Julesmama28 6,323 Views
Joined Apr 25, '12.
Posts: 435 (33% Liked)
For $325,000 in money, I'd buy a house in cash and get a degree in pottery. I am kidding. OR....not.....wink wink
I was very fortunate to be an LPN during a time where smaller, community hospitals used us as bedside nurses. Not so much anymore. The lay offs intense. There are tons of things and LPN can do, but primary nursing is not usually one of them.
And they call it "mentoring" as opposed to training RN's to do anything. The equal scope of every state I know of is that LPN's can not clinically direct RN's. And just putting it out there that if in fact your pedi patient had gone the other direction (and thank goodness that was not the case) it would have been on you for practicing outside of your scope. No nurse regardless of degree is God.
And if you can work it, work it--use everything as your advantage for furthering your education. There are lots of things as an LPN you can do too. So depending on where you are in life, LPN can be fulfilling as a stop point/career choice.
Remember as well that it is not always wise to go a straight shot into NP. There is significant theory and evidence based practice work that only can be experienced as an employed RN. Which is essentially what is a foundation in which an NP is based. Otherwise, get the clinical hours and become a PA.
I am all for expression and freedom thereof. And you can wave your favorite flag of self expression any day of the week. However, business casual is usually about business. And as awesome as I believe red converse can be, not at a business function. I am just that old school that I believe that dress = respect. And the intrigue that one puts out should be on their content of character and not funky clothing choices, inappropriate to the task at hand. The way of the world is that most hospitals have strict dress codes. That the expectation is to adhere to.
It is ok to be an LPN. It is ok to have had an alternate education to get you to a goal. It is wonderful to have specific goals. New LPN students should be inspired. You can choose to do any number of things, and LPN is a good way to either have an amazing job that is one's career choice, or as a stepping stone to something else. I need to note here that for those among us who are struggling through traditional high school (and I know you are out there!!) a vocational high school is also a way to take pre-LPN courses of study.
OP, however well meaning, your article comes across as over the top, wholly unrealistic, and some sort of ego stroking/self esteem issued jargon. That I have to say if you are practicing to the level you proclaim, opens you up to a whole lot of liability for relishing in the grey and not so grey areas of scope. I hope you find what you are looking for, and wish you the best in your career.
Just don't bring your Big Gulp cup, McDonald's breakfast, or your child. Do not wear a mumu, flipflops, or any t-shirts that have been heavily sequined or bedazzled. Bring a resume. (And don't lie about why you didn't bring a resume!)
/true stories, all of them
Both would be FT. 3 days on for both with every other weekend. I think the concern of the schedules overlapping is what I'm considering. One has a 12week orientation and the other is variable...
In a "perfect world", TEAM Nursing could work. But we all know this is not a perfect world.
Having oriented for nine of the l-o-n-g-e-s-t weeks of my nursing career and life in an ICU Unit,
I would have truly enjoyed the TEAM Nursing approach. But you have to be careful who and how
you are partnered. If you are partnered with someone who is of the same energy and stamina,
and knowledge level as yourself...then that's great...fine...it would probably be great!
You DO NOT WANT to be partnered with someone who takes a lot of cigarette breaks, leans or sits
while you provide care or you end up "teaching" the entire shift, because your partners
knowledge base is not up to yours. You will end up working yourself to a nub and the patient will
pay the ultimate price.
(P.S. The reason my ICU experience was the longest in my life and my career, was because of my
preceptor. I was older than she and had many more years of nursing experience. She said, "I feel
like you have more nursing experience than I do, so if you need anything, I'll be at the desk."
That was my orientation. She sat at the desk and read. I was given the hardest patients on the unit.
One evening I had three patients on the vent, two others who were post-op and they brought me
another from the floor who was crashing and as soon as he got there he went into V-tach and was
unresponsive. No one had come in to help me get him situated. The floor nurses were gone. My
preceptator was sitting at the desk reading. I finally went out and announced, "if someone doesn't
come in here and help me, this man is going to die!" That got me some help. I ran my legs off all night
long. My patients got high quality care. I had a compliment from a physician come morning because
his patient's Swan's readings were readily available for him when he came in. As soon as I got off
at 8:30 am I went to the Nurse Manager's office and that was my last shift in ICU. My preceptor, as I
understood it, was given the option to transfer to the floor or be let go. Period. She put my patients
in jeopardy. But I didn't care if it killed me...I was not going to let ANYTHING happen to them while under
my charge. I would never do that to a patient or a co-worker.)
I am thankful that my pinning ceremony is 13 days from today.
50 days for me too! I'm so excited!
I enlarged the MRI image behind Mr Dolan in the KPIX file. Even though the photo was taken at an angle to the image, it's markedly abnormal. There's significant loss of gray-white differentiation in the cerebral cortex; the straight sinus in the tentorium cerebellus is widely dilated, as are the lateral ventricles; the cerebellum itself appears amorphous, with no visible sulci; the sella turcica appears to be obliterated as has the pons; there's an increased amount of CSF in the fourth ventricle; there is one large and four smaller infarcted areas near the corpus callosum (actually, I don't even see a corpus callosum) and within the lateral ventricles. All the extra fluid represents areas of necrosis where tissue has been lysed and resorbed.
The information provided regarding her moving to commands is not compelling. The fact that she's completely covered except for her head and feet when the "she moves her foot!" part was recorded may conceal a nerve stimulator used to cause the twitch seen. 40 seconds is a long delay and the movement could represent random muscle movement. I'd have to see several minutes of footage, if not more, to be satisfied that the movement observed was voluntary.
Something else is niggling at me. By report she's currently a patient in a PICU in New Brunswick, NJ. Why would someone in a vegetative state, trached and G-tubed, require care in an ICU? When I worked peds extended care many years ago, we had a patient in a vegetative state such as Jahi's. He was an infant who suffered cardiac arrest following a major aspiration. This child opened his eye but didn't move except when he seized or when he postured. He was trached and G-tubed and was not an ICU patient. His care was pretty straight-forward and the only advanced training a nurse needed to care for him was tracheal suctioning. In the community he would have been cared for by an LPN. He survived more than a year after his arrest before dying after a prolonged seizure. So again, why does Jahi remain in an ICU?
2 months out and it like you've already forgotten what it's like to be a student. I agree that the students shouldn't sit at the nurses station. We aren't allowed to even if we are in the chart. But come on. Are you really complaining about a student asking for a run down on a patient they will be helping care for? I know in my clinicals, we aren't allowed in a patients room until we have report from the primary nurse. And we aren't allowed to use our phone or the computers so how are we supposed to Google something? Just think back two months and try to remember what it was like being a student.
I have no clue where the time went. The days were long, but the years wear short, and I'm officially finished with nursing school. Soon to be a GN.
There was a time when I considered not attending - all the lovelies at allnurses gave me a smack down and off to class I went.
There was a time when I considered dropping out. All the lovelies at allnurses told me to have my pity party, and get back to class. And I did.
I raised kids, went to school full time, and even worked full time the during my second year. I'm whooped.
But now it's over! The learning has just begun...I'm more aware of that than ever, but I'm so excited for the journey ahead, as hard as it might be. I know it'll be completely worth it.
Thanks everyone for all your help! I'm sure I'll have a million more questions along the way.
Good advice. I have 5 children (9,6,5,2,5 months) and don't start nursing school until next spring, but I am already after some been there n done that strategies and tips for organization, studying, daycare and anything else I can use to help me and my family along my journey. I wonder if it's too early to start freezing meals? Lol. I have a deep freezer in the garage. I'm already teaching the three oldest some chores. My youngest should be mostly weened by next spring. I'm mostly worried about childcare! My three oldest will all be in elementary, so I mainly have to worry about about the two babies. I'm hoping that, between my husband and my mom, the slack can be picked up while I am at clinicals or at school. I really loathe daycare and have heard some really bad stories. Everyone keeps insinuating that I am slightly crazy for taking on nursing school when I have so many kids. Hmm.
I have 3 kids....I gave age appropriate chores that needed to be done every day. I did lots of crock pot meals and 1 load of laundry daily. Weekends were family time. Period. School clothes and backpacks were packed and by the door nightly and bed times were strictly enforced. After they were in bed, I studied. If I needed more study time, I woke up earlier and studied then as well. I took my books everywhere...car lines at school, football field, lunch etc...
My house wasn't deep cleaned and how I normally would keep it but it was manageable and we survived all intact and still married and with my sanity. It can be done. Will it be exhausting? Yes! Will you feel like giving up? Yes! BUT, once you pass, graduate and pass NCLEX, it will be so worth it! I just sat for NCLEX yesterday and shut off at 85 and I have the good pop up you can totally do this
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