kbrn2002, ADN 27,170 Views
Joined: Jun 18, '01;
Posts: 2,612 (70% Liked)
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Normally I would say if you don't need it don't get it. The only thing that would change my opinion is the tuition reimbursement. How good is it? If your employer is willing to foot the bill and you don't plan to leave their employ before the required time is up then why not let them pay for you to get the BSN?
Sounds like a pretty mild case of a common new nurse condition..RNitis! It's fortunately usually pretty short lived and resolves itself when the new nurse begins to realize real life nursing is nothing like what is learned in school.
I'm sure if we complained they would say we were being non compliant and close our files then we would be screwed! But I am tempted to get rid of my smartphone and get a basic one..then they can't track me and they sure as heck can demand I have a smartphone!
in my state we do have RN's in assisted living, and some do take total care patients, rules and patient acuity are changing, at least where I live.
Going to med school later in life than as a very young adult is certainly not anything that is impossible but you really should work out if the financial realities of taking on that kind of student debt is going to be worth it. There are no short cuts to med school by the way and that isn't a bad thing. Think about it from the perspective of a patient, would you want to go to a doctor that got the degree the fastest way possible or the one that worked hard and learned the most?
If you are talking about a clinical instructor for a nursing school program you might not qualify without a BSN. I would think the Bachelor's Degree or higher would be required in a related field but I could easily be wrong, states have different requirements. What does the actual job posting say the education and experience requirement are?
Yeah, this sounds like a wonderful idea. No matter how the "team" is assigned there is always, without a doubt going to be one of the team nurses that carries the heavier load and of course feels overwhelmed and resentful. Not to mention never really knowing what's going on with the so-called secondary patients but still being held accountable for their care. Way to foster good working relationships management!
I once had a lovely LOL in LTC whose dementia was advanced to the point where she didn't really know where she was but thought she was on a cruise ship. Every morning and evening she would "Go out on the Lido Deck to take the air. When she would get ready to go for her evening stroll she would always stop by the nurses station and ask if the "Cabin Steward" could do turn-down service before she returned.
I really liked her.
I thought this was to be a discussion about what lint magnets dark colored scrubs are. But, they hide blood...
Usually. However, I have met individuals whose years of "experience" just gave them more time to perfect the art of being an idiot...
Somehow they stay off the radar and/or end up working in a place where expectations are low.
I don't work in behavioral health, but I have nothing but respect for those that do. Talk about a specialty that requires a steady personality! Not everybody is cut out to maintain their own composure when all heck is breaking loose around them and a psych episode definitely can result in a chaotic and not necessarily safe environment. Even on a good day dealing with deceptive, manipulative patients is most likely the rule rather than the exception, again not something everybody is equipped to do without losing their own sanity at least a little bit.
Add in the horrible funding for mental health services and by the time a patient is seen they are most likely already in crisis or very close to it. It has got to be frustrating as all get out knowing there are interventions that could have prevented an escalation for a patient if only the funding existed to get them the help they need before it reaches a crisis point.
Related to the ridiculous lack of behavioral health funding is the extremely low pay for the difficulty of the job. A casual employee I work with occasionally works in behavioral health for a TBI group home company, the very poor pay combined with a total lack of appropriate training for employees contributes to massive turnover and chronic short staffing. The front line staff have no idea what they are getting into and have not received the training needed to deal with the special needs of the population they are serving. I can't really say as I blame them for leaving when they realize they can make as much if not more money working in retail without the regular and very real risk of being physically assaulted.
What the BON allows or doesn't allow has absolutely zero to do with this situation. It's not the BON that has a policy saying you can't work as a tech after you are licensed as a nurse, it's the employer. As much as that policy sucks for your situation it is certainly well within the employers rights to make and enforce it.
You were well aware of this policy before graduating and passing boards. It's not your employer's fault that you didn't plan ahead for a reasonably short period of unemployment before your new job starts.
If you continue to be deceptive to your manager about passing the NCLEX expect that it will come out anyway, and probably sooner rather than later. Since your personal integrity apparently is OK with lying to your manager about it but is not OK with lying to your co-workers about it you can and should fully expect at least one of those co-workers you were honest with to blab to somebody about it, who will then blab to somebody else and since good gossip spreads like wildfire it won't take long for your manager to hear about it if he/she hasn't already. The news about you passing the NCLEX would definitely be spread quickly as breaking rules and seemingly getting away with it definitely makes for the kind of gossip that people just love to share.
You should come clean now while you might have some small chance of at least being allowed to work through your official notice period, if you are lucky they will be OK with you giving a one month notice and let you work the month. Problem solved. If you are not lucky and they expect you to stop work immediately it's still hard for me to feel sorry for you since you had plenty of advance notice about this policy and chose to not plan for it.
It depends on the provider and the order I guess. I would never write an order for a med and expect a provider to sign off on it unless it's a med covered in our standing orders that just needs to be activated. I would and have written orders for therapy to eval and treat but our rounding provider has made it clear that is OK to do. Not all providers would be ok with that though, so before you start writing an order just to avoid calling an on-call provider it should be very clear that the primary MD is going to be OK with it. I don't get why you would avoid calling the on-call provider though, after all it's not like any money you save the facility is going in your pocket.
My biggest pet peeve is not really anything to do with my residents, but sometimes their families. There are more than a few too many families that are completely unrealistic about their loved one's prognosis and fully expect Grandma to get up and walk out the door any day now. You would think that the fact that Grandma is in a LTC facility and every MD that has seen her doesn't feel there is any chance at ever having a full recovery would be a clue but no...Grandma is going to get better and go home soon!
I think that's kind of considered one of the perks of working LTC. Nobody where I work has an issue with staff using OTC meds from the cart. Our med carts are all stocked with Ibuprofen and Naproxen and not a single resident uses them, they are pretty much there just for staff. Heck if the DON needs a tylenol or a tums she comes to one of the nurses to grab it off the med cart.
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