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Tait 26,905 Views

Joined: Jul 26, '07; Posts: 2,594 (52% Liked) ; Likes: 5,053

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  • Nov 7 '14

    Quote from nursemia
    if i want to take the rn-bsn root i have to pass the nclex after i receive my community college AA right? i just want to know isnt the nclex for students who have gone through nursing school? how would i pass the nclex when my knowledge goes only as far as pre-requisites
    You can't. If you haven't gone through an accredited nursing program, you cannot sit for boards.

  • May 14 '14

    I would say it's not very important beyond being neat and professional and pleasant (smiling).

  • Mar 23 '14

    I have worked at several magnet hospitals (as a traveler and full-time RN), and I find them to be the best places to work. The facility I currently work at is trying to become magnet and I can tell you the process is very long and does include implementing many changes. Magnet required Evidence Based Practice, goals, nurse career ladders, nurse certification, BSN nurses, and many outcome measures that are compared to a national data base. I find these to be all good things; however, the problem I usually see is that the facilities don't know how to get nurses "buy-in," and instead just start making changes without really relating the message to nurses.

    There are manys studies that support decreased nurse turnover, increased nurse satisfaction etc. I wouldn't say patients necessarily look for a magnet hospital, but to be maget you have to prove that you have many great process (inlcuding patient satisfaction & safety) measures in place. Many of the requirements will fit right into the new healthcare laws and requirements. Also, I have noticed that many goverment funded healthcare programs are requireing evidence based practice so if you are not familiar with how to conduct an EBP project then you could loose funds for many needed healthcare programs that could not survive without additional funds from the government.

    With change comes pain and growth, and its up to each individual to choose which one will affect them the most. Today nurses have to be lifelong learners due the constant change.

  • Mar 23 '14

    Quote from PMFB-RN
    *** The irony of that is that Magnet hospitals have become the least desirable employers of last resort for lots of RNs, in particular my ICU, transport and ER friends.
    Why are they the least desired in your area? In my (?) experience / investigating magnet hospitals have lower nurse to pt ratios then the non magnet ones in the same area. As a med surg nurse that is the first thing I think of when looking for a new job

  • Mar 15 '14

    Something is just brewing inside of me that needs to come out...

    This primarily an emotional response but there's some logic and reason that gird it...

    Try as I might, I just can't help myself...

    Flat out, I...


    OK, here it is... I...

    really like

    my job...

    and I almost consider it a privilege to work there (though I'm an unabashed capitalist and unionist).

    The patients...

    Some of my patients truly touch me... and I feel tinges of what the "it's a calling" crowd must be referring.

    Some of the patients are trying... but even many of them are an adventure...

    And some of the patients are complete jerks... and mostly I just blow them off and pat myself on the back for not letting them win the emotional tug-of-war in which they insist on engaging.

    I had a patient on whom a colleague asked me to start an IV... she was being confrontational. I'm always up for a good confrontation so I took the bait. At one point she said, "Your bedside manner sucks." I replied, "Yep, it does... but I'm really, really good at this so you need to decide if you want a 'one-and-done' IV stick by me or repeated pokes by Nancy-NiceNurse." She picked me and we ultimately found a functional way to interact.

    My coworkers...

    Most of them are kind and decent people who've got my back. It's almost like being in the military again.

    A (minute) few of them are catty and, um, doggie, but I actually enjoy engaging them and trying to win them over. Since I refuse to be respect someone's attempt to block me out and push me away... and because I continue to go out of my way to be helpful, we generally end up in pretty decent working relationship.

    The docs

    Oh yes, the physicians... they can be a pretty pushy, demanding, demeaning group of people..... whom I refuse to treat, or address, any differently than I do anybody else.

    However, nearly all of the ED docs, are really great to work with... love to teach... will happily engage if engaged... and recognize how much the patients need the nurses in order for anything to get done.

    Medical residents? I find them to be some of the most interesting people I've ever been around and I would hate to work someplace without them. (They also don't get ***** when I call them... and if they do, they're ~just~ residents :-)

    Even some of the attending MDs with ferocious reputations among the staff, have their way about them, and I enjoy figuring out how to connect. Sometimes it's by learning a lesson from doggie dominance... wherein I basically expose my throat and give them the option to rip it out... from then on, we usually get on fine... and I take barbs really well and can turn almost everything into a joke.

    Well, I've got my gripes, to be sure... but having been a senior manager with direct reports and budgetary authority... I also recognize that (a) I probably *couldn't* do it any better and (b) that I wouldn't want to even if I could.

    I've had a lot of bosses in my life and I can easily say that the food chain where I currently work is populated by a pretty good group of folks, especially by comparison to some that I've work for.


    Could I earn more? Sure. Have I earned more? Well, actually not... though I work an insane amount of OT to get it.

    Being an hourly, non-exempt employee under a codified contract (I'm a fan of the California Nurses Association) is a great way to work. I've been salaried/exempt... I've been at-will... I've worked as much as I do now but not been paid for it... and I've recently worked in nursing for $25/hr less than I presently earn with scant benefits... Yes, I earn twice what I earn at my last FT nursing job.

    I've got a good thing going... and we're not the highest paid nurses in the region... by any means... but we've got very good bennies and a good work environment.

    So, for anybody who's looking for a reason to go into nursing, I can say that, if I could magically change and be a doc or a pilot, I would, but nursing can lead to a very good thing... though it's not a given by any means.

    To summarize: I am a nurse, I am happy to be a nurse, and... while it's not cool to admit, I hereby confess that I *like* my job.

  • Mar 12 '14

    Congrats! You've managed to accomplish a lot.

    I'm a nurse educator - with a large health care system. MSN is entry-level for nurse educators in my organization. BSN for unit-based education coordinators. All of my educators began at the unit level. They are required to become AHA instructors (BLS, ACLS, NRP, etc) in the programs appropriate to their clinical area. This is a great place to start. They also work with the educators to perform administrative functions to support education services such as data collection, skills checkoffs, content development (with SMEs or literature searches). They serve as super-preceptors, helping to coach and assist new preceptors as well as ensure that new nurses complete all their orientation 'stuff'.

    If you're interested in new grad transition, there is very little that hasn't already been well-researched. Rather than reinvent the well-worn wheel, take a look at the NCSBN Transition to Practice model that has been underway for a few years. They have concluded the demonstration sites and will be coming out with final program recommendations soon. Frankly, I think that they are missing some components - such as awareness of regulatory impact on nursing practice (core measures, NPSGs, etc) but it is probably going to be adopted as a national standard.

  • Mar 12 '14

    Sorry, I can't really give you meaningful feedback. I'm just an ADN who has decided not to pursue further education, career work horse. But it is good to see you back around here!

  • Mar 12 '14

    Arrhythmias can develop at any age. You took a sensible first step in eliminating caffeine, and it appears now being evaluated appropriately. Good luck to you!

  • Mar 12 '14

    Education is usually the first heading on a resume.

    Experience, is the second major heading. Underneath, listed each placed of employment with most recent place of employment listed first. Beneath each employer, you can list your specific job duties

    Some people include a separate heading :"Related Experience" to encompass anything that is relevant but not tied to a specific job... like volunteer jobs, community service or elected offices. Others may put this as a sub-heading under Experience

    Agree with PP - don't include school rotations as experience. It will come across as though you are trying to exaggerate your qualifications.

  • Jan 7 '14

    I think certifications are a great idea. You took the extra step to better yourself by obtaining that certification! You also gain more knowledge from preparing and in my opinion, knowledge is power. Most places also give you a little pay incentive for having a certification, too.

  • Dec 6 '13

    What are some examples that they felt you lack critical thinking skills? maybe we can help. How long have you been out of school?

  • Jul 24 '13

    Because what better way to feel superior than to come tell all of us what we're doing wrong?

  • Jul 24 '13

    I had always assumed it was for the free beer and sandwiches.

  • Jul 24 '13

    Oh! And let's not forget the medical assistants who politely come to warn us that they'll soon be replacing us, cause they basically do everything we do anyway.

  • Jul 24 '13

    Our sparkling personalities.