Content That rnccf2007 Likes

Content That rnccf2007 Likes

rnccf2007 3,127 Views

Joined Jan 10, '11. Posts: 199 (52% Liked) Likes: 301

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  • Jul 22

    First, check with the adviser at the community college to determine what credits will and will not transfer and to what university they transfer. Many community colleges have agreements arranged with some universities to transfer most (if not all) the credits.

    Community college is definitely the least expensive way to go. Plus you usually get a good education (small class sizes, lots of individual help, if you need it, etc). I used to teach at a community college and was impressed with the education that the students received. As with most things, you get out what you put in.

    With that said, the fear is that you will get your ADN, start working, and never go back to school. In most cases, once you start working a full-time job you will not want to go back to school, and if you do - you will only be able to go part-time.

    My suggestion is to go to community college (to save money) and get your pre-reqs done and then transfer to a 4 year university for the BSN!

    Best of luck in whatever you decide.

    Tony, MSN, MBA, CNL, RN, EMT-B

  • Jul 22

    You really need to research the job market in your area or the area where you want to work. Some areas, ADNs cannot get hired into acute care facilities. My facility is no longer hiring anyone without a BSN and come 12/31/2019, anyone without a BSN will be terminated. But then there are other areas of the country where ADN grads have no issues getting acute care jobs. So, it's not just a simple answer that can be provided here. It's going to be specific to your area.

  • Jul 22

    Quote from BPPITT
    WHY are nurses SO miserable? I am a new graduate and I OFTEN do not like my job, but I FULLY realize that we, as nurses in 2007, have SO MANY opportunities.
    As you are a new grad, I can strongly sense your burgeoning idealism. However, a sense of realism will emerge with the passage of time and the accumulation of nursing experience. It is true that nurses have so many opportunities in 2007; however, the vast majority of these opportunities are in bedside nursing, which has been a source of burnout for so many.
    Quote from BPPITT
    If you dislike your job, try something different...within nursing!
    You make this statement as if many of the complaining nurses have not already tried different things within nursing. I know of nurses who still have not found their niche after trying about 5 different bedside specialties and about 2 or three "desk jobs" away from the bedside. After so many different attempts at different positions within nursing, some may feel defeated.
    Quote from BPPITT
    If you feel like you're not getting paid well enough, consider going back to school to earn a master's degree or to become a nurse practitioner
    Unfortunately, nursing is a career pathway that generally does not offer any financial incentives for attaining higher education. The typical BSN nurse earns about as much as the ADN nurse. Many MSNs earn significantly less than their BSN counterparts, especially if they decide to become a nurse educator or researcher. While nurse prectitioners have plenty of automony, the money is not as good as it should be for the level of responsibility that they must accept. The average NP earns about $75,000 yearly, yet a bedside nurse with an ADN can earn that amount with overtime.
    Quote from BPPITT
    or... Better yet, take a stand and write the CEO of YOUR hospital. That's what I have decided to do. Why should I earn $20.99 per hour at night based on ideal staffing (i.e. six patients) IF I have eight or, sometimes, nine? I am NO mathematician, but I CAN do the math!
    To CEOs, nurses are expenses. They do not want to pay you anything more than they must, because it cuts into their profit margins. I'm being realistic when I declare that your letter will not get anywhere. .
    Quote from BPPITT
    Several recent postings addressed "rude" patients, colleagues (doctors and nurses), etc. You're ONLY a doormat IF you let yourself be!
    With the push for "customer service" by healthcare facilities today, the hospital expects the nurse to take abuse from patients and family members. Standing up to your colleagues is one thing, but standing up to cruel patients and abusive family members can get you fired quickly.

    I'm glad you are making your job work for you, but you obviously have much to learn. Please do not discount the personal experiences of seasoned nurses.

  • Jul 22

    I was a high school teacher for 20+ years, and family/parent issues are very similar to what you are describing. The teacher takes all the grief, because s/he is on the 'front line', meaning easiest access. There were times when I would suggest that they speak to an administrator, and typically, when it was a ridiculous complaint, parents would decline. Some people just live to gripe. The nurse too is the 'front line', also with easiest access. Families are not so willing to create a fuss with a physician or hospital administrator, are they? In my mind, if a complaint was really legitimate, they wouldn't be so hesitant to discuss it with the docs or administrators. Some families have a very cockeyed idea of what health care is supposed to provide. But these people are not going to go away, and they are not dealt with by administrators because it's about the money, and it's about the lawyers. Hope I'm not offending anyone.
    The way for me to deal with unreasonable people is to focus on the patient, and not give much credence to difficult family members. Easier said than done, eh?

  • Jul 22

    I try at least to arm myself with enough knowledge about their case, their problems, what the treatments plans are, etc, so that I can discuss with them the plans. If I go in "blind," I ask them for time to review their case, explain to them that I just came on, dont' know their case, etc. MOST people will understand and give me time to get caught up. Then I can investigate, find out what's wrong, try to help, etc. With most reasonable people, it works.

    I also don't get too friendly lately, EVER. I am professional, friendly, but not a "friend" to families. I am their nurse, try to be their advocate, but I'm not their friend. I have been burned from being too friendly with those who simply turned on me in a flash when things started not to go well.

    With some who get unreasonable, I will try to politely reason, try to politely provide explanations, and often I can turn them around and get them to calm down. I will try to listen to them as much as possible, see their point of view, etc.

    The ones that TOTALLY get me are the ones who complain about the food. I mean -- it's SO childish to me to complain about a hot meal -- who CARES if it's not restaurant quality -- most of it is edible, at least -- and if they are well enough to complain about it, IMO, they aren't even sick enough to be in the hospital in the first place. Just my opinon -- just grinds my gears to no end.

  • Jul 22

    Quote from TheCommuter
    Unfortunately, I haven't found the universal answer to dealing with difficult or demanding family members and visitors. To be perfectly honest, they remain one of my biggest challenges in the workplace. The only thing I know is that there's no "one size fits all" approach to handling them. In addition, management seems to back them up, regardless of how unreasonable or abusive their behavior is toward the staff.

    I prefer to work night shift so I can avoid as many of these difficult families as possible.
    When is the nursing profession going to hold administration accountable for adding to the stress of bedside nursing? We do not need a clueless administration backing abusive family members and patients. No other profession puts up with "customer abuse" like nursing.

    If you behaved the way families and patients do when they are patients in a hospital, in the local Walmart, or shopping mall, you would have security and the local police department called to drag your sorry @$$ out of there to the local jail cell. No doubt in my mind.

    So again I ask, when are nurses going to hold administration accountable for their lack of support with these imbeciles? Put together a staff meeting, and address this with the nurse manager, and inform them in no uncertain terms, that when patients act up you are calling security and the police and having them arrested. And you will follow up by pressing charges. There is no reason for anyone to have to put up with this nonsense. You can always escort them to the office of the hospital CEO, and let the big wigs sit and listen to the complaints for a change. Especially since they are the ones with the power to change the poor staffing, etc, that seems leads to most of the complaints. JMHO and my NY $0.02.

    Lindarn, Rn, BSN, CCRN
    Spokane, Washington

  • Jul 18

    Congratulations on becoming "a new nurse"! Saline lock simply refers to keeping an IV start patent by flushing it with normal saline or heparin depending on your order and the policies/procedures of your place of work. You may have been doing this and just are unfamiliar with the terminology. This is a basic skill that is easily learned and once you have done it a few times you will be fine. You really need to have a mentor or preceptor at work help you so that you can stay within the realm of your hospital policies / standards and best safe practices. For instance, some places require that INTs be flushed every 8 hours while others it is once a shift. You also might want to review infection control related to IV therapy as well. Great question, just know that there is and should be a lot of help available to you to be able to learn /practice safely at work.

  • Jul 18

    You must have had some sort of orientation to your unit. No good asking us, because hospitals use different brands of equipment which require different ways to do things. So just ask someone where you work. You might feel stupid having to ask (we have all been there). But the really stupid person is the one who doesn't ask, just tries to wing it. It's hard for us to help you when we don't know what kind of IV tubing you are using. So just find someone who looks receptive, and ASK.

  • Jul 17

    Quote from 757RN
    I am a new nurse a noone has explained this to me
    If no one has explained something to you, then you really need to take the initiative to ask one of your coworkers or possibly your clinical educator, not a bunch of Internet strangers who may or may not be telling you the truth.

  • Jul 17

    Quote from Blondenurse83
    When I noticed the veins popping out of the arm of the statute of David in Italy and I was thinking, I could get an IV in him, no problem!
    Skin might be a little tough though...

  • Jul 17

    Quote from wooh
    You know you've been a nurse too long when you can't enjoy a movie because of the half minute of CPR compressions only being given at about 50 per minute, with bent arms and there's a flat line on the monitor DURING the compressions. Oh, and it's the obstetrician doing the compressions.
    And the pt is in some high fowler's position while they do compressions!

    You've been a nurse too long when you notice great looking veins on the cashier/checkout clerk at the supermarket.

    Or you move to the back/other side of the elevator when another rider starts coughing and you don't like the sound of it.

  • Jul 17

    You see a young man looking at the charts. You ask him " can I help you" He says " I'm just looking for some charts"
    You ask who he is, thinking he is some teenage volunteer, looking for empty chart binders. He answers " I'm Dr Doogie Howser"

    OMG! I swear! He looked about 18 years old! And the I realized, that me, the too close to 50 year old nurse, may be taking orders from some young whipper snapper half my age. Oy. Might be time for retirement!

  • Jun 26

    Quote from Mr. Murse
    I'm a little bothered by the fact that you are looking for validation for reporting someone based on speculation and not satisfied with their "punishment" after at least SOME investigation had indicated his/her innocence. I kind of get the feeling you may have some ulterior motives in wanting to see this nurse "pay".

    Either way, think about it from management's perspective. Some nurses get together and basically say "we suspect so and so of stealing meds, but have no solid evidence". First of all, I'm surprised they did any investigation at all based purely on coworker's speculations, but they did at least drug test him/her. What more do you expect them to be able to legally do? Even if he/she is stealing meds, they have absolutely no evidence. Do you really want your coworker to lose their livelihood based on your speculation? Does that not sound a little ridiculous?

    I'm kind of curious though, what did they do that led to your speculations that they were diverting?
    I wish I could press the like button more than once.

  • Jun 26

    I'm a little bothered by the fact that you are looking for validation for reporting someone based on speculation and not satisfied with their "punishment" after at least SOME investigation had indicated his/her innocence. I kind of get the feeling you may have some ulterior motives in wanting to see this nurse "pay".

    Either way, think about it from management's perspective. Some nurses get together and basically say "we suspect so and so of stealing meds, but have no solid evidence". First of all, I'm surprised they did any investigation at all based purely on coworker's speculations, but they did at least drug test him/her. What more do you expect them to be able to legally do? Even if he/she is stealing meds, they have absolutely no evidence. Do you really want your coworker to lose their livelihood based on your speculation? Does that not sound a little ridiculous?

    I'm kind of curious though, what did they do that led to your speculations that they were diverting?

  • Jun 26

    Quote from KJDa81
    I work at a LTC/rehab facility. There's a nurse that works there different shift than me) & there are several of us that have written statements & presented "evidence" (more like speculation) of this nurse stealing meds.
    Thing is, nothing is being done. She passed a drug test, & now is having to have her narcs co/signed.....she still has a job. Extensive record, etc. My last day at this place is coming up, but I feel if I leave & don't follow Up, nothing will be done. Why don't people care enough to take care of this situation?? What more can I do?


    "The purpose of life is to discover your gift. The meaning of life is to give your gift away."
    Stop speculating and mind your own business is my advice. You are screwing around with someone else's career based on "speculation". I'd advise you to stop.

    Just my .02


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