Latest Likes For newboy

Latest Likes For newboy

newboy, MSN, RN 4,844 Views

Joined Oct 2, '09 - from 'Eastside USA'. newboy is a Psychiatric RN. He has '5' year(s) of experience and specializes in 'Mental Health Nursing'. Posts: 391 (67% Liked) Likes: 1,197

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  • May 5

    Quote from shmedium
    I was recently fired from my job as a PCT. A nurse asked me if I could perform a particular task. I told her I wasn't sure, I called the supervisor and asked if I am permitted to do this. She asked if I had been taught it in nursing school. I indicated that I was. She said that the nurse can, then, delegate that task to me. I did it and was fired about a month after. This occurred in the state of Ohio, where the law is clear that the RN is responsible for accurate delegation and is to be who is held accountable for improper delegation. The task was inserting an NG tube. The procedure went smoothly and no harm was done. I have never been written up before, never even been late. The RN I was working for and the supervisor both said to do it. I rely on their knowledge to know how to do my job. I feel like I am a patsy.
    The RN should have been fired too. You both were accountable.

  • May 4

    Quote from Octocaesar
    Technology can be harnessed to improve learning. But online courses are just...insufficient. There are things you learn just by stepping your foot in the campus. Even how long it takes for you to get ready for school builds your time management skills. These tiny little things make a big difference in character building. If I am the employer, I would want to hire "brick-and-mortar" kind of workers, not because I want to bully anyone but because it is my right to protect my investment.
    Let's hope you're never an "employer" then. While employers can hire anyone they see fit based on their own beliefs, I see so much fault in that. Everyone is different. I actually think it takes a dedicated, hard-worker to get through an online program. If I'm eventually the hiring manager, NM, or CNO of a facility, I would hope I don't select nurses based on bias and unproven beliefs.

  • Apr 15

    Quote from OrganizedChaos
    He just didn't understand that if I got drug tested I could lose my license.
    Ever go to the grocery store and had to pray and pay - that is, pray that you'll have enough to pay for your groceries. Well, same concept just that you pray you don't get drug tested until it's out of your system lol.

  • Mar 25

    Wait, wait, wait... what? Is this serious? And then it says she received a distraction-free environment AND extra time on an exam and STILL felt like her professor didn't do enough to help her pass. What's next? She's going to sue a coding patient for not giving her enough time to prepare. SMH.

  • Mar 13

    I'm a new grad charge nurse in a LTC facility. I've been there for almost 2 months and I'm at the point where I'm literally scared to go to work. At first I floated, and that was ok, but I just became a regular on a dementia/psych floor. The paperwork and charting is sooo heavy, and I'm the only nurse on a 40-bed unit. I know I have to "manage my time" more effectively, but there's not enough time in one 8 hr shift to do everything that is required of me.. and i don't take lunch.

    I have to pass meds (and the time schedules of the meds are so crazy), start tube feedings, supervise CNAs, chart, pick up orders, check orders, treatments, and various other paper work that come in books.. and the worst of all is getting an admission.. i always fear that i'll get an admission .. and on top of all that, i JUST learned that i'm required to re-do the whole treatment book for the new month.. and my god, the daily interruptions i get.. supervisors coming every 5 mins to check the medex while i'm giving meds, CNAs calling me for this and that, residents not wanting to take their meds (i have to spend so much time just to encourage them to do so).

    I don't want to quit because I want to be able to handle everything, and I've floated to every floor to know that other floors are easier to handle; still hard, but a little easier. I just don't believe one nurse can do it all safely.

  • Feb 15

    Quote from BCgradnurse
    What do you mean by a "down and dirty" RN program? Our RN portion of the program was the same as any ADN program (I do not have a BSN). We had to have the basic science pre-reqs (A+P, chemistry, micro, etc) finished before we could even apply to the DE program. We all had at least a Bachelors in another discipline, so we didn't have to take any of the Gen Ed courses. We took Health Assessment, Theory, Patho, Pharm, Ethics, Research, etc. and did the same number of clinical hours and synthesis as the undergrad BSN students. We took NCLEX after all of those requirements were completed, just like any other RN student.

    I don't feel like I started "further behind" as an NP because I didn't work as an RN. To be honest, I use very little of what I learned in the RN part of my program. I'm not saying it wasn't valuable and necessary, but most of it isn't relevant to what I do on a daily basis.
    Thank you for coming and sharing your experience . It really helps to see the other side of things realistically rather than just talk about it theoretically. I know that DE programs only accept the best of the best and it sounds like your program molded you into a confident and competent NP.

  • Feb 15

    Quote from MunoRN
    Is it possible to summarize the findings (I don't have a Lippincott log-in).
    Sure thing. The article found a negative correlation between years of RN experience and NP clinical practice skills based on assessment by collaborating physicians. Also longer RN experience was related to lower rankings of NP skills. The article brings forth the issue that the more one is a RN, the more one THINKS like a RN, even when the thinking changes in the advanced practice role.

    Keep in mind that this is only one article, though. And there were many limitations to the study. Also, this study could have suffered from major bias based on the individuals who did or didn't respond.

  • Feb 15

    Quote from Jules A
    I am so appreciative for all the participation! I wish NewBoy wasn't the only one with the cojones to add an opposing view because even though overall I am convinced of my assertions there is much value in considering other views especially because we can probably all agree this is not going away. Perhaps now is the time to come up with and lobby for additions to all NP programs that will ensure a better quality product?
    Lol I'm just being realistic, Jules. Things won't change just because people think it SHOULD happen based on their own experiences. Arguing that NPs with prior RN experience are better is just a matter of opinion, and a very generalized one I might add. If you go looking for a problem, you're going to find one - even if there's no problem to be found. The only way things will change is if research actually demonstrated that direct entry graduates weren't prepared enough, and patient outcomes suffered because of it. I believe research DOES exist that shows there is no difference in care provided between direct entry NPs and NPs with prior RN experience.

    Im not against gaining RN experience before going into NP school; I'm against mandating it. If nurses feel NP schools aren't preparing them enough, then fight for better curriculums and a better care model in NP schools. The average program is already 3 years long, so why not one more year of sciences that are actually needed? In all honesty, I think the biggest fight should be for NP residencies.

    Experience is not the same for everyone, and everyone won't get the same "gut" feeling you do out of it. If you want better NPs, something has to be done at the NP educational level.

    Lastly, I think everyone is making a mountain out of a molehill. There are only a few direct entry programs (most of which are at prestigious institutions) and their admission requirements are brutal. They take the best of the best. There are no direct entry mills.

  • Feb 15

    Quote from daynuh
    I think that it is borderline irresponsible to go into NP school minimal or no experience. Personally, I would want at least 2 or 3 years of working at the beside before I would even consider something like NP school. I'm glad I'm not the only one that feels this way.
    Why is it irresponsible? Again, I see a whole lot of people wanting change for something that's not even a problem. If patient safety was an issue, those direct entry programs would be shut down. I'm sorry, but I have to play devil's advocate here. You can't effect change based on what you personally think or feel, because it's nothing more than an opinion (not just you, I'm talking in general). I see a whole lot of cries with no supporting evidence to back up with you and other posters are claiming as problematic for the NP profession.

  • Feb 15

    I'm not too sure I agree here. Most examples are anecdotal and along the lines of "When I was in school, these nurses couldn't *insert nursing skill here.*" Has there been an increase in patients with poor outcomes who were under the care of direct-entry NPs as opposed to NPs with prior nursing experience? It seems a lot of people are arguing that nursing experience is needed just because it feels right rather than proving that the education track of direct-entry NPs is an actual problem.

    Does anyone know if any solid, comparative research was done on this?

  • Feb 9

    Quote from nursenow
    I noticed some posts here where people claim to do a legal med pass with 60 plus patients within the legal two hour limit. That is physicaly impossible. By the time you pull the med out of the cart, do your three checks, check BP... (depending on the med) crush the meds that need it, mix them with sauce, walk in the room, greet the patient, tell them each individual med, raise ther bed, pour some liquid, (add thickner for those that need it) spoon feed the patients that need it, watch them swallow. lower the bed, walk back out and sign the MAR, and do all the other things I neglected to list(like sign out narcotics...) it is IMPOSSIBLE. If you spend 120 seconds per patient that is only 60 patients but the thing is you can't correctly do a patient in two minutes Include the time to move your cart down the hallway, deal with all the interuuptions... Add in breathing treatments, the PRNs you are interrupted to give... I have enough experience to know it CAN'T BE DONE. You may have 60 patients but not all of them are getting meds for sure. That is why the state doesn't follow you on your entire pass. They know it can't be done. I talked to the state employees that were at my facility this year and two of the three had LTC/SNF experience. We weren't fooling them.

    Absolutely correct. I have 40 residents to give meds to and from day 1 I've been trying to come up with a system to quicken my med pass safely. There's just no way around it. I found that if I rush, I'm going to make a mistake. The best thing to do is to come to terms with the fact that it's going to take 2.5 hours for a med pass in LTC. I know other nurses do it in an hr and it discouraged me at first, but I learned that it's best to do it the safe way or no way or at all.

  • Feb 5

    Quote from TheCommuter
    I wonder why you're enrolling in an LPN program if you have a master's degree.

    Don't get me wrong, because there's nothing wrong with starting as an LPN. I entered nursing as an LPN, too. However, I selected the LPN route because I had virtually no college credits to my name and wanted to start school immediately.

    A person with a master's degree can earn a BSN or direct entry MSN in the matter of a year and a half. If I had a prior degree, I would have bypassed the LPN route altogether.
    This.

    It's more cost-effective to just get your RN. You should research more. You will be limited in choosing where you want to work. Unless LTC and similar working environments are where you want to work, I say go the RN route.

  • Jan 24

    Quote from imintrouble
    Everybody floats everywhere where I work. It didn't start out that way. Slowly over the last year or so, we've ended up where as long as you're a nurse, you can be floated to any nursing opening.
    It's been very hard on morale.
    I can't decide if the ICU nurses working med/surg are the most unhappy, or if it's the med/surg nurses going to the ED.
    Being bored is better than being scared any day of the week.
    That's unsafe. Med/surg nurses floating to ICU? Couldn't pay me enough. Just one of the reasons why I jumped board over to psych. SMH.

  • Jan 19

    Quote from Octocaesar
    Technology can be harnessed to improve learning. But online courses are just...insufficient. There are things you learn just by stepping your foot in the campus. Even how long it takes for you to get ready for school builds your time management skills. These tiny little things make a big difference in character building. If I am the employer, I would want to hire "brick-and-mortar" kind of workers, not because I want to bully anyone but because it is my right to protect my investment.
    Let's hope you're never an "employer" then. While employers can hire anyone they see fit based on their own beliefs, I see so much fault in that. Everyone is different. I actually think it takes a dedicated, hard-worker to get through an online program. If I'm eventually the hiring manager, NM, or CNO of a facility, I would hope I don't select nurses based on bias and unproven beliefs.

  • Jan 19

    Quote from lovinglife2015
    I would never get a degree from a solely online school. Plenty of traditional universities offer online degrees and it's smarter to go that route. I have to think that you really didn't do enough research.I've warned my brother for years about taking classes on University of Phoenix, but he's too daft, to figure out that degree will be worthless.
    No degree is worthless. It's not the education, it's people who are quick to judge something that is outside of the norm. Online schooling is taking the country by storm, so pretty much it will be the norm. I don't understand why people are so quick to view something as worthless because it's different from what they're use to or different from what they know. I see some horizons need broadening.


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