Medic2RN, ADN, BSN, RN, EMT-P Guide 27,182 Views
Joined Nov 24, '01.
Posts: 5,251 (35% Liked)
After graduating college with a BA in psychology, I couldn't find a decent paying job, so I got a position as a flight attendant. I figured if I was going to work a low paying job, I might as well travel the world while waiting for the recession to end. During this time, I also joined the Naval Reserves and worked in intelligence.
After being assaulted on a flight, I decided I wanted to arrest my passengers instead of handing out Cokes. I went through a grueling process for a career change to a public safety officer. I was a police officer, aircraft rescue and structural firefighter, and later paramedic. I absolutely loved my career. Once I was married and had kids, I had to change careers once again for my family and that's how I changed careers to nursing. I finished my BSN last year and I am contemplating going to graduate school for my FNP or psych NP. After that, I plan to ride off into the retirement sunset.
So here I am, on the cusp of a huge change. I have been working in the ED setting since 2005, as an RN since 2008, and I have achieved many things: my BSN, MSN, CEN, CPEN, TCRN, and a lot of other random certs and accolades while also holding on to my NREMT-P (13+ years!). I've managed a trauma unit in a war zone. I've had a wonderful run as an ED/trauma RN. The ED has been my passion for more than a decade.
I completed my MSN in Informatics in December, and with my husband being accepted to the med school of his choice (so proud of him!!!), we are moving to a city with a LOT of hospitals. Almost a ridiculous amount! I love it. But being the ED/ADD girl that I am, I want to do everything and work everywhere. There was a time when I literally worked in every ED in my current city, and it was a bit too much. I know this about myself — I overextend my energy resources a lot.
I am getting older, I have a bad hip thanks to Afghanistan, and maybe it's time for me to not act like an adrenaline junkie all the time and take a seat, slow it down. So I applied to an informatics-related position that would be Mon-Fri, 0800-1700. Still some stress I'm sure, just a different kind. But I have to admit that I am freaked out at the prospect of this change. Leaving the ED is bittersweet. Being an ED RN is part of who I am. You know how you meet people and they say "I'm a nurse"? I always say, "I'm an ER nurse." You know ... we claim it, we're proud of it.
I had a unique opportunity just last weekend to participate in the CEN passing point study (if the percentage needed to pass goes up, I'm sorry! lol), and I met a lot of awesome ED/trauma nurses from around the country. One of them has transitioned to informatics, and he loves it. That took some of my trepidation away. I keep telling myself (and I told someone here this same thing very recently) that if I dislike this new role, the ED will always be there. (So true ... the ED recruiter at the same hospital as the informatics position cold-called me the other day, lol. I told my informatics recruiter to watch out, he's poachin'! We had a good laugh.)
I finally made mental peace with this change (I expect an offer next week after an in-person interview with the director), when up pops a trauma nurse educator position yesterday, working for someone I know. lol. GOOD GRIEF. So yeah, I applied for it too. I am a mess!!!! This is a great predicament to be in, I know. I have another offer from a burn ICU. I have so many options. I surprised myself by NOT applying for a single bedside ED position.
For those of you who transitioned from the ED: how did you do it? Did you do PRN at another ED to "wean" yourself? Any regrets? I have had people express disbelief that I would achieve CEN/CPEN/TCRN/all my experience and then "walk away," as they put it. That's not how I see it, of course.
Thoughts from those of you who have moved on after a long time? I'm struggling. I feel like I'm breaking up with a longtime boyfriend who is kind of a jerk a lot of the time. Haha.
As someone who is both a paramedic and nurse like my other colleagues here, I wouldn't become a paramedic unless you want to be a paramedic.
What are your chances of being accepted to nursing school? I know the schools in Cali are very full, but how do you stack up against other applicants? If there is real doubt as to whether you would be accepted, then the paramedic program might be a good idea.
As a side note, I spent the day with my EMS peeps yesterday because they needed an impartial paramedic to help evaluate skills at the station, and then I ran a call... I miss EMS! Lol. I haven't been 911 since 2011, I really miss it. Sometimes I would like to chuck the nursing gig in favor of riding the truck again.
Brian created a family of nurses from all walks of life, every specialty, young, old, new, not so new and from countries I've always dreamed of visiting and now have friends in because of his site. I can only hope that I have even half the impact on others as he has had on nursing and each and every one of us here on Allnurses.
God speed Brian. And don't forget your stethoscope.
I am just going to go out on a limb and guess that the OP is not a nurse.
I side with the ENA, who supports a position that a charge nurse and triage nurse should not be counted in staffing. In a perfect world!
I think the huge controversy right now is the anti-vaccination movement. I definitely promote truth-telling on my FB page and have a few family members (my daughter and daughter-in-law unfortunately) who believe all the myths floating around on the internet.
Here is a good editorial with lots of links to give you a synopsis of what's been going on out there.
Sears and Gordon: Should Misleading Vaccine Advice Have Professional Consequences? - Forbes
This article was written by a member on allnurses. Due to the controversial and emotionally charged nature of the article, the member wanted the topic out in the open so nurses could discuss it. Because she is afraid of retribution if any of her hospital administrative staff should read this article and link it back to her, we offered to publish it for her anonymously. Please add your comments regarding this issue negatively impacting nurses and the healthcare system.
An Open Letter to Hospital Administrators
I am an experienced nurse that has watched many of my very talented colleagues leave the bedside due to the changes that have taken place in healthcare as of late. I have seen staff cut to the minimum, while patient acuity and nurse to patient ratios increase. I have seen support staff break down in tears because they have not been able to do their jobs properly. I have seen staff pushed to their breaking point, all the while administration stays in their offices, or in the meetings, determining yet more ways they can cut our resources. I see your salaries raised to ridiculous amounts, while we are denied cost of living increases, housekeeping is cut at night, and our benefits cost more, while the services are decreased.
I see our retirement cut while at the same time, the amount matched continues to be diminished or non-existent.
I see ways in which we are constantly blamed for declining patient satisfaction, increased patient falls, late medication administration, all the while we are asked to do more with less. I have seen you fire experienced staff and hire less experienced, cheaper, staff. I have seen that new staff break down because they have no resources, no experience to draw from and I have seen patients suffer from that inexperience. I have seen codes increase, inappropriate admissions to floors, transfers to higher levels of care, all because no one was there initially to advocate for a higher level of care for the patient to begin with.
I still see you in your office. I do not see you on the floor. I see you with your graphs, your pie charts, your questions about readmission rates, when I had already advocated for that patient to stay longer but was simply laughed off by doctors and not supported by you. Yet, somehow, I need to be on a committee to fix the problem.
I am now required to work extra shifts, because staff are getting sick due to stress, or leaving completely because they are tired of dealing with things. I see you develop a culture of fear, where our jobs are at stake, and threatened at every turn. Yet, you still look to me for solutions.
“How can we do more with what we have?” I am asked.
My answer: There is no way to do more. We are at our limit. You are losing nurses as fast as you are gaining them, at a time when we need to be building up our profession, when the baby boomers are just starting to become a factor in our healthcare environment.
My answer to this is simple. It is time to get real and start valuing your employees. If you want to be reimbursed for patient satisfaction, increase your services. Staff departments with what they need - enough nurses, enough aids, monitor techs, secretaries, ED techs, whatever. Then you will see positive results. Falls will decrease. Medication errors will decrease and medications will be given on time. Patients will get the treatment they deserve and patient satisfaction scores will improve. Your reimbursement will improve and you will stop losing money. Everyone wins: most importantly, the patients.
We need to stop the assembly-line mentality of medicine and return to the service mentality.
Yes we are a business. But any business that has ever done well has not done well by decreasing the services to people or by mistreating its staff. Otherwise, healthcare facilities are going to see more of the same, and suffer more financial penalties, less high-quality staff, and patients will suffer.
I was talking with several of my colleagues just the other day. All of us had many years of experience. Many had been at the bedside for over 20+ years. Many are leaving the bedside due to the unsafe conditions they are seeing. They just don’t want to be a part of it. Perhaps this does not scare you, but it should. You must not be a patient yet.
For a follow up article, please go to Nurses Fight Back! Why Some Hospitals are Despicable
I'm about halfway through the RN-BSN program at ULL, and so far my experiences have been great! My Enrollment Specialist and the Academic Advisor have been very responsive, informative, and helpful. They are a great resource when you are first starting out. The teachers have been good, and the coursework has been very manageable. I made the mistake of taking Biology and Community Nursing at the same time -- whew! that was a heavy load. You can gauge how heavy the course load will be by looking at the credits. The 2Cr courses are light and easy. Community Nsg is 5Cr and required a lot of work.
I did a lot of research into RN-BSN programs prior to enrolling in ULL, and they are definitely the most affordable program. I think the only other one I found that was comparable in price was UTA, but I didn't go with them because they required more courses (i.e. Texas Govt & Hist); and also read some bad reviews about them on allnurses. If you've taken all of your pre-reqs, it costs $8500 at ULL. If you take their general courses like Eng Lit, Stats, Biol etc., it will cost an additional $756/class. I would suggest taking those type of courses at a community college if possible. I wouldn't recommend taking the Biol course at ULL. It's a lot of complex information condensed into 7 weeks, and it was taught by the one teacher that I didn't think was very good (nice lady but very unorganized and not very good at responding). The good thing is that ULL is pretty good about accepting outside college courses, and you can complete them at any time during the program. As long as everything is completed before the final Capstone course.
I started last semester in October. I'm pleased with the program so far. 353 & 354 were not bad at all and I was able to work full time while studying for my classes.
Good luck everyone!
I was apprehensive about writing papers also since it's been 20+ years for me. They walk you through the first assignment and supply multiple resources to assist you with paper writing. It took me a long time to write that first one, but it's actually easier now due to the technology. Just follow the rubric and the topic with all of its points and you'll do fine.
Best of luck to you!
I think people get burned out and tired of BS. Nurses are the people at the bottom of the hill standing with arms open. We all know what rolls down hill. After a while people can't take any more.
The South is not as cheap as many believe, particularly if you live in a semi-decent state like Virginia vs a pit like Alabama or Texas.
I would add that nurses who do little or nothing to advance their education or career are in danger of ending up "trapped" in a job they hate.
Nurses leave the profession for a myriad of reasons, including:
3. Treated badly by patients
4. Treated badly by families
5. Treated badly by managers
6. Treated badly by other nurses
7. Treated badly by other members of the interdisciplinary team (physicians, PT, OT, ST, social workers, case managers, dieticians)
8. Too much responsibility
9. Not enough authority
10. Administration treats us like we are as replaceable as the roll of toilet paper in the restroom
11. Mentality that the patient is always right
12. Increased focus on patient satisfaction scores
13. Decreased focus on proper patient care
14. Dangerous nurse/patient ratios
15. Feeling trapped in a lose/lose situation
but which of the two requires a hire skill set?
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