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Fiona59 43,486 Views

Joined Oct 9, '04. She has 'Ten plus' year(s) of experience. Posts: 8,346 (39% Liked) Likes: 9,081

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  • Oct 21

    I don't understand why the nursing schools have not adjusted to these turns of events. It is not like it started to happen just yesterday. If the PH nursing community truly wanted to help their graduates, they would have responded to these problems already.

  • Oct 21

    It may be said that PH grads are being totally blocked from getting a license in CA. With the RN demand for PH nurses zero, no visas, no hiring, recession and oversupply of nurses all over the US, this trend will only persist for decades to come. PH RNs must accept this new reality while those still entertaining hopes of coming to the US as an RN ought to look many times before leaping into Nursing school. The bandwagon had come and gone. Only nursing schools who want to continue getting more enrollees will try to perpetuate the myth of a nursing demand in the US.

  • Oct 21

    Quote from Vring
    This is not true, I graduated in the Philippines in March of 2010 and CA BON accepted all of my credentials. The key thing is that you research which colleges are accepted by U.S. standards first before enrolling to avoid any unecessary delays after.
    Yes and no! I am strictly saying this for the state of CA and now VT recently BON is not accepting the PH courses. Ys, there are 48 other states, but again, I'm only referring to CA. You probably made it under the wire before the given stricter enforcement under the CA BON ruling effective in 2011. If you applied for the CA NCLEX before in 2011, they allowed those applications to pass thru.

    Just wonder over the International forum, Advice for Immigration and Nurse Registration, you'll find maybe 1-2 PH grads they actually got their ATT. Of those that did get their ATT and did not pass the NCLEX the 1st or 2nd time or more, there was a very good and high chance that they would not get their ATT.

    If you passed your NCLEX, that's great, but be aware that there's been discussions with upcoming renewals, CA BON could re-exam your college transcripts and if found lacking in clinical hours, missing certain courses or not taken classes with the theory part concurrently, the license could not be renewed. This may affect those being licensed from 2004 onwards.

    With regards to which PH college meets the CA BON minimum, I highly doubt even the top 5 schools are actually meeting the requirements, but maybe you might be able to shed some light on a PH school or two that does not have any issues with their courses in meeting the CA BON requirements.

    This is not a brand new requirements from the CA BON, but rather they are now enforcing their own written policy since 1987.

    Please read thru the many many threads posted here, you'll find it interesting and disappointing at the same time.

  • Oct 20

    I hate mammograms. When I got my first one the tech jammed the plate between my ribs causing a hematoma that spread all the way down to my hip and around my back. Really, an xray should not cause someone to turn gray and sweaty and perhaps when the patient says the pain is excruciating it isn't because they're being difficult. Then I got to go for a "spot compression" one. You know it's bad when the tech ( a different one) kept saying "your poor little breast" repeatedly. At least she was sympathetic.

  • Oct 15

    Yes, bedside nursing is still a lifelong career option.

    Society in general is becoming less polite and more entitled. That's not confined to nursing. There is increased violence in society as a whole. Increased violence against law enforcement, convenience store clerks, fast food workers who don't serve chicken hot enough . . . no one is completely immune. Yes, there are more patients and visitors assaulting nurses now than there were in the past, but fewer physicians and surgeons can get away with it.

    There have indeed been vast changes in nursing care -- that's part of what keeps the job interesting.

    I have noticed over the years that fewer nurses are seeking adequate help in turning/lifting/ambulating patients, especially large patients. They aren't using good body mechanics, aren't protecting their backs in other ways. This is probably a contributive factor to an increase in caregiver injuries.

    If you want to sustain a career at the bedside for forty years, it is possible. I've sustained a serious back injury and was able to rehabilitate and return to work. I work smarter now. I see the problem as being more that younger nurses don't want to be at the bedside and are condescending to work only the length of time required to get into anesthesia school, become an NP, or get one of those lovely "No Patient Care" positions with banker's hours. THAT isn't sustainable.

    There are fewer and fewer competent nurses at the bedside so more and more of these new nurses are being trained by nurses with scarcely a year or two of experience. Nuances of patient care, critical thinking and time management are being lost because the older nurses are retiring and leaving the field and there aren't enough experienced nurses left to train the newbies. We are rapidly approaching a time when the only nurses at the bedside will be the new grads who have been trained by other barely (or not even) competent newbies who then leave the bedside as soon as possible.

  • Oct 15

    I would argue that a PCU is an ideal place to start, particularly if you want to progress to ICU. Sometimes if you want to be a really good ICU nurse, ICU is the last place you should start out.

  • Oct 15

    Quote from beekee
    Usually, when your manager offers you an option to transfer, it means you should transfer.
    This. It is the handwriting on the wall made clear.

  • Oct 15

    nothing wrong with pcu.

  • Oct 15

    Usually, when your manager offers you an option to transfer, it means you should transfer.

  • Oct 12

    Quote from Tetra
    I've dealt with the majority of these arguments at some point or another in this thread... I mean jeepers, it's 25 pages long. Not to sure what you mean by "point by point" specifically, but I did respond to you in the manner I'm guessing you're looking for a half hour ago:
    http://allnurses.com/nursing-activis...ml#post9566592

    You might not like what I wrote, that's fine, but I most certainly responded to you.

    However, right now I'm super tired and have class in the morning. I'll be more than happy to respond tomorrow. Anyways, have a good night.
    No you have not dealt with the majority of my arguments. Your argument is sloppy. If your premise is based on libertarian views of negative and positive rights, then you have to get the rest of us to buy into that. Well, we don't, and you have not offered even a feeble attempt to defend your premises of negative and positive rights.

    What has made me so angry about this whole discussion is that you have openly admitted you have been living below poverty level and you and your family have used all the social benefits Canada provides, yet now you want to condemn other people who do the same when it comes to healthcare. And you want to bite the hand that feeds you (the Canadian system). This demonstrates not only hypocrisy, but a serious moral disconnect between you supposed beliefs and your actions. You have not responded to the fact that the nursing code of ethics in the USA does view healthcare as a right. It is very troubling to most of us to see someone enter either nursing or medicine when their personal philosophy is in such conflict with their profession.

    You also fail to understand that your philosophy informs your actions and reflects on you as a person. If I said I believe murder is ok, what would that say about me as a person? What if I said I thought slavery was ok? If I espoused these positions, people would be rightfully horrified and condemn me.

    Please reconsider your choice of career. There are other careers that would be more in line with your philosophy. Perhaps you can take a cue from Ayn Rand's "Atlas Shrugged" and being the so smart special person you are who demands payment for everything, you can just disappear and go live with your own kind and leave the rest of us alone.

  • Oct 12

    Quote from Tetra
    I think you're making a lot of assumptions about my political worldview, and myself in general. I'm hardly far right, I'm right leaning on some issues, left leaning on others. When did I ever suggest that I'm interested in discriminating against anyone?? I think you'd be hard pressed to find a single post.
    Your words speak for themselves. Now you are trying to backtrack. I think you don't have the experience in the real world. You are just reciting rhetoric. Just my opinion. I've encountered people like you before.

  • Oct 12

    Quote from Tetra
    My point was that there is always exceptions. I just don't think it should be the rule is all. Yes, it is a right established by Canadian law. I've stated many times it's a positive right, it's just not a fundamental human right.

    Well, I pay what is required of me through taxation. That doesn't mean I don't think that should change though. I'm a free market capitalist.
    I'm not sure why you don't think free market capitalism isn't compatible with universal healthcare coverage. A number of universal systems, or socialist as you refer to them, such as those of Australia, France, Sweden, Germany, Netherlands, and Switzerland are primarily based on for-profit privately run insurance and hospitals.

  • Oct 11

    Yes! We have had ambulatory patients, a/o, the whole shebang just go as you are describing. We had one such patient who vomited from the bathroom (yes, they were IN the bathroom when they started puking) and proceeded to walk back to bed...my guess is that they were walking/puking/turning their head side-to-side all the while because it was an unbelievable mess literally on every inch of that room. Not 2 hours later one of the other RNs walked into the room to pass a med and the patient says "Oh, don't slip!" Patient decided instead of calling for assistance-or walking to bathroom as they had been doing-they'd just stand up and urinate all over the floor.

    We seem to go in streaks with people who lose all function when they come through the doors of the hospital, I honestly don't know why that is. I do think that the almighty patient satisfaction plays some role. Some patients literally need you to be firm and adamant with them about getting up and/or doing some things for themselves. I refuse to let someone lay in bed because they don't feel like doing a, b, c. Sometimes you just have to tell them to get up and get to it. Period. No favors are ever done by letting patients lie around getting weaker, etc. But therein lies the problem as patients get pretty ticked when you insist they get up, they work with PT, they participate in their own care.

    And yes, it's primarily been in the age-range you posted.

    Just curious, why was the 40-something wearing diapers if they were continent?

  • Oct 7

    She is not picking on you. She's trying to help you rise to your potential. It was a compliment.

    Don't get discouraged and quit over one chastising. It happens to all of us.

    Good luck!

  • Oct 7

    I have to agree with Dishes. I work HH and unless drawing blood or doing dressings we don't wear gloves. We just use a hand sanitizer once in their home and prior contact


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