Content That ThePrincessBride Likes - page 4

ThePrincessBride, BSN, RN 47,760 Views

Joined Jun 13, '10 - from 'Somewhere'. She has '2 RN, 3 tech' year(s) of experience and specializes in 'Med-Surg, NICU'. Posts: 2,167 (61% Liked) Likes: 6,090

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  • Jul 19

    Cast a much, much wider net.

    As another member often says "Less-desirable RN work = RN experience and $$. Waiting for the coveted hospital position = No RN experience and no $$"

    I'm sorry this is happening to you. And it illustrates why I think ELMSN programs are flawed by their very nature.

  • Jul 19

    Quote from hydrochloro
    I'm thinking either ER or ICU since both fields require continuing education. What, in your experience, is the hardest nursing field?
    What makes you think other areas of nursing don't require continuing education?

  • Jul 13

    If the nurse manager staffs with a skeleton crew, then the nurse manager should probably come in to cover when the only scheduled employee gets sick.

  • Jul 12

    Quote from shibaowner
    I earned my BSN at one of the best nursing schools in the world and then straight into the MSN NP program. Many of the top nursing schools such as Hopkins, UCLA, Yale, etc. do not require RN experience before earning an MSN. I graduated with my MSN in Dec 2016 and had a job offer by Feb 2017. During my MSN studies, I did not see any advantage by students with RN experience, even in physical exam skills. In fact, there are a couple of studies on this. One study found that students with RN experience had worse academic performance and were less likely to graduate from MSN programs. Another found that students with RN experience had poorer clinical skills. I am an Adult and Geriatric Primary Care NP. I would say if you want to be an acute care NP, then the RN experience would be valuable. Personally, I really wanted to do Psych and got a job doing that at a clinic and they are providing me with an intensive 6 month training program. So, don't worry about the lack of RN experience. Good luck!
    Please cite your source that those with actual nursing experience had worse clinical skills.

  • Jul 12

    And people ask me why I will never let my children be seen by a midlevel.

  • Jul 12

    The troubles we are seeing now and will continue to see are these for profit online programs. They do not have standards for entry that are beyond your check clearing. Do not get me wrong, I am sure there are a few experienced nurses who breezed through those programs and adjusted very nicely, but I do not believe that is the norm. Put a nurse without any experience and that is outright frightening.

    The NP system is broke, busted and needs to be fixed as this is or will have an impact on all of us. There needs to be actual qualifiers to enter a program. The curriculum needs to include more science and less nursing fluff (do not get me started on the foolish nursing theories). I am afraid if this ship is not righted then the NPs in the next 10 years are going to make a lot of patients worse off...

  • Jul 12

    Quote from dubiousraves
    I don't think bedside nursing experience is necessary if the direct entry program is rigorous and maximizes the number of clinical hours required for students.

    In your first year or so as an NP, when your ability to do a good differential diagnosis and develop a treatment plan is still limited by experience, being able to do a nursing or functional assessment of the patient can help guide your practice. After that, nursing experience doesn't really help that much.
    I like your points but would ask where in the hundreds of NP schools that are admitting and graduating anyone who can pay tuition are the rigorous programs and really how could a mere 500 clinical hours be maximized?

    The first year or so is, as you noted, where our patient care backgrounds are in my word, crucial, to pull from as we find our sea legs. There definitely are outliers in everything but in my experience and specialty those with no RN experience vs those with RN experience in the specialty are in most cases far more ready to practice competently and to the full scope upon graduation.

    It will be interesting to see how this unfolds and how our profession adapts. My guess is we will continue to see more of the SOS posts that have been cropping up here more frequently. Those who have no clue what they were signing up for, no idea how to manage their practice upon graduation, had no clue how to negotiate a contract, those who thought Doctors had cushy jobs that involved coffee breaks and golf.

  • Jul 12

    Unfortunately some RN's only make 40k as well. It all depends where and which state you're working in.

  • Jul 12

    Most new graduates work at the job that hires them. Few are lucky to be offered a position of their choosing. Best to temper one's expectations to the reality of the employment market.

  • Jul 5

    Quote from purplegal
    If I'd known I'd end up working most days of the month, including a period of 38 days in a row without a day off, with absolutely no weekends or holidays off, then no, I wouldn't have chosen nursing.
    No one is required to work a schedule like that. That is a choice you have made.

  • Jul 4

    I've known several nurses who came to the NICU from PICU. I don't have personal experience, but from what I understand PICU to NICU is actually an easier transition than NICU to PICU. You have a lot of the critical care knowledge/experience, so you'd just have to learn preemies.

    It sounds like some PICU nurses find the NICU a bit boring, since the care can be repetitive/predictable (which I actually enjoy). On the flip side, you get fewer really sad cases in NICU. You don't see the abuse/neglect cases, since the babies have been hospitalized since birth and you can ensure that they're safe and their basic needs are being met. Also, in PICU it seems like you can get the sad cases where a kid is healthy one day, then terribly disabled or dead the next after a trauma/drowning/accident. In NICU, mortality is very low, and kids generally always get 'better' than where they started out. Even if you have a former 23-weeker who is at risk for permanent disability (which we usually don't even know yet in the NICU), we still see it as a huge victory for them to leave the hospital and go home for the first time.

  • Jul 3

    Found at ABC News
    Nurses honor tiny 'graduates' leaving the NICU

    A North Carolina hospital is celebrating babies who are ending their stay in the neonatal intensive care unit.
    The staff at CaroMont Health in Gastonia, North Carolina, honor their tiny patients with a special photo shoot and a graduation cap.
    About six months ago, Nurse Melissa Jordan began the "graduation ceremonies" after she helped care for an infant who spent 62 days in the NICU.
    On the day he was leaving, the baby's parents dressed him up in a "NICU Grad" onesie, which inspired Jordan to continue the tradition.
    "It's an emotional roller coaster for a preemie," Jordan, 28, told ABC News. "One day could be really happy and then another day there can be several setbacks. You have to be there emotionally for the parents and celebrate every single, teeny milestone."

  • Jul 3

    Quote from new gal
    Hello all, I am a student nurse currently in my first year. Before this I was a paramedic for a about a year and then decided to go the nursing route and get my feet wet by working as a CNA. I am the type of person who likes to research all aspects of what my next adventure will be. So as I am researching different aspects of nursing, I was a bit floored by the amount of people that hated bedside nursing, in particular on the Med/Surge floor. I get that the work load is high and that can bring stress as well as all the intricate details about day to day nursing, but is that any reason to hate bedside nursing? I thought that is what the nursing profession was all about. Getting right in there, getting your hands dirty and providing the best patient care possible. What exactly are some students thinking nursing entails when they get into school?!
    Being a student is very different from being an actual nurse. You have no idea.

  • Jun 29

    This person has 2 years of experience. Nurses need ratios, not a reduction in hours worked. If I was forced to work 5 days a week without overtime I wouldn't be at the bedside.

  • Jun 29

    Reasonably happy with Nursing.

    But my real preference would be to be born with a silver spoon in my mouth, be royalty, have a trust fund, do whatever I like, whenever. You know - win the Lottery.