Latest Comments by klone

klone, MSN, RN Pro 110,835 Views

Joined: Apr 2, '03; Posts: 13,171 (59% Liked) ; Likes: 37,251

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  • 1
    Horseshoe likes this.

    Quote from Hoosier_RN
    Just like BSN, some hospitals don't pay higher for certification. Sucks!
    Yes, that is true. And some pay higher for both (the hospital I just left, they paid $0.70/hour more for a BSN, and an additional $0.70/hour for a specialty certification.

  • 5

    Quote from ehayes215
    Yep, I understand this. The original message said "hospitals prefer a certification over a BSN" and I took this to mean ADN and not a SPECIALTY certification. An RN w/a BSN can still get a certification, so I don't really understand this person's point. I guess she's saying, if you're going to spend time on additional education, go for a certification instead (instead of the BSN).
    Her point was that the hospital pays a higher wage for a certification, but not a BSN. Thus, they put more value on the specialty certification over the bachelor's degree. As do I, as a hiring manager. Having a BSN does not mean you're an expert OB nurse. Having the inpatient OB certification DOES, though, and is far more valuable to me as a manager.

  • 2
    KelRN215 and applewhitern like this.

    Quote from Alicerose
    I been wanting to know the difference between a bsn and adn scope of practice. Is the adn limited in the clinical setting?
    No. They have the same license, thus the same scope of practice.

  • 6
    cec0007, KelRN215, TriciaJ, and 3 others like this.

    Agree, not your responsibility!! Did your manager REALLY say you might get written up or fired for this?? I'm pissed on your behalf.

    This was clearly a process/communication issue. Whoever physically took the blood from the blood bank and brought it to the OR dropped the ball by not using closed loop communication to physically give you the blood.

    And like others, I'm wondering why the OR was not turned over until the next day.

    OP, do NOT take responsibility for this!

  • 4

    Sounds like facility-wide (re?)education is in order regarding your policies surrounding photos. The facility should be required to obtain a signed media release form prior to sharing any photographs of anyone (staff or patients) in the news or social media. I'm guessing that since it was not an official photo taken by someone while in the role of hospital representative, they didn't consider it necessary.

    I guess I would approach it by contacting the hospital PR person, let them know you did not consent to that photo being taken or distributed, you would like it removed, and you would like ALL staff to be reminded of the hospital's "no photography" policy.

  • 2
    Sour Lemon and Wuzzie like this.

    Quote from ehayes215
    Why would a hospital prefer a lower education over a higher one?
    Because an ADN RN with a specialty certification is statistically more likely to be an expert in her area of nursing than a BSN RN who has no certification.

  • 0

    Oregon, outdside Portland. Look for a smaller communities in Oregon. The Southern Oregon coast is in desperate need.

  • 6

    Quote from johsonmichelle
    Unfortunate situation , but I'm not surprised by the physician behavior . Some of these hospitals treat doctors like mini gods and can do no wrong . They also tend not nip bad behaviors by the doctors until it's too late.
    I'm familiar with the hospital in question and it frankly doesn't surprise me. Private practice physicians with a high percentage of wealthy clientele in a predominantly wealthy bedroom community outside Denver. A lot more likely to let ****** physician behavior than at one of the teaching hospitals like UCH or Denver Health.

  • 2
    cleback and JKL33 like this.

    And I want to be clear: you have NOT FAILED. They are failing you, and all the other new grads they're training by giving such a short, barely-scratch-the-surface orientation in such a critical, high-risk area.

  • 2
    cleback and JKL33 like this.

    Well, crap. 12 weeks to learn L&D (HIGH RISK L&D, no less - not even "normal" births), mom/baby AND circulating for C/S? That is NOT ENOUGH TIME. For anyone. Plus, as a NEW GRAD!! That's crazy.

    Where I am, new grads get 12 weeks of JUST Mom/Baby. They learn the basics of assessment and time management on generally healthy stable patients. Once they've been on their own for 6-12 months, THEN they get oriented to L&D, and that on its own is 3-4 months of orientation.

    I'm sorry. I think what you're describing is unfair to you, as well as the patients. I don't have an answer for you, other than try to find a different job that has a better orientation program.

  • 1
    BlinkyPinky likes this.

    OP, I've just done the same thing. My husband and child are back in the previous place for another month or two, which makes it worse.

    It's scary, and really really stressful. But you will be a better person for it. You can do this, and so can I. Hang in there. This is the third time I've done this, and I promise it gets better.

  • 26
    Chrispy11, BosLeyDog1, Kratoswife, and 23 others like this.

    A nurse should never question a physician?? What the holy **** is this ********??

  • 9
  • 5
    Chrispy11, Davey Do, sirI, and 2 others like this.

    Quote from OldDude
    And hopefully you'll leave your staffing difficulty behind!!
    From your keyboard to Dog's ears.

  • 19

    False. There are many areas of the country that do not have reasonable proximity to BSN programs. The associates trained nurses are the ones that staff these small communities' Hospitals. If they started requiring a BSN, they wouldn't have enough nurses to take care of the patients.