Latest Comments by CiCigirl

CiCigirl 1,800 Views

Joined: Aug 29, '06; Posts: 65 (14% Liked) ; Likes: 13

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    I was once told that with qualifications being equal between applicants that the decision of who got the job and who didn't was based on the rapport with the interviewer. So I guess if the interviewer has a prejudice against chubby/full-figured/large/obese/whatever nurses then the interviewer might want to go with the thinner/slimmer/whatever nurse and vice versa.

    But I guess the point I'm trying to make is that I think a lot more goes into the decision (experience/work ethic/job requirements) than just someone's weight.

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    shannonFNP likes this.

    Hi Shannon--

    I'm a nsg student in MD, but I grew up in Dallas and I was a volunteer in Parkland when I was in college.

    Needless to say, since I was a volunteer I can't give you the nurses point of view of working in Parkland, but I can give you the volunteer's POV and am happy to do it.

    Now that I'm in nsg school I reflect on my experiences at Parkland quite frequently. I volunteered in a part of the ed that they called OBER (Obstetrics Emergency Room). We saw women (pregnant and not) and the primary pts we saw were pts w/ STDs or other types of gynecological disorders. We did tests for other STDs when a pt came in with one STD and the primary type of pts we saw were pts w/out health ins and/or teenagers.

    Also b/c Parkland is in Dallas, (close proximity to Mexico) and the county hospital as well, we saw a significant number of pts who were Spanish-speaking only.

    For me--I considered it one of the most valuable experiences of my life. Some of the patients I met there--I will never forget. And the nurses I worked with were some of the nicest, most down to earth people I've ever met.

    Like I said, I wasn't a nurse there so I can't give you the nse's perspective, but if I were ever to move back home again I would certainly consider working at Parkland.

    Like I said above, it's a county hospital so you can assume all of what comes with that...but for me, I thought volunteering there was great and I loved the idea of being able to help people who were the life blood, the soul of the city.

    If you think you might like working in a county hospital a diverse group of patients (some of whom are the nicest people you'll ever meet in your life), then you just might like Parkland.

    I hope you get more responses to your thread (so you can get the nse's perspective, I'd be interested in reading them), but I hope my perspective helps too.

    Best wishes to you (and sorry so long--I'm type happy:typing)

    Please send me a message if there is anything else I can give my perspective on.

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    I like It's a pay site, but it has lots of general and specialized ques.s. You take the tests on there and it grades you and then you can review the test, see which ones you missed and it gives you explanations why you missed them.

    A lot of the ques.s follow the ADPIE (nursing process). It's a good tool to help you pass tests in nsg. school and the nclex.

    Also I bought some nclex prep books. Those help me too. :typing

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    cincin1 likes this.

    CinCin--I agree with your opinon that chance of infection is minimal w/ blood on intact skin. Hopefully though, right after you noticed the smear you went right away to wash your hands well w/ soap and water and notify your instructor. They like to be in the know about those kinds of things.

    If the incident happened exactly as you described--I think you have (God forbid) a better chance of getting hit by a plane falling from the sky tomorrow than coming up HIV+ from this incident. But just for your own peace of mind I would still get an HIV test in three weeks. (If you've been reading up on it you probably know that is the commonly recommended timeframe to wait before testing.)

    But like I said, talk to your instructor and go with her recommendations.

    Other than that just make sure you're careful and protect yourself at all times from here on out.

    Right now paranoia is your worst enemy. Don't let that derail you from what you should be focusing on.

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    Now you study more, and more and more and more. Right?

    There's no giving up and like the OP said, You can do this!

    The only thing is that now you realize that it's going to take a lot more than you've been giving it.

    Don't get me wrong, I'm not trying to be unsympathetic. The very last thing I am is unsympathetic. But I'm in nsg school too. Second semester too, just like you. And I know that we chose this field b/c we feel like we can really make a difference and this is what we want to do with our lives. And we'd be cheating ourselves if we gave it up too easily.

    So you have to figure out what it is you need to are some things that work for me...

    I make notecards for the numbers I need to remember-normal PaO2 & PaCO2 sat, normal electrolyte lab values, etc. (b/c that kind of info is really dry for me) then I take them with me whereever I go. I quiz myself with them whenever I have a chance.

    I read the assigned chapters in the book, take notes in the lecture and record it just like you, then when I get home I listen to the lecture again and fill in my lecture notes with anything I failed to write down in class.

    I bite the bullet and study, study, study every free second I get (including weekends). Last test I studied 8 hrs on Sat and 12 hrs on Sun. I was brain dead by the end of it, but I felt good about it b/c I knew I had gotten some real good time in, no energy to cook though, just ate something frozen from the fridge and fell into the bed. :-)

    I've got some of those NCLEX prep books, and although I don't know all the answers yet, I go through them and answer the questions that are related to what we've been assigned in class. I also check the web for free nsg quiz sites and do the questions on the CD that came with the book. Also, maybe the teacher could recommend some good books and websites.

    I don't have all the answers, (heck, I don't even have most of them) but these are some of the things I do that work for me. You find what works for you and refuse to give up.

    Keep going, keep going, keep going.

    Sorry so long, good luck to you!

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    Hi Icor--

    I don't have any GREAT wisdom, but I saw that your question was up there for a while and nobody had responded yet, so I thought I'd throw out a few suggestions. Hope they help

    1. Find out what book they'll be using for the course. Get it now and start perusing. (Of course you won't have time to read and retain every chapter b/f the semester starts, but you could go over the words in bold print, tables, boxes, figures, etc.)

    2. If you have already registered for the course visit the school and find out who the teacher will be for your section. (If you haven't already registered, go into the bio dept office and see if you can find out who regularly teaches this course and if they will be teaching it again.) Then go to that teacher's office and ask them if you can have a copy of the syllabus for the semester so you can get a head start. If they say "no" or "it's not ready yet" ask them if they have a copy of the syllabus from last semester. Studying the syllabus can give you a good idea of what chapters they will focus on in the upcoming semester and that can allow you to focus your reading in the textbook. Be sure to do this b/f spring semester ends so you can catch the teacher at school.

    3. Also ask the teacher if there are any supplemental/recommended books for this course (this info might also be on the syllabus). Also, this is a good person to ask what additional books they might recommend to help you refresh yourself.

    Hope some of this info helps. Remember, don't be afraid to go to the source (the teacher) to find out what you need to do to be ready for this course. They might appreciate your enthusiasm, and even if they don't, the worst they could say is "no", right?

    But I've gone to talk to a couple of teachers b/f semesters started and even though they were all busy in their offices with their current classes I have never run into one that was not willing to give me a little helpful advice/info.:typing

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    TexasPediRN likes this.

    Quote from MeghanRN

    If a med expired that day, I'd still give it.

    As for the question of why you shouldnt document that in the chart, its for legal reasons.

    Say you documented ' meds expired but per pharmacist ok to give '

    Then later on pt becomes septic and dies.

    Family decides to sue (as they always do) for who knows what reason.

    Now the lawyers get to see the chart. They see the line you have charted above. Ah HAH! They have all of the ammunition that they need.You gave an expired med. Pt didnt get the right concentration of meds b/c you hung an expired med. Now hes dead. Lawsuit won! Your license on the line.

    As other posters said, you'd do an incident report. You would never ever document in the chart that you filled out an incident report, because they the lawyers could track it down and find our exactly what happened.

    Does that help explain things a little more clearly?


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    calliesue likes this.

    Quote from mrs_truesdell
    Hi I am wondering if I am to old to start a nursing career? I am 40. I was a CNA in 1988 for 3 months but thats it. I was always a stay at home mom and now im wanting to work and nursing is what my intrest is but I want to be a LPN not a CNA. I also want to know on average as I know it differs from one school to the other how long it will take and how much money will it cost me to go to school.

    There's a girl in our class in her 50's...and she's getting some of the highest grades in the class.

    Don't wait. You'll never get any younger than you are right now!
    Good for you!!

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    I have always thought of it as patient until I started nsg school this semester. On the first day of classes they told us it is now client.

    Seems like a silly semantic argument to me.

    If I were sick and in a hospital I think I'd be much less concerned about my "title" than my treatment. I tend to think our patients/clients might feel the same way.


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    drgnfly170, mixyRN, VICEDRN, and 1 other like this.

    please leave your attitude at home.

    i know that you are the all-knowing, all-seeing, omnipotent nurse (with an infinite, whole, entire, 3 years experience) and i am but a lowly amateur who you have benevolently sought to teach out of the goodness of your heart, but please remember that nursing is not my first career, that you and i are the same age and that although my nursing experience is minimal at best, i have a wealth of experiences in other areas. perhaps some that you have no knowledge whatsoever about.

    and that if the tables were ever turned i would know how to teach you without condescension, apprehension or even being the least bit full of myself.

    please remember that knowledge and humility are not mutually exclusive qualities. they can exist together in the same body.

    whew! that felt good. now i don't have to say it in class...:wink2:

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    [color=gray]got my letter in the mail, first word was "congratulations!"

    [color=#808080]so excited! :spin::spin::spin:

    [color=#808080]i've reread the letter about 10 times just to make sure i read it right. :trout:

    [color=#808080]don't know what to do with myself--so anxious to get started and at the same time, butterflies in my stomach.

    [color=#808080]many thanks to the allnurses community, an invaluable resource of information, encouragement and emotional support!!

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    MUUGUZI and lindarn like this.

    Quote from llg
    While I agree that we need to think of ourselves as being worthy of high compensation and present ourselves as such, I also agree with the particular post you were responding to. To be talking about specific numbers is ridiculous. When we fail to consider the cost of living, the compensation numbers become meaningless. I appreciate the other poster's efforts to state her desired level of compensation in terms of the standard of living that her desired wages will give her.

    As for physicians and fancy cars, etc. ... We will never be compensated at those levels until we require a similar level of education (which isn't going to happen in our lifetimes -- and probably shouldn't happen).

    Considering the differences in educational levels ... What would you say the standard of living should be?

    ...for an entry-level position requiring only the minimal education
    ... for nurses with additional education working in advanced positions that involve taking more responsibility

    Thanks for your post, llg--

    A couple of the things I was responding to specifically were the statements, "I think that being an RN should afford you the ability to drive a decent car..." and "provide adequately for their families".

    Please pardon my post if it was taken personally, or seen as too aggressive or opinionated or what have you and please remember that I was not speaking of specific numbers. But what I was trying to convey is that I feel that the work nurses do is invaluable to our communities and although the educational requirements are not the same as required of M.D.s they are above and beyond the average educational level attained by many citizens of our country, (as well they should be).

    I am currently a second career nurse hopeful to be and I take the level of responsibility, dedication and committment it takes to be a good nurse very seriously. I understand the monetary compensation could never equal the level of dedication and expertise required to be a good nurse. But I am simply very much against the idea that nurse should only look for "decent" and "adequate" compensation for their immeasurable contribution to the community.

    Should nurses be paid as much as physicians? Surely not, b/c the requirements for each position are so different. But should they be paid more than they are currently being paid? Absolutely YES!

    Although a beginning nurse is entering an entry level nurse position, their education level is not minimal compared to the average education level of citizens of this country. (And neither is their responsiblity level, for that matter.)

    As for how much entry level nurses should be offered, I agree with you, it depends on the area, and specifically the cost of living of that area. In my area it's about $25/hr.

    Do I think that's enough for all the work nurses do? NO. But am I willing to accept that as a starting salary for the work I want to do? Yes.

    And I do think advanced practice nurses and nurses with advanced degrees should be compensated above and beyond that.

    Although I'd be one of the last people to purchase one of those glorified rollerskates that we call BMW or Lexus, I'm sure you would agree that there's nothing wrong with wanting more compensation for you and your family, the ability to contribute more to your 403b and IRA and a more comfortable lifestyle when you retire.

    Because, as our great president has warned us all, social security may not be there when we retire.


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    MUUGUZI likes this.

    Quote from traumaRUs
    I think that being an RN should afford you the ability to drive a decent car (not necessarily a Lexus or BMW), live in a nice neighborhood, own a house and provide adequately for their families. So...I guess I can't give a number since it will vary by area.

    I think that a lot of nurses see nursing this way and that's part of the altruistic, self-sacrificing attitude that keeps nursing salaries down.

    I think outside of the nursing community there are a lot of Americans who want more for themselves and their families than "decent" and "adequate". Outside of the nursing community career achievement is rewarded monetarily and people do not generally look down on it. Some of the highest paying professions in this country are sales professionals and I've never heard any one of them state they only wanted "decent" or "adequate".

    And you know what else? I've never heard a doctor talk about how overpaid they are. Never heard one of them talk about how they didn't deserve their BMW or Lexus.

    I think if a person puts the time, money, and effort into their education and career they deserve to reap the benefits. Many other professionals are compensated for their valuable contributions, Nurses should be too.



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    EvilLiberal likes this.

    Quote from phoenix72
    The problem lies mainly in that nursing instructors are paid very low wages. Those nurses who are qualified to instruct make much better pay working as a RN, so why teach? In order to end this shortage, nursing instructors need to earn a higher wage. Higher wages means more instructors, thus more programs, and more grads. IMHO
    :yeahthat:This is what I've heard also. I've even read an article that stated that the average wage for RNs was >$80k/yr in my area (MD). Yet there is a shortage of instructors for nsg schools.

    Also, in my area an MSN is the minimum required to teach at nsg schools, yet an ADN straight out of school can get a nurse a job at $50k and up.

    Probably a lot of nurses see it as: Why go all out for the extra tuition and time required for the MSN to teach when you can get better $$ anyway as a practicing nurse.


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