Re: Any Advice Would Be Helpful- Need Direction
It sounds like you've pretty well settled on entering the field through an LPN program. That isn't the route I took--I went through an ASN program in two years. I've often thought that if a person had enough time, CNA--LPN--RN would not be a bad route, because one could be gaining practical experience as one pursued one's education. As I mentioned, when I was in school, several of my classmates had a year or more of working as LPNs, and it showed, especially in clinicals. If I ever get off my butt and go back for my BSN, I'll be a lot more confident than I was during my first two years.
While you are studying, I recommend talking to your instructors, advisors, and working nurses where you do your clinicals, about the opportunities available. As an LPN, you can make decent (not great) money working in Long-term care, but you'll earn every dime. In a hospital setting, the pay is less (at my facility, I saw an entry-level painter's job posted for a few cents an hour more than entry LPN). The lower pay reflects the more limited scope-of-practice, but in terms of practical nursing, you'll be doing almost the same work as an RN, for about half the money. (This varies by facility, somewhat, but in general, LPNs don't get a very good deal, so there's a lot of incentive to get the RN ASAP.)
There are several ways to go from LPN to RN. Some of my coworkers are going through online distance-learning programs and seem to be doing well with it. It ain't cheap, but there's a good deal of flexibility. My LPN classmates were doing a "bridge program" at my community college. At the time, they got to skip the first semester, "Fundamentals of Nursing." So it was a 1.5 year program, instead of 2. I hear it has been streamlined even more, so you can do LPN-to-RN in a year, but I haven't really investigated that. At any rate, that path led to an Associates Degree, which qualifies you for an RN, but is a bit more limited in terms of future opportunities than a BSN. Some jobs in nursing require, or at least highly prefer, a bachelor's degree. I am interested in pursuing a BSN in part because I value the education for it's own sake, and in part because I'm coming to think I may not be able to do bedside nursing forever. At the moment, I have no interest in a desk job, but I can see I may feel differently in ten years.
Beyond a BSN, there are several Master's degree possibilities. CRNA (Certified Registered Nurse Anesthetist) is one that is hard to get into, hard to get through, and pays pretty well (six figures, usually) to those whop succeed. Family Nurse Practicioner is another option. An FNP has many of the same reponsibilities as an MD, with somewhat less autonomy (and less pay--but less loans to pay back, too.) CNM (Certified Nurse Midwife) is another Master's level nursing degree that fills a lot of the role of an MD, in this case an obstetrician. Midwifes seem to love their work, which is good, because the few I've met aren't making a lot more than a bedside nurse. Still, money isn't everything. I have no plans to pursue either, but I think I'd enjoy being a midwife more than being a CRNA.
This is by no means a comprehensive list of options, and I don't guarantee it's accuracy. For all I know, there may be CNM's making a hundred thousand a year--I just haven't met any. But maybe it's a place to start. You might look around some of the Nursing Specialties forums, or just Google anything that sounds interesting. One of the courses in my ASN program discussed the various opportunities open to nurses, and I imagine your program will at least touch on it, too. But you can also research a lot on your own. I suspect that once you are firmly grounded in practical, bedside nursing, you'll have a better idea where you want to go from there.
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