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Joined Jan 9, '10. Nursing Pride is a CNA. Posts: 121 (4% Liked) Likes: 7

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  • Nov 22

    I've worked nights for the last 28 years. I find the best strategy is to NOT completely "turn around" on my nights off.
    When I am off I go to bed about 4 am and get up about 11am so that I still have plenty of time to do things only available during business hours and to get together with friends.

  • Oct 23 '12
  • Oct 22 '12

    The answer: the healthcare bubble. What it is and how to survive the "pop."

    Is there a healthcare bubble?

    The experts waffle, but facts are facts; between 1999 and 2011, government spending on healthcare increased 240 percent while GDP increased 62 percent. Health insurance premiums, according to the Kaiser Family Foundation, have increased 168 percent between 1999 and 2011 while earnings increased only 50 percent (Foy, 2012). Such vast and rapid increases are not sustainable.

    "The unfortunate fact is that Americans spend twice as much on healthcare as people in other developed countries, but receive lower quality care and less efficiency" (Colombo, 2012).

    When value becomes detached from valuation, bubble problems start. Why we have a bubble is the subject of another article but we can see the effects in the proliferation of MRI machines, hospital wings, and new nurses (like myself). The indisputable truth is that all bubbles must pop.

    Don't panic yet, however.

    Bubbles are part of the modern economic cycle - observe the dot com bubble, the housing bubble, Japan's economic bubble. As this blog by Stan clearly articulates, bubbles have some benefits - increasing incomes and standard of living and improving access to certain technologies. Yes, they are painful when they pop - ask anyone who has sold a house in the last five years. But, big picture, there's not a lot we can do to stop them.

    As Stan says, "Unfortunately, however, bubbles are difficult to detect as they occur because they typically begin with modest and innocent optimism. That makes bubbles inherently difficult to stop a bubble from forming. Besides, who wants to be the guy taking away the punch bowl as the party just gets started?"

    I don't know when, how, or even if the healthcare bubble will pop. Perhaps America will grow into its ballooning healthcare. I have a feeling that sequestration will have something to do with it - the abrupt reduction in Medicare and Medicaid payments that will be happening in January (Anderson, 2012). There will always be a need for healthcare but perhaps not in its current bloated state. Looking ahead, here are 6 tips to surviving...

    1. Enjoy the bubble while you can and be prepared for the pop. Enjoy the good times now and save what you can for a rainy day.
    2. Make yourself indispensable. If your company had lay-offs, how high on the totem pole would you be? I would like to think they will always need floor nurses but I'm not sure how cuts will happen.
    3. Have a Plan B. Do you have another talent you've been dying to try? Another iron in the fire?
    4. Don't get caught up in other bubbles. There is also an education bubble going on right now (Colombo, 2012). Oh, go ahead, get educated... but be conservative and do what you love. Don't max out your loans on a degree that may leave you high and dry.
    5. Don't panic and don't blame. We will all be going through this together - doctors, nurses, hospitals, MAs, CNAs, CNSs, NPs, PAs, and all the rest of our wonderful alphabet soup.
    6. Get informed and involved! Be a change agent and find ways to help reduce wasteful expenditures in your healthcare organizations.

  • Oct 22 '12

    I am in my first semester of nursing school and I have my clinicals on the Med Surg floor of a hospital. So far I have had 3 different patients and they have all absolutely loved me; I do not say this in a cocky way. I am just super nice to them, I'm attentive, I actually listen to what they say, etc.

    Side note: For clinicals in my school, we are assigned a new patient each week and take care of them for 2 days in a row for about 6 hours.

    The point I'm trying to get to is I get into certain situations and I'm not sure about the correct way to respond and what is appropriate/inappropriate and what should I do in these situations. Here are some examples:

    My first patient was an elderly women in her 60's that had to get a surgery. Her and her husband both loved me and wanted to have my name and phone number on my last day taking care of the women in case anyone asked about me or if I ever needed them as a reference because they would love to do that for me and only had great things to say about me. So I gave them my name and phone number because I did not want to be rude and say no; I did not really know what to do.

    My second patient also loved me, but didn't ask for any of my information.

    My third patient was in for respiratory issues in his mid 30's due to obesity. By the end of my second day with him, he was was somewhat joking/serious and asked if there was any way he could extend my time taking care of him because I had been so great. I told him I couldn't due to the way my school works. He understood and then invited me to his wedding in a few months and gave me his cell phone number and his fiances cell phone number and I took it because I didn't want to be rude by not taking it.

    So what do you do when your patients loved having you and ask for personal information? Do you just give it or do you politely say no? Or what about if it's turned around where they invite you to something and give your their phone number and you don't plan on going?

    I really would like to know what to do because I don't want to be doing anything that's inappropriate or be rude or anything like that. What would you do? Input would be greatly appreciated!

  • Oct 22 '12

    Uh huh. My social life took a back seat when I started school. i have different priorities since, like a bunch of us here, I have a hubby and kids. I lost a lot of friends when I started school because I'd rather spend time with my family then them on my few hours off from school. the only "fun" times I get is doing my SNA stuff!

  • Oct 22 '12

    Help... kind of just a rant I'm a sophomore in a BSN program... I worked SO hard to get into the program, I was always always studying.(Cut off was 3.5 for the program) And now... it's worse. I'm constantly doing something for school. As a result, I've lost contact of all/most of my friends and I hardly do anything "fun"...ever. I almost feel guilty if I ever do anything. I feel so disconnected from the world. Whenever i try to make plans with friends, they're almost always "busy" or "broke" so... you guessed it, I'm stuck doing my school work. I hardly have any friends anymore, I have one or two and a long distance boyfriend.. and I'm lucky to see him once every month or two. I just feel like I'm going crazy and I'm wondering if anyone can relate? Have you ever felt so swallowed up in your school work that you have no time for anything else?

  • Oct 22 '12

    My personal tip: don't pretend you know something if you don't. It's ok not to know everything, that's why you're in school! Always ask rather than potentially make a mistake.

  • Oct 22 '12

    Wanted to take some time to share some of my helpful hints that got me though nursing school. This is going to be one of the biggest challenges of your life so get ready.

    Here are some tips for nursing school:

    1. First block and most of second is learning the basic fundamentals of nursing.. READ YOUR BOOK...it will never fail you.

    2. While you read your book annotate the chapters highlighting the important material. --- this will help you in 3rd and 4th block.

    3. Take good notes in class, write, circle, and highlight things in your book that you should focus on.

    Tip.. Don't record your lecture and depend on that because it will not help you!! Trust me you will learn more if you focus on the lecture and read the whole chapter + annotate. This is extremely time consuming and may seem unnecessary but you will be extremely happy you did this when 3rd and 4th block comes around and you have more time to fucus on other things then reading again.

    4. Do NCLEX question -- 1&2 block focus on basic skills.. safety, and procedure.

    5. If you get a chance to take the summer LPN.. do it.. its helpful and will make 3rd block a bit easier.

    6. 3rd and 4th block.. here comes the hard part.. Now you take everything you have learned and start applying it.. sounds easy.. IT'S NOT.

    7. Take your annotated notes and use them.. while you review ask yourself WHY.. don't just know how or what to do, but WHY you are doing what you are doing.

    8. Do more NCLEX questions. Focus on comprehensive and analytical ones.. READ THE RATIONALES! Understand why.

    9. Don't sweat the HESI exam, if you do everything I tell you it won't be a problem... I scored pretty high on them.

    10. Hint.. know your math.. if your struggle with it practice it.. a lot.. it will kill your hesi score and cause you to fail the nclex if you mess up on math.. med errors are not looked kindly apon.

    11. Sim lab.. I'm gonna warn you.. everyone is scared of sim lab.. don't worry.. take a breath and use it as a learning experience..

    They will put pressure on you and make you feel rushed.. don't... Take your time.. ask other nurses for help.. look at the whole picture.. trust me, it will seem like you suck but you will do good.

    Also, sim labs get harder and harder and the expectations increase. Know your math.. CHECK YOUR PT ARM BAND ALWAYS!! check the order... Follow five rights.. Even if you have to say it outloud.. do it.. "okay what are my pts five rights".. If things get crazy ask for help.

    That's all I have for now..

    Hope this helps.. good luck!!

  • Oct 22 '12

    My pro tip, something that i should have done.

    If you want to be a better nurse, AND if you want a job after nursing school, become a PCA and try to work on the floor that you want, and become indispensable.

    Seems to work like a charm!

  • Jul 25 '12

    Hi there! Here's my post to a similar question. Hope it helps ya!

    I'm about to start my second semester and here's what I found to be helpful...

    Know that they're going to throw a TON of information at you. It's overwhelming, but with some serious organizational skills, you can do this.

    Start the semester off by creating a calendar to include all your readings, exams, assignments, clinicals, care plans, and other stuff like work. I went home after the first day and freaked out! So, I entered everything in Microsoft Outlook, color coated my classes, and then printed each month so I could cross stuff off as I go. The calendar helped keep my head from spinning outta control. And sometimes you'll be so busy that breaking down tasks week by week will ease the craziness a bit. My first semester of nursing school was 4 classes, which was more than I've ever taken in the past, so this really helped me stay organized and feel like I had small accomplishments throughout the semester.

    Do not get behind on your readings
    ! Read the chapters before class, skim again after class, and review before exams. Repeat, repeat, repeat as much as possible! My textbook (Perry & Potter) had a website which included audio summaries (I downloaded these to my iPod), extra practice test questions, and PowerPoints for each chapter. I used these a lot after doing not-so-good on my first exam. Saw a huge improvement on my next exam.

    Join or create a study group! Like I said, my grade for my first (of three) exams was not good...I barely got a B and was disappointed. So me and two other students decided to meet 2-3 times each week to review the chapters together. We summarized important paragraphs, explained different concepts to one another, drew silly diagrams, and talked about the practice questions. It helped me so much, that on my second and third exams...I got A's!! And ended up with an A for the class, which I was not expecting. Meeting together takes a lot of planning and work, but it's worth it when you have people who are motivated. I think 4 or more people is too much and it's easy to get off topic. Stick to 3 people. If you have questions about how to structure topics for a study group, let me know, I'm happy to give you ideas on what I did. Before nursing, I would just study by myself, but I really believe this will help you understand the content and boost your grade.

    Do something for you. Make sure to take care of yourself. Eat healthy, drink plenty of water, and rest. Nursing school drained me until I had zero energy and I could have prevented this by taking the above advice. Reward yourself here and there too.

    Ok, that's it, but I have one last recommendation. I found this website helpful. I have a little bit of test anxiety, but mostly poor study habits. This is a good resource for becoming a better student. You get one year free and they don't require you to enter any credit card info or anything. And I have not received any junk mail. Hope you find it useful :-) Overcoming Test Anxiety | Proven Help for Test or Exam Anxiety

    Take care and good luck!

  • Jul 21 '12

    Good Morning (or Afternoon, depending on your time zone, I'm on the EC) everyone!

    1. I start the Practical Nursing program at Everest Institute in Southfield, MI on September 4, 2012. Orientation is August 7.

    2. The program length is 11 months. The graduation date given is August 16, 2013.

    3. I am becoming an LPN in order to facilitate a career in nursing. I am currently on a waiting list for an RN program, but who has time to wait? Once I am licensed, I am eligible for advanced placement in the very program I am waitlisted for. I plan to get my ASN, BSN, and then seek a higher degree to become a GNP or CRNA. I'll cross that bridge when I get to it, but I do plan to be an advanced practice nurse.

  • Jul 16 '12

    I have heard the pearson NCLEX is very good. Also I think you can go on their website and do some practice test, there is a fee.

  • Jun 12 '12

    I suggest you do not try to get a head start on anything. More than likely anything you read will not go completely with what they teach you in school. Every book is different. Every test is specific to your books. Enjoy the rest of your summer. Even when I got my 1st semester books there was no making heads or tails out of it. They will teach you what you need to know. JMO. Good luck with everything.

  • Jun 6 '12

    A few people have said that it's hard finding jobs because they want you to have an associates degree not just the lpn diploma. I know LTI is super expensive but the only reason im looking there is there is no waiting list and no pre-reqs. Also I would have the opportunity to start earlier. Im am weighing out all my options at this point!

  • Jun 20 '10

    It's Georgia, but I heard many hospitals around the country are doing the same. LPNs are being hired in LTC facilities.


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