Latest Comments by 37changes

37changes 3,686 Views

Joined: Nov 13, '16; Posts: 291 (48% Liked) ; Likes: 325

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    A huge part of why I chose this path is because there are SO many different places you can work, so many directions you can go. I appreciate hearing what it's like in different environments, because I'm certainly not exposed to even half of those options in clinicals.

    I've been focused on getting through school and doing the best I can with that + my family. But the time is coming to pass the exam and move on to the next big chapter. I know myself pretty well, and I'm trying to get a realistic feel for what that might look like. It's one thing to have a picture in your mind, and sometimes quite another to hear the details from those who are living it. I've learned a ton on this site already, and I appreciate those who are here and take the time to respond. You've given me a lot to think about already.

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    I appreciate the conversation! Reading these posts, I'm thinking the nursing home where we did clinicals may be more like rest home instead of skilled facility... there were no IVs... in our time there, there was one poor guy who needed a straight cath, and they had all 10 of us cram in the room so we could "see the experience"... everybody was *for the most part* pretty happy & healthy, from what I could see. And there was an Alzheimer's wing where we visited one day.

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    Hello all ~ I am looking to hear from nurses who are currently working or have a lot of experience in LTC or AL.

    I'd like to use this thread as a place to get to know you a little better & ask questions as I think of them. And maybe get your opinions on jobs down the road, etc... should I choose to head down this path.

    I am beginning the last semester of my ADN program. People have been asking me what I'm going to do ~ and while telling them I'm still not sure, I'm also telling them I think my heart is in LTC.

    I have felt this way since before I started school.

    I had a great experience in clinicals at the nursing home. I know not all facilities are like this one -- I know that, for sure. But it was good. It was smaller. Homey. If my grandmother needed to go somewhere, I would have no qualms about this one.

    I've been in touch with the ADON there, and she's offered to meet with me to discuss LTC vs hospital, as she has had experience in both.

    I have an aunt who has worked her way up in LTC management over the years and is pretty high up, over many facilities. She is encouraging me to head this direction, as well, as I already have an associates in Business Administration. She says LTC needs people and I could move up quickly if I can do a good job and manage a team well.

    I don't have a strong desire to work in a hospital. My local hospital does hire ADN nurses regularly, so it's not that I can't -- it's that I don't necessarily want to. I think I just prefer a different environment.

    I will be almost 40 when I graduate, and I am not dead-set on pursuing my BSN. That would be required to be completed within 5 years at my local hospital. I'm not sure about others. But my kids will be starting college soon, and I'm just not sure if that is the direction I want to head.

    I'm also looking for days. And I know, as a new grad, that is limiting. But I also don't need the benefits, I don't have to be full-time, and I'm cool with PRN days, if that is all I can find.

    One thing I noticed while looking through the threads in this section is that people were saying LTC pays less than hospitals. I have heard the opposite here, from my aunt, as well as from one of my instructors who worked in LTC. My aunt said her company also pays $2/hr more for PRN employees. I'd love to hear thoughts on this. I wonder if it is area-specific.

    Thanks to anyone who responds! I value your experience, for sure. As I currently have none.

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    Leadkrm likes this.

    Quote from YodaMans
    Hi guys, love that you are all still around. I just applied for Spring 2019. How many books did you guys need to buy and how much did it cost? I am trying to figure out. Also, when do would I need to complete immunizations and turn in the immunization records? Based on your experience. I'm going to be looking over the Online Nursing Information session power point again just in case.
    Are you still applying to two campuses? The required materials will be different in different places, I think. For example we did not have the simulation packs like Leadkrm is talking about. And we had to buy different books for complex med surg (last semester of our program).

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    Quote from Leadkrm
    I'll be in my last semester this fall as well. I'm sure we will have class together if you are in the Thursday morning capstone class. Congrats.
    I've been wondering about you. Hope all is well. Good to hear from both of you!

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    Quote from YodaMans
    I can't believe I read the whole thread. Very interesting from everyone. No many threads like this in the 2018 2019 Hopefuls that I know of. I learned a lot and I thank everyone for their input. I will be applying spring 2019. It is cool to see how time passed by. From doing prereqs and coreqs to being admitted in to taking nursing classes. Motivating and definitely exciting. Work load must be unique for everyone, but I come to the conclusion that it is A LOT of work.
    Best wishes on applying. I'm still "around" if you reply here ~ I get a notification. Ask me anything.

    Otherwise, haven't had much time for this forum. I hung out here and soaked up A LOT when I was first getting started ... now I am more focused on getting the job done and honestly, avoiding a lot of the negativity that is here surrounding nursing. I'm already on the path now. I choose to fill my days with as much positive energy as I can find.

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    curiousMD likes this.

    Quote from sonyarn88
    What state are you in?

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    Quote from zynnnie
    No, it wasn't multiple choice
    But were the rounding rules clearly stated on your exam, in print?

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    Quote from nursinglove30
    This must be hard for you but as others have already said, you needed to read the instructions and follow them especially when you realized you got 333.3 and there was another option for 333. This is when you should really take an extra second and look up at the instructions AGAIN just to make sure. This isn't really who is smart here but who can follow instructions and it looks like they got 4 of you.
    OP, was this a multiple choice test? None of our med calc questions give choices. We just come up with an answer and follow the math rules they want us to follow, which are clearly stated at the beginning of the math section on EVERY exam. Was yours this way?

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    BirkieGirl likes this.

    Check out Dr. Perlmutter's books (Grain Brain and Brain Maker) ... although you don't have time to read them, I know. They are fantastic. He also has a great website full of articles, etc.

    The effects of chronic stress & lack of sleep are very real, and not something we can just "push through" forever. I'm feeling it, too, and that's just as an (older) mom of 3 + student. I have been unable to properly care for myself due to the ridiculous course load this semester. Not enough hours in the day. You know.

    I started out with a bang -- and now it feels more like a fizzle.

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    Good to hear from you. My semester is going OK I guess. I am taking advanced anatomy and physiology, microbiology, MedSurg 2, and mental health. Of course all of the clinicals that go along with that. It's nuts, but I had no other choice. One day at a time, for sure. And counting down to our 3-week break.

    Summer for us is mother baby. They are doing it in eight weeks for the first time. And we have a new instructor, who has not taught it before, but we had her for pharmacology and I really like her. We don't have a clinical schedule yet, but I hear it is going to be a jampacked eight weeks. At least I will have these sciences done & just nursing classes to focus on. I'm tired. A little burnt out. But grades are good.

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    Quote from broughden
    In the army we do. I dont start nursing school till this Fall, right now Im just taking pre-reqs.
    Do civilian students not use each other for IV practice?
    Not allowed to in our program. At all.

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    Kitiger likes this.

    Quote from sevensonnets
    And it closes off my airway, period.
    So where are you going with this? Because I'm agreeing with you. You should not have to be subjected to other people's smoke. There is not much we can do about patients who come in, and unfortunately that will probably always be an issue. But I think there is a lot of room for improvement with coworkers, from what I have read on this thread.

    Having discussions like these raise awareness, all the way around. I'm sure there are smokers out there reading this thinking, "geez, I didn't know people felt so strongly about it" ... or "wow, is it really THAT noticeable?"

    And I'm saying to those people: Invest in a nicotine replacement for your work days. Seriously. It can be done.

    I am also just trying to shed some light on the issue for those who haven't been there. I know that there are deep thinkers out there who will ponder it, and maybe it will have a small impact. I also know there are some who will cross their arms, dig their heels in, and refuse to budge on their stance. That's ok, too. I chose to post anyway. We all bring different experiences to the table, and if yours have been such that you literally can have zero compassion for any smoker, anywhere, regardless of what they've been through or how conscientious and compassionate they are -- then there is nothing that anyone on an Internet forum can do to change that perspective. I sincerely hope that things get better for you. Have a great weekend!

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    Kitiger likes this.

    Quote from sevensonnets
    37Changes, being subjected to second-hand smoke on a daily basis is NOT about the smell or the frequent breaks smokers take when their nonsmoking coworkers don't get a break at all. It's about my right as a human being and an asthmatic TO BREATHE. Asthma can be life-threatening for me as well as for patients, yet I am expected to have compassion for people addicted to cigarettes! I'm addicted to breathing yet where's the compassion for me?
    That's exactly what I meant ~ and I did show you compassion. For sure. You've got it! 100%. I'm not really sure how you could have taken my post *any other way*.

    When I said, "the smell" ~ I meant that to include ALL aspects of the smell. How gross it is -- strong, offensive -- AND the reactions it triggers in people. "The smell" pretty much covers all of that, in my mind. It sticks to people's hair, their clothing, everything. It can't be covered up with perfume (that's just adding insult to injury for people who are sensitive!) ... the bottom line is that it simply *should not be there* at work. Out of respect for coworkers, as well as patients. Period.

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    jeastridge, djh123, and Kitiger like this.

    There are so many separate issues I see going on in this thread.

    The strongest feelings I see are surrounding others being subjected to the smell. *You shouldn't have to be!* I absolutely have compassion for those who have to deal with this in the workplace. And outside the restaurant, movie theater, whatever.

    The other issue I see is coworkers taking extra breaks. WHY is this ok? This is a subject that needs to be dealt with at the administrative level. It's not ok.

    Smokers can use nicotine lozenges at work, and it would get them through just fine. It does not have to be that you are EITHER a smoker OR you use lozenges. This is a matter of mindset, people.

    Times are changing, and it is becoming less and less socially acceptable, as has been discussed here re: the fact that many of us grew up absolutely *surrounded* by a cloud of smoke in every possible setting. My kids cannot imagine that, and to my grandkids it will probably sound like total fiction. Unbelievable.

    But the progress is slow. Most big changes are.

    I think you can be pissed off about having to be subjected to it, while still having compassion for the people who struggle with the addiction. If you are one of those who says you have no compassion, I encourage you to just give up your favorite food, or your coffee, FOR LIFE. Just do it. You'll find it's not so simple ... there are all sorts of emotions wrapped up in that food or that coffee, not to mention the effect it is having on a physiological level.

    Yep, smoking is gross. You may think it's not the same -- I mean, how can you compare a nasty ashtray to a donut, cake, or cookie? A giant bowl of pasta? Or a nice, hot cup of fresh coffee? Those who have never been addicted to cigarettes just won't be able to wrap their heads around that, because it *seems* to make no sense. "It's not the same!" they'll say. But it is. If you're hell-bent on proving me wrong, give up your favorite vice today, and never look back.