Latest Comments by LuvLondon04

LuvLondon04 1,424 Views

Joined: Feb 14, '07; Posts: 14 (7% Liked) ; Likes: 5

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  • 5

    Hello all...

    I wanted to follow-up on the reply I had posted earlier. As a new grad BSN now working in a nursing home under the job description of an LPN... I can say after only two days: I LOVE IT!

    I have never been one for nursing homes. Frankly, and no offense: they creep me out. But let me tell you, in two days I have gained so much that I thought I'd never use in this setting. The staff (all LPN's) respect me, teach me, and value me just as I value and need them. And I love my patients- all 83 of them!

    I do not lack for skills. I pass many meds and some days that's all I'll do, but I've also performed assessments, charted in care plans, procesed admissions and discharges, spoken to families, written orders, delegated to CNAs, and even had my first staff meeting with the administrator. In two days I've worked with IV's, PEG tubes, tube feedings and wound care. In fact, I will be the wound care and treatment nurse for the next week! As told by my D.O.N, I will be working with trachs, blood, even vents at some point. Let us not forget the multitude of psych issues that I deal with on a daily basis. I learn about insurance, Medicare and Medicaid, and about the many forms of abuse that patients suffer...things certainly NOT taught in the acute care setting because there's not enough time. In the next few months after I build my skills, I will be in charge of the entire 100 bed unit on the weekends when the pace is slow.

    The nursing home is becoming more acute all the time. There are moments when I lament the fact that I'm not working in the hospital and I'd love to go back, but I am valued and needed at this facility. If I don't get hired on in a hospital at some point in the future, they'd be crazy!! New grad BSNs, there is HOPE and there are JOBS! There ARE those who will value you and your education and in turn, you will value yourself. Please do not overlook LTC as a short or long-term career. I've made an unexpected change and it has definitely been for the better, even if for a little while.

    God bless :redpinkhe

  • 0

    Hello there... I am in the same boat you are as a new grad BSN. After being terminated from my first RN job in a hospital after a week over politics, I can tell you that I am thankful for the job I have doing LPN work in a nursing home. I was born for the acute care setting, but I've had to backtrack a bit. After my orientation I will move from LPN to RN status when the position comes open. I just got the job today, and it's not where I want to spend the rest of my life, but after 6 months-1 year I will be able to transfer somewhere else and keep moving up the ladder. Like you, I was in college 5.5 years and spent over $80,000 on school and study abroad. I feel your pain, and it's an 11 on the 1-10 scale.

    If a nursing home around you is not what you'd like to do, try a Long Term Acute Care facility instead. They have those and they are more like a hospital than a nursing home. They build your skills with sicker patients than a nursing home can handle but they will be present for a longer period of time than those patients in a hospital. I am looking for them in my area but I'm sure it will be a difficult task in rural Arkansas.

    I wish you the best of luck. Just know that you are not the only one out there with this dilemma!

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    I dunno how I did it, but I PASSED!!!!!! :heartbeat

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    I cannot believe I took all 265 questions! I had been doing so well on my practice tests from Kaplan but I failed my HESI 3 times (eek!). I kept bouncing back and forth from these "further teaching is necessary" to priority questions. And, sad to say, I even had a few of those "recall" questions. I don't know about those "further teaching" and "client understands if" questions... what level are those? High? Low? Ugh!!!

    I don't know what to do!! I just lost it on the way home. I have a job waiting for me... I was just SURE I'd feel better about this. Any advice is appreciated!!!

  • 0

    Quote from twistedpupchaser
    Thanks LuvLondon,

    I figured that I would have to sit the NCLEX testing and think that that will be no problem, (best if everyone sings off the same page). My concern was the foreign and previous service angle, with security in todays world being how it is. I can understand that there may be security issues in that regard.

    I will take your advice and try talking to a medical recruiter as the best option. I just have to finish my degree and get some experience up and I'm there!
    I understand your concern, most definitely! I would hope that since you are our strong allies that they would not have many reservations about your joining our forces. I wish you the best!

  • 0

    Quote from caldje
    You're writing is eloquent. BUT. I think this is what bothers me the most about the whole NP thing. Sure, NPs can be prudent clinicians. I AGREE 100%!! BUT WHY... WHY do nurses have to ADD IN that "a doctor would have missed." or that a "doctor wouldn't have cared enough to work up the person with a h/o anxiety for their new onset chest pain." Thats is simply not true. IT IS POSSIBLE to promote one person without putting down the other. Physicians do a great job and have much more pressure on them than the average NP. They see more patients and see more acutely ill patients. It is just not fair to say they have a "god complex" etc. WHY DOES NURSING perpetuate an underlying disdain for physicians? They aren't enemies, they are colleagues!
    Perhaps some nurses have a small disdain for doctors that treat them like animals. I've seen many a physician ride on their "high horse" with my own two eyes. I once knew a mid-40's urologist (my brother's, in fact) who threw charts at nurses, called them morons to their faces, and put the phone down on them. A surgeon once screamed at me and called ME a moron for not knowing the Trendelenburg position (something I hadn't studied until 2 days after the fact). I was, at the time, 16, a new CNA, and just learning what the medical profession was all about. I have also known nurses to be the same way, and some NP's to be downright disgusting and rude because of their status. I'm not saying there aren't incompetent nurses that fuel these situations, by the way. However, in my opinion, there is no excuse for these types of behaviors in a care setting and in front of patients- whatever one's title. You're right, they ARE colleagues and should be treated as such!! It is unfair to umbrella every physician, but try looking at it from a nurse and support staff point of view as well.

    To agree with a previous post: I would hope that if I had to have major surgery that I would not be seen solely by an NP. I would sincerely hope that medicine in the richest country in the world would never come to that! A followup, a cold, routine checkup, an assistant to my specialist... of course! Why not? Leave the special cases (i.e, my severe childhood scoliosis) and their final decisions to the physicians, sure, but the extra set of hands, eyes, and ears of the NP standing beside them can make a huge difference!

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    I attend NWACC and have had most of my prereqs there (the others at the University) and let me tell you: it's not as easy as you think! Computers is simple but the Human G&D requires a lot of reading and an attention to detail when studying.

    I opted to go for the 22 month track because 15 months for a brand new nurse is a bit too much, I think. I don't feel comfortable learning so much information so quickly about an occupation that takes years to study. I think that the accelerated track should be more for an LPN or someone with a large amount of hospital experience beforehand.

    Whenever it is that you decide to go, NWACC is a wonderful program. Their faculty is caring and their clinical rotations and first year nurses are rumored to be among the best in Northwest Arkansas.

    As for an accelerated program (for the one that asked), there is a program to the RN level. From your prereqs it takes 15 months (summer thru the next summer) and classes are every day. I don't recommend it personally as I have worked with girls in it, but nonetheless it's a program with great success so far. Good luck everyone!

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    If I were you, I would try for an RN or BSN program as well as an LPN. I work at Washington Regional Medical Center in Fayetteville and our hospital has decided to stop hiring LPNs (I'm not sure if this is a federal thing or a hospital policy). Many LPNs in our cardiac ward can't even do assessments or many of their previous tasks.

    My best advice (after careful research of each level) is to at least plan to bridge or continue your education after the LPN at some point. Many hospitals give preference to those with at least an RN, and I just think it would make your overall nursing experience more positive. Good luck!!

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    You may check into a community college course (such as NWACC or similar). I don't know what their requirements would be as to completing the course, but they may be able to give some better assistance!

    You could also check the universities because many admit twice a year and you may have a better chance and going in and getting done! Good luck..

  • 0

    Quote from Jolie
    Thanks, Tigger.

    We should know about the job within a couple of weeks. I've been on some real estate websites and am excited about the beautiful homes available in our price range. The housing dollar will definitely go farther there!
    Jolie,

    I'm excited that you will be moving to our area! This place has really been home for me (even though I've lived in places like London and Los Angeles). I grew up here and can vouch for the quality of the Bentonville schools. Living in the South, sports are very important and offer many opportunities throughout the education levels to get involved. The facilities are state-of-the-art and new ones are being built all the time. The extracurricular activities are plentiful and the teachers are both knowledgeable and personable. I loved attending school here even through to the university level.

    As for the area itself, it's growing tremendously (mostly due to the Wal Mart traffic) with new restauarants, another hospital, the new mall..etc. The university provides a lot of family activities with their college games and summer sports camps. Real estate is plentiful and there are beautiful homes out there to be had. My mom (a real estate appraiser for the county) has mentioned new and beautiful constructions are on the books until 2015. The climate is warmer than Chicago in the winter but very hot and humid in the summer. From what I hear about Chicago's weather, it is not all that different in the summers. We rarely get snow and ice, but when we do it's *usually* gone in a few days. The counties have learned to deal better with it each passing year.

    I hope you enjoy your time here and possibly stay for good! I have known many families that have. It may be smaller (and a better climate) than Chicago, but a wonderful place to settle your family for a while. Good Luck and Welcome!

  • 0

    Both are BSN programs... you really can't go wrong. I have heard terrible things about the UA faculty (and have horror stories myself) so I chose to go to UAMS.

    You only get back what you put in to both schools... most of the graduates from UA (according to those I work with at Regional) have been said to lack clinical skills because they aren't on the floor enough (as well as being ill-prepared 1st year nurses). I have also heard good things come out of some students... but more bad than good. UAMS has had a better reputation, perhaps because it's been around and serving undergrads longer. I think that they have more to offer in the way of experience and clinical facilities.

    Good luck.. I hope that you find what you are looking for!

  • 0

    perhaps this is just my crazy mind at work, but isn't this debate the very reason that we cannot depend on one study alone to tell us about the care of np's v. md's? i read these postings and i think it a bit ridiculous to try and dissect each part of the study for the answer to the care dilemma.

    the simple truth is that both professionals have something to bring to the field of medicine. the np was created to help ease the burden of the overworked physician and offer a higher level of care than a regular nurse (in my opinion, anyway). obviously i don't agree with an np acting as an md yet also don't believe that md's should treat a competent np as an inferior colleague! there is no question that a physician possesses more schooling, but the white coat doesn't make them a demigod or infallible (just as the schooling of the np doesn't make them an md).

    i would hope that a patient would know (or be enlightened to) the difference between the two professionals and would seek a second opinion if they felt that their care was not handled properly- by a physician or an np!

  • 0

    Quote from twistedpupchaser
    I have been reading this thread and have an interest in this area myself. Last year I was lucky enough to visit a US hospital ship that was visiting Australia and was impressed with the facilities and the mission it had just finished. I was told that the hospital ships do a trip each year to third world areas and also that they hire civilian staff to complement the ships crew.

    I have an interest in doing this type of nursing and was wondering if any past or present crew know if they take "non US" personnel?

    My other concern is my military background, although allies and firm friends, would the US Navy have a problem with a former Australian Soldier applying?

    Any thoughts would be appreciated.
    Dear pupchaser,

    I think it's wonderful that you have an interest in working with our servicemen and women! I am not in the military (but come from a military family) and I am not yet a nurse, but I too have an interest in civi nursing with the military (including international work like you specified).

    My advice would be to contact a medical recruiter through the Navy's website. Ask them your question and see if they reply. They may ask you to apply for an American nursing license or to sit for some education hours, but I don't see that they would have a problem with your "non US" status or your prior military service. (We have servicemembers that are AD in our military that have also been AD in the Israeli army, British forces, etc). I could be off base here, but I hope that this helps! Good luck...

    and P.S.- I'd work with you Aussies anytime.. the many I've met have been a lot of fun! Take care.

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    Quote from chioma829
    I am so happy words can't explain!!
    Congratulations!!

    I received my acceptance letter there today, too! I have been working on this nursing degree for what seems like an eternity! I was rejected from 2 schools last year and began a spanish major to kill the time until applications came out again.

    I'm so happy for you and very excited also. I cried (like ya do..lol) when I opened my letter... it's been a long time coming!



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