Latest Comments by ThePrincessBride

ThePrincessBride, BSN, RN 38,952 Views

Joined Jun 13, '10 - from 'Somewhere'. She has '1 RN, 3 tech' year(s) of experience and specializes in 'Med-Surg, NICU'. Posts: 2,001 (60% Liked) Likes: 5,281

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  • 1
    Here.I.Stand likes this.

    Well what does the N in LPN stand for?

    Of course LPNs are nurses. Anyone who says any differently doesn't know any better.

  • 2
    BeckyESRN and loriangel14 like this.

    Imagine our press ganey scores if this was more widespread.

    There are times I just want to give a patient a shot of whiskey.

  • 2
    BeenThere2012 and Jules A like this.

    I've talked to a lot of seasoned nurses and they've told me that nursing isn't what it used to be. Once upon a time, nurses were treated with respect, not as waiters/customer service workers. Charting wasn't so onerous and while the work load was heavy, it was doable.

    Now? Many feel that nursing, as a profession, has declined. RN now stands for Refreshments and Narcotics. Reimbursement is heavily tied into patient satisfaction (when it should be tied to OUTCOMES). Wages have remained stagnant, and the proliferation of so many for-profit schools has devalued the nursing degree.

    I have been a nurse for 1.5 years and I see so many people already rushing back to school. Many had no intention of ever working as a floor nurse while others have and decidedly hated it.

    It is scary to see so many incompetent RNs trying to pursue an advanced degree with more liability. Many have very little respect for bedside experience.

    At one point I wanted to go straight through but now that I am getting that experience, I am realizing just how crazy it is to become an NP with little to no experience. However, nights and every other weekends are getting harder and harder and expectations and workloads for nurses are becoming more extreme...I can't see myself working the schedule that I work forever.

  • 2
    Jules A and Not_A_Hat_Person like this.

    Quote from aaronrock
    I agree, but I would say that a lot of physicians, dentists, physical therapists, pharmacists and speech language pathologists entered the professions mainly for security and financial prosperity, too. However, it may or may not affect their professional skills. I know some nurses who are nurses mainly because the profession brings an okay range of salary, but they are good nurses. On a side note, who really thinks a $60,000 yearly salary is survivable? Studying computer science will bring a 100K+ salary easily.
    Considering that the average American HOUSEHOLD income is ~ 53k, I'd say 60k is very "survivable."

  • 2
    Here.I.Stand and Luckyyou like this.

    Quote from seraphimid
    Thanks so much for bringing this topic up! I feel the same way, and have been at the receiving end of what feels like animosity from other nurses other professionals in the field when I mention that I plan on specializing in midwifery even though I just started nursing school. Not just on forums but in real life volunteering at hospitals and at school. I would never have applied to nursing school if it wasn't the prerequisite for midwifery. It's seem like in every other profession, this focus on a goal is welcomed and encouraged, whereas in nursing it is interpreted as a lack of commitment or simply carelessness. For instance I doubt students with aspirations to study law get slack for studying philosophy or anthropology.
    I'm not sure about NNP but I know for CNM degrees a lot of schools have changed the requirement for L&D expierence and allow all sorts of nursing experience, even as a doula or CLC. good luck to you and I hope you maintain your aspirations to follow what it is you love and want to do despite discouragement from others.
    In order to become an NNP, one usually needs two full years of neonatal ICU experience in a Level 3 or Level 4 NNP.

    To be honest, I am reaching the one year mark and feel that two years is very lean, depending on the unit. Midwives, in my opinion, SHOULD have a minimum of two years of L/D experience before taking their boards.

  • 8


    If you truly wanted to work in the NICU, you would do ANYTHING to get into one, including spending time working with "dreadful" adults/pediatric patients in order to make yourself more desirable to NICU managers.

    Med/surg may not have translated well into my NICU job, but it has certainly made me tougher, more organized and more APPRECIATIVE of the NICU job I have. I work with quite a few nurses who have done nothing but NICU who have a very "princessy" attitude and look their noses down on other specialties, including PP/well-baby RNs. The nurses who have worked in med/surg and other more hardcore areas seem to have a deeper appreciation for the NICU and other specialties in general. Plus they have a broader knowledge base.

    I already gave you advice in your last thread, but you clearly just want to rant and stomp your feet and not pay attention to the BTDT crowd. I was very passionate about getting into NICU and wanted ONLY the NICU. Didn't get it. Cried for about a week. Picked myself back up and applied for other specialties, volunteered for March of Dimes, joined NANN, etc in the meantime to make myself more competitive.

    Eight months into my med/surg job, I accepted a NICU position with another hospital. I will be celebrating my one year anniversary next month.

    While you will be stewing about not getting that dream job out of the gate, other new grads will be getting valuable experience and landing their dream gigs their second or third time around. You, on the other hand, will end up a stale new grad. And there is nothing worse than an old new grad without any experience.

  • 0

    You have three years of med-surg and you say you want something different. For that reason, I would go with the clinic job and stay per diem in med-surg. Best of both worlds!

  • 0

    Quote from DTWriter

    Do you really know how hard it is to find a safe unit for a new nurse? "Safe," as in, there is enough staff (whether you work day or night), there are coworkers who are competent and willing to help you, the training is realistic for a new nurse (no random nonsense like getting multiple preceptors from the jump, or your training is being shortened b/c management is desperate for people), and managers are willing to work with you?

    If your unit is a "safe" unit, then, why would you give up your position and risk going somewhere less pleasant?
    Amen! My first job was at an adult med/surg unit and it was and still is very dangerous (I only work there PRN just to upkeep my adult skills). People are routinely thrown into the role of charge RN without any proper training, having seven patients (even as a charge RN) was not uncommon. I had many preceptors, some who would just sit at the nursing station laughing it up and texting while I took care of the patients unsupervised (so it really wasn't much of an orientation).

    I will never forget when it was an almost full house with only four nurses and one tech (for 25 patients) and I was stranded sitting with one of my patients. I had to call the house supervisor because it was ridiculous. I had other patients to take care (that weren't even being monitored by anyone), yet I was sitting with a patient for two is that safe?

    I have many other horror stories to tell, but point is this: I honestly feel like if I were treated better by being given a real orientation, a safe patient load and hadn't been thrown into charge RN as a new grad without any training, I probably would've stayed.

    That being said, I gave them eight months before going PRN. And now am in the specialty I want, but the downside is that I have to stay at a job with crappy benefits for two years before finding another employer. Why? Because having two short-term jobs on a resume doesn't bode well to future employers.

  • 1
    subee likes this.

    And how many PA students are required to find their own preceptors? That is madness! A student should not have to find his or her own preceptors but in NP education that is the norm. The PA model follows most closely to the medical model.

  • 2
    popopopo and Jules A like this.

    Quote from ICUman
    That's incorrect. ER NP programs require a year of ER experience before being admitted. ACNP programs require a year of ICU or ER before being admitted.

    For-profit PA schools exist. Healthcare experience hours have declined quite a bit for admission requirements to PA programs. Some require as little as 500 hours now for PA school, doing something as simple as a PT tech. Many new PA programs have come about, not just NP. This is a trend that extends to CRNA and MD/DO also. For profit programs lowering admission requirements for more students and more money for the schools.

    Yes, we are both talking about advanced graduate education. I was referring to the ACNP requirement to have bedside experience.
    Not all ACNP programs require any bedside experience. My alma mater's grad program, a state university, doesn't and I can name more. Only neonatal NP programs universally require relevant experience.

    That is a problem.

    600 hours of clinical experience isn't enough. Your typical PA has thousands. I don't say this to diss NPs but with the exception of CRNA and NNP, every other advanced degree in nursing varies wildly in requirements. Even other NPs and experienced nurses on this forum have attested to the lacking in NP education.

  • 3

    Quote from ICUman
    You realize most ACNP's are experienced ICU/ER nurses? How can a PA be any more prepared than those RN's who spent years at the bedside? (in regard to acute care).
    I am talking about advanced education. Yes having bedside experiences great but it can't make up for a crappy for-profit online graduate degree with sub-par clinical experience.

    There are too many nurses going into NP school that aren't preparing them for advanced practice and quite a few only have a year or two of bedside experience. PA schools are ridiculously difficult to get into, have high standards and more than triple the clinical hours prior to graduation. If I were an employer, knowing what I know about NP education and the differences between NP schools and entry requirements, I would most likely hire a PA.

    Neonatal NPs and CRNAs are the ONLY specialties that require relevant experience prior to matriculation. FNP, ACNP need to follow suit.

  • 3
    Nursetonp, MurseJJ, and Jules A like this.

    It depends on the specialty. In NICU, the NNPs run things. I NEVER talk to a doctor...always an NNP. They are the ones running to the deliveries, intubating, assessing and making care plans for the babies. The doctor is there as backup and is usually in the backroom sleeping (yup, I said it). Also, psych NPs are highly regarded as very few people (at least in my area) want to enter psych.

    Now, FNPs and acute care NPs, I could see this becoming an issue (especially for the former). Everyone and their cousin is going to school to be a family NP, and why hire an acute care NP when one can hire a PA who you KNOW is prepared d/t education standards?

  • 0

    Unfortunately you are experiencing one of the problems of specializing so early in nursing. NICU is extremely specialized and doesn't translate well to most, if any, specialties.

    I do have a med-surg PRN job, but I worked there full-time for eight months before entering NICU.

    Are you open to picking something outside of nursing for some extra money?

  • 0

    Unfortunately I have been getting mostly bubbles and feeder growers. I have been off orientation for over five months.

  • 4

    I thought about it but then I realized I wanted a life outside of work. I like my downtime, I like traveling and spending time on family and hobbies.

    No I don't bring in a physician's salary, but I also don't have the crazy hours and stress that comes with being a doctor. Nor do I have any student loans and am I already saving for retirement.

    Meanwhile, many med students graduate with 200k plus in loans, nothing in retirement and years before they start seeing a return on their investment.

    Plus nurses have more flexibility in the work force. Doctors....not so much.