geminiBSN75, BSN 3,697 Views
I currently work three PRN positions in NE Ohio. One in a Level 1 Trauma ED, one in a smaller local ED and lastly in the PACU at a surgery center.
Yes, you currently have to find your own preceptors, but the school notified students of any clinical placement spots open that they are aware of. They also provide a list of individuals who have previously preceptored.
Secondly, the program is doable with family and work, but it is challenging. I am in my last semester and have a wife, 3 children (11, 3, and 1), and worked full time throughout the program. However, it definitely was not the easiest thing I have done, but definitely doable.
The ok campus intensive are where you physically go to campus. The first is an introduction to the program, instructors, expectations, etc. There is also another where you have a mock patient and do an assessment, diagnose the patient, and formulate a plan. This is done before you start clinicals. I basically took it as an opportunity for the school to make sure you are ready to begin clinicals where you are actually representing the school. In other words, I don't think the school would be in favor of sending a completely incompetent student into a clinical setting wearing a school lab coat.... Nevertheless, they aren't as bad as what you may think.
Overall, it's been a great program to be a part of, it's been tough at times, but I can definitely see the light.
I wish you luck in whatever you choose to do.
(Rant)The horrendous salary inequity for academic educators has always been just accepted with a shrug.. "that's just the way it is". I have never understood why. As a workplace (non-academic) educator, my salary is commensurate with nurse leaders in the clinical areas. I can't understand why my academic colleagues are so under-valued. But this is certainly a major contributor to the worsening faculty shortage. My organization supports several joint-appointment agreements to bolster faculty salaries and support our 'feeder' nursing schools, but this contribution still does not elevate those salaries to a level that is competitive with clinical jobs. (End rant)
I don't find that to be the case. I actually make more per hour doing adjunct clinical faculty work than I do at bedside, and my bedside base rate is approx. $36/hr. With other colleges that pay a lump sum rather than hourly, I make anywhere from 8-10K per semester. I also teach a face-to-face class about 3 hours per week that pays about $2400 per semester.
adjunct faculty will never equal bedside staff salary. I make roughly 30 % more with my staff job (only needed the BSN) than teaching with my MSN. Factor in the time spent at home grading and prepping, and it is even less.
Teaching is fun, fulfilling, and totally underfunded.
The national average salary for an adjunct instructor teaching a 3-credit hour, classroom course is $2500 per semester (across all disciplines). I have a PhD and have taught classroom and online courses for several years as an Associate Professor. I get a bonus payment because my class is online -- and I make a whopping $3400 per course (16-week, semester-long course). Fortunately for me, I have a full time "day job" at a hospital and just teach a little because I like it and it gives me options for the future.
As you can see, most adjuncts are extremely underpaid. That's why schools are eliminating tenure track lines and using more adjuncts. Check around to see what low-level nursing faculty are making in your area. You will probably be surprised at how little it is. Many faculty members -- even full time faculty members make less than bedside nurses. That is quite common. Once you have found out the usual pay in your region, negotiate a little more if you can. But I doubt you will be able to get much more out of them. Community Colleges are usually in the lower half of the pay rates for a region.
Faculty, particularly adjunct positions, pay substantially less than what an experienced bedside nurse makes.
In my experience classroom teaching is poorly paid, once you do the math on all the prep time. But on the surface it should be at least what you make at the bedside. If you are worth $30 per hour to provide nursing care, teaching it should be more, for example. Why should you lose money to teach when you could work at the bedside for more? In my experience clinical teaching pays significantly more, like in the $50 per hour range. This is in Colorado. I once turned down a teaching job at a community college because the pay just didn't make it worth my while. If you really, really, want the experience, then take it. But I would at least ask for slightly more than you make at the bedside, say 15% at least. Then you can decide when they come back with an offer. Good luck!
ENA recommends no more than 1:4. We are officially that, but often a bit more. We have a fast track area where it is much higher, doing line/labs, and a few IV meds but more clinic type patients (the soft 3s and 4s). Have had previous managers say "but you know most of them aren't heavy, so you could do 5 or 6" in the rooms. Ah, no. We also have lost most of our techs and all the secretaries.
Some places will be better, some worse. Routine 1:5 is too much, for that census. Don't be scared off looking into ER jobs elsewhere, ask the staff nurses how many they usually have when you are touring the unit. Floor nursing after the ER is, well, boring
I've done PDN for almost 5 years and I am returning to it after a break to get one year's recent facility experience.
I have an EXCELLENT assessment tool that I took with me everywhere for peds pts. I'll have to track it down and post it for you if I can find it again.
FYI, I swore I'd never do peds, but my second patient out of school was a peds patient. I ended up staying for two years each with my two primary peds patients so don't worry about the peds aspect (oh and I have no kids!). I absolutely adored my "little munchkins" though :-)
Here are some tips:
1. Make up a bag. As you work, you will see what you need. This bag is in addition to your daily work bag; I leave mine in my car. I carry a change of scrubs, hand soap, gloves, baby wipes, extra blank copies of all required documents (N.N., supp orders, time cards ect). Yes, you inform your company when you need supplies, but what are you going to do doing your shift? That is why I bring backup stuff so I KNOW that I will always have what I need regardless of how long it takes supplies to be restocked. Some companies make you go to the office for supplies if you are out.
2. Never give your personal phone number to the pts. I never did but I've seen nurses do it. You MUST set boundaries or you could find yourself in some real trouble. This is pretty highly stressed in orientation and you will hear horror stories. You sound like you will be just fine with that though!
3. Never accept anything from the family or pt. Seriously. Not even a coke. Decline diplomatically, of course. "Oh thank you so much, but I brought my own".
4. The family is in general an excellent resource. Most have been caring for their ill child for years and are very knowledgeable.
As for your skills, you should have an education coordinator. Find out who that person is and they can train you/refresh you on everything. Ours will even come out and guide us through any procedures if we need it. Youtube also has tons of videos of various procedures as well.
Good luck and feel free to ask more specific questions. I'll try to find that peds tool. I hope I do becuase I really need it agint too :-)
Yesterday, an elderly man came with multiple co-morbidities with a surgical emergency that, of course, was inoperable due to his age and condition. His family decided against interventions and he was to be admitted to the floor as a DNR. However, he declined more quickly than anticipated so he stayed in the ED and passed away there. There were multiple family members there spilling out into the hallway. I had no role in his care but happened to be walking by the group when I saw his wife sitting in a wheelchair with red-rimmed eyes and holding a tissue. I stopped next to her, squeezed her hand briefly, and moved on. After that, I had to step into the med area and blink several times to keep the tears in.
The patient was in his 90's and it was definitely his time. It was just heartbreaking to look at the person who had just lost her companion of perhaps as many as 70 years. I was also reassured that this cranky ED nurse juggling work, family and graduate school (me), still has a heart in there somewhere.
Heidi "gets her scrubs tailored so they fit her just so"? Oh, someone PLEASE, pass me that patient's wastebasket!
Anyway, in all of my years of working on hospital units, I have seen my own share of Heidis and Dr. Dicks and this is almost always how it pans out:
Heidi runs around bragging to anyone and everyone about how she is bagging a neurosurgeon. You see, Heidi didn't really go to school so that she could ease patients' suffering or empty bedpans. No, Heidi had an agenda, which was that as soon as she got out of school, she was going to hit the floor looking hot and get her a doctor! Never mind that a lot of doctors are total Dr. Dicks, it doesn't matter, she is 21 and gorgeous, and she feels that she deserves the "good" life and will stomp on anyone, using her cover girl looks, to get it.
Dr. Dick, meanwhile, who has an ego the size of Moby Dick, is really enjoying feeling like Mr. Stud Muffin. Not only does he have a pregnant wife, but he is SUCH a big, hot, neurosurgeon kind of guy, that he can also bag the cutest nurse on the unit, just with a wink of his eye! Not too many guys can do all that, eh? He is truly DA MAN!
And then what I've seen happen, nine times out of ten, is that Dr. Dick never had any intention of leaving his wife (whom he really does "love", he's just been a bad boy, boo hoo) or his six or seven figure salary, or his mcmansion, or his Mercedes. He was only toying with Heidi, who, by now, has fallen head over heels in love with him and has already been writing her "married" name (Mrs. Heidi Dr. Dick) in big, loopy, cursive letters on everything for quite some time now, and fantasizing about the beautiful children that they will have together (Baby Heidi and Lil' Dick), never mind that Dr. Dick already has a child on the way with the woman that he promised to love, honor, and foresake all others for. Cut to the end, and we see Heidi a broken, emotional mess, blubbering about how Dr. Dick promised her the moon and the stars, only to turn out to be a, well, Dr. Dick. Heidi will then put on her big girl pants, hold her chin up, and somehow try to persevere until the next Dr. Dick in her life comes along, because girls like Heidi never seem to learn from these experiences, they just keep on keepin' on until they finally find a Dr. Dick who is willing to leave his family for them, even if this Dr. Dick looks like a toad and wears plaid sports jackets and a comb over because, well, you know, he IS still a doctor!
But seriously, I hope that stupid Heidi doesn't end up pregnant with this loser's baby also. That would leave two innocent victims (the kids). I used to work with a very attractive nurse who got involved with a married ER doctor, got pregnant, and spent the child's first two or three years trying to get, and ultimately getting, child support from this Dr. Dick, and throughout it all, his wife never even thought about leaving him, and the attractive nurse ended up being a single mom who couldn't get Dr. Dick (the father of her child) to even look at her.
So much for baggin' a doctor.
Uh pays better than ccf but the benefits from cc far outweigh the hourly wage at UH.
This may explain why so many cc employees work at UH prn
I agree with the above posters, but on a side note, I would never make a head injury with positive LOC an ESI 4, nor has that been the norm at either facility I've worked for, one being a large level 1 trauma/teaching hospital. In my experience, those pts would be a minimum of a 3, depending on the story, and assessment.
I wouldn't go with a company just because it's local. It's not like you will be in their office at any time. You fill out most of your paperwork online and fax or mail hardcopies back to them (such as when they want copies of your licenses, references, etc.). What I look for in a travel company is that they are larger, ie they contract with more hospitals in more areas. I wanted assignments in a specific area, so I signed up for all the companies that serviced that area. Other than that, its just experience. Just because you do one assignment with one company does not mean you have to do your second assignment with them. My first was MSN, my second is Cross Country. I prefer CC.
I also am looking into travel nursing when my husband retires next year. There are so many different companies that it is almost overwhelming. I am thinking of using a local company here in my area, The Right Solutions, but am so unsure.
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