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Fiona59 48,235 Views

Joined: Oct 9, '04; Posts: 8,476 (40% Liked) ; Likes: 9,465

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  • Apr 23

    Anyone who thinks nurses make "big money" obviously doesn't really know people who ACTUALLY do make "big money."

    Nurses make decent money; those with advanced certifications or those who work in high COL areas or those who work lots of crappy shifts and overtime can make low six figures. But "big money," no.

    Nurses who write books which turn into best sellers might get into the big money category. But they really aren't typical nurses.

    An acquaintance of mine had a husband who worked in the "re-insurance" industry. Don't ask me what that is. One year he made a $50 million dollar bonus. I'd call that "big money."

    A few years later, I heard that they divorced and she took her half of the big money and was doing just fine and dandy. Unbeknownst to me, her husband apparently wasn't that great of a guy, so she was very happy to end the marriage. I say good for her.

  • Apr 23

    You're way over dramatizing this. I've read your other posts which basically ask the same question over and over. The first thing you need to do is stop overthinking this (you already knew that - you admit you overthink things). You're psyching yourself out. Calm down.

    Now before you attack me saying saying I'm not helpful, I do have a little advise. I do understand your concerns.

    I'm 6 months into my first LPN job at a LTC facility. I first was a CNA for 1.5 years at a LTC, then a Patient Care Tech at a hospital for 9 months, then I passed NCLEX-PN and got my LPN license.

    I was fortunate in that I got my job 4 months after getting my license. The valedictorian of my graduating class is still looking for her first job, and it's been a year this month since graduation.

    I work 11-7 as the only floor nurse on 1st floor (there are 2 nurses on days). After only 8 days of orientation, I was given charge of all of 1st floor residents at night. I asked myself the same questions you're asking - will I know what to do if a resident is having a heart attack, a stroke, etc. I was TERRIFIED!

    The most important piece of information I can give you to ease your mind a little (well, for you, hopefully a lot ) is that you won't be by yourself. Yes, I was the charge nurse for the entire 1st floor, but there is always the nurse supervisor. She answered any questions I had, and there were a lot. The more I did med pass, the more I did dressing changes, the more I did wound cleaning, the more I did nebulizer treatments, the more IV saline and antibiotics I hung, the more I operated the feeding pumps, the more confidence I got.

    Emergencies? I was not alone - my night nurse supervisor was there. In my first six months at my first LPN job, while waiting for EMTs to arrive (supervisor called 911) we fought to keep airway open of resident having an allergic reaction with a swollen tounge that nearly filled her mouth; while waiting for EMTs myself, the nurse supervisor, AND the 2nd floor nurse held pressure to a bleeding back head of a resident who fell; while waiting for EMTs we gave nitro every 5 minutes to a resident clenching his chest.

    I've gotten a lot faster with med pass because after repeatedly giving the same meds over and over to the same resident (and checking for new orders for that day) it becomes almost automatic.

    I'm still learning, never had a resident with a wound vac before, and I'm no where near feeling the level of pure terror my first night. Time, a willingness to learn and ask questions, experience, and finding your routine will increase your confidence, competence, and efficiency.

    The time between graduation and taking the NCLEX-PN was about 3 months. In that time I completed a 3-month EMT-Basic class and passed the National Certification. The clinical included being on the ambulance responding to 911 calls.

    The idea was to join a volunteer EMS service to keep up clinical assessment skills while looking for an LPN job. I also took the 3 day ACLS certification. It shows (on your resume) you're still actively keeping up your assessment skills (body, AVPU, DCAP-BTLS, OPQRST) and interventions (wound care, nitro for heart attack, IV fluids).

    But, by the time a was waiting to hear back from my local volunteer EMS, I was hired at my present and first LPN job.

    In my job search, before getting hired at my current employer, I also applied for medical assistant openings, and actually interviewed for 2 (obviously didn't get either of them).

    I also completed a 2-month phlebotomy certification course right after EMT course to help improve my chances during my job search for office, clinic, and ER Tech positions.

    Hope this helps. Calm your mind. Don't give up! You may not get the job in the time you want, but you will get the job.

    My wife wanted to move forward in her career, and I put out her resume. She got a few interviews but was never chosen for the positions. After about 14 months she told me to stop sending out her resume. I ignored her frustration and put out one more - that was the one that hired her. She's been with them now for 5 years and loving it.

  • Apr 22

    Quote from lemood712
    I don't need to be verbally abused or harassed in order to be a nurse.
    Yeah ya do, doctors and administration will kick you in the tookas for any perceived mistake. You will need to stand up for yourself and your patient. Your actions will always be watched.
    I wish you well, done with this.

  • Apr 22

    I'm still stuck on why 5 other students were in your patient's room!!!! Everything here sounds just a little off.

  • Apr 22

    sorry, but I find it very hard to believe that your instructors would start questioning your background and your ethnicity...they are not stupid and they know what the repercussions of doing that might be. I think you know you screwed up by giving your NPO patient that water, but now you're just looking for excuses to turn the blame on your teachers by accusing them of discrimination.

  • Apr 22

    Unfortunately, I do believe everything what OP said because I was there, too.

    OP, here is the fact. You are about to enter a profession where 1) the minorest issues are blown up to high skies all the time whether they have any singnificance or not, and you will be forced to accept the blame whether you are guilty or not, 2) heavily female-dominated, 3) heavily rasist and 4) extremely xenophobic.

    If you do not want to face it all, possibly every day of your life till retirement, please reconsider your career plans. Or at least get out of this school on your own and find one in an area with more immigrants. And, please, never in your life do anything if you do not understand what you are doing. Ask first. Again, unfortunately, guy who "just coughed a little" after sip of water can be OK now but on ventilator in 24 hours with aspiration pneumonia.

  • Apr 22

    I'm going to hazard that this isn't the first time the school or an instructor has had an issue with this particular student, but providing an NPO patient to have water when the order explicitly allows only ice chips is probably the proverbial straw that broke the camel's back. Let's review: the student took a cup of water away from another student that was going to provide it to the patient. That action itself would be considered appropriate. However to then provide that same cup of water to the patient just commits the same "error" that the other student would have committed. A student that's been given some responsibility for patient care should have a grasp of what the patient is and is not allowed to do. That includes asking the patient's assigned nurse things like "what does NPO except for ice chips" mean for this patient if you truly don't know the acronym. The school probably has been keeping track of this student's performance and probably has a very good idea that this particular student isn't competent enough to safely remain in this clinical group for this term.

    Now it's often impolite or improper to bring up a student's background, but there may be a valid reason for it, if it can be shown that a student is unable to overcome issues that arise from their background, such as providing care for a person of another sex/gender when that is a necessary part of nursing.

    Here's the thing: I'm a male nurse. I provide nursing care to patients regardless of their sex/gender. Patients are free to request that a nurse of another sex/gender perform certain tasks regarding patient care, or even all aspects of patient care if their beliefs demand it and I'm happy to try to accommodate those requests whenever possible. Here's something else that I do: I adapt my approach individually for each patient. I don't approach a 5 year old the same way that I approach a 35 year old. There are patients with whom I'll be tougher than a drill sergeant and there are patients with whom I'll be a big teddy bear, or whatever else is comfortable for that patient. I'm always professional and always confident in what I do. These are things that this student likely hasn't learned yet but probably has been "advised" of throughout this term, probably in an attempt to effect a behavioral change.

    So... while I think this particular student is likely sunk for this term, and that he may or may not prevail with regards to any claims of bias against him, once he figures out (inside himself) what's holding him back from success, he may progress through school and eventually become a nurse. It's also possible that he may realize that nursing isn't for him, and if that's the case, that's OK too.

  • Apr 22

    Quote from lemood712
    I personally don't feel like I should have been kicked out so that's why I am appealing. Nursing jargon is riddled with acronyms, and many things can be easily misinterpreted, especially by 1st semester students.
    This, and this alone is why I think you should have been flunked. Not the error mind you, but the sheer inability by you to own this mistake. It is a student's responsibility to know as much as possible about their patient, including nil per os / nothing by mouth orders.

    I am quite sure that somewhere along the line before you got turned loose in the hospital this very common and vitally important acronym was covered in class. Nursing all all about a lot of jargon, and it is the student's responsibility to learn it-or learn the more important lesson which is to ask questions.

  • Apr 22

    Quote from Emergent
    I have read the whole thread. Based on the inconsistencies of the OP throughout the thread I think the whole story about the Muslim discrimination was made up. I also think it highly unlikely that several college educated professionals all joined together to question the OP about national origin and religion.

    I think the OP is either A) trying to build a story to legally strongarm the school into not booting him/her out of the program or B) is an internet mischief maker stirring the allnurses pot with a subject matter sure to draw an opinionated crowd.
    I agree.

    I think there's more to this story than being the only nursing student who got given the boot for giving an NPO patient water ( who was allowed ice chips that will turn into water in 30 seconds flat, which really isn't NPO at all ) for being an Arab, Muslim man. This entire scenario doesn't make sense.

    The OP admitted he doesn't make eye contact and doesn't associate with his peers. Why? Is it because they are female? He admits taking the water from his fellow student's hand so he can give the water himself? Why? Who cares who gives the water, as long as the patient ( who really isn't NPO if he can have ice chips ) gets a drink?

    Not making eye contact, not associating with peers who will soon be team players is a problem. Sometimes I don't have a pen, I don't see another nurse with a pen and go up and take it out of her hand. I also wouldn't take a water cup out of someone's hand, it's the same concept. These are rude, antisocial and disrespectful behaviors.

    The OP needs to ask himself why he thinks this sort of behavior is acceptable? If he feels this sort of behavior is acceptable, then a career choice where serving people and being a team member with women is not wise. Because he will get 'push back,' just like he's getting push back now.

    Why is this okay OP?

    Because if your answer is because it's cultural, then YOU are the one bringing those beliefs/practices into the work/educational environment and not the school. They are there to observe and guide. And if they have attempted to guide you by telling you you need to see others as human and equal and you haven't, then YOU have made it all about your beliefs. Not the school.

  • Apr 22

    I have read the whole thread. Based on the inconsistencies of the OP throughout the thread I think the whole story about the Muslim discrimination was made up. I also think it highly unlikely that several college educated professionals all joined together to question the OP about national origin and religion.

    I think the OP is either A) trying to build a story to legally strongarm the school into not booting him/her out of the program or B) is an internet mischief maker stirring the allnurses pot with a subject matter sure to draw an opinionated crowd.

  • Apr 22

    Quote from lemood712
    You sound crazy. I didn't "snatch" the cup. I just picked it up. There was no force or physical contact involved. and what do you mean "worse than being a Muslim"? There is nothing wrong with being a Muslim. My guess is that you have a problem with Muslims because of gender inequity in certain Muslim countries.
    You said in you're OP, "and I took the cup from her hand." Stop back peddling and read your own words.

    You crossed the line my friend.

    Call me crazy all you like, I didn't get booted from clinicals, you did.

    If you will lie about what you initially wrote, you'll lie about the rest of it. The truth doesn't change. I don't believe you are telling the truth.

  • Apr 22
  • Apr 22

    Well, whatever you are, you thought it was okay to take the cup away from your fellow student. Perhaps you are just an *******, that would be worse than being a Muslim because there are plenty of misogynistic *******s who overstep their bounds and can't even blame it on culture. At least you could say, "listen, I have a lot to learn, I'm still getting used to this whole, "women are equal" thing and I promise not to snatch a cup from a fellow student ever again." I can promise you that would've gotten you a lot farther than, "you're a racist!"

    People in general, women especially are very sensitive to this. You are entering a primarily female profession, acknowledge that. Keep your hands to yourself!

    I feel pretty confident that it wasn't the NPO, it wasn't the water, it wasn't the ethnicity or religion ( the last two are lazy copouts, btw ). You got called out for snatching that cup from your fellow student. You scared her. She didn't snatch the water from your hand, that's why she's still in clinical and you aren't.

    We all could do with a little sensitivity training, yourself included.

  • Apr 22

    I can't get excited about a patient who is allowed ice chips getting a sip of water. Ice melts and becomes water, and anyone who thinks their ice chips patients don't take a swig every now and then is fooling themselves. But the part about being assigned to an NPO patient, and not knowing what NPO meant...that I could see being a kicking out worthy offense, especially if you provided fluids adlib. So maybe the truth was bent a little?

    I don't think its appropriate for school staff to delve into your religion or nationality when they are talking about performance issues. It's a stupid move on their part, because it opens them for a discrimination lawsuit. The smart bigots shut up about such things, and stab you in the back on the sly.

  • Apr 22

    I want to clarify that you are not allowed to be sexist, or aggressive with anyone regardless of ethnicity, color, creed, religion.

    Don't ever place your hands in the area of another person. Ask, "may I please have the cup? I'd like to be the one who causes the patient to get aspiration pneumonia, if you don't mind."

    I'm actually joking about that last part, but you get my drift?

    You cannot place your hand on another to take something away. We learn this in Kindergarten, only the teachers says, "don't snatch, ask nicely."