®Nurse, MSN, RN 9,513 Views
Joined Feb 26, '08.
Posts: 1,124 (63% Liked)
I've worked for a trauma center hospital that was non-Magnet when I started. After being an floor nurse for three years, they decided to pursue Magnet status.
Shared Governance was brought on scene, "shared decision making", Team Cooperation, how-to-treat-and-respond to your coworker.
It was an interesting journey, to be sure.
Experts were brought in, consultants were consulted, and so on, and so forth.
The final (requisite) step was an accounting of BSN's and ADN's.
If your hospital does not have 80% of their staff with a BSN or higher, things may really start to suck in a big way for the ADN's on staff.
My hospital closely watched the "BSN - meter", and when the tipping point didn't happen by the required target date, they decided that if the ADN's didn't go back to school by "x" time, they would be fired.
We eventually got Magnet status.
A LOT of ADN's went back to school for their MSN's ~ like, A LOT.
Now we have all these MSN's running around, working at the bedside, leaving the bedside, and the staffing shortages are horrific.
Many RN's had limited options until they got their MSN's. Then the sky was the limit for them once they graduated. A fantastic proportion of them left to be all that they could be.
Magnet means that the nurses who are forced to go back to school, can now say goodbye to their current position if they choose.
See, the real thing is this:
In order to achieve Magnet status, you have GOT to have a lot of leadership.
Cue the Managers, and Directors, and Quality, and on, and on, and on.
Then, you have the staff return to school for BSN or higher.
However, there is now very little upward mobility, because the positions have all been filled from outside.
Where do you go with a new MSN, or BSN degree, and a good amount of nursing experience if you aren't allowed to be anywhere but the bedside?
(That's a rhetorical question, of course: You leave!).
I certainly don't mind a scenario where I could just come in and get paid a lot of money to help with ADL's.
The problem always lies within the fact that you cannot Un-Know what you Know.
It has always been difficult for me to just do the CNA duties. I always wound up working my buns off because if I saw an issue, and the other nurse could not, or would not, address it, I was ethically bound to take care of it.
Pain issues, wounds, treatments..... Couldn't just say "I'm in the CNA slot today; Not my circus, not my monkeys".
If the Nurse could be free to just do ADL's, and leave it at that, my goodness, I would take that assignment!
This sounds like a perfect research into current Evidence Based Practice for gastric tube flush medium.
A site like EBSCO, CINAHL, PubMed, etc., would be a great place to start.
Typically, it takes over a decade for current EBP to be incorporated into practice.
Be a leader, and find out from a few high level-of-evidence articles what the standard should be.
Don't. Answer. The. Phone.
Plausible deniability is on your side.
I just stumbled across this post and thought to myself; "I would copy that sign, 'X' out the reference to 'Physicians', and insert the word 'Nurses'. I would then paste on every employee bathroom in the facility, just to make a point. (.....and I would include a tag line that says "Nurses need safe-havens too".
Individual Ready Reserve.
For all my respect to your opinion. If any hospital would decide to hire me based on a pinning ceremony only I will refuse to apply for it !!!!! I wont even take it !!! If anyone would hire me based on my performance and patient care and competency then I would love to apply for this job,. People need to understand that nursing not just a PIN it's more than that, it's ethical and professional career not PINNING. If I were a unit manger and I know someone I truly hate in my life applied to my unit I will take him in considerations of his/her performance and experience and I wont judge based on my feelings. In my opinion to love your job and build career based on what you believe is more important than a pinning ceremony. If I know one of class mates is the hiring manger and refused to hire me based on the pinning ceremony then I would think this person should not be a manger and shouldn't be a nurse in the first place. Not going to pinning dose not mean that I'm a horrible person.
You might very well have a job lined up, but the statistics are stacked against you if you're thinking that it's the only job you'll have over your career.
Don't go to your graduation if you don't want to. However, it's what you DON'T show up for that allows you to miss opportunities.
Someone once said "you miss out on 100 percent of the shots you don’t take". You may think a pinning ceremony just isn't going to fit on your plate because you're married with children and scoff at the people who encourage you to go. However, you may be the one who will regret it later.
How about when you're applying to a new job and one of your classmates is the hiring manager?
You may think the scenario is a bit far-fetched, however, it happened to an acquaintance of mine.
Just food for thought.
Nice... way to mock nurses who really dont have time to pee. Are you in management?
“I find your comment to be very inflammatory and your medical director does not condone this behavior”.
“If you continue calling nurses monkeys, as well as causing a hostile work environment, we will both find out how unprofessional behavior is dealt with at this hospital”.
Eating is a hobby...
I gave you facts.
I even said so in my posting. "In fact....."
As nursing faculty/an educator, I have concerns that your approach brings to light. (That is an opinion).
I used to be a NICU nurse so I'd be happy with that, but I've also been a nurse in several other areas as well. I'd literally be happy doing any of it, I'm not just saying that. And as for the school ID be going to university of south Alabama which will take as low as a 2.75, it's just some areas are more open than others.
Are you seriously THAT needy? Could I please beg of your experience oh wise one?
Spare me the needy drama.
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