OCNRN63, RN Pro 32,810 Views
Joined Aug 27, '10.
Posts: 7,088 (75% Liked)
My sister in law, just got her BSN, and she is working as a student nurse at a veterans hospital in California. She was shocked when they said if she does not pass her Nclex on the first test that they would not hire her as a real full time employee. I have never heard of that before. I think it is wrong if you pass, you pass it shouldn't matter how many times you have taken it. Also, when you apply for jobs, are they able to see how many times you have taken the test?
She doesn't sound like a nice person, but "evil"? That word is usually used to refer to child rapists and murderers who shoot 50 people in a nightclub.
First, I have never witness a nurse being mean (patronizing, etc.) to a nursing student--even if said student was not up to standard.
It does go both ways. I got to work, got report on my patients. Started the routine of assessing/medicating my patients. A group of students strolled onto the unit at 0755. One came up to me and said "I have Mrs. Smith in room 2" (name changed to protect the innocent). I replied "OK, well she has a history of A fib. She is here after cardioversion." The student replies to me "well, how about a real report." I wanted to tell her "well, that happened an hour ago," but I held my tongue and did give her more of a report. (I don't know about anyone else, but when I was in school, we always arrived before shift change and listened to report...that does not seem to be the standard now.)
Yes, it's a shame that nurses aren't always appropriate in their treatment of students; however, it can be a stressful experience for an overworked nurse to have a student come to him/her and demand that the nurse stop everything to "explain stuff" when other things need to be completed ASAP.
They are busy and your teacher should teach.
Being responsible for a student nurse is sometimes considered "extra work" by the nurses. If they have heavy assignments and/or their pt's status is very unstable, they won't have time to guide and explain every little steps to the student. Don't take offense when they refuse a student nurse. They don't get paid extra for taking a student.
And for your own good, cut off the accusatory tone and attitude in the future.
Diploma rn here, went through rn-bsn program. Also have bs in another field.
My question (which has been brought up by others recently and is also your question) remains: do any of these studies delineate diploma/asn to bsn nurses vs initial degree bsn nurses?
Nursing boards for an ADN/ASN are exactly the same for a BSN. I am very concerned with nursing care related to shortage. We already have a nurse shortage nation wide. I feel hospitals only wanting BSN nurses is going to increase this shortage. The focus is wrong. We need to utilize all our nurses MSN, BSN, ASn/ADN and LPN to decrease the nursing shortage and that would improve patient outcomes and reduce deaths.
It sounds like you are working in long term care so bear in mind that this family could be paying several thousand dollars a month
Perhaps, administration should realize that short staffing will not be covered .. by a short staff?
A good friend of mine's hubby is waiting for a hip replacement surgery. He's the farthest thing from a drug seeker I can think of. He's in a lot of pain, bone on bone. He's a karate instructor as a sideline, probably that repetitive motion contributed to this problem, he's in his mid 60s.
He didn't like the oxycodones which made him itch, but Tramadol helped. The doctor wouldn't let him have 1-2 every 6 hrs like he had before. They wrote the script for 1 every 6 hrs. They told him he needed to wean down before surgery, that it would make pain control afterwards easier.
If they checked the controlled drug database, they'd see that this fellow hasn't needed pain medication until now. Are the doctors under so much pressure to meet goals to satisfy the overseers that they are under medicating?
Previously I always thought that the policies on opiates were too liberal and contributing to addiction. But now I sense an almost puritanical attitude on the part of some.
Isn't there a middle ground?
I think it's easy to assume that he wasn't planning on committing suicide because he didn't have anything in his system, but what if his mom caught him with a bunch of pills right before he ingested them? Of course she would still take him to the ER, because she would want to be sure that he didn't take any of them, and he wouldn't be honest with her about that.
You had a patient that presented to the ED stating they had attempted suicide. You seem to think that because his drug screen came back negative, he doesn't have a psych issue. Just the fact that he went to the ED and said he had attempted suicide should be enough for you to assume a psych issue.
Then your behavior toward him caused him to escalate from ignoring you to screaming and punching himself in the head.
You stood there and mocked him by saying he was pathetic and his behavior was terrible. How did you think that would de-escalate the situation?
Other staff had to call security for a patient who had been calmly talking to his friend until you started lecturing him and demanding he respect you.
What part of this interaction do you think you handled well?
Yes. His behavior was inappropriate. He is not the professional. You are.
If someone I just met told me I had growing up to do and called me pathetic I'd speak language so blue you'd need to be able to see in ultraviolet just hear me. And I'm a relatively stable, adult type person. If I were unstable I'd strangle you with your stethoscope.
( Seriously though, some of the harshly judgemental posts on this thread
so critical of the OP - do present as a tad pot-kettle-black, IMO.)
But he didn't try to commit suicide, he just said he did. He wanted the attention and he obviously has issues. Just because you are a patient does not give you the right to act like an animal and treat people who are trying to help you with disrespect.
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