CrazyGoonRN 9,893 Views
Joined Aug 14, '09.
Posts: 427 (30% Liked)
a bit different as I'm inpatient acute dialysis
when you get a text that you have an assignment of 6 patients, walk in to 8 patients as there have been 2 admits overnight, and
#9 is in the ER having skipped a week of dialysis with a K+ of 7+ and +4 pitting edema, and the nurse you're working with (only one other) can't possibly stay past 5 pm.
Well at least you know they probably wont live that long into your shift....incoming hot mess admission afterwards!
When you walk in to your inpatient oncology unit (normal patient ratio 1:4-5 depending on acuity) and find out one of your patients is a 1:1 and you are not an ICU. Patient was young, beautiful inside & out and had a rare form of leukemia. Family (mom a RN, dad part of hospital admin) has requested you as the primary nurse. (Ended up working 8 days straight until the patient was no longer 1:1.) Great family but very scary situation.
Think I peed reading this....
-Crash cart parked outside your patient's room
-You have one patient. Everyone else has 3.
-You can smell the stool as soon as you get off the elevator
-You pass one of your most obnoxious frequent flyer's wife walking out in the parking lot. Without her husband.
These are hilarious and so true guys! Thanks.
I'll add more...
--- When you walk in to the ICU and your assignment has a crash cart in their room and a sign that reads "hemodynamically unstable, no turns, please see RN".
--- When you sit for report and the phone goes off 5 times from CT, lab, Vascular, and pharmacy all on the same patient.
I have to admit that when I'm really sick, like sick enough to be hospitalized, I don't want to be treated like a nurse. I don't want the hospital staff to use medical terminology with me. I want them to speak in simple terms & treat me like a normal person. I remember always being somewhat nervous when I knew I had an RN for a patient and I don't want my nurse to feel that way with me.
With that said, I believe it's noted in my record at my local hospital because the nurses instantly ask me about my nursing job when I'm admitted!
I am too much of a chicken-little to resign from a job without another one lined up. I enjoy the security that a steady paycheck brings.
Nonetheless, sometimes the finest of us eventually reach our breaking points. I wish you the very best of luck with your future endeavors.
If you have the time I'd go for your RN but, you can base your choice on many factors.
-What's the job market like for LPNs or RNs in your area? In some areas LPNs aren't utilized as much.
-What is the LPN scope of practice in your state? In some states scope is more limited than others.
-How much time do you want to devote to school? LPN school is usually 1 year but, typically Mon-Fri 40ish hours per week in a full time program. RN is 2 years plus prerequisites but, a lot are less hours per week than an LPN program. Or there is the option to get your LPN and then transfer to an RN if that's your ultimate goal.
-What are the wait lists like for you local programs?
-Are you wanting to stay with your current employer? Do they hire more LPNs or RNs?
-Financing school and salary: RNs make more but, school will probably be more expensive. LPN school may be more affordable but, some vocational schools don't take student loans if you need to go that route.
Ultimately the decision is yours and there are many deciding factors, either is a good choice. Good luck.
What is your support system like?
How comfortable are you with your current income? If it suits you and you have the time and/or support, I'd say go straight for your RN credentials.
I personally went to LPN school first because I was desperate to make better income being that the waiting list for the RN program was a 3 year wait.
I was young with kids. Both me and my husband made embarrassingly low wages. Even with both of us working full time, renting a one bedroom apartment, living on our own in CA was a constant financial struggle. Eventually he got a better job and it got a little easier for us, but I was still set on achieving my goal of becoming a licensed nurse.
Not wanting to be stuck at my minimum wage job anymore, I hastily joined the LPN program so I could gain better employment quicker, and just be able to at least get my feet wet in the nursing field.
I'm now about to begin my pre reqs for the RN program at the local community college. I would have honestly gone straight for my RN if I could have.
Some people I know are completely content with making LPN their final frontier. It's what suits them. Most of them love what they do for a living. On the other hand, some of these people have kids, little support to continue their education while working or are just not fond of the idea of returning to school to be honest.
There's so many factors, really, to why you might want to choose one over the other. Or for what reason you might choose to go from LPN to RN instead of directly to RN.
What do you want out of your future career in nursing?
Is the money important?
Is it a longing to be certified to perform a wider array of skilled techniques?
I'd love to hear more from you. Let me know !
Yes. It is. I posted from my phone and seems like the formatting didn't take 😁. My apologies, I know it makes it tough on the eyes to read.
Nurse lady, your open post to all of us shows such humility and grace on your part. You have placed everyone else's needs before your own. I felt compelled to let you know you are going to be okay. It may even be your time to "relax" and let life's burdens fall on your husband for the moment. He may be telling you all the "amazing" things he is learning in the ED as a new graduate. But in reality he is probably feeling overwhelmed and intimidated by his new experiences. Don't forget about your accomplishments....providing for your family, supporting your husband through nursing school and becoming an accomplished home health nurse with no prior experience. I could not imagine becoming a successful home health nurse right out of college. The thing about nursing is that we are always learning new procedures and best practices....in every speciality. Good luck in your next chapter. Sometimes we just need a little help in turning the next page.
The docs should clean up their own dang mess.
I generally make sure my own messes are picked up, but no way am I going into OT to clean someone else's. Besides, in the time oncoming RN spent hunting and griping at offgoing RN, oncoming RN probably could have had it cleaned up.
Or reminded the MD their mom doesn't work here.
It's oncoming shift's responsibility. You get paid to do good work for 8 hours, not to make sure everything is perfect regardless of the day's circumstances. By those standards in an ICU, on some days you would never go home.
If oncoming nurse asks nicely, I would often either clean it up myself (if I've got the time) or offer to do it together (if I'm tight on time). Professional courtesy and not wanting to start a shift war, etc. It sounds like the 3-11 RN didn't have the decency to ask politely, so frankly I would probably dig my heels, refuse, and tell her to write me up in if I were the 7-3 RN. But then again, I'm not a new RN or new to the ICU. Not too cool of the oncoming RN if you ask me.
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