursing assistant skill *gasp*) The only difference that I see from a NA and myself are my basic wound care skills and my lousy assessment skills (need to practice here so bad) My skills are no where near what a med-surg nurse is expected to do. Never was taught/ trained to do any procedure or handle any equipment in school or in the clinical. This is causing me quite a panic attack.

Is it normal to have skills in this level only? or is it I just got some really really bad education. Two years in school is quite a long time to learn nursing assistant skills. Oh this really sucks!.

With that said, how is a new graduate nurse is able to work in ICU with only 8wk orientation? I dont get it.


Share

Search Tags
None
Top

 
Advertisement
Sponsored Links
 
Page 1 of 2 1 2 >
Reply
13 Comments
No. 1
Old Dec 17, 2004, 11:19 AM

I bet if you think about it, you will (or do) have skills as a GN (unlicensed graduate--once you are licensed you are an RN, thank you)....

How about starting and stopping IV's?

PRN meds? (I'd say, any meds, but I learned that some aides give meds....)

IM's and SQ's.

Giving nasal O2 without an order.

Tube feedings.

Placement of NG tubes.

Assessment of prior placement of said NG tubes.

Calling the physician for clarification of orders or to suggest some.

Delegating.

Assessment, nursing diagnosis, care planning, charting.

Don't worry, you've got skills!
Top
 
No. 2
Old Dec 17, 2004, 11:22 AM

Originally Posted by aruray
With that said, how is a new graduate nurse is able to work in ICU with only 8wk orientation? I dont get it.
One word:

Preceptor.
Top
 
No. 3
from aruray
Old Dec 17, 2004, 12:32 PM
Updated Dec 17, 2004 at 01:16 PM by aruray

Originally Posted by chris_at_lucas_RN
One word:

Preceptor.
Ah yes I do have some skills, but still not enough required to take on a huge responsibility of having to take care of a patient. I felt really confident and competent to finally go out there and work as a nurse, until I saw the skills checklist. I feel so stupid and ignorant of even thinking I was ready to be an actual nurse. Theres no way I can effectively perform my duties with the skills that I have!

After the perceptor is gone, then what?

So it takes 8 wks to learn all these complicated procedures and treatments and two years in nursing school to qualify as a nurse's aide. The thought is making me crazy.
Top
 
No. 4
Old Dec 17, 2004, 03:02 PM

Are you serious? Our textbook and clinical instructor said O2 is a drug and cannot be given without an order.

Giving nasal O2 without an order.
Top
 
No. 5
from wonderbee
Old Dec 17, 2004, 04:33 PM

Originally Posted by mystic_fish0526
Are you serious? Our textbook and clinical instructor said O2 is a drug and cannot be given without an order.

Giving nasal O2 without an order.
Or per hospital protocol, which is in effect, a standing order. Under most conditions, hospital protocol gives nurses authority to use O2 therapy on a PRN basis. When your patient is crashing, or is in acute distress, we have to be able to act quickly. Hospital protocol is a beautiful thing.
Top
 
No. 6
from CHATSDALE
Old Dec 17, 2004, 05:15 PM

you know more than you think...and you are just on the first step of your journey...if the aid doesn't advance they will be at that level for the rest of their careers...you are standing on your foundation...make sure that you learn something everyday...remember everybody above you had to start out at the same level....GOOD LUCK
Top
 
No. 7
from rpbear
Old Dec 18, 2004, 02:22 PM

With that said, how is a new graduate nurse is able to work in ICU with only 8wk orientation? I dont get it.
8wk orientation to ICU is not long enough. I would push for 12 wks or longer if needed. I got 12 weeks orientation to L&D as a GN and one year later I still don't feel confident, i feel comfortable but not confident. You will learn a ton of skills in the first few weeks and you will become proficient in your skills you already know. You won't have your instructor breathing down your neck, and you won't have the fear of making the tiniest mistake and failing. Be a sponge and soak up everything form everybody!

Good Luck!
Top
 
No. 8
from Tweety
Old Dec 18, 2004, 03:09 PM

Originally Posted by mystic_fish0526
Are you serious? Our textbook and clinical instructor said O2 is a drug and cannot be given without an order.

Giving nasal O2 without an order.
We have a standing protocol algorithm that we are allowed to use. It was approved by the MDs teams but an RN can apply up to 2L NC without an MD order and is covered by this protocol. But only up to 2L, Plus, we can wean them off without an MD order, depending on the O2 sats.
Top
 
No. 9
from Tweety
Old Dec 18, 2004, 03:14 PM
Updated Dec 18, 2004 at 03:24 PM by 3rdShiftGuy

Originally Posted by aruray
Im finishing as an ADN and came across this skills checklist in many nursing positions. Quite surprised to find out my skills only measured up to a nursing assistant level 2. Its depressing to know that. I dont even know how to interpret a 10 lead data. Shoot, I was happy I knew how to apply the leads! (only to find out its a nursing assistant skill *gasp*) The only difference that I see from a NA and myself are my basic wound care skills and my lousy assessment skills (need to practice here so bad) My skills are no where near what a med-surg nurse is expected to do. Never was taught/ trained to do any procedure or handle any equipment in school or in the clinical. This is causing me quite a panic attack.

Is it normal to have skills in this level only? or is it I just got some really really bad education. Two years in school is quite a long time to learn nursing assistant skills. Oh this really sucks!.

With that said, how is a new graduate nurse is able to work in ICU with only 8wk orientation? I dont get it.

It's quite normal to feel overwhelmed and underqualified when one comes out of nursing school

You are talking basic skills here, that we all have to develop. In RN school the first thing we learned was how to be a CNA, bed baths, linen changes etc.

There are plenty of skills and tasks you can master on the job as they come up. Never be afraid to ask for help the first time you put in an NG, or discontinue a drain or other skills.

However, what you have are assessment skills that you are going to fine tune, critical thinking you're going to learn, managing the care and needs of a group of patients and their families including pyscho social needs. These are the things that distinguish you as a profressional nurse. You are a profressional nurse, not a nurses aide. It takes a while to get comfortable in that role, so relax. No it isn't going to happen in 8 weeks, it might take up to a year.
Top
 
Page 1 of 2 1 2 >
Reply




Thread Tools


Who's Online
415 members
3,633 guests
4,048

0

Patient Evaluation of Retail Clinic Care

0

The hard to reach on-call doctor, and its effects on...

3

Woman charged with passing off prescription drug as...

8

Man in "Vegetative State" was conscious for 23...

2

Interesting article on ThedaCare's Collaborative Care Model

7

Possible breakthrough regarding MS

63

16th Philly area hospital to stop delivering babies: Mercy...

10

Really interesting article on Indian open hearts

10

High-Tech Pump Does What Her Heart Can't

6

Air Force RN Found Not Guilty



1

Society Needs Care Too

12

Why am I doing this, anyway?

2

Nurse Heal Thyself

9

My Papa, why I am the nurse I am today.

17

I made it through

11

An angel's gaze

16

A Sister Never Forgets

16

Ruby's Marbles

37

What Do Operating Room Nurses Do?

14

My Little Old Jedi

20

I love this job......

23

"I hear voices"

19

Preventing FRUTI (Foley Related Urinary Tract Infection) in...

24

Error and Attitude

10

It's Just a Shower





Sponsored Links

Currently Reading This Page: 1 (0 members & 1 guests)

Interested in the hottest topics of the week? Subscribe to the Nurse-zine Newsletter.
Enter email address: