ERKev 1,752 Views
Joined Aug 25, '01.
Posts: 38 (3% Liked)
I would also like to point out to all the following:
Where else but nursing do you get graded on a different scale in college? At least in the ADN programs I am aware of, less than 80% is failing. In all other programs of higher ed, the norm is less than 70% is failing. And what about the year or two of prerequisite courses in order to start or apply to the nursing program?
Nursing programs are MUCH more demanding than most others. Most ADNs will tell you it took them very nearly 4 years of 3/4 time or better to get their 2 year degree. And, in addition, we had to take some humanities courses, i.e., fine arts, etc...
Now that my anger has subsided, I will agree that a BSN has it's place, but I don't think it's necessary for entry level. Some RNs prefer to stay at the bedside. Stepping up into management should require a minimum of a BSN. But to provide good, competent bedside care, it is rediculous to even consider requiring a BSN in order to practice.
Just because the ADN has a 2 year degree, doesn't mean they didn't work just as hard as the BSN to get it. Maybe a few less "BS" courses, but one heck of a lot of stress, work and study...
I'm stepping back off my soap box now...
Originally posted by fab4fan
...when you're secure in yourself you don't need to try to make yourself look better by denigrating others.
Originally posted by ainz
It is very sad and unfortunate that our own profession does not even recognize and reward higher education.
The laws of economics apply as well and so does the law of nature in terms of the path of least resistance. I also did the ADN because it was cheaper and easier. We damage ourselves in our quest for higher pay and better conditions when we remain trapped in the ranks of paid by the hour quasi-professionals. It has an insidious, subtle, effect overall on nursing as a whole when we do not aggressively promote and require higher education and continually raise our standards.
I would suggest pulling out our old sociology books and re-reading the definition of a profession.
I have been working agency since June, but before that I was getting $1.50/hr at my full time job in ER when in charge. This was in Detroit at St John NE Comm Hosp, since then closed. Hope it helps!
$.75 is NOT worth charge. Unless it entails no real duties or responsibilities. I would certainly not accept charge with no compensation at all for it.
As a new grad in the ED, I was doing an intitial assessment on a gentleman that had c/o a possible broken great toe at around 3am. His girlfriend, a little person (about 3'10") attentively and sympathetically listening.
He had gotten up during the night to go to the bathroom and struck his toe on a nightstand, fracturing it.
Later during his assessment when questioned re: pain, I asked him to rate his pain from 0, being "no pain", to 10 being "the worst pain you ever felt in your life". He looked at me with such a confused and lost look on his face, glancing back and forth between his girlfiend and I when he finally looked at the floor and said, "Gee, Sir... I ain't too good at math!"
I stood there dumbfounded, holding back my giggles and had to excuse myself in order to recompose!:roll
Originally posted by athomas91
did you know that there is a direct correlation of tooth:tattoo ratio and death..... they never die when the ratio is 1:1 or better....
Originally posted by angelbear
I know you were not personally labeling me. I have just had a very bad experience and would like to think I can somehow prevent it from happening to someone else. I dont know if those who work in ER realize it but reading about all their drug seekers make those of us legit afraid to seek their help. Thanks for responding.
Originally posted by MAGIK GIRL
Also, Folks.... This thread's title says a lot: "pain in the ed"
We're not talking about anyplace else in this thread. I think, perhaps to a degree, this is why this discussion may become heated at times. I, myself, come solely from an ED perspective. In reading these other posts again, it is quite obvious that most others do not. ED is particularly different from most other nursing contacts for pain control. It is usually in the form of acute pain control, not chronic, that pain is treated. And the ED/EMS is abused in a wide variety of ways - not just seekers. I have seen in the past year alone, people using the EMS to get from one side of town to the other - no real medical problems for which treatment is desired. Just a "free" way to get to another crack house across town.
Yes... This has gotten quite heated. And I think it's important for all to understand that our areas of practice differ, so our experiences differ. I, myself, work in a number or Detroit area EDs. We have a DEFINATE problem with SEEKERS!!! And I use the term NOT as an epithet, but as a very good descriptor. On some evenings as many as 30% of the people I see are there simply for pain drugs. At one particular ED I work at there are about 4 other EDs within the city that are all conected by the same computer system. We see the records of all of their visits! These people (not all, but many) make the rounds from ED to ED. In a perfect world, we could refer them to help and they might very well take us up on the help. But, most simply get peeved and split for the next ED.
Now, you can look down on me and my usage of the term "seeker" and call me uncaring, but I am there, in the trenches, night after night with no breaks and no relief. Then, enter the seekers. They don't even stick with the same stories from one visit to the next, often only a few hours apart! They swear they haven't been treated before! They also (as previously mentioned by on of those nasty people using the term "seeker") threaten our lives and actually DO wait around and watch for you to leave. I have a close friend (ED nurse) that had a pistol held to her head in the parking lot by a SEEKER.
I've cried more times than I can even recall over the people I've had under my care. And, further, I'll be the first one to push for proper pain control! But, there are seekers. They do cost us a great amount in time and resources. They do detract from the legitimate pain patients who get lumped into the same category. THEY ARE THERE....
Originally posted by teeituptom
I will leave it to all you young pups to go joustng after windmills. Its your turn to seek out the dragons and remember there are even more hurdles in your way now than ever before.
Been there done that
I will focus on things more important, like honest patient care.
Originally posted by Erin RN
Probably because tolerance issues and the fact that a "regular joe" would arrest if they got as much as a frequent flyer.. I know I have given doses that would kill me and my family...
It is frustrating and I remember being there and just getting pissed that this person was "wasting my time" ..anyone have any feasable ideas (Not the oxycontin lick in the waiting room)..on how to make this situation better? Erin
Originally posted by hogan4736
Let's just give the shoplifter the merchandise he wants in the store then...
Originally posted by kmchugh
Frankly, when you start using Michael Moore as a source for political thought, its time to check your cracker. The cheese has slipped off.
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