Latest Comments by JBMmom - page 2

JBMmom, MSN, RN 9,225 Views

Joined Jun 24, '09. JBMmom is a Nurse. She has '4' year(s) of experience and specializes in 'Long term care; med-surg'. Posts: 502 (43% Liked) Likes: 916

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  • 2

    I wouldn't say I'm above it, just parallel. I work most of the shift with my COW near my patient rooms. I spend maybe 5-10 minutes on average at the station area where the other nurses sit. I'll always offer to help when I see someone is busy, and I've had a few personal conversations but not very often. I spend a lot more time in patient rooms than with coworkers. I sometimes overhear some catty conversations, but I don't get involved since I have nothing to contribute- nor do I care. It's a little harder on nights when I'm charge because then I have to spend a little more time at the main station area, but I'm usually busy then.

  • 12

    When I first saw it I found it amusing, but wondered whether because she gave prescribing information without doing an individualized detailed assessment, did she overstep her scope even though it was only over the counter medications that she discussed? I think that might depend upon the individual BON for the state, but that's the only thing I think it really potentially a problem. Other than that, it's a social media post- some people will like the tone and some people won't. These days I think posting anything about any job on a social media post is potentially trouble. I truly hope nothing bad comes of it for her, she seems like it was really meant in the best interest of people in addition to just blowing off a little steam.

  • 2
    Rocknurse and Lmac0309 like this.

    Quote from Lmac0309
    Hello! I'm new to this forum and was hoping for some advice from those of you in the field. I recently moved to Connecticut for my husband's job, and have been seriously considering becoming a nurse. It is something that I have always wanted to become and I have finally decided that now is the time!

    I already have my Bachelor of Arts degree and have been working in healthcare management for some time now. I don't have any clinical experience, so I don't have any nursing prerequisites done at this time. I've been looking into LPN programs in Connecticut, but I'm unsure how I would eventually go on to earn my RN. I'm interested in the LPN option because it seems like a quicker, more realistic option for me right now.

    Can anyone in the CT area tell me if there are any LPN to RN programs that I could then look into? After completing my LPN and getting a job, I'd like to start schooling for my RN (preferably online). Does such a program exist? Please help!

    Thank you all
    There is an LPN-RN bridge program through all the community colleges. But if you're interested in going that route I'd recommend you apply to the community college RN program directly to start. It's the most affordable option to get your RN in CT, and almost all of them have matriculation agreements that will allow you to complete the BSN after RN in about a year. If you go for LPN or stop at ADN, your employment options are going to be limited, as someone else pointed out. I'm not sure where in the state you live but the Eastern CT hospitals (Middlesex, L&M, Backus, Windham, Day Kimball) are all hiring BSN prepared- or at least with BSN in progress.

    The LPN programs that I know of, Stone Academy and Lincoln Tech, are quite expense considering you will not nearly complete your education there. You could easily spend $30K for an LPN position that will likely pay in the low $20 range in a long-term care facility, and then incur additional debt with the LPN to RN program. In addition to the community colleges program, there's Goodwin College for your RN, which will also likely run you more than $50K for the education. The community colleges program is four semesters (once you've finished your pre-reqs), and about 8 years ago I think my whole ADN degree cost somewhere around $7K.

    Also, once you're ready to work, it's all about knowing someone to get in these days, in my impression. New nurses on their own sending resumes cold have a hard time getting their foot in the door. The CC programs are a great way to get into different clinical settings to network, and they're well known in the state as programs that generally train nurses well to transition into the job market. Good luck!

  • 0

    As someone else already said, it's going to depend on where you're looking. I went to a CC program and I think that 40% of the class admitted was based on a lottery, so all you had to do was meet the minimum requirements, and you were eligible for a lottery position (after the first 60% was filled with the highest scoring overall candidates). Maybe there's a program near you with a similar opportunity? Good luck.

  • 2

    OP, I appreciate that you started this thread, I have found much of it very interesting. I'm just starting out on my NP journey and am interested to hear the experiences of others. I am at an on-line school and I will have to find my own preceptors, however, I'm very happy with how that seems to be working out for me. I chose to go back to school because of the NPs I have had the opportunity to interact with in my RN role, so I've got preceptors lined up in a few different roles in the hospital including ED, hospitalist, surgical and palliative. I had some concerns about an on-line program initially, and hoped for a brick and mortar program but that didn't work out. Then I realized that in any of my previous jobs, my education didn't prepare me to step out and work independently on day one. It prepared me with the broad tools I would need to be successful and it was up to me to do the rest. Whether a school has proctored exams or not doesn't impact my experience. I had classmates in nursing school and in my first graduate program that cheated right in the middle of the proctored exams. Did their cheating impact my education? Not really. I've had great professors at community colleges and crappy ones at expensive private colleges. Other than being frustrating at times, did they really impact my ability to be successful after school? Not really. Once again, I'm going to get out what I put in. There will be awesome NPs that had to attend a school that others will turn up their noses at, and there will be NPs from the fanciest of schools that patients don't want within 10 feet of them. So much of it is up to us as the learners and new practitioners that I think we can find success in many ways. All the best to you on your journey.

  • 0

    I am enrolled in an on-line AGACNP program. I had initially wanted an in-person program, but that didn't work out. I'm wondering whether people have used the Barkley Home Study package, and if so, was it useful? I'd like a second method of material exposure, and since I won't have lectures in person, I thought the audio component might be useful. Not like I have an extra $450 sitting around, but if it could make me more successful in my learning, I can justify the expense. Anyone ever used the course as a supplement to their program? Thanks for any info.

  • 0

    I just started at Maryville in the AGACNP program. I know two nurses that are finishing programs through there (FNP), and both anticipate job offers very soon. I didn't have the option of an in-person program because of my location and work schedule, so while on-line wasn't my first choice I'll make it work. Good luck!

  • 0

    I was in LTC for five years and it was great experience before moving in the acute care environment. And 1:16, depending on acuity, is great. I was 1:30 on days and sometimes 1:60 on nights. Don't let people convince you that LTC nurses don't use their nursing skills. You need them just as much as in any environment. I had a non-verbal quadriplegic and I was able to catch that she was sick (septic) just by the look in her eyes. You don't take vital signs on every patient every shift, so you get good at assessments. Good luck!

  • 20
    SeattleJess, dcan2001, hotpeppa, and 17 others like this.

    Quote from SaltySarcasticSally
    If I have the same person 3 shifts in a row, no I do not ask every time. I will always the first big med pass no matter how many times I have them. I will always scan the ID band and med, every time. Coming from a LTC background where we didn't have that safety, I love it.
    I'll never forget one of my first med passes on the dementia unit in LTC. Everyone takes their ID bands off, and I had been asking staff to identify the patients before I gave the meds. I went into one room and the woman was in bed so I got the meds together. As I'm walking towards her, one of the aides walks in as says " Mrs. X, what you doing in Mrs. Y's bed?", I was completely freaked out. Until I knew them all, I made someone else say every person's name to ID them before I gave anything.

  • 11

    Quote from elkpark
    Not as dumb as a med error makes you look. It's no big deal to explain to people, if they ask, that this is a safety measure for their protection.
    I agree, which is why I preface the question with "For your safety..." But when patients are on the verge of anger, I'll reconsider on an individual case basis. Thanks.

  • 5

    Do you REALLY ask every patient to state their name and date of birth before every medication that you administer? I was doing it for a while, and I always prefaced it with "for your safety, can you please state your name and date of birth", check against the wrist band and go on. Part of my problem is that I work nights, and sleep is hard enough to come by in the hospital as it is. But, early on, I had a few patients respond with different variations of "how dumb are you that you can't remember who I am?" And I see their point. Once we've done the initial identification, and they haven't even moved out of bed, I am pretty sure that I can identify them accurately- at least for the next eight hours, and especially when I've had them 5 days in a row. Additionally, I've got some patients on antibiotics spaced two hours apart all night- I can scan their bracelet, the IV bag, and start it without even waking them, so the name and date of birth part- not so much happening every time. I've got an orientee now, and I want to set someone else off on the right track, so I just want to know how others practice. And what are your thoughts on balancing common sense with the by-the-book safety aspect.

  • 2

    I made it through 10/12 classes thinking that nursing management would be a good fit for me. I've been in long term care where the nurse managers are on the patient floors daily, and they could be as involved as they're willing to be. Enter classes 11 & 12 where I precepted with an actual nurse manager in a hospital. Uh, no. Not for me. I finished the degree because I didn't want to throw away four years of school work, but I will probably never work a day as a nurse manager. I like patients. I have patience for patients. I have no patience for meetings, employees with issues- real or imagined, budgets and more meetings. My perception of what a nurse manager would do was so wrong before school, I wish I had known more and would have chosen a different program. Oh well, live and learn. I started my AGACNP program this week.

    Good luck to you!!

  • 1
    brandy1017 likes this.

    Quote from Horseshoe
    The RN **IS** less educated. That's a fact. Those of us who haven chosen not to further our education (and that would be me, too) have to own our choices. It does NOT mean the bedside RN is incompetent, but let's not pretend that those who went on to pursue and obtain advanced degrees haven't learned a good deal more than what an associate's or bachelor's degree can teach you. Experience counts, of course, and advanced certifications reveal additional expertise on the part of the RN, so those of us who have continued to delve into our specialties should be able to feel good and confident about that without denigrating others who have advanced their education and scope as well. It's not a contest.
    At my hospital, on your name badge it also identifies BSN/MSN etc (along with our first and last name, which I'm not a fan of). When I was still in orientation, a patient noticed my name tag and made a comment about what a great nurse I must because because I have my MSN. I did mention that my MSN is in management, and doesn't really improve my ability to provide their care, but I hope that they would be happy with the care I could provide either way. It surprised me that someone would really zero in on the letters on my badge and quickly make assumptions about my competence. That's too bad because there are some nurses on my floor without an MSN that can run rings around me, I hope to some day be as good as they are. It's not about alphabet soup after your name, it's providing the best care.

  • 5

    Quote from hppygr8ful
    I wish people would quit talking about how expensive long term care insurance is. It has already been established that if one buys in early it costs about $30.00 a month or a dollar a day. Skip on fancy coffee or fast food meal a week and it's paid for. Well worth the sacrifice I say. Quit blaming all this on the government or expecting the tax payer to pick up the cost of care. Be proactive. My family was a modest middle income family with 5 kids in it. My mom and dad lived within their means and managed to send all 5 kids to college and retire with over a million dollars in the bank which pretty much paid for my mother's long term care, People have to start taking responsibility for themselves early in their lives. At 55 I have two college degrees and have never taken out a student loan. I have never owned a brand new car, but I now own two houses and my debt is still quite manageable. My son will go to college without accruing debt as well because we have taught him how to live within his means. Oh by the way we do support local charitable endeavors as well. The American mindset both for liberals and conservatives can be pretty selfish and indulgent at times. If each person just took a little personal responsibility we would end up in these messes.

    My initial post was intended to be pointed at the failing of a system that would remove a person from their home and potentially institutionalize them without real cause. She is stubborn and can be cranky, and without a real medical need for long term care she may be sent to a facility just because she won't get along with people. I'm sure there are many other people living in communities just like her and it's unfortunate that some will end of in hospitals for minor reasons and maybe lose their freedom because of it. I guess it came across as expecting the government to step in and help, but that wasn't really my goal.

    I'm sorry to read the stories of those of you dealing with ailing family members and the transitions in care. I wish you all the best. After my years of working in long term care, I know that some people can thrive in that setting, but others will certainly find the institutionalization a miserable existence, they will become combative, end up being medicated for psychiatric indications and lose any resemblance to the normal life they once lived. It can be a fulfilling place to work, and at the same time it can be heart wrenching.

  • 8
    nuangel1, NutmeggeRN, Kitiger, and 5 others like this.

    Thanks to everyone that has taken the time to respond. The program in Pennsylvania sounds wonderful, I wish it were available here!! The problem for my patient now is that she is alert, oriented, and STUBBORN. Day and evening shift have dubbed her "evil", because she's not compliant with things offered. Doesn't want new clothes ("I arrived in these clothes, and I'll go home in these clothes"), refuses skin checks, won't allow an IV, etc. All valid objections in an alert and oriented person, and we've had a great relationship on nights. But again, I have more time and she can talk to me for 20 minutes if she wants, while the other shifts don't have that time. Her dog was put in a kennel, I was able to call the police last night and get information on how she's doing. I'm going to stay tomorrow and talk with the case manager and hospitalist. No one's going to speak up for her because she's alienated them. I talked with her this morning before I left and told her she needs to play the game and be nice to people. They hold all the cards right now and if she continues to be rude to staff, she'll just delay her discharge. I hope I can talk them into letting her go home tomorrow. She's been making calls to follow up on the heat and it should be back on.

    Oh, and the neighbor has been checking on her for years and often cares for her pets. He was just concerned about her lack of heat and didn't know how to help.