®Nurse, MSN, RN 11,317 Views
Joined Feb 26, '08.
Posts: 1,136 (63% Liked)
I am presently enrolled in direct entry CNL program. I already plan on working at the bedside after graduation. I know that my degree my bestow me with a BSN but I will need actual work experience. Personally, I think my program in no different than direct entry NP programs. Yes, I know that I will not graduate with a specialization. However, new graduates of direct entry NP programs ( depending on the setup of the program) will never have worked as a RN much less as an NP ( outside of school based clinical hours). Does that mean they are not competent? Not necessarily, they just need clinical work experience. Right now CNL is the new kid on the block and there is a bit of fear, misunderstanding, and lack of information where it is concerned.
As a CNL I will not be a nurse manager or unit leader. I will simply be making sure that all the people in the health care team are working for the best favor of the patient and other roles. I know I want to work at the bedside and eventually I know I want to become an NP but I plan on honing my skills on the floor. I think direct entry CNL programs are great for those who do not know what specialization they wish to enter or simply do not want to enter a particular NP field so early in their career.
When credentials are required, I sign my name according to how the AACN instructs that they be signed.
"What is the preferred order of credentials?
The preferred order is:
Highest earned degree
State designations or requirements National certifications
Awards and honors
why is this order recommended?
The education degree comes first because it is a “permanent” credential, meaning it cannot be taken away except under extreme circumstances. The next two credentials (licensure and state designations/requirements) are required for you to practice. National certification is sometimes voluntary, and awards, honors, and other recognitions are always voluntary".
Epigenetics: How large a role can Nurses play in shaping healthcare outcomes.
I'm the insensitive husband. My wife is a nurse that works in the float pool. She spends a lot time working in behavioral health and the medical floors.
She has been working 3-4 16 hour shifts per 2 week pay period lately.
She feels that since she is working 16 hour shifts, and a nurse that I should be more appreciative.
I see things different than her. I wish I could 16 hour shifts and have more days off. I will 4 days off to her 8-9 days off per pay period. I work 80 hours per pay period and she works 60-70 hours. I wish I could do that.
She will also explain to me how hard nursing is. In my mind, that is what she enjoys and is good at. Most of her issues with being a nurse is dealing with other nurses. It has nothing to do with the work itself.
I basically came her to see if I could get a better understanding of how she feels. To hear from other nurses that have done the same thing and how their spouses were.
Please don't hold back. I want your real thoughts. If I mad you mad, then tell me.
One poster made the comment that the impersonator worked in the position of a unit clerk. Could it possibly be that she was an LPN/LVN (nurse) who impersonated an RN?
I don’t know the skills mix in the hospitals of that region.
Where I live, it is highly feasible to have an LVN at the monitor, or working as a ward clerk, because the RN’s are the only ones who are assigned to patients in the hospital settings.
If it helps; In California, the mandatory ratio of RN to Stepdown patient is 1:3. In the past, I've worked in an ICU stepdown unit with post cardiac, level II trauma, and your obligatory sepsis, DKA and ETOH'rs that were supposed to be more "stable" vents and what-have-you.
A vented patient's alarms cannot be put off like a call light for the bathroom. If you add hourly blood sugar checks and insulin drip titration, a delicate drip titration on a gorked-out ETOH'r, a need to address a CVP of 1 in a septic patient, a sheath-pull on a post-op heart cath and the vent alarming in the other room...... Things can get hairy very quickly.
The trick is to know what management expects of the nursing staff. If you find out that they make every attempt possible to prevent the scenario that I gave above, then 5:1 can be do-able. If they cannot state what their parameters are for acuity purposes, then do not put yourself in that environment.
It is so critical to be able to see....then understand....then act with increasingly quicker response times as a new grad. If you are constantly drowning, you're really not cementing the lesson for further use like you could otherwise.
I am confused about the poor perception of WGU. I work in academia, and have observed faculty members who have nursing graduate degrees from WGU perform exceptionally well. I am not personally familiar with their program, only their graduates.
Education of nurses traditionally has faculty in close, consistent contact with students of their program. I find that many of my colleagues are non-plussed with the advent of programs that lose that contact. The perception is that the loss of contact equals a lesser-quality program.
I find that students have their own unique learning styles, and some students have a richer learning experience without the distractions of a roomful of other students that a physical classroom typically has.
Also - I have sat in on many hiring committees for faculty, and the pedigree of someone's education only has so much weight, because by the time you obtain a MSN or PHD/DNP/EdD, you generally have quite a bit of history to add to the whole picture. Honestly, by the time you're sitting in the chair answering interview questions, What and How you answer questions either confirm or deny an interview-panel members pre-conceived notion about you. Not only that, but there is generally more than one person sitting in on the interview.
My advice to you is to enter the program that is the best fit for you and your circumstances. A degree holder from Fancy-University can just as easily bomb a faculty interview as a degree holder from Online-U. I've seen it happen.
Best of hope for your continued success on your educational journey.
I went from ADN to MSN and did not have any difficulty landing a full time tenure track position as nurse faculty at a college.
Since you are a nursing instructor, this sounds like the perfect opportunity to introduce your student to EBSCO and CINAHL in order to do some proper research and critical appraisal of some articles in order to see what is current evidence based practice. Current EBP should drive practice, although, it’s nice to socialize with fellow nurses on AllNurses...
1. Mathematically Challenged Family. The notice over the phone that you called to get access into the ICU says "Two Visitors at a time" for a reason. Do you REALLY a think I won't notice TEN of you at the patients bedside? I can't see the vent, nor the patient because I can only see You all.
2. Bondage Averse Family.
Yes, I really DO need you to STOP taking Dad's wrist restraints off because this is the Second time that he's needed to be re-intubated because he pulled his ETT out, and don't even get me started on how many OG's I've had to reinsert because of you.....
3. Sedation Vacation Family.
Please, for the love of God ~ stop trying to get my patient to wake up. As I've explained numerous times, I am trying to Sedate you loved one. The fact that you are shaking him and yelling in his ear is only going to hasten kidney failure from the ever-increasing doses of sedation that I'm having to give him because of you.
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