kayak007 2,238 Views
Joined: Oct 8, '12;
Posts: 19 (32% Liked)
; Likes: 15
Ah how I would have loved a 1:5 ratio! Heck with 1:5 I could do all their ADL's and my nursing duties. Heck I would have settled for 1:15.
I graduated from Nursing School (lpn) in April 2012, received license in Sept 2012, and am happy to report that I have finally got my first Nursing Job!!! I've been through so much to get to this point and just want to tell others that are thinking about giving up to keep going!! If you really want it God will see fit for it to happen!!! I've kinda stayed off of AllNurses because of ALL the negativity I see from NURSES toward their own profession. It's good to see something positive especially from someone like me who has hit many road blocks and has had many doors closed in my quest to start my nursing career... There is hope and you WILL find a job as long as you stay consistent, consider ALL options, be flexible, and most of all stay prayed up.. Good luck and God bless you all.
Please no more RN/LPN threads!
It is my experience that many MD's owe nurses their license.......At 3am it is a nurse at the besdide not the MD.
Becoming an LVN is my 3rd career change and the final one. I have no desire to go back to school and all the stress it causes. I work side by side with RNs who do exactly the same stuff I'm doing, so why bother. Yeah, they may make a bigger paycheck, but I'm happy with what I'm doing and that's the most important thing.
If you're happy and satisfied with yourself, then just be happy and satisfied. The grass isn't always greener on the other side. Believe me, been there, done that!
And, when people ask me if I'm going to pursue an RN, I just say, "Why? I'm already a nurse!" It cracks me up to see the look on their faces!
Good luck with whatever you do.
I know I'm going to sound like a negative Nellie..... but it seemed a bit like fluff to me. Of course, trailers are just broad overviews designed to catch attention. Maybe the actual movie will have more substance.
I agree with the hope that all facets of nursing be explored. I noticed the distinct lack of LTC and eldercare. I guess that's not as interesting as caring for pregnant women or sick babies or young women with breast cancer. Sorry if that sounds bitter, but it's really a shame such a huge portion of nursing gets consistently overlooked. Reflects on how our society values the aged, really.
Thank you, LMCCRN62 for teaching! By not feeding them the answers, you're instilling critical thinking skills in them. I'm sure your co-workers and management understand.
I am a clinical instructor for a accelerated BSN program. I have to say most students are great and want to learn. Most are scared and unsure of their knowledge. I teach hands on with my students. I am their role model. There are many of my peers who dump their students on the staff then disappear. Many instructors are not clear of the expectations so students think its about hours they have to do and not enforce that clinical is a free space. I did have a group of students who had a sense of entitlement thinking their knowledge was going to save them. They liked to play on their phones and hang together in a group instead of being in with their patients. i was clear of the objectives and my expectations they learned quick I meant it. So they complained to the school I wouldn't answer their questions because I didn't know the answers. No, if I ask you why is your patient taking lactulose please don't say, I don't know, why do they? I am not giving you the answer believe me I know the answer.
They ended up understanding what I meant but they have me a horrific evaluation.
My experience with student nurses has been mixed. I have had some, especially those that were LPN's, that are excellent to work with, very involved and always looking for educational opportunities. If a student has one of my pts I will let them know if anything cool is going on with any of my other pts that they could do or observe. Most tend to jump on the opportunities
Being pulled in multiple directions by doctors, families, and other disciplines (physical therapy, dietary, speech, OT, social work, case management, etc.) generates a great deal of stress for me.
My solution? I work the night shift to avoid interacting with the majority of these people. I might see a few families and a couple of doctors on nights, but the lion's share of these individuals are out of my face and catching up on their sleep while I am at work. IMHO, the roughest night shift is less stressful than the easiest day shift.
Furthermore, my stress levels are contained when I get regular exercise, eat properly, and make every effort to forget about work when I am off the clock. Balance is the key.
At Pangea reunited- or anyone for that matter;
What differentiates assessment and data collection. If my understanding is correct, an assessment involves the possibility of an intervention- what kind of intervention is that?
When a pt requests pain medication due to pain & then the LPN/LVN administers the pain medication (via the route allowed by scope of practice and provider's order) is that an assessment? Or is that data collection? If it were an RN, is that an assessment or data collection?
When I took my NCLEX-PN, I was asked to identify multiple breath sounds. I "data collect" the pt has rhonchi, rales, wheezes, etc and report to the provider for further orders... Is that an assessment or data collection?
If a nurse (RN/LPN) cannot administer meds under our own license then the word assessment is pointless with regards to pharmacological intervention.
What about interventions regarding repositioning. Does the LPN have to report to the MD to obtain orders to reposition a pt to prevent skin breakdown? Of course not. So what, I repeat, is considered to be the difference between an assessment and data collection?
A pt has a potassium of 6.3. The nurse will of course immediately notify the doctor and implement appropriate protocols, but what will be the difference? The LPN and RN will both check for CP, heart rate, auscultation, mentation, etc. Is it assessment or data collection?
It seems to me a nurse's hands are always bound by the physician. They say an RN is independent while an LPN is dependent. If both are under the supervision of the physician then what is the real difference?
I myself started nursing when I was young and naive and didn't have the balls to speak up for myself. I lacked confidence because I was a new nurse and didn't have required the skill set yet to be autonomous so I relied on my "coworkers" to " show" me the ropes . REmember this, Just because every LPN or RN has a license it doesn't mean that the way they do things are the right way to do them. Girl, I tell you that was many years ago, Now I'm a loud mouthed nurse who knows better than take the word of her coworkers that the meds have been given, orders transcribed, the doctors have been called, the tube feedings have been hung and are running, transportation has been confirmed, the lab draw was done, the foley was changed and so on and so on.... You learn to follow up on your coworkers because many times if the mistake isn;t caught on your shift everybody gets written up. This job is a headache but the money is good. You always have to C.Y.A ( Cover your A...) this means making sure the CNAs are doing their jobs properly, your doing what your suppose to do and when you have a meeting with manangement they are going to have a witness and you bring a witness too. Keep your mouth shut don't gossip , tell your business, or get in with the clique. It's no way to to sugar coat nursing and who ever does is lying. Nursing needs its own reality show, with the REAL in it!
I once had the opportunity to care for an Iraqi POW while deployed as a medic. He was caught in the middle of planting IEDs on the side of the road. Our instructor told us if we weren't willing to care for him we would fail the course (EMT). My first reaction was anger as I thought about those wounded and killed by IEDs. Then I started wondering about the POW. What his motives were, what he was thinking about and where he was coming from. I started thinking about him as a person, as a patient. I was able to do my job after that. Boston's different. They were innocent civilians at home, not soldiers at war. Still, I think I would be able to treat the bomber. Because I want to know why he did what he did. I want to know where that came from, so we can prevent it from happening again. And death is too easy. Life is hard, and I want him to have a long one behind bars.
I would still care for him. Our job is to heal people, I'll leave the judging and punishment to the court system.
Here's the thing. At the end of the day he is a kid. And kids are not born evil, they are made that way. His actions and that of his much older brother are reprehensible. He should be punished to the extent of the law. But that would not be my job as a nurse.
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