Content That Lev <3 Likes

Lev <3, BSN, RN 44,107 Views

Joined Jun 3, '11 - from 'Another planet'. Lev <3 is a ED Registered Nurse. She has '4' year(s) of experience and specializes in 'Emergency - CEN, upstairs, troll bashing'. Posts: 2,713 (53% Liked) Likes: 5,018

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  • 8:45 am

    Quote from WestCoastSunRN
    Well according to a couple other posters that kind of automation is being encouraged in some settings. Which, like you, I find sad, impersonal and frankly unprofessional. What you and others are describing is not an RN practicing at the top of his/her licensure -- even if we only look at the therapeutic relationship.

    Wow. I'm sorry you've had that response. I think you should fill out a patient satisfaction survey about it -- and I only mean that half joking. Looks like the bright ideas of upper management are backfiring.
    I have filled out a patient satisfaction survey to that end. I said I wanted competent professionals who used their nursing experience and judgement to care for my medical needs, not overworked automatons who were forced to follow a script to make management look good. I never got a response...

  • 8:43 am

    Quote from WestCoastSunRN
    I honestly didn't know this was a thing. Where is this? This is common? You have a script?

    My mind is blown. Please clarify.
    Yes, it is a thing. I've not first-hand seen it in full-blown use at the bedside in any hospital setting, but have directly seen its strong encouragement by my own leadership. We are directed to use specific keywords in our speech that directly mirror keywords in the surveys given to pts post-discharge. One example, for use bedside report, nurse A is to manage up nurse B by using "This is blah blah, she's been a nurse for 10 years, and blah blah...I know she will *give you very good care*" where the same phrase will show up later when the patient comples the Press-Ganey survey.

  • Jan 16

    I would speak to an admissions advisor at BCC to find out what your evening class schedule would be and then talk to your manager to see if there is a workable solution. Do NOT sink $20K + into a for-profit LPN program with a low pass rate. Do you really want to go in to debt (since your job won't pay for it) for something that you might not even be able to pass NCLEX? Not worth the risk.

    Get a quality education. Sounds like BCC is quality with a 100% pass rate. There's usually a way to work around things. I would definitely arm yourself with all the info you need and then schedule a meeting with your manager.

    Good luck

  • Jan 16

    Given that Mildred Elley is a for-profit school, neither the cost nor the pass rates are entirely surprising. It looks like you could complete the program at BCC for about half the cost.

    What's your current job and what's holding you to this place of employment? Finding a new job that will work around a school schedule may be a better option.

  • Jan 16

    So yesterday my supervisor came to me and asked me if I would like a permanent Unit ( I have been floating since April). It doesn't come with more money but in terms of continuity of care for the patients it's a big deal. I work acute psych. If you work psych you will know what I am talking about. I accepted the offer and will start on my unit which is mostly conserved patients awaiting placement in long term facilities. Although right now we are packed with adolescents. I do love working with young people though.

    I will write more later


  • Jan 16

    This is something that we cannot answer. Not only because we are unable to complete an assessment but also because it is against the TOS you agreed to when you signed up. Please follow up with your healthcare provider.

  • Jan 16

    Quote from babyNP.
    3. Schools stop offering MSN and only offer DNP.
    - This is the most common scenario. Many schools have simply stopped offering MSN NP programs. Essentially, as less and less programs offer it, there will be less and less graduates entering the workforce. And many of those with MSN may get their DNP later on.
    Very savvy financial move on the parts of the schools and the icing on this crap cake is that many are now also increasing retention by not only not requiring RN experience but by encouraging students to say in school and start thinking like an Advanced Practice nurse before they were even even a nurse. Sad all around, imo. What I wonder and would count on is some equally savvy schools continuing to focus on MSN in hopes of attracting bright RNs who aren't falling for the above BS and want a cheaper, quicker alternative to the same end game.

  • Jan 16

    Quote from NeoNatMom
    So it isn't official anywhere that the DNP is or will be required by a specific year? Same as what they are saying about ADN vs BSN IN 2020 even though they've been saying it for over 30 years?

    I really wanna get my master NP but it would really suck to get close to that point, be an a master NP program and all the while, the standard changes to DNP. I am starting this year at Chamberlain and should finish in 2 years with my BSN. I wanted to wait a year while I get some experience and then get my masters as an NP. Is this a good idea? I haven't chosen a specialty for my NP and don't understand yet if i have to go to a particular program for peds, cardiovascular, endocrine, etc as an NP.

    Ivery read just now some websites say there isn't a date set for DNP requirement, another saying by the end of 2015, and some others saying 2022 or 2023.

    All this confusion leads me to believe it's all just aggressive hearsay to pressure us into getting it without it being official.
    I did a ton of reading on this a few years ago and posted many times on it leading up to 2015 because so many people were convinced it was "the law." I had quite a few arguments trying to educate people otherwise...well it's now 2017 and there are still MSN NP programs

    First of all, you should realize that the whole "2015 deadline" was a recommendation from the AACN. Just that. A recommendation. The AACN has no authority to require something like this. From what I read, there are about three ways for DNP to be the standard for every incoming new NP.

    1. Act of Congress requiring it/insurance for billing.

    - Not likely to happen due to shortage of providers in the US

    2. State boards of nursing requiring it.

    - Considering some states still allow certificate NPs to practice, the idea of this happening (if ever) would take a couple of decades to get all 50 states in line. Unlikely.

    3. Schools stop offering MSN and only offer DNP.

    - This is the most common scenario. Many schools have simply stopped offering MSN NP programs. Essentially, as less and less programs offer it, there will be less and less graduates entering the workforce. And many of those with MSN may get their DNP later on.

    So the death of MSN NPs will be very slow. You'd have to be in the last program offering it in the last cohort going through and then adding a generous 40-50 years on top of that for a career, assuming that cohort never got their DNP. It's possible that ways #1 & #2 could make their way through in that time period or some other way that we haven't thought about.

    Bottom line (TL;DR): In all likelihood we will have practicing MSNs for decades to come.

  • Jan 16

    Go to the best quality program you can, forget the degree and forget the cost, invest in yourself and your future practice with the best quality program.

  • Jan 16

    only dnp if

    1. you want to teach
    1. you want to teach
    1.2 you want to teach.
    1.3 you want do do some sort of instruction toward students
    1.4 maybe research
    1.5 you like being in debt
    1.6 you really like writing papers

    I would totally not fret over not getting a DNP, there are many other changes that would happen to NP education prior to it being a DNP type program.

  • Jan 16

    No - you are not upsetting anyone at all. The schools are the ones pushing this degree and unfortunately they are preying on vulnerable students who think the DNP will be required to practice at some point.

    And to keep this in context when I first considered nursing school in 1976 (I was in high school) I was told that the BSN would "soon" be the only entry into RN practice and well....we know that even now, 41 years later, that's not true.

  • Jan 16

    Opening a can of worms here - lol.

    Okay I'll bite - personally I think the DNP is a bunch of hooey - no additional pay (which is and should be APRNs big concern), no ability to bill at higher rate, no additional skills or abilities.

    I would go the MSN route personally.

  • Jan 15

    Just listen to your gut. When a patient is really and truly sick and needs immediate care, you will know, you will just know. Also, some small things to remember.

    1.) MIs can present themselves as mid-back pain, one patient was triaged to subacute for back pain and the PA did an EKG "just in case" and it showed he was having a to the cath lab he went. So in triage, keep that in mind and ask more detailed questions related to their cardiac well-being if a patient comes in with that complaint.

    2.) Always take a peek at sore throats, and make sure the patient isn't drooling. If the epiglottis looks really swollen that's an immediate ESI of 2 for me (not sure what system you use but 2 means needing emergent care NOW). Airway airway airway.

    3.) When patients come in with MULTIPLE complaints and they appear to be completely fine, make them choose one, the one that bothers them the most. You need to get some people focused, for the receiving RN and MD's sanity. If they truly have major complaints that are multiple, they will make it known, but some people just like to complain.

  • Jan 13

    Quote from salpal2127

    How do I honestly answer this question?
    You don't. Claiming a "personality conflict" with a manager (or any other employee) is probably one of the worst possible answers you can give.

  • Jan 13

    What you said pretty much sends up red flags for the person doing the hiring. You never want to malign your current employer during an interview. Nor do you want to imply that you had a personality conflict that couldn't be resolved- it's only going to make the interviewer wonder if the same thing will happen at the new employer. A simple "it wasn't a good fit" or "I'm looking to expand my experience" will suffice.