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Joined: Jul 31, '12; Posts: 3 (33% Liked) ; Likes: 2

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  • Dec 16 '12

    Perhaps one of the reasons for the lower starting pay in the job fields mentioned is because they are not revenue adding positions. What I mean is they take funds away rather than doing something that adds monetary value to the company. An engineer that designs a "widget" that makes the company millions of dollars adds to the value of the company. Like it or not there are essentially two kinds of employees, those that make the company money and those that cost the company money. A Dr. that brings patients to a hospital is bringing in money. A nurse is costing the hospital money, just like supplies do. It sucks, but it is what it is.

  • Dec 16 '12

    Quote from TheCommuter
    “You’re probably one of those lazy nurses who wants top dollar for minimal work.”
    I commend you for holding your tongue. Seriously. I would have verbally disemboweled this person. And then danced in their tears.

    Very few things get this reaction from me: speaking ill of my mother, quipping about my friends (or my dog), insulting my work ethic.

    Quote from TheCommuter
    Take a long, hard look at the educated professions that are dominated by women. Nursing, social work, school teaching, library science, and psychology are the college majors and professions that are overwhelmingly occupied by females.
    Although it is true that we have come far in the last forty years or so in working against feminization, society, as a whole, continues to force the issue. The day we have "Construction Contractor" Barbie, "Navy SEAL" Barbie, and "High Powered Philanthropist" Barbie, we will have finally arrived.

    Quote from TheCommuter
    Meanwhile, countless men who take up nursing are not afraid to openly discuss pay rates and salaries. When receiving what they perceive to be a job offer with a lowball starting salary, it is not uncommon for male nurses to attempt to negotiate for a higher pay rate, become amused at the interviewer, or even walk away from the offer altogether. I know that my following comment might drum up some controversy, but I feel that men place a greater significance on compensation than their female counterparts.
    Well, there's a couple things to consider here:

    1) Men, in general, communicate in a very different manner than women. As a whole, they are more direct, more confrontational, more objective and aloof. Men seldom mince words, they immediately resolve conflicts and just as easily move on. Not saying whether or not this is the better way to communicate, just saying that such a thing promotes, by its very nature, a very upfront discussion tactic on all matters of finance and interview process. So I'm not so sure that they place a greater emphasis on compensation so much as they are more willing to discuss it.

    As someone who works in a primarily Y chromosome dominated area of healthcare, I not only witness this dynamic first hand, but my own face to face communication style has changed to match them in order to preserve both our sanities.

    2) It has been shown that men also strategize in a completely different manner than women. Just as they struggle to multitask, we struggle to risk take. It's simply not a major part of the female psyche. Women, overall, tend to carefully weigh and deliberate almost to the point of obsession over large decisions. Why else do you think all the muscle car marketing tactics are directed at men? (Phallic symbol jokes aside). So for a man to walk way from an interview or a job offer in an effort to hard negotiate a salary is not all that surprising.

    Quote from TheCommuter
    I’m a nurse who works hard and deals with various challenges during the course of a routine shift. Therefore, I feel no shame in my game for wanting a competitive pay rate for all the services that I render.
    And you shouldn't. Ever.

    I'm sure the articles you write and the posts you place are but a smidgen of your brilliance and capability. Your employer is beyond fortunate to have you.



  • Nov 28 '12

    I work with the elders and the mentally ill.
    I feel like I make a difference in their lives by being there for them.
    We're stepping up when their loved ones are unable to or just flat-out don't want to. You get to know these people and you build relationships with them. There are good times, yes. Lots of them. I'll have to leave LTC for the hospital at some point (to increase my skill level), but I'll definitely miss my geri's.

    The mentally ill, I love. I even like the combative dementia patients. LOL We have one little guy who wanders in out of rooms.
    He'll go in there straighten up the beds. It's funny. He's in his 70's, but he's spry -- and he used to box!
    Let me tell you, something: When he squares up? Get the hell outta there. I was helping an aide change him. He grabbed her and wouldn't let go. I tried to talk him down gently (which usually works because the aides have an act of 'swarming' and grabbing him. Bad idea. If one person loses their grip and he gets a hand free? That's it. Up comes the fists and he's just swinging. Everyone let's go and backs off. He's a little guy, too. 5'5. Slim, but very STRONG.).
    She ran out of the room. He started after her, then came after me. Running.
    I ran out of the room through the bathroom, as I marvelled at his shocking speed. LOL He came out, saw her...and ran after her again, but she took off down the hall. He was cursing in spanish. 5 minutes later, he was wandering down another hall. I gave him a sandwich. He smiled.
    We were best friends, again. LOL

    Granted, some disorders are difficult to handle. I have a little lady with borderline + BP2 disorder. That is the most hell-raising-est woman I've ever met. She once ranted and raved for 4 hours. Nonstop.
    She had her sister calling the nurse's station screaming at me in frustration. Why? The resident was calling the sister nonstop. Crying. Whining. Screaming.

    Bless her heart, but she sucks the pure life out of me. With her screaming 'Rage Attacks' and, when she comes down, with her depressive 'nobody likes me/I'm gonna cry in my room and slit my wrists' moods.
    I have to consciously check my own responses to her as well. Ensure that I'm not treating her any differently simply because she rattles my nerves (arguably, most of the time). LOL She rattles everyone's nerves. Every shift, I'm having to save an aide from her 'Rage Attacks'. She ran her roommate out of their room with her screaming whines.
    In the midst of the tirade, I have to consciously repeat in my head, " not her disorder. She's sick and can't help it. She is not her disorder. She is not her disorder." to maintain my bearings and boundary setting.
    There's a behavioral health seminar coming up and I'm going to attend. Hopefully, I'll learn better ways to manage help and help her manage herself.

    ...but I'm here for her. We all are. She needs help. The mentally ill need our help and support. Society just want to throw them (and our elders) away and it's wrong!

    The most frustrating thing to me, though? The constant refusal of meds.
    Many of these people had lives and children before their disease took them down. It's sad.
    I still hold out hope that this or that person can be high-functioning if they just tried and we helped them.
    ... but how you explain to someone with paranoid schizophrenia that the meds aren't poison? That they need their medications to manage their delusons and heart conditions. One of my little ladies is the hardest. Once it took another nurse and I AN HOUR to get her to take her antiHTN, lasix and antipsych meds. Had to bribe her with diet coke, too. We usually have to hide her meds in her food. Her insulin? I have to wait until she's in the bed half-asleep.
    She'll still fight me on it, but not as hard.
    She has daughters but they don't come around and I understand. It's difficult thing to be a child of a mentally ill parent. I've had one adult child say that her mother's been sick since she was 12 and it's always felt like... her mother was 'dead'. All that's left of her 'is a shell'.
    Then, she started crying. SMH. She was trying to explain because she felt shame. She thought that we, the staff, looked at her harshly b/c she never came to visit. As if we had this attitude, like "What kind of person are you?"
    No, never that. I couldn't imagine living with the sort of reality. It doesn't take much to understand the real reason why that woman stays away: It hurts her. She mentioned that she was seeing a therapist and that's why she was able to come to her mother at that time.
    Baby steps.

  • Nov 28 '12

    First of all, and this is a pet peeve of mine, you cannot become a BSN. A BSN is an educational credential. You can become an RN with a BSN credential. With that out of the way...

    Most management positions require a BSN plus some assistant manager or supervisor experience. I worked at a large university medical center, and all of the managers were required to hold an MSN. With that said, there are MSN programs that specialize in nursing administration. However, if you were to take this route, there are MSN/MBA programs that combine a nursing administration curriculum with MBA coursework.

    Once you start working, you will be able to decided if you have a feel for management.

  • Nov 17 '12

    The Massachusetts Nurses' Association does not support BSN as entry least they didn't the last time I researched it. I went to a diploma/hospital based school and have never been denied a job because I don't have a BSN (I do have a BA but that's another story). I was asked once years ago to go to work for the VNA. When I told the woman who asked me I didn't have a BSN and all their ads said it was a requirement, she laughed and said "I'd rather hire nurse who knows what they're doing than hire someone just because they have 3 more initials." There is room in our profession for all levels of education. We all have to pass the same boards. I am in favor of education for all of us, but let's not deny someone a job because they can't quote Shakespeare or don't know where the Yangtzi River is.