Latest Comments by JBMmom - page 3

JBMmom, MSN, RN 9,795 Views

Joined: Jun 24, '09; Posts: 545 (46% Liked) ; Likes: 1,120

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  • 0

    Wish I had some advice, just want to wish you luck. It's not a mistake if it's what you really want, I hope it all works out.

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    I've seen some people that had pre-nursing experience that landed them a job and others that post wondering why their pre-nursing degree experience DIDN'T land them a job. You already have a job in the hospital, and you probably see plenty of things as an EKG tech. I think that if the work schedule is ideal for you, you may not gain much from switching to the clerk position. However, as others have mentioned you can see many things. (although the person working as a clerk that helped with boosting and patient care could potentially have huge trouble if something bad ever happens because that's beyond the scope of their job and training) Good luck figuring out what will work best for you.

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    T-Bird78 likes this.

    Well, we've shopped at Tar-jhay for years. It's quite fancy and upscale. :-)

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    I don't know the actual cost of Chamberlain, but I know a nurse that just finished at $54K RN program and she's making about $27/hr now. That's going to be really hard to pay off at that rate if she has ANY other expenses- like food and housing.

    Are there community colleges in your area? I see so many posts from people that want to start NOW, but in the grand scheme of things, delaying your schooling by a couple years to save tens of thousands of dollars in debt means you'll be making much more money when you do start working as a nurse. It's like giving yourself a raise before you even start.

  • 3

    I was not a CNA before becoming a RN, but I think that it's beneficial to have that experience before starting nursing school. I know that in my first semester of school, I had to get comfortable with doing vital signs and helping with patient care, which was a big change for me. My classmates that were already CNAs had a much easier transition in that aspect. As far as the schedule/pay/etc, you're going to find that's very specific to where you end up working. Generally the hours are pretty set 7am-3:30pm, 3pm-11:30pm or 11pm-7:30am. There are usually 24, 32 and 40 hour positions for those shifts. As for the stress, there's stress in almost anything, but if it's what you've got to do, you find a way. Good luck to you.

  • 2
    TriciaJ and Kitiger like this.

    Quote from Raistlin007
    Thank you for all of your advice I appreciate it. I guess that's why you people are good nurses you're good at helping people. I'll look into talking to someone at Community College. I've just been very discouraged and down lately because I am 32 and stuck working a survival job with no hope or future, and feel like a failure in life. Would you suggest I look into a CNA training program so I can get my foot in the door in the nursing profession, or should I focus on getting up to speed with my education in community college first? I do appreciate all of the advice and encouragement though, you people are really kind and helpful and I'm sure you are good nurses.
    Being a CNA is going to give you a better idea of the health profession in general and in many cases you can complete the training in about 8 weeks. It does not always translate into a nursing job, but you may start building connections that can help when you're done with school. You might not make more money than you're making now (might be even less), but if you can do that and then work on your education while working, you'll know whether it's the path you really want to take. You're going to get older no matter what, so working towards a goal is your best bet for finding happiness/fulfillment/stability in life. You do sound like you're quite hard on yourself, and you're well spoken, I think you can do this- don't defeat yourself before you even start.

  • 6
    Dean Uguan, caliotter3, Kitiger, and 3 others like this.

    There's a difference between being realistic about abilities and being self-defeating, and I can't tell which side of the line you're on. Can everyone breathing air be a nurse? Realistically, no. However, if you are willing to put in the time and effort you can potentially be successful in the face of many adversities. I second the idea that you should check out your local community college and find the tutoring center. Some of the people that work there are fantastic at helping students find success no matter where they're coming from. Being unfamiliar with material is not the same as being dumb, you may very well find success if you get the right academic guidance. If it's what you really want, work for it and do your best. I wish you the best.

  • 3
    jeanbeth, QuietIsntAWord, and Crush like this.

    Quote from YUKONrn
    You get your skills in the hospital. LTC is way too dangerous for a new grad due to lack of resources and the nurses that do have experience are too swamped themselves to help you. Hate to be the bearer of bad news but in LTC, YOU are the doctor. Best wishes.
    So nurses that haven't worked in hospitals have no skills? That's ridiculous. Again, it sounds like you have had particularly difficult experiences, and I'm sorry for that, but you cannot make the broad statement that ALL LTC facilities are dangerous places for new grads. I worked five years in LTC, gained plenty of experience and skills, that helped me transition to acute care. There are great LTC nurses, and I'm proud to have worked with some of them.

  • 9
    Oma to 11, pixierose, ohiobobcat, and 6 others like this.

    Quote from ohiobobcat
    Umm, thanks?

    My daughter was a cutter. Let me tell you something, it sucks to see your kid hurting so badly, that she feels cutting herself is her only option to feel better. "Obviously spoiled" is not a term that I would use to describe my child, or others that I have encountered who cut.

    I am not a teen mother, had her when I was 28 years old in case you were wondering. She always had a warm meal and a bed at home. I am not going to bore you with my life and her life story, but suffice it to say, this type of behavior can happen to anyone, from any walk of life.

    I find your response to this type of behavior from students under our care as school nurses very judgmental, and kind of confusing. I don't understand what you mean by a "resourceful" and "informal" parent.

    Our job as school nurses is to meet the student where they are emotionally and physically, and be a calm, non-judgmental resource for these students. I don't assume anything about a student who comes to me with cutting behaviors. I physically assess the cuts and treat them, I assess suicidal ideation, and I refer to guidance. Often times guidance will bring these students to me for treatment.
    I wholly agree with this post, as someone that used cutting as a coping mechanism from ages 8-20+. I grew up in a middle class family with wonderful parents and family support. They would have been devastated had they known about my habit. To this day I have one friend that found out accidentally, which always burns me when people say it's all about getting attention. I was a master at hiding it, and I don't really think it's a big deal. For me, because I was unable to identify an actual source of pain, I would create one to focus on. I'm not sure the day I no longer needed it, but I could feel that I would be overwhelmed by something (I tended to be a bit dramatic back in those days), and literally the feel of a nice clean cut and the sight of the blood would bring me right back to normal. I reused the same spots, always where they would be covered by clothing, and really had no reason to bring it to anyone else's attention. I outgrew it and I've lived a happy (and relatively non-dramatic) adult life. I would just recommend for those students that aren't use the behavior to seek attention (dramatic cut sites or words, etc), just offer minimal acknowledgment and support. Making too big a deal out of it won't help- in my opinion.

  • 5
    Oswin, jeanbeth, NFuser, and 2 others like this.

    Quote from YUKONrn
    You won't get your skills in LTC, hate to be the bearer of bad news. In fact it is downright dangerous to work LTC as a new grad. But hey it's your license.
    You're not the bearer of bad news, you're the presenter of misinformation. There are nurses all over the world that work in long term care facilities with skills equal to those of nurses in acute care environments. And a blanket statement that LTC is dangerous and could jeopardize your license is completely ignorant.

    Edited to add that I just read your post about the ridiculousness of LTC, and I'm sincerely sorry that you've had a couple bad experiences, but that doesn't mean it's that way everywhere. Good luck to you.

  • 0

    Are your feelings internal, or have you been given feedback that you're not meeting expectations? You may have unrealistic expectations for yourself, everyone starts out feeling overwhelmed and unprepared. I would recommend you bring your concerns to your preceptor and get some feedback from him or her first. And if you make your feelings known then areas for improvement can be addressed over the next month. And as was already mentioned, four weeks of orientation is a long time, you may find yourself feeling much more comfortable by that time. Don't write it off too soon. Good luck!

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    Quota and sevensonnets like this.

    The "old one", ha,ha. I started nursing school at 36 years old, had a bachelor's and master's degree in molecular and cell biology. Fortunately for me that helped me cover the prerequisites for nursing school, and I loved the hard science parts of nursing school. If you want to do it, do it. But if you know eventually you'll want the RN to get a position you want, try to focus on long term outcome rather than short term expense and go for the RN. If you know you can go what you want with the LPN, go for it. I can't think of anyone that didn't spend much more doing the LPN plus RN bridge route than just going for the RN. Good luck!

  • 36
    djh123, Dawnkeibals, dogmom2016, and 33 others like this.

    I started out in long-term care over five years ago, I've been a charge nurse and supervisor and still work per diem because I really like my coworkers and residents. I transitioned into an acute care med-surg position this past summer and I'm transferring to the ICU in the next month. I've seen many new grads lament that the *only* thing they can find is LTC positions and will that effectively end their career if they start there. I wanted to share to not only let you know that a long-term care position is not only NOT the end of a career, but you shouldn't underestimate the value of the skills that you will develop in that care environment.

    When I first started, I had classmates that would apologize to me when I told them where I worked, as if their hospital positions were what I really wanted, but just couldn't get. In reality, the schedule options of LTC worked for me, not a hospital job. Learning how juggle med passes, treatment passes, dealing with families, getting lab and test results, calling MDs, and spending time with patients with a 30 patient assignment was a great way to learn time management. Having many stable patients, not everyone gets daily vitals, I had to develop strong assessment skills to identify patients that had a change in condition (like a non-verbal quadriplegic going into sepsis). On our short term rehab unit we've had probably 20 of the 30 patients that were easily as acute as the patients on my current med-surg floor, IVs, wound vacs, dressing changes, etc. And it's a 4-hour med nurse and the charge, for all 30 patients, with 3 CNAs. Those were some run-your-butt-off shifts, and my hat is off to my coworkers that pull those shifts day in and day out. Point being, the skills of prioritization and assessment are key to success in that environment and those skills are hugely beneficial when faced with a 6-8 patient acute care assignment.

    When I started in the med-surg position, I was a little intimidated at first by the change in acuity, would I know when someone was facing a crisis? Could I handle the higher acuity environment? Turns out, the skills I developed in LTC continue to come in handy and my new manager in the ICU even commented that she has found that nurses with similar backgrounds have to have strong assessment skills and when they're given the extra tools of constant monitors in the room, they often find success. I hope that will be the outcome of my story and I'm excited for the new challenge.

    I hope that my story helps others considering or currently in long-term care positions that don't feel they're putting themselves in a position to move out. And for those that love LTC and want to stay there, more power to you, we're all nurses and we're all using the skills we learned to make a positive impact on the lives of our patients.

  • 6
    mejsp, djh123, TriciaJ, and 3 others like this.

    Thank you to you, and your fellow staff members, for all that you did for those patients and their families on such a tragic day. While it must a have been a horrific experience for everyone, you did your best to help, my thoughts and prayers go out to you and your colleagues.

  • 0

    Sorry I don't have anything helpful to offer for CEUs, but I just wanted to wish you luck next time around. You can do it!


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