Do you feel these are patient safety issues?

Nurses General Nursing

Published

In my state, it used to be that Nursing Schools has strict admission policies and limited enrollment. For example, 3.5 GPA, 90+ percentile on the NLN Admission exam, not in college for 15-20 years without a degree due to bad grades. Now it seems tons of Nursing programs have popped up that require very little- no exam, low grades, etc. Now we have a ton of RN grads looking for work.

My concern is, many grads are to me a jeopardy to patient safety. For example, I know someone who has been a career Hooker with Meth addiction and Meth brain damaged with an RN degree. Someon else who has been convicted on Felony Drug Dealing with an RN degree. Many known long term meth addicts with degrees, career psychiatric patients often with criminal backgrounds with RN degrees, someone I know who was caught but not convicted of Credit Card Fraud with an RN degree. It seems WAY too easy to get an RN degree nowadays. Most of these people I know took 15-25 years to finally get a degree because they couldn't pass the classes, went to other schools who would accept them, online schools, etc.

My question to the "old school" nurses: Do you feel that this is a potential safety issue to patients, their care, their belongings (which can be stolen)? For me, I would NEVER hire anyone like that. For me, you need to have strong judgment, strong science/math skills and sound charcter. You're calculating microdrips, making judgment calls, storing patients' belongings, etc.

Tell me what you all think?

I feel that anyone listed in your second paragraph has the potential to be unsafe. But not guaranteed.

However I do not see the correlation of students with a low GPA/test scores.

Apples and Oranges in my book. The best nurses I have met were ones who graduated at the low end of the class. Book smarts does not equal good clinical skills. I even know two 4.0 nurses with a previous masters that are very weak in their skills.

I see the concern but find that the two types of people described can not be compared.

On a side note: I do not see nursing programs in my area lowering their standards. I have been told recently that one program increased the GPA minimum.

I am in a nursing program in Ohio. I find the people in you sencond paragraph very much a patient safety issue. I also find this information to be very disturbing in the fact that "x-drug" users are able to obtain there RN degrees. How is this possible??? In the program I am enrolled in they do background checks for issues like these. Also they are very strict on your GPA. I also have to say that I believe that it takes a balance of book smarts (math/science) and clinical skills. You can have a GPA of 4.0 but if you have no idea how to communicate, approach someone, or no common sense what good are you gonna do either?

Specializes in Peds/outpatient FP,derm,allergy/private duty.

I'm not seeing anything like what you are describing in my area. There are plenty of procedures already in place to make it very unlikely that an active meth addict would hold their job for very long. In fact, since I started and for many years after, there was no employee drug screening. I might argue that there may have been more addicts then, because there was no way to know other than someone being so impaired that others noticed it over a long period of time.

We now have a criminal background check, a CREDIT check in many cases, and fingerprinting. I should think that would be enough to catch the bad apples without becoming so intrusive into our private lives we would be living in an Orwell novel.

If someone WAS an addict, or HAS an OLD criminal charge and has since cleaned up their act, no way do I think they should be banned from nursing. If they passed their NCLEX, that's good enough for me until proven otherwise.

Treat everyone as an individual, which includes not only giving them a chance, but also following policies and procedures at your facility for reporting theft, impairment, or sub-par clinical performance.

Ed to add: the proliferation of schools and online programs flourished in an era of real nursing shortages. I think the combination of a recession and the pool of grads jumping as a result of those online programs and new schools has created the situation we're in now, and the pendulum will swing back at some point.

Tell me what you all think?

I think it highlights the importance of going to an accredited nursing school with a strong reputation.

TT...Yes, yes and yes. I work in a very high crime city, it's very very common for us to get travel RN's who are "tweaking"/high/impaired. Not just in our hospital but all of the hospitals in our city, we frequently put these RNs on the do not call list. I have no interest in moving, there are some extremely well skilled and well educated RN's here, just that maybe because of where we are there are many bad ones as well, but usually they're travel RN's or they move from Hospital to Hospital, state to state.

It is not all bad here. Because of the social disparities here, it is a very challenging place to work, with the good RN's being very skilled, not just in Nursing but also Crisis Managment. I don't want to make the wrong impression that working in a high crime area is all bad, it's not. But I do have very valid concerns about why and how are so many of the wrong type able to get into Nursing Programs, past the Board of Nursing and past Personnel departments without being sniffed out.

Dang!! And I was rejected from a 3 yr diploma program because my weight was not proportioned enough for my height. It would have been had I been 8 feet tall!!! LOL :lol2:

My BON publishes a newsletter every few months with the names and license numbers of LPNs, RN, and Dialysis techs facing disciplinary charges for a variety of infractions, ranging from unsafe nursing practice to self-medicating-both of which can result in permanent revocation of their licenses. I do not see how the people you mentioned could have been licensed to begin with. Just my :twocents:...

Barb :smokin:

Specializes in critical care, home health.

I've worked with a nurse who was a former gang member. She'd turned her life around and I'm sure she's an excellent nurse today- if she passed the criminal background check.

I also worked with a male RN who was being prosecuted for molesting children. At first, our hospital simply made a rule that he could not care for or participate in the care of any kid younger than 18. But he lost his license in the end.

I've known many meth addicts, having lived in a place where the stuff was rampant, and I can't imagine how such a person could pass boards, not to mention the background check. If such a person were to become a nurse, and those past issues were not resolved, then he/she would be out the door in a heartbeat.

Seriously, thank you all for your opinions and sharing what is done in your areas. It's SERIOUSLY a very bad problem in our area, and I know in some rougher cities as well, as some RN's I work with who have relocated have told their concerning stories about where they came from and how dangerous they felt it was. I'm glad some of you have not known these problems.

Specializes in LTC.

The OP is very ignorant and I dont think he or she knows any better. I find it commendable that people whom over came obstacles such as using drugs or being a hooker is able to change their life around and start a wonderful career. Sometimes a persons past will allow them to show empathy to a patient in doing the same thing. I went to Nursing school with a person who used to be a drug user and she was smart and I would allow her to take of my family any day. There will always be an unsafe nurse, or a crooked cop, or a bad teacher... but to stereotype is wrong.

Also there are many nurses who are junkies that had no criminal or drug hx, if you dont believe me try working at a merhadone clinic.

OP you need to realize that everyone has a past but it doesnt mean it would or should dictate their future...

The OP is very ignorant and I dont think he or she knows any better. I find it commendable that people whom over came obstacles such as using drugs or being a hooker is able to change their life around and start a wonderful career. Sometimes a persons past will allow them to show empathy to a patient in doing the same thing. I went to Nursing school with a person who used to be a drug user and she was smart and I would allow her to take of my family any day. There will always be an unsafe nurse, or a crooked cop, or a bad teacher... but to stereotype is wrong.

Also there are many nurses who are junkies that had no criminal or drug hx, if you dont believe me try working at a merhadone clinic.

OP you need to realize that everyone has a past but it doesnt mean it would or should dictate their future...

correct me if i'm wrong, but i got the impression op was referring to nurses who are currently junkies/addicts...

as well as those who were.

i am not concerned with anyone's past, but find it inexcusable for those nurses who are incompetent and dangerous...for whatever reason.

leslie

Specializes in ICU/ER.

Once, when I was in middle school, I swiped a pack of Skittles from a gas station on a dare. Ignorant thing to do. Didn't get caught. Also, I work with someone who had their license suspended for a year for diverting Morphine. They are clean and sober, did a ton of rehab, community service, and weekly drug testing they paid for themselves for one year. I'm proud of him and I couldn't be happier working alongside him. If you think someone is "tweaking" you can report them. I don't believe all former addicts should be banned from nursing. Sorry. Active addicts, yes.

Specializes in Oncology/Haemetology/HIV.
this is the OPs only post here......student or pot stirrer?

You think?

+ Add a Comment