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eklecticsol 3,050 Views

Joined: Aug 8, '12; Posts: 44 (23% Liked) ; Likes: 13

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  • Jun 12 '17

    Quote from AspiringNurseMW
    Therefore having a midwife and an OB saves a lot more than 2 OBs.
    Right. So this is a way to market midwives to a hospital system. A potential drawback (and not an insignificant one) is that midwives will be utilized to provide cost-efficient *obstetrical* care and not midwifery care. I try to imagine this model and wonder if the hospitalist midwife will be expected to act as an OB (often) does on the labor unit: AROM everyone. Actively manage everyone with Pit. At the bedside for all of 10 minutes to catch a baby, the placenta and suture any tears - then on to the next patient.

    What would be an ideal hospitalist midwife position? How could a midwife negotiate the role to *not* be the low-cost version of an OB for laboring and vaginal birth patients? But to actually *be* a midwife? Thoughts?

  • Mar 7 '17

    ER gets old after a while, especially if you work in a busy center (especially with trauma). It's fun to see a lot of different things when you get started but dealing with angry patients and risking getting a stuck with an infected needle is not good. Maybe I just had a bad shift...

  • Jan 15 '17

    for the baltimore area

  • Dec 7 '16

    He must sorely lack confidence in himself, if he feels the need to undermine others on the care team like that.

  • Dec 3 '16

    I've been nursing for 25 years and I've seen the changes over nearly 3 decades. What is different now is that medicine has become part of a corporation. It's not healthcare in the old sense of the word. It's now about staffing numbers and costs and heads in beds. All this translates into management squeezing every last drop they can out of every nurse, bed space and stock item. Nurses are pulled, floated, called off, given a bunch of different admits as patients are constantly moved to a cheaper level of care. Nursing has become extremely hard work. Not that it wasn't before, but it was honest hard work. These days it's just stressful. When I was a young nurse I would come in to work, get an assignment and leave with the same assignment, never floated, had lunch and tea breaks and if the unit was quiet I wouldn't be sent home without pay, I'd help the other nurses. That doesn't happen anymore and so nurses have gotten clued into this and want more autonomy, better working conditions and less stress. It's inevitable that this has happened actually. Administration have created this with their business practices. And me...after 25 in school to be an NP because I have had enough.

  • Dec 3 '16

    It is sad. So many nurses stick their noses up at bedside nursing. Nursing almost feels like a business at times

  • Apr 3 '13

    I'm a LPN grad from NewCourtland's School of Practical Nursing (Philly) after graduating in July 2012 and licensing in August, I found a job in September that pays awesome in a sub acute/snf....sure it's stressful but it pays very well. I hang IVs and do extensive wound care in addition to electronic charting and med passes. I'll admit I was very diligent in following up and applying for jobs. But it paid off. It's a shortage in employment everywhere..not just for LPNs

  • Dec 12 '12

    OMG! Im so overly excited i can just cry! Took my med surge I final made a 98 yes a 98 on it! Overall grade 91!!!!!! This is all the valadation i need! My God is AWESOME! i have studied my butt off these past 8weeks & i proved to ME THAT I CAN BE AN "A" NURSING STUDENT! My goal is to gradeuate with honors & im on my way! Working extra hard next semester!

  • Oct 21 '12

    You get excited when you do your first rectal temperature

  • Oct 12 '12

    First let me say, please don't call yourself dumb! I'm sure you are a bright person.

    I am currently an LPN who is doing the LPN to RN bridge. My state sees the LPN program as comparable to the first year of nursing classes for an ADN program and grants LPN the credits for the first year of nursing classes if they bridge to RN.

    That being said, if the State believes that the content of the entire LPN program is equal to the first year of an ADN program, if you feel you are too 'dumb' to get through the ADN program, the LPN program won't be any easier.

    Please, don't call yourself names. Having negative self-esteem will only sabbatoge you. If you believe you are too 'dumb' to do it, you will make it a self-fullfilling prophecy! While neither the LPN nor RN classes are easy by any means, they are not so outrageously difficult that only people with genious IQ's will pass.

  • Sep 8 '12

    I have to speak up here- as a white RN, I was hired for a position I wanted so very badly in a urban minority neighborhood in a public health clinic because it was with the medically underserved, uninsured and under insured, because it was with patient population, I knew from working in the hospitals for many years, how medically chronically complex they were- in other words- this was my "dream job" because of the challege, my belief in the health care reform and this was my chance to participate in that reform. i could forsee many things down the road for that nursing position and that clinic( the potential). I was told by HR it was a new position and to make it my own. I was met with such bullying, lack of respect, ignorance and down right insubordination, the refusal of even a good morning in the AM, the refusal of some staffers to even orient me- by not showing me anything, would not talk to me and even had 2 call out sick on the days they were to orient me. I was screamed at and put down in front of the patients, their families and other staff. My patients were from every minority one could think of and were very nice and receptive. Some would stand at the desk in line to speak to me as opposed to the staff who had been working there. I treated them with respect and dignity and tried to do the best I could for them and I know the patients recognized this as one eldely gentleman said to me- "ma'am you came through for me once, can you do it again( with reference to finaggleing him an appointment)". which if one tried hard enough it wasn't too difficult TO ACCOMPLISH. These patients were not treated with respect or even helped by their own. They were thought of undeserving and it showed in the staffs attitude toward them. These patients were also sicker than alot of patients in the hospital and certainly sicker than their insured and more well off counter parts( the staff)
    I ended up leaving that position after a few short weeks of this treatment and what I saw done to these patients. I did not, however, leave without reporting the provable nursing regulation infractions to dept of health of which I received a very positive letter back from- the clinic was served with deficiencies!

    I don't want to hear that discrimination only is toward minorities because I have seen and experienced it first hand - it is not. I have seen African Americans treat other African American who they percieve has being beneath them because they don't have insurance like dirt and deny them high quality health care- like a simple doctors appointment,I have seen the African American nurse talk to African American patients with disrespect and dishonesty. I have seen minority nurses treat minority patients poorly even though those minority patients are well dressed- one lady was dressed in a linen long skited out fit, she was on her way to work- a job that did not offer her health insurance and her earnings were too low for her to afford a policy out of pocket. I say an African american father accompaniy his chronically ill child to an appointment- he was a car mechanic again who could not afford insurance family plan monthy payments out of pocket and no health insurance benefits offered at the garage. No one was willing to accomodate the lady in the linen outfit for an appointment, no one was willing to inform the dad that the clinic offered free transportation to university medical services to specialists for his daughter.
    And it might suprise everyone to know that alot of the patients I saw in this clinic were dressed in nursing scrubs- worked as home health aids!! no insurance. seeking care for their kids and themselves- including GYN visits.

    I am very bitter about this and feel I have every right to be. This does not speak well of nursing!!!

  • Sep 8 '12

    Quote from ablpn
    Again, people who are NOT African American can not speak on it. They are not black and have not had our experiences with trying to prove that we are equal and just as good a nurse as our white counterparts.
    Do you not even see the hypocrisy of this statement?? Do you really assume that there are no whites who live in areas where whites are the minority? Do you really think no whites have ever experience racism or discrimination based on the color of their skin? Don't you dare. I'm white. I'm neither proud nor ashamed of the color of my skin. But I have lived as a minority during two periods of my life, once where blacks were the majority, and once when hispanics were the majority. I have also experienced racism based on the color of my skin, sometimes escalating to the level of violence. So don't you ever accuse me of not understanding what it's like to be the recipient of racism, discrimination, or bigotry, because it's just not true.

    I don't deny that racism exists, but I also don't think that the raw statistics can explain the true *extent* of the problem. I've not only experienced racism, I've also witnessed it from whites towards blacks (I spoke up and ruffled some white feathers by doing so) and from whites towards hispanics, and all sorts of other combinations. But I didn't see it only in the south. I saw it up north, too. It's not always white vs others, sometimes it's black vs hispanic, asian vs black, black vs white, hispanic vs asian, you name it, it's there. Whites do not have a monopoly on ill feelings towards other races, and blacks don't have a monopoly on being recipients of discrimination--lots of other races would be mighty insulted for you to pretend as if their plights are not as bad, not as important, not as relevant, etc. And you also can't dismiss half the world's population regardless of race: women. Remember that black men voted before white women. Black men have gained many such advances before white women. And women, much like minorities, also still experience discrimination. By saying that non-blacks can't speak on it, because they haven't had your experiences, is an ignorant and untrue statement. If you are a woman, you've been treated differently and likely discriminated against for not having a penis.

    So yes, I *can* and *will* speak to issues of racism. I hate it. I hated being on the receiving end, and I hate to see it happen to someone else, and I will speak up about it both while it happens and after the fact in ways that I *hope* will make a difference, such as on this forum. And I sincerely hope that we can all work together to alleviate problems associated with racism. We can't make someone not be racist or sexist or ageist or any other -ist, but we can each do our part to make their impact less, to help create a culture within our communities and organizations where -isms are so despised that, even if you are secretly an -ist, you wouldn't dare admit it or even act on it. But we don't accomplish that by ostracizing based on race. That Is Part of the problem! You do it by speaking up *at the time* that the -ism is taking place. You see someone dissing an old person? Hopefully you have gotten to know them and can point out the ways that "old person" can run rings around all those dissing youngun's! You see someone taunting someone for being a typical whitey? Hopefully you have a relationship with that white person and can defend them to their taunters, and point out some of their impressive skills, hobbies, or some interesting tidbit from their past. You hear someone using a racial slur? Call them out, and make it clear that those sorts of words have no place in civilized society, and you won't just let it slide. Shame the person publicly--they likely won't use that word outside their own home again. They may not change their minds, but their minds are private, and not under your control. But you can help to minimize the negative impact of their words and actions on others.

  • Sep 8 '12

    And to the girl who said "If you're not African American you cannot comment on it"- You think African Americans are the only ones who get discriminated against? And you think African Americans don't do the same discriminating when I was the only non-African American in that job? Please get over yourself. Anyone who is different from the others in any environment is a target for discrimination.

  • Sep 8 '12

    Quote from Jeweles26
    Oh, I'm sorry. I know this might not be very PC, but racism is racism, no matter who it is against. And white people are not the only people who can be racist, just like they can be discriminated against. You assume that white Southerners are racist? Do you think maybe that is racist, assuming that just based on the color of their skin and their geographical location? What about African American preachers who encourage race warfare? Racism works for everyone you know. Offering positions and scholarships based on the color of your skin is wrong, and I HAVE seen it many times, not intended for white people.
    ...and sexism is sexism. When I was searching for scholarships the VAST majority I found were for minorities and women. If you were a female minority you had it made. There were more scholarships than you would be able to apply for. Do a google search for scholarships for single mothers then do one for single fathers and see how big of a disparity there is.

  • Sep 8 '12

    Quote from misstgo
    @brandonlpn that's not a 'culture thing', that's a 'ghetto thing' lol. I completely agree with you though. When I had my son, I gave him a name that wouldn't tell his ethnic background. Sad but true. *shrugs shoulder* the point is racism will never end. I have been called the 'n' word so many times by people I have never met. Especially when I play xbox online with my husband. I can always expect to be called a 'ni***r' at least 3 times. Smh......
    No disrespect to your hubby but I think that is part of the problem. Its almost like if as a race African Americans are being racist to themselves. Things like "thats my ni**r" and keeping it amoungst ourselves and our music as ok, then getting offended if say a white person calls us that is totally hyprocritical. I do not know of any other race that does this. do you?
    We gotta respect ourselves as a people so we can be respected by others. Martin Luther must turn in his grave everytime he hear a young black educate male or female calling each other by that n - word. Well some Africans Americans are ok with it, for me, I don't tolerate it AT ALL. If one of my "buddies" call me a "n - word" I will punch him to hell and back. Anyways, one thing we have in common is I named my kids as same way as you did, whereas my wife wanted these traditional african american type name, in the end we agreed together to keep name neutral at the same time naming them after close relatives which was a plus.