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| No. 10 | 
May 13, 2009, 12:29 AM
 Re: What are you learning in nursing school? Originally Posted by ArkansasFan  When I was in medic school I was in the ER one day doing whatever it was we did there, and the opportunity came to inject some guy with something I've long since forgotten about. This guy who happened to be an RN/EMT-P instructed the female nurse to let me give the injection, and she got real pi$$y and declared that I (me) didn't know anything about the drug at hand and that I wouldn't understand it's actions, etc.  His reply was, "Well, let him read about it first. Who cares anyway? He's just practicing giving shots." The end result was me giving the IM without reading about it. lol I'm sorry but I'm going to have to agree with the nurse. I wouldn't give a patient an aspirin if I wasn't clear about why I was giving it to the patient, how the drug works, some of the potential side effects and what I should look out for after giving the drug. What happened if that patient had a reaction to the drug you administered but you were unaware of the warning signs of the drug interaction? You could be risking your patient's life because you didn't take the time to do a little reading and prep work about the drug your giving the patient. I'm not saying you have to become an expert on the particular drug but knowing a little bit about the drug your going to give to a patient could prevent a mistake from being made and save the patient's life. While you and the paramedic you worked with apparently seemed unconcerned about these details the nurse was right to speak up. If you "just wanted to practice giving shots" then you should have drawn up some saline and practiced giving it in a rubber arm. Originally Posted by ArkansasFan I want to learn about disease and injury and how to treat it and cure it - NOT how to give a good hug. If I wanted to do that I'd be a social worker which, if you knew me, totally doesn't fit with my personality. What you learn about in nursing school is much more then just "how to give a good hug", while nurses aren't social workers they do require knowledge on therapeutic communication and understanding a patient's mental and emotional needs. Health care cannot be boiled down to memorizing lab values and what medications treat which diseases, its a lot more complex than that. I think you would benefit from sitting in on a few different nursing classes to get an better idea of what nursing school is really all about. Originally Posted by ArkansasFan Regardless of what nurses do, should I decide to become one, I'd like to be able to assess someone, interpret labs, and know that "hey, that guy has peritonitis" or something along those lines. Make sense? That's a medical diagnosis. If you want to assess a patient, interpret labs and make a medical diagnosis then you should become a physician. It sounds like that is what you really want to do so you should look into a way of accomplishing that dream. Originally Posted by ArkansasFan I think I'm looking at RN school as a basis to get into advanced practice and "do medicine." I really would prefer to be a physician, but I've got a great job that I really like. Sadly, in order to even apply to medical school I'd just about have to quit work to go take some pointless prereq courses in o-chem and physics that I otherwise would never consider taking. I probably wouldn't like being a nurse. If you want to become a physician then become a physician, don't go to school and become a nurse as a way to "do medicine". Nursing school is not some shortcut or way to side step the prereqs of med. school. I agree with some of the other users that nursing schools tend to put a lot of focus on the theoretical practice of nursing and not as much on the hands on practical aspects of nursing, which is an area that they need to improve upon, but you learn the theoretical so you can understand the practical. Knowing to start a patient on 2L of O2 if they have a spO2 level of under 90 is great but it doesn't mean jack diddly if you don't understand why your doing what your doing and the expected outcome of starting a patient on O2. I'm sure I will be heckled to death for that but its my honest opinion. You might not see "impaired gas exchange" in a nurse's note or in the patient's medical record as a nursing diagnosis but the nurse that is treating that patient in respiratory distress is definitely thinking about impaired gas exchange and its complications while their treating that patient. I'm not going to stand on a soapbox and say that theory is the "end-all-be-all" of nursing but its important. I agree that in nursing school the practical, hands on portion of nursing isn't covered thoroughly enough which forces many new grads to learn skills on the job that aren't covered in school but there is a place for therapeutic communication and theory in nursing. Just ask the cancer patient whose oncology nurse took a few minutes to sit down and talk with them about how they were feeling regarding their diagnosis and their goals for the future instead of just administering their chemotherapy and moving on to the next patient. !Chris   | | Advertisement Sponsored Links | | | | No. 11 |
May 13, 2009, 10:59 AM
Re: What are you learning in nursing school?
I disagree with what you said about aspirin. When I referred to the injection I was just there to stick the guy. We had x number of procedures to accomplish. I believe it was tetanus immunoglobulin, but I was going to leave soon after probably as I never stayed there more than a few hours at a time. Let the staff do their jobs and let the students learn and practice what they need to practice. There's no point to injecting saline into a rub arm as it doesn't really feel or work the same. Doing the real thing is best, and yeah the other guy was an RN and paramedic. He knew what she was saying, but he understood exactly why I was there since he had been there himself. I appreciate your responses. An alternative to nursing that I looked at was ineeded becoming a physician or a physician assistant to which there are many perks exceeding that of a physician. I just want to learn the msot possible and do the most possible. Until recently I didn't think I'd be able to go to medical school due to some workplace scheduling concerns, but I've found a window of opportunity so my interests in nursing are rapidly falling by the wayside. Thanks for your reply. Most helpful.
| | No. 12 |
May 13, 2009, 12:33 PM
Re: What are you learning in nursing school? Originally Posted by ArkansasFan I think I'm looking at RN school as a basis to get into advanced practice and "do medicine." I really would prefer to be a physician, but I've got a great job that I really like. Sadly, in order to even apply to medical school I'd just about have to quit work to go take some pointless prereq courses in o-chem and physics that I otherwise would never consider taking. I probably wouldn't like being a nurse.
If you don't want to take o-chem or physics or any other such "useless pre-reqs" then it seems to me that you're going to have to accept that you're *not* going to get the same level of education as a doctor, nor the same job roles. It may be true that someone could be a great physician without having taken the full-series of o-chem or a year of physics, but there's no way around that requirement in the US. If you're not willing or able to do whatever it takes to get into med school, then there are more than enough willing applicants out there who ARE willing and able. You may be able to find some PA programs that don't require the full-slew of pre-med coursework, and that may be where you want to look.
And if you choose to become a nurse with the plan of eventually going into advanced practice, you'll have to get in to RN school (other pre-reqs), put up with RN school (and NOT learning to diagnose), and get a BSN (more "useless" courses) somewhere along the line. Most NP programs require (understandably) at least some RN work experience as well and will certainly continue to include nursing theory and such along the way, so if you're *not at all* into nursing, NP doesn't sound like a very good route for you.
I've got to say, though, that the attitude that comes across in some of your posts is one of condescension and dismissiveness towards those with more knowledge and experience. You have some valid points and certainly people may be wrong regardless of how much they know or how much experience they have. However, the attitude that comes across here would be a real hindrance in your pursuit for more professional responsibility.
| | No. 13 |
May 13, 2009, 05:32 PM
Re: What are you learning in nursing school? Originally Posted by jjjoy If you don't want to take o-chem or physics or any other such "useless pre-reqs" then it seems to me that you're going to have to accept that you're *not* going to get the same level of education as a doctor, nor the same job roles. It may be true that someone could be a great physician without having taken the full-series of o-chem or a year of physics, but there's no way around that requirement in the US. If you're not willing or able to do whatever it takes to get into med school, then there are more than enough willing applicants out there who ARE willing and able. You may be able to find some PA programs that don't require the full-slew of pre-med coursework, and that may be where you want to look.
And if you choose to become a nurse with the plan of eventually going into advanced practice, you'll have to get in to RN school (other pre-reqs), put up with RN school (and NOT learning to diagnose), and get a BSN (more "useless" courses) somewhere along the line. Most NP programs require (understandably) at least some RN work experience as well and will certainly continue to include nursing theory and such along the way, so if you're *not at all* into nursing, NP doesn't sound like a very good route for you.
I've got to say, though, that the attitude that comes across in some of your posts is one of condescension and dismissiveness towards those with more knowledge and experience. You have some valid points and certainly people may be wrong regardless of how much they know or how much experience they have. However, the attitude that comes across here would be a real hindrance in your pursuit for more professional responsibility.
Thank you for your response. When referring to uselessness of o-chem and physics I think you'll have to agree that those courses are useless in the everyday job setting. If I took them and something came up that prevented me from matriculating then I'd have wasted money and time. Obviously, I'll only take them, as countless others do, because it's a requirement. Sure you can study it, learn it, and deal with it, but that doesn't mean you want to.
I'm familiar with the prereqs needed for an RN program, and I have those already with the exception of the typical nutrition course that is required. Most people don't happen upon taking those. Well, the alarm company is calling. I've got to go.
| | No. 14 |
May 13, 2009, 08:39 PM
Re: What are you learning in nursing school?
I'm sure part of the function of the pre-reqs for med school is to winnow down the number of applicants as well as being an imprecise measure of dedication to pursuing med school and ability to keep up with a heavy learning load. That is, it keeps most folks from deciding on a whim to apply to med school who might not really be very strong academically or who aren't really dedicated to becoming a doctor.
If a person has little of the core science pre-reqs for med school and most of the common pre-reqs for nursing school, it's easy to see why nursing would be appealing. You could get started in school working with real people and digging into patient care issues within a year or two, maybe having to take one or two 3 credit intro-level pre-reqs that are much less time-consuming than a full year of physics w/lab and a full year of o-chem w/lab... not the mention the calculus class that's likely required for those courses.
While nursing may not be one's ultimate goal, it can seem like a logical path on the way to med school. Wouldn't a degree in nursing be at least as useful to a pre-med student as a degree in molecular biology or, even seemingly even less relevant, a degree in medieval English literature? But that's just not the way the educational ladder is set up here.
I think it's partly due to the fact that most nursing schools these days are a hybrid program... they are part vocational program (focused on specific skills and job roles), part professional program (focused on independent practice in a one's field such as law or medicine), part academic program (including gen ed and a heavy dose of theory and research). So it's not just a matter of "majoring in nursing" and then applying to med school. It's a matter of applying to and completing one professional training program prior to applying for and completing a different professional training program. Doesn't make as much as sense in that light.
I think there is much room for improvement in nursing education but there's much disagreement in the field about what "improvement" means. So change isn't going to be quick or easy.
It sounds like, though, you may some opportunity that you didn't expect. Best of luck to you!
| | No. 15 |
May 13, 2009, 09:09 PM
Updated
May 13, 2009 at 09:23 PM by ZanatuBelmont
Re: What are you learning in nursing school? Originally Posted by ArkansasFan Ok. Easy question. I've read course descriptions, and I've definitely worked around nurses. However, I can't really get a feel for what nursing school is teaching. I read course descriptions for classes and see things like "care for, empathize, nursing theory," etc, but I'm not actually seeing what that is.
Are you actually learning to recognize, understand, diagnose, and treat disease? I see a lot of information about "nursing theory" and that "nurses don't practice medicine," but I'm not concerned with verbage. It seems most RNs come out of school unable to interpret ECGs, labs, and simple stuff like that so what does the education really consist of if nurses have to continuously go and pickup random certifications to be able to know or do anything? I just want to know what you're really learning out there, i.e. what knowledge you've gained and what you can do now as a result of it.
Note: nothing here was intended to be a stab, but I seriously am not getting what nursing school is teaching. Thanks for any replies.
Thank you for your questions(s) before entering the nursing field! :-)
I view nursing as a patient advocate profession. Most of the time it is the nurse that is there when something goes wrong with the patient, and it is up to the nurse to report developments immediately. In many ways, your role is somewhat more vital to the patient than the doctor's is. I say this only because most doctor's are scrambling with 30 or more patients and cannot devote REAL time to the patient. The nurse, however, is there by the bedside and the very life of the patient depends on whether the nurse takes appropriate action.
That said, you mentioned most students do not come out knowing "basic" skills. I disagree - take a new nursing student in their first week of classes, give them a comprehensive NCLEX style test, and watch how poorly the student will probably do. Nurses learn a lot more than given credit. To sum up the profession, "nurses are masters of generalities."
My instructor has a mug that says things to this effect: "A teacher, a consultant, a physical therapist, a marriage counselor, a teacher, a firefighter, an interpreter, a social worker (etc., you get the point). What profession is this? Nursing - a group of people expected to be all or none of the above."
That's pretty broad, but you get the point. What you come out of school knowing is mostly up to you. The instructors do go over the things you mentioned, but there are times the workload becomes so hectic you have no choice but to sacrifice one piece of knowledge for another to pass the test. If you do go into nursing, do what I do - constantly learn outside the classroom. Take more interest in the EKG readings, for instance, since that particular area is not hit hard in some programs (LVN/LPN).
Good luck to you!
| | No. 16 |
May 13, 2009, 09:37 PM
Re: What are you learning in nursing school? Originally Posted by cjcsoon2brn If you "just wanted to practice giving shots" then you should have drawn up some saline and practiced giving it in a rubber arm.
EMT-Is/Medics don't do rubber arms. They practice vascular access on real people. I think it's a cultural thing.
/tangent
| | No. 19 |
May 14, 2009, 07:29 PM
Re: What are you learning in nursing school? Originally Posted by cjcsoon2brn That's fine, I understand that its important to practice on real people but you really should understand some basic information about the drug your going to give a patient before you give it. I don't care if its for practice or not.
!Chris
I wholeheartedly agree in a real world setting. After the scenario in question the nurse went back to her nursing and I went on to the next procedure most likely.
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