newboy, MSN, RN 5,077 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)
As the other posters have stated, take the post-acute job. It's easier to transition into another job if you have experience AND you're actively working.
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.
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.
He just didn't understand that if I got drug tested I could lose my license.
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.
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.
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.
Is it possible to summarize the findings (I don't have a Lippincott log-in).
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?
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.
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?
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.
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.
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.
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