AlannaCT, BSN, RN 1,192 Views
Joined: Aug 29, '12;
Posts: 14 (64% Liked)
; Likes: 15
All I can tell you is I love love love this field and would never consider leaving. I have worked the triage intake area many years and am now the nurse manager. Addiction nursing is so much more than the title. Not only do we treat a population that is still stigmatized and looked at with disdain even amongst our own, we have to be highly skilled at medical, psychiatric and substance abuse assessments to deal not only with the addiction, but also the comobidities that can result from chronic substance abuse, chronic and acute medical issues as well as undiagnosed or untreated mental health and psychiatric issues. You need to be knowledgable about diabetes, HIV, Hepatitis and other issues so common in the substance abuse community.
I also agree with youDL66. I also have no idea how for profit centers work, and have worked in a nonprofit substance abuse facility for many years. I cannot disagree with Buyer Beware more regarding our facility. I have used my assessment skills more here than on a med-surg floor. Along with the nursing skills you mentioned our nursing staff of RNs has assessed many clients with pneumonia, bronchitis, active MI, active stroke, pulmonary edema, hypertensive crisis, cellulitis, diabetic necrosis, untreated diabetes, HIV, STDs, Hep C and B along with providing clients in need of Psychiatric and mental health care, and a long term pcp. Addiction nurses do way more than just treat addiction. We are educators, community health nurses, psych nurses, as well as the first line of any medical assessment the majority of our clients have had sometimes in years. This doesn't include the clients who come in with untreated dental issues, that we nurses first recognize examine and provide needed care for.
Very well said AussieRN36! And I couldn't agree more. I work in as an addiction nurse and one of the biggest obsticals to care is all the mis-information and myths about methadone treatment out there. How can any person expect an addict to 'just stop using'. Our facility was one of the first to use a holistic whole patient model for treatment and we offer everything from inpatient detox, methadone and suboxone services coupled with mandatory Therapy, counseling, social work, medical and psychiatric services. What methadone does is stabilize the opiod addict, as you so eloquently explained, so they can have the time needed to learn coping skills, and develope behavioral chsnges that will stick with them and help them to succed once they taper off of the methadone or suboxone. One only has to imagine how addictive sugar is and how hard it would be to cut out ALL sugar in your life forever within a 5 day detox and never eat any item with sugar again or risk falling back into using. And now imagine opioids being 10x worse. Can anyone say they could do that without extensive help?
Agree with you. Nurses have got to get out of this mentality that nursing is only 'hospital med/surg'.
I am sorry you are leaving nursing. Many areas of nusing are as you say, but many areas are not. I work as an RN in the specialty of psychiatric addiction nursing and absolutely love it. When I 1st started working here we did have some long time nurses who were of the mentality of 'nurses eat their young', but myself and other newer nurses banned together and made a pact that this was unacceptable for nursing and took a stand against it. We got management on our side and eventually the older nurses who would not work as a team were ousted. I have now been promoted to Clinical Nurse Leader and couldnt be happier. We continue to strengthen our Nurse/MA/Tech team with staff who want a positive team environment. It takes nurses who want to move into leadership positions to make changes in the status quo.
I just wanted a job where I could work half the amount of hours I used to work full time and make the same amount of money. I also liked the aspect that you could do agency, travel, and home care, where you set your hours and take the jobs you want.
An ADN and a BSN do the same science courses, the same prerequisites and the same clinical times and clinical skills. The only difference is that the BSN opens more doors for you, and you take more community health, global health courses, etc...but as for the actual nursing care, an RN is an RN, the difference is in the opportunities for jobs and advancement.
Hmm, I am not sure were you live, but in my area, the northeast, all the hospitals want are BSNs and will not hire diploma grads or A.S. grads unless they already have BA. or BS. It is the new reality of nursing with the whole nursing profession moving towards, APRNs, NPs with doctorate, BSNs & MSNs employed in hospitals, the A.S nurse in nursing homes, and diploma & LPNs out of luck.
Sorry to hear about your trouble, but have you ever heard the term: Nurses eat their young? well, get used to it because it's real and it's out there, most nurses will be glad to throw other nurses under the bus. If you doubt me go to any library and search the peer reviewed nursing journals for "nursing lateral violence", " nurse on nurse violence", "horizontal violence in nursing"...etc...you will see plenty of details of a silent epidemic that no nurse wants to admit or talk about. Better get used to it cause, you will get them in all parts of nursing, nurses who: won't help you, won't teach you, won't be team players, will be the first to throw you under the bus and report you, nurses who are rude, condescending, will treat you like crap...it is real, and it is part of the profession.
Hi everyone, I just finished St. V's this past spring, (now an RN), and wanted to give you all my 2 cents about the program. This fall, 2012 there was a large increase in tuition and the passing grade was raised in the general ed classes from a C+ to an 82, which means an 81.99 will be a fail. For all nursing classes you need a min of an 80 to pass. Clinicals are pass/fail. Science classes are difficult, but the nursing classes are harder and only get more difficult with each semester. There are no study guides, and no advice for whats on tests, as the professors tell you to "know everything", and be aware that there will be weeks where you will have to read 15+ chapters, do 2&1/2 days of clinical as well as your mandatory video CAI's and papers that need to be done. Day classes for nursing run in 7 week sessions so are very intensive. I can think of only 3 nursing professors that I felt were qualified to teach, (keep in mind that I went into nursing with a previous BA degree), and most if not all were not helpful or available if you needed more from them outside of class. Though there is a tutor available, if you can go for tutoring during their available hours. Clinical professors are obviously proficient nurses in their specialties, but most all are arrogant, rude, demoralizing, and mostly have a demeaning attitude towards the students. They will treat you like you are an idiot, expect you to do everything like an experienced nurse, will demean you and treat you like an idiot if you ask questions or ask for help on a procedure. The worst part of clinicals was the fact that you would be scheduled for a 7 hour shift and the clinical professors would push you to be done by 1pm, because they wanted to leave early. Let alone they left the floor after meds to get coffee and they stayed in the cafeteria downstairs for 1&1/2 to 2 hrs came back just in time to do noon meds & then rushes you out the door. I felt like I had to learn my clinical skills on my own, by using the clinical lab,(when it was actually available to students!!!!),over and over to teach myself the skills, taught myself about the labs, treatments and diseases. The clinicals were a joke, the professors dote on their favorites (1 or 2 students) and ignore the rest or are mean. Most of us just prayed for it to be over as fast as it could. Care plans were a joke & a waste of time as you only spent your time copying from books & copying does not induce learning. You spend the majority of your clinical time filling out your careplan, doing soap notes and documentation. Student nurses are just glorified cna's & free slave labor for the hospital. I have no idea if the education at other schools is better, but I do know that I did not feel that the school taught me what I need to know in order to be a competent nurse. Yes, I passed my nclex the first time w/75 questions, but feel like my education & experience was all me; any person can get in front of the class and read off a powerpoint, and that's what most of the teachers there do. A few were great in the class & in the clinicals, but the rest were not.
That's my 2 cents worth.
WOOT congrats! Hope it works for me as I took both the Kaplan & the Hurst reviews too. My nursing school grades were all A's and I received 70+ for all my Qbank type practice tests. I left the nclex feeling like I must have failed, but after reading your post I feel a little better and more hopeful that I passed.
I started studying for nclex from my second nursing course forward. lol. I was constantly doing nclex questions, from nclex prep books, online, textbook online study materials, school nclex computer materials, Hesi exit exams, etc....
I also did both the Kaplan review & Hurst review. Honestly, I had my nclex today, and I left after 75 questions, and I felt like the questions were easy or I was guessing. No matter how hard I studied, it seemed to me that I was constantly getting med questions on meds I had never heard of!!! Go figure. praying I passed!
Hi, I took the mandatory Kaplan review required to get my diploma from my college and the Hurst online review on my own. The kaplan was great for the decision tree experience and the Hurst was wonderful for the core content review. Just took my nclex today, and it shut off in 75 questions. I felt that either the questions were easy or that I didn't know them at all! Not sure how I did, but sure hoped I passed.
Oh, just wanted to add that in both the Kaplan and Hurst Qbanks, my average scores were in the low 70's, so hopefully that is a good sign.
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