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  • Sep 20

    Most schools are vocational schools, where they don't offer college credits, but a certificate. If a vocational school graduate wants to become an RN, she would have to start from scratch, taking college level english, psychology and anatomy classes, which, are on a deeper level than the anatomy learned in vocational schools.

    My school is trying to create a bridge program so, we had to take RN pre-requisites before applying for candidacy, so that once a student graduates from there, they will have most of the pre-requisites needed to enter into an RN program. I still graduated with a certificate, but I have transferable credits if I choose to enter into an RN program (or actually, I can transfer them to many other programs, such as physical and occupational therapy, or to a science major). It all depends on your school.

  • Sep 12

    I found NCLEX-PN to have been difficult, once I got to question #60 and beyond. The computer shut down at 85, and I wasn't sure that I passed. I still remember a great deal of the questions to this day, and I tested in 2006. In retrospect, I was more prepared than I thought I was, and I was able to think through the questions that were difficult. Had only one math question (the first one). I did have several pick all that apply in a row, and that flipped me out.

    Hindsight is 20/20. I remember reading a post 6 months later where a person said to look at the select all that apply as true/false questions, and not to look at all of the selections as a whole. Look at each choice and say to yourself "Is this true in relation to the question or is it false?" If it is true, select it, if not, do not choose that one. I passed, anyway, but it would have made my life easier had I actually saw it that way, then. I wish I remembered who posted that, this person gave pearls of wisdom, and I would have thanked that person perfusely. Good luck and as someone else said "study smart".

  • Sep 7

    Quote from tnrose
    wow, you remember "everything" you learned in 06! I would like to figure out how to do that!
    If you are referring to me, well, I can't say that I remember everything, but because I work in a clinic, therefore, because I have to do a great deal of teaching, I have to continue to update myself often. As others mentioned, it may become easier because of the application of what you learned. I don't believe that all of what is learned in the textbook has applied to real world nursing, but what makes me remember much is that I see more of what people are NOT doing. Sometimes, you understand why, other times, you don't.

    People (employees, mostly) laugh at me, but recently, I ordered Dummies/Complete Idiot's books on Diabetes, HTN, Heart Disease, Menopause, Nutrition and even Prescription drugs. At this point in my life, I don't need the intimate details, but these books give a wonderful overview (at least in my opinion) on what is important in a reader friendly format with excellent bibliographies for further reading. I use these things as references for my teaching. I deal with a population that is not savvy or educated, and I want to be able to teach them about the disease processes, treatments and outlooks in a simple way without losing it's meaning. I remember so many of the snipets mentioned in these books that I easily incorporate this information into my teaching and many of the patients look for me when they come because they know I will explain in a way that they will understand. And, in many cases, I recommend these same books to them and even tell them that this is where I got my information from. Many have listened! I also make copies of easy to read pamplets to give out. All of these things help me to remember because each time I teach it, or read it again, I am reinforcing my own understanding of the material.

    In addition, most hospitals have computers that have Micromedix, or other resources that can be referred to in a pinch. I have the time to look up information (especially medications), that I am not familiar with, and before I call a patient in, I review the chart and if I see a disorder, med, lab or treatment don't remember or know, I quickly review it before I call the person in. If it is that bad, I have the information up on a screen before me (the patient doesn't see it) and read from that. I may sound like a college professor sometimes, but it can very well be the first time I actually came across this information. Because of this, I gained confidence that in most cases, I can access the information I need. There are modernized things available that have not been before, such as PDAs, pocket drug digests and computer downloads that are better accessed than before, right at our fingertips. What school does do is teach you (although you don't realize it until later) that what you don't know, you are taught to look up. This is why they teach you the importance of obtaining information from reputable sites ending in .org, .edu rather than .com. Nursing on any level is a working progress, and the reason I believe it is called a 'practice' is just that...we are literally practicing as we go.

  • Sep 6

    Another consideration is to purchase "The Complete Idiot's Guide to Prescription Drugs". I discovered this book the other day while surfing Amazon.com. The Complete Idiot series does explain things in layman terms for the novice to comprehend, and I swear by these books for basic knowledge from astronomy to religion (I love studying things independently). I also had a horrible pharmacology instructor. This witch was also the program director of my LPN program. Basically, she taught NOTHING. I had to take a seperate review class specifically geared in pharmacology just to pass the boards. Since then, pharmacology has become an obsession for me (maybe that was a blessing in disguise), and I have spent money on buying used pharm books for $1 to get a basic understanding.

    My husband laughed, because he said "On, ANOTHER book on drugs..."..but I don't care. Amazon has it where you can search and read a few of the pages to see if that particular book suits your needs. At this point, I want it because I like the tidbits they share to help remember things. I do a great deal of patient teaching in my clinic and (while I do carry a PDA with a nursing drug guide), I really like to comprehend what the drug does in my own words, so that I can better explain to the patient WHY they are getting that prescription. Of course, everything won't be in there, but just enough to get you started.

    Also, the Nursing Made Incredibly Easy series has a nursing pharmacology book. They may have the tidbits that you need, also. It takes time, you will not know everything, and there is nothing wrong with carrying a pocket drug guide with you to look up while speaking to the patient. I will usually start out with the common reasons for the drug, and if they have more questions that I can't remember, I pull out my PDA, or pocket guide to read off what they want to know.

  • Jul 30

    I was a member of IANDS, not because I had an NDE, but because I had two out of body experiences, and did actually encounter my mother twice after she died. I met about 15 people who meet monthly to share their experiences. I met them by investigating IANDS and saw there is a group that meets not too far from where I live. They are really fascinating folks. By the time they shared their stories with me, I was so overcome with emotion, crying my eyes out. Most of them experienced trauma; one was an ectopic pregnancy, another gentleman was working on his roof and was struck by lightening, a young girl (around 20 years old) was in a car wreck are a few. Most of them were not only aware of what was happening in front of them, but also other areas, such as a friend's house across town, another room and such.

    They are a strange lot; many do not worry about wearing coats in the cold or rainy days, they adhere to traffic, but will not run like crazy to get away from a fast, oncoming car. These people were not afraid of dying. Funny, they are not suicidal, but just not afraid. They were not spaced out people, in fact, some of them are very cynical, critical people, because they feel that this plane has nothing, we will all die anyhow and don't take what we take to heart in the same manner. They still have vicious arguments and can be petty, those aspects did not change. But, they are basically not afraid anylonger, and are totally honest with their feelings. I am honored to have met them. In fact, the only reason I don't meet with them any longer is because once I started nursing school, I was sadly too busy. But, I believe in all that they shared with my heart and soul.

  • Jun 1

    Most people seem to make this decision based on how quickly they can be accepted into a specific program. I hear that many of the RN programs have as long as a 5 year waiting list, and some say that the LPN programs are a bit quicker (then, there are others that are saying the same...a long waiting list). If you want to become an RN, and have good grades in the pre-requisites, then, place in for candidacy to see what happens. If not, then, try an LPN program while you are waiting. It is really up to you. Best of luck!

  • May 12

    What I have noticed is that while my facility does have a preceptorship program, few apply because they only get an additional three dollars a day to do this. Because there are so few of them, the facility usually winds up 'dumping' (sorry to use this word for you, as a new nurse) the new grad on those whether they agreed or not, and are not even being compensated the three dollars that a preceptor should be paid. Also, in my facility, LPNs cannot enter the preceptorship programs, but, I have trained many RNs (even BSNs), because no one wanted to do it, and I am getting paid less than all of them.

    I am not defending their behavior, because I do believe that if you leave a new employee (particularly a new grad) in the dark, you are not obtaining the help so desperately needed. Sometimes, nurses shoot themselves in the foot behind their behaviors. I am just trying to introduce another perspective.

    A preceptor should be a willing person who is patient, fosters learning and is observant of the talents and weaknesses of their charges and should also be creative, because each individual has their own working style. The preceptor should also be realistic, by allowing the newbie to see what is really involved in nursing (such as telling them they can obtain as many as 10 really sick patients with various important needs), how to balance their time and politely remind the person of habits that may hinder them from good prioritizing and time management.

    I'm sorry to hear you are not pleased and also sorry to say that more people than I care to read about or admit experience these things you mentioned. Maybe going to the new unit will allow you to be able to create your own style because you will all be new to it and can each put in a contribution to make things easier while giving patient care.

  • May 5

    While I do not support these types of nurses, I have conversated with some of them, and learned that even their laziness is a reaction to depression and stress. There was one in particular that raises holy he!! in our clinic. Many of the nurses had legitimate complaints about her, and one day, while we were alone, I came out and asked her "What is up with you? The rumors of such and such...and I can say that I can see why people are aggreviated with you. Tell me YOUR side". It opened a door of communication for us, because basically, I was a bit intimidated by her, based on what the other nurses said as well as what I witnessed. She had to work the late clinic with me, and I basically initiated this conversation because I was going to make a point to let her know that I wasn't going to take the crap. After hearing her story (she told me that she was extremely overwhelmed and felt blackballed), I realized that both sides had points and I told her. Now, we work so well together in that late clinic. We split the responsibilities, we even sing to each other sometimes. I told her that as long as I see that she will work with me, I would not abandon her. Now, the other nurses are wondering why we are always smiling and hugging when we see each other.

    As I said, I do not support the behavior at all. It takes away from patient care and it places the burden on the co-workers...is unsafe and can lead to mistakes. But, I felt like I accomplished something with this woman that was priceless. At least, she won't mess with me.

  • May 5

    Quote from happyloser
    I do not think its the careless attitude but rather the copious amounts of paperwork and charting, etc. Think of it like this, you come in and autmatically get report and have to get your meds ready, and surprise some meds are not in the pyxis, time to call pharmacy. Then you find out patient in room 9 needs blood. Now you have to type and cross and send it to lab and wait for it. Now your confused patient fell and that means writing an incident report and waiting for the resident. Now patient needs a CT of the head.

    These are all possible scenarios and you can see as to why nurses are busy, not that they do not care but rather are swamped with patients and protocol.
    I tend to agree with you. Too many nonsense details and insane paperwork leading to more document care than patient care. But, if there is no document care, the nurse can lose her license and be on welfare...so, many are discouraged and just plain tired.

  • Jan 30

    There is no reason for genital herpes to even come up. As BlueRidge stated, if you are wearing pants during the outbreak, washing hands and following all standard precautions, there is no reason for this to interfere on being a nurse. I don't even believe it has to be mentioned for the physical, to be honest. I just would not mention this fact in the classroom, though...to ensure your own privacy.

  • Jan 28

    You should visit the web site www.iands.org. These people had near death experiences, and at times, they speak about death bed visions. I have not seen any patients experience this, however, I have met numerous people who have had NDEs. A fascinating phenomenon, and I believe in all of them wholeheartedly.

  • Dec 7 '16

    Most pharmacy techs I know work for barely over minimum wage at chain drug stores like CVS, Walgreens, etc... I would consider working for another place than a hospital before I give up altogether. RNs have many more opportunities and I would try and discover those first before throwing in the towel.

  • Nov 18 '16

    Well, I really don't have any intention of getting my RN because I assessed my personality, and it does not gel with me becoming an RN. I did some careful thinking, and, in the process, I discovered many things about myself. I have no real patience for working that closely with people, especially to be responsible for their actions. I don't like to lead people, therefore, I'd never want to be a charge nurse being responsible for employees working under me, I don't want critically ill patients, and, yet, at the same time, I do enjoy reading about medical cases, interacting with people, teaching and being in the medical field as a nurse that has the basic skills to assist patients. I also really hated nursing school with a passion.

    One of the things that I keep in mind also, is that my circumstances make it so that I am not hungry for the big bucks. Believe me, I am not rich, however, my mother left me a mortgage free home when she died, I am married, with one son that is 20 years old. I recently became an LPN, and once I get my credit cards down (and it is not that much), I can survive okay with my salary, especially since I picked up an agency job to work as a flu nurse, and they also have many other interesting cases that I can try. I am not jealous of RNs and I am not discouraged about my position as an LPN, either. I do help the RNs as much as they will allow me...the only pet peeve that I have is when someone does not consider me to be a nurse, and offers their uninvited advice to go on for the RN. I had someone tell me "If you wanted it, you will make it happen." My response to that person was that I DON'T want it, so, it is a mute issue. We cannot fool ourselves to believe that being an LPN absolves us from responsibility because we have a lower license, but, if there is an RN that really wants to throw her weight around, then, I let her/him be an RN...and that may mean to take the whole headache.

    I am one that sincerely does not regret being an LPN. I was fortunate enough to have been in a program through my job that offered nursing assistants and the like to become either LPNs or RNs. I was on many committees, and I was a shoe in. Most of administration were really upset that I didn't choose to become an RN, and I even had the GPA to enter, but I flatly refused.

    You will get different responses to this thread, but whatever decision you make, know that if you begin as an LPN, then, you can move into the RN when you are ready...the buck does not have to stop there, unless you want it to. There are too many on line courses that can get you where you may want to be. And, if you decide to remain an LPN for awhile, don't let anyone make you feel less than a nurse.

  • Nov 2 '16

    I do think that RN programs should take more time to explain the role of the LPN. Many of them assume that we can do EVERYTHING that they can do because we are also nurses. It has caused some confusion for many. Because the RN is the manager of care and will be the main person delegating, it is better that they clearly comprehend the disciplines.

    I have seen LPNs do many things that they are not supposed to do, such as IV push, hang blood without an RN, even relieving the triage nurses for lunch (because we are not supposed to do initial assessments). Because we also hold a license, I think this is a mistake for the LPN to do. Everything is okay until something happens. The first thing to occur would be that the BON would ask the LPN what made her do something out of her scope of practice, and question the RN about the delegation of that assignment to someone not legally able to perform a certain function. I worked as hard for my license as the RN did, and will not lose it by doing something clearly not within my scope because I can't justify it.



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