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tokmom, BSN, RN 38,880 Views

Joined Aug 20, '09 - from 'Somewhere in the USA'. tokmom is a CMSRN. She has '30' year(s) of experience and specializes in 'Certified Med/Surg tele, and other stuff'. Posts: 4,669 (61% Liked) Likes: 8,590

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  • Mar 16

    Quote from monkeybug
    Oh, but don't let a nurse manager or admin in the US hear you say that! We're supposed to be better than a hotel. In fact, our reimbursement is going to be tied to patient satisfaction. If that's not a case of the inmates running the asylum, I don't know what is. If you are a non-compliant diabetic, good nursing care dictates that I not provide a slice of chocolate cake with an ice cream chaser, but patient satisfaction says I should. And now, we'll be dinged if the non-compliant diabetic goes home unhappy but alive. At least if they're dead they can't complain, I guess. It puts nurses in an impossible position.
    Amen..

    We do courtesy calls within 24 hours after discharge. The calls are automated, but if there is an untoward comment, it goes to a manager or charge nurse who has to return the call. How do they know there is a disgruntled person? They have to carry a pager!

    Well, I will be getting a disgruntled phone call this week. I'm the poor sucker that has to carry the pager AND I do discharges.

    I d/c'd a pt last week, who was a very negative person and was difficult to discharge. As a courtesy, even though I was freaking swamped, I offered to fax in her script which I did and as I always do, gave her back the hardcopy. As you can imagine, my fax said it went through and when she got to the pharmacy, apparently it did not. She was so mad, she didn't even give them the hard copy and wait for them. Instead she went home without her meds and called us to complain.

  • Mar 2

    Quote from jenovievictoria
    Hello,

    I am interested to know has anyone who has graduated from this program received an MSN from a different college afterwards? Is a BSN from GCU accepted at all schools?

    Yes, just like any other school that is accredited. Echoing Flames. It is a 'real' school, complete with a 'real' campus, sports teams, dorms and nursing program. I know others that have gone on for their NP to other schools.

  • Feb 22

    I do. I never intended to stay in med/surg, but I always found my way back. I've worked same day, mother baby, GI, and did brief stints in ED and PCU. Even though I liked those departments, I became bored with them. Med/surg offered variety without the intensity of ICU.

    I finally realized that I was a true blue med/surg nurse and embraced my decision, lol. I became certified in med/surg and now fight for med/surg nurses, which is a specialty!

    One thing before I go...and I'm getting on soapbox... Med/surg is NOT a bad place to work. What makes it suck is the management that short staffs the department, therefore burning out the nurses.

  • Feb 3

    I do. I never intended to stay in med/surg, but I always found my way back. I've worked same day, mother baby, GI, and did brief stints in ED and PCU. Even though I liked those departments, I became bored with them. Med/surg offered variety without the intensity of ICU.

    I finally realized that I was a true blue med/surg nurse and embraced my decision, lol. I became certified in med/surg and now fight for med/surg nurses, which is a specialty!

    One thing before I go...and I'm getting on soapbox... Med/surg is NOT a bad place to work. What makes it suck is the management that short staffs the department, therefore burning out the nurses.

  • Jan 23

    Quote from Flames9_RN
    Not too concerned at the moment..ty for the info..back to football
    No, you shouldn't be, Flames. You graduated. This is for the 2016/2017 folks. This is why I posted. A simple heads up.

  • Jan 21

    Hey peeps, this is going to be long and probably not popular amongst you all. It wasn't for me. My goal is to save some heartache along the way.

    As I was cruising my states nursing forum, I stumbled across a post that mentioned a person having trouble getting accepted into an online school because they are not taking XXX state residents as students.
    Another poster chimed in and mentioned that a NEW FEDERAL LAW is taking affect and not all states are accepting GCU's RN-BSN program because it has no practicum. Yes, they want you to work as a nurse to get a nursing degree, even though we work as nurses now.

    The original poster went to our BON and found an online list of acceptable schools and GCU was there (yay!), however, ONLY the MSN programs were listed, not the RN-BSN. As you can imagine, I went into panic mode and emailed the BON. I also sent a text to a buddy I went through GCU with me who lives in another state. She checked her list of schools and GCU isn't listed at all now.

    The good news for us, after a couple of sleepless nights is we are grandfathered in because we graduated close to 3 years ago. However, we MUST go to an MSN school on the list for our states BON if we wish to continue. Otherwise our BON will not recognize the education.
    Those that are in the program currently will need to be waivered but may still have issues with licensing.

    So peeps, go to your state BON and make sure that GCU is on the approved online school list.

    I know the intent is to cut down on diploma mills, but there are a TON of online for profit schools listed on my BON website. (rolling eyes).

  • Jan 21

    Not rn-centered, but pandorasbox and I have been in classes for 4 classes now. What do you want to know? We are set to take stats in 3 weeks.

  • Jan 1

    Med/surg is a specialty and has it's own certification.

  • Dec 29 '16

    [QUOTE=shodobe;6672205]Almost 60 and still working like a fool. It also helps to have a skill in areas that are hard to staff, like me in the OR. I have 35 years in the OR that can't be readliy matched by a newbie, just because they make way less than I. I still outwork and outthink the youngsters and cover way more call than I should, like today. So obtaining skills that are hard to replace make you very marketable and hard to get rid of. Just don't lock yourself on that Med/Surg floor for 20 or so years because you CAN be replaced.[/QUOTE

    I find that comment a bit insulting. Since you have 35 yrs of OR experience, when was the last time you even worked a med/surg floor?
    Any nurse, anywhere can be replaced. I saw it happen to my friend. 20 yrs in OR, now scrambling to find a job. No real just cause. She worked a non union facility and one day she was let go.

    As for us Med/Surg nurses, like any SPECIALTY, keep yourself current on education and then some. Become certified. Get yourself involved in 'behind the scenes' work with the fluffy stuff as one poster called it. Make yourself known. Help develop policies..anything to make yourself invaluable. Does it make you invincible? No, but it helps.

    I have made myself a nice little niche on a Med/Surg floor, same as a couple of co workers. We are highly involved in the running of the floor. I have put myself out there to learn how my floor works to the point I do a lot of managerial stuff for my boss when he needs extra help. We are certified and we are always involved in committees.

  • Dec 28 '16

    Quote from RiskManager
    Bear in mind that NSO is just the insurance agent. CNA is the insurance company that writes the actual policy. NSO just collects the premium, passes it along to CNA minus the commission, and does some servicing of the policy. You have two real choices for the insurance, CNA or Liberty Mutual. You can buy the policies from other insurance agents, and you need not go through NSO or ProLiability, the agent for Liberty Mutual.
    So can we just google CNA an go straight through them an leave out the middleman?

  • Dec 25 '16

    Quote from delphine22
    I get frustrated when I have so many patients, I have no choice but to leave the basic care like toileting and bathing to the techs, while I chart and chase docs and call pharmacy and a million other things. Then the oncoming nurse asks about my pt's bottom or the color of his stool and I have to rely secondhand on someone else's assessment.

    Can't wait until I start next month in the ICU. I don't mind doing my own baths if it means I get to really know everything about pts myself.

    I worked with a nurse who refers to baths and toileting as CNA work. Totally blew me away. You can find out so much about your patient if you actually touch them beyond a simple assessment of breath and bowel sounds.

  • Dec 11 '16

    Quote from pinkpetunia
    Ok, I have put this off for 2 years. Grieving that I did not just jump in.
    I think I want to ride donkey down into the canyon for school. lol.

    If I do go back, should I do a 3 year RN to MSN? or just a BSN?
    Hey pink,

    What is your end goal? That should help you make a decision.

  • Dec 10 '16

    Over the years I have worked in large teaching hospitals to my now critical access of 22 beds. I was surprised how acutely ill my patients are and we have to care for them without all of the "ologists", resident docs, IV teams, code teams etc, We pretty much have one of everything when it comes to people. It has it's own challenges where we are forced to think outside the box. Every nurse that has come to work with us thinks they are going to be working in a small hospital and sort of kick back. Yeah right, lol. Same sick people, just less resources to depend upon. My skills have grown exponentially.

  • Dec 9 '16

    Do you see neglect that is reportable? The Department of Health is a great place to start as well. I'd at least see what your state WAC's have to say about your type of work place.
    As for your paycheck, I'd go back to payroll and have them explain your paychecks to you so you have better understanding of what they should be looking like.

  • Dec 9 '16

    I agree with you about nursing needing to have a voice. United we stand, divided we fall. I have started with my union and hope to network out to the state capital.


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