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gainschool4lpn 3,044 Views

Joined: Apr 24, '12; Posts: 36 (28% Liked) ; Likes: 23

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  • Oct 9 '15

    i am not bridging as we dont have that option..been a LPN for 4 yrs,took all my pre and co reqs for the ADN program which I am in now...i am 50....
    i could of tested out of NURSING 1,but i didnt want to miss anything on the pharm and care plans....
    its been fun,stressfull but worth it!

  • Oct 9 '15

    Quote from carz
    Just curious to know how many older LPNs are making the bridge to RNs and do they feel it will be worth their while from a employment perspective. I think it will take me approximately 5 years part-time as I work full-time I worry that it might not be beneficial to leave a full-time LPN job to start over as a RN when I finish. Anyone share my thoughts? The program definately is not easy, I find I am tired when I come home from work , I know blah blah blah.

    I'm on my iPhone, so hopefully there won't be too many typos:-) I am 44 (will be 45 in Jan) and I start my bridge program in January. With any luck, I will have my BSN in just a hair over 2 years from my start. I will be 47 when I start my MSN. It's never to late:-)

  • Oct 9 '15

    I was 50 when I graduated LPN and an 54 now and graduate in December with RN, BSN.

  • Oct 9 '15

    I was a manager and supervisor for some time. I also had and left many jobs. I know this is emotional for you, but let me put some rationality on this for you. One, maybe two, people are going to read this letter and then it goes in a file that may be kept for 5-10 years before the file is destroyed. I'm not being mean or unfeeling, but they don't care. The letter is a formality that merely proves that you met the facility's requirement that you gave your 2 week notice and followed facility policy. The less you put on paper, the better. Personnel changes. In 5 years, this manager may be gone and/or another job may open up at this place and you may want to go back to work there. Don't give them a reason not to hire you back. Keep a resignation letter simple, show that you followed facility policy when resigning and make sure it is dated. Some facilities want a reason you are quitting in the letter of resignation:

    Dear Manager,

    This letter is to inform you that I am resigning my position as ______ effective ______. My last day of work will be ______. My reason for quitting is that I have found employment elsewhere that better accommodates my responsibilities at home.

    Thank you for the opportunity to work with you at ______.

    Keep a copy for your files. If you want to hash out your disappointment over not getting transferred to the day shift at the time you give your manager the letter, then do it then--verbally. But don't put a squabble between you and the manager on paper for everyone else to read about. If anyone does look at it, it makes you look like a problem employee. If she really wants you, she'll find a way to keep you on as an employee.

  • Oct 9 '15

    Mr. Ian:

    In the future, please refrain from such hilarious posts without timely notice or several of us readers may need a Heimlich, a new chair, or a replacement computer monitor.

    Thanks ever so much,
    Angie O'Plasty, RN

  • Oct 9 '15

    Dear Nurse Manager,

    You suck. I'm leaving.
    I know I'm meant to give notice to leave on a certain date but since arrangements don't mean jack around here I could go anytime when I simply feel like it.
    Don't worry tho - your name is on the top of the list for places I like to work since passing my NCLEX.
    Until I work anywhere else.

    Buh bye.

    Or mebbe go with the formal ones....

    (don't ya just wish tho sometimes??)

  • Oct 9 '15

    It is never necessary and rarely helpful to the employee to offer a reason for a resignation. A short, professional letter should be submitted in person, if at all possible. Feel free to discuss your reasons with your manager if you like, but don't put them in writing.

    Your letter will be kept in your personnel file. 10 years from now, you may wish to repply to this hospital. Your manager and co-workers will be gone by then. A hiring manager will look in your file and see that you had a complicated personal life that limited your availability for work. You'll not be considered for the job.

    In resignation letters, less is more.

    Best of luck to you!

  • Aug 30 '15

    I just want to add to this. Yes its only 3 days and MOST people going through Excelsior are at least LPN's so they have a pretty good baseline as far as skills go. And you have to take into consideration that the clinical is testing you on NEW grad RN skills.

  • Aug 30 '15

    I'm doing Excelsior as well. So far no issues (Thank God) and I should be done with all classes by the summer. I'll need to take some focused clinical assessments and then on to the 2 1/2 days of clinicals. God is truly blessing me!!! And he will bless you too. Hope you find a program soon. Look into Excelsior and see if it works for you!

  • Aug 30 '15

    I am actually doing Excelsior College online. I am an LPN earning my ADN-RN. They also have LPN to BSN-RN. Online nursing schools DO exist. You will have to check on their website to make sure your state accepts nursing degrees from them. Most do! There are only a few that do not. They are accredited by the Accreditation Commission for Education in Nursing (ACEN) formerly known as the National League for Nursing Accrediting Commission, Inc. (NLNAC). They have 2 different routes for obtaining your degree. 1- test out of classes. Basically you teach yourself, going by a content guide given to you through the school by using the textbooks they recommend. Doing it this way you have to pay for everything out of pocket. Each exam is $325. 2- Online classes. They are 8 weeks long I believe and by taking the classes you qualify for financial aid. The class route is pretty expensive. When you finish the classes/exams, you have a 3 day clinical weekend where you are observed performing nursing care in a hospital. That ultimately determines if you have the skills of a entry level RN and will qualify you to take NCLEX. I am doing the test out exam route. I live in Louisiana and they accept Excelsior. I also know many RN's who went through excelsior and took their boards, passed, and now are practicing RN's. No issue getting a job! So far I like it. It takes motivation to do your degree online, but if you really want it, you can do it!

  • Aug 30 '15

    Yeah I have sadly never heard of one and I looked for YEARS. It was a waste of time.

  • Aug 30 '15

    You may be searching for a Unicorn.... non-existent in real life. RN scope of practice includes clinical performance expectations that are beyond those of an LP/VN in every state. So in order to address that gap, the transition requires additional clinical education and training. This is not possible online. At best, you can look for a hybrid program that provides didactic courses online and clinical training in a physical location.

    Best of luck to you. Hope you find what you are looking for - let us all know if you find that Unicorn.

  • Jul 13 '15
  • Jun 29 '15

    I got the call on the EMS radio around 5 am. This is the usual time we get calls from EMS responding to nursing homes- The nurses are rounding on their patients to give am meds, and they find their residents dead or in distress. An 87 yo female, febrile, and in severe respiratory distress coming in. Pt is a DNR, but family is very involved, is aware, and will meet them in the ER.

    I'm alerted that family is in the waiting room before the patient even gets there. I go out and introduce myself, tell them I will be her nurse, and that I will bring them back as soon as I get her settled in the room.

    EMS arrives, and carefully transfers their frail burden onto one of my stretchers. You can see the relief on their faces, that they got her here and are able to hand her off before she dies on their watch. I'm now the proud owner of one very ill person. Temp 102+, Respiratory rate 14 and irregular. HR 50's, sat 84% on NRB, I don't need my Littmann to hear the rhonchi- Other hx is advanced dementia, DM, CHF. Has been in the nursing home for about 6 months- her husband had taken care of her at home as long as he could, but it finally got too much for him to manage, as he was also dealing with his own health problems at the age of 92.

    I got her settled, and the Doc comes in- I give him the pertinent info- Not a whole lot we can do at this point other than make her comfortable and treat the infection. Chances are poor that she will make it, and we both know it. Doc moves on to deal with people he can help, leaving me in control of this mess.

    I bring her visitors in, including her only daughter in her 60's, and several close friends of the family. I get them settled in and TRY explain to them what is going on. They don't get how bad off she is- I try to explain it to them in soft terms- They share with me who she is- a wife, a mother, a friend.I learn her husband is frail and elderly. I strongly suggest that if he is able, that he come. The daughter tells me she is going to leave to go get Dad. I explain that mom could go at any moment, each gasp she takes could be her last. I don't want them to have to deal with the idea that she died without ANY of her family around. But I REALLY wanted her husband there. The daughter calls her husband, who is dispatched to go get him dressed and here.

    In this age of technology, we can keep up with a lot of things. I'm updated that son in law is at dad's house, he's getting him dressed, getting him loaded in the car with the wheelchair. I'm watching my patient brady down, 50's, 40's 30's....The monitor is alarming, and my pt.'s daughter sees it. Husband lands in the parking lot, and the son in law is getting him loaded in his wheelchair.

    Then she died, no resps, asystole on the monitor. The daughter asks me- "Is she gone?"

    "Not yet" I told her her- I gave her some silly answer- the monitor isn't picking up anything because she is so sick. I mute the alarms, turning the monitor away so she can't see the flat line.. I send 2 of my male coworkers to go out and GRAB the husband, RUN him in.

    He arrives, looking a bit baffled at the whirlwind of men running out to snatch him out of his van and deliver him to trauma room 3.

    I kneel down and introduce myself. I told him. "I'm sorry, but your girl is dying." He looks at me without comprehension. I took his hand, and joined it with his dead wife's. I told him "Your wife is dying right now- tell her you are here, tell her you love her- these are the last things you will be able to tell her....Tell her it's OK to go-"

    He grasped her hand and brought it to his temple. "I love you's OK to go, I'm here."

    I waited a minute and placed my stethoscope to her chest, made a big deal pronouncing her time of death as just then.

    I lied- she died without her husband.... but that is something they will never know, but I will live with forever. I know I helped the living, but damn, holding this stuff inside hurts. I tried to explain it to my husband when I got home. He didn't get it. This is something I carry inside.

    I know my fellow nurses will understand. Thanks for letting me vent and get this out.

  • Apr 15 '15

    Unless one of your co-workers is blatantly bringing harm to a patient, mind your own business. When people do wrong it usually catches up with them eventually, your intervention not required. You're a new nurse (or at least new to this unit). Focus on learning the job not trying to be Captain Save a Patient. And you might re-think that martyr, "I'm willing to sacrifice my job" attitude when you can't pay your bills or fill your belly.