Content That Julesmama28 Likes

Content That Julesmama28 Likes

Julesmama28 5,279 Views

Joined Apr 25, '12. Posts: 435 (33% Liked) Likes: 312

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  • Nov 17 '15

    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.

  • Sep 29 '15

    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

  • Sep 25 '15

    Quote from OnlyHim
    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...
    Not only should you be concerned about scheduling conflicts, but I'd be more concerned about crashing and burning. Working 6 days a week including every weekend in 2 high intensity fields is taking on A LOT. I'm a new grad in a level 1 trauma ED and working 3 shifts a week wipes me out! I can't imagine working 6 shifts every week and still finding time to sleep, do laundry, run errands, spend time with friends and family.

  • Sep 24 '15

    Quote from RNBillieBSN
    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.)
    This was an ICU? And you had five patients before you received another admission? Where was this?!!?!

    Our ICUs had a 2:1 ratio. A fresh CABG was 1:1. Administration would try to mess with floor nurse ratios, but I never once witnessed an ICU ratio of more than 2:1 and never knew of any attempt to change that.

    What you are describing sounds nuts.

  • Nov 27 '14

    I am thankful that my pinning ceremony is 13 days from today.

  • Oct 22 '14

    50 days for me too! I'm so excited!

  • Oct 3 '14

    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?

  • May 2 '14

    Quote from springchick1
    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.
    Agree. First of all - there is no googling - we're not allowed to use our cell phones for ANYTHING, so the suggestion that the students look things up (at that very moment in time) is really not feasible since the resource that she clearly is referring to is not available. Secondly, the rules of etiquette depend on the instructor. I'm in my second semester clinical and it was only this semester where our clinical instructor told us to listen for the call bells - which for a student nurse, is mixed in with all the other beepings that are happening - so we weren't attuned to it at all; it's not that we were ignoring it, we weren't cognizant of it. As any nursing student knows, picking what to do vs. what not to do in this stage is tricky. For example, I had a client ask for something simple as a tissue. I go into the utility room, grabbed a tissue box, and handed it to the client. Simple, right? An aide saw me, she said we charge for those things. These are hospital policies, not nursing school policies, so they were not taught to us. it's simple things like this that makes the student second guess everything. And then to have nurses like the OP express such disdain is just peaches.

    New nurses like OP are the bane of nursing students. And I sincerely hope karma bites her when she runs into a more senior nurse who treats her with the same expectations.

  • May 2 '14

    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.

  • May 1 '14

    Quote from benderp
    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.
    Not crazy! I have four and was a single mom when I took on nursing school. You can do it. It's not easy when they're so young, but keep in mind that it goes by fast! My older kids were able to do a lot of chores to help out and somehow clinicals and classes worked themselves out. I don't have any family in state, but definitely talk to your mom and husband and put your needs on the table. I had to hire a babysitter during summer semesters, and she came to know my kids well. Ask around for references from friends and neighbors and interview them now, if you think you'll need someone. It can help the transition if your kids know them (both for you and for them!)

    As for the home, organization, and meals.....my mantra was "this is temporary". So often we ate less than my previous Suzie Homemaker meals, laundry was folded into a basket and never made it into a drawer before being pulled for school, and dishes sat in a sink overnight. No harm, no foul. I caught up when I could and did as much as I could in down time. I graduated with a 3.8 and passed NCLEX the first time.....it can be done. My kids were my biggest cheerleaders.

    Studying? I definitely studied in chunks, mostly in the first two hours after their bedtime at 8. Some nights I was so exhausted I went to bed when they did. Find your learning style and stick to it. Re-reading my notes never helped me. I paid close attention in class and in my readings, then took as many prep questions as I could on the chapters to be tested. Each of us is different, but knowing myself and my learning style ahead of time helped me to cut down on time waste.

    I wish you all the best! It can be done, and without (totally) losing your mind!

  • May 1 '14

    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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