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plc19 1,543 Views

Joined: Apr 10, '05; Posts: 20 (25% Liked) ; Likes: 9

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  • Nov 2 '16

    In my current job, I have my own group of 6 and am charge of up to 30 patients on the unit, and one of my coworkers is always behind, so I feel like I have at least 8 patients of my own every shift I all of the other issues that arise. I never get a lunch, and am just burnt out in this position.

    I'm holding out for a 5 day/week charge position without patients (most days) on the same unit, but it could be a few more months (The nurse in it now is definitely leaving it once a 3 day/week position opens). We are budgeted for 2 free charge nurses during the week, and it happens most days, but there is always at least 1 free charge.

    I miss my husband, as we only get from 5:30-9:30 during the week so we can pretty much eat and run an errand since all the baby friendly fun stuff is closed. I get home about 8:30 the weekends I work, so I don't see the baby and I barely see him all weekend. I like being home with the baby, but we have an affordable sitter lined up as soon as I make the switch.

    But now a school nurse position opened up near me, but in a better school district than we're in, so the baby could attend in that district when the time comes...but going from med/surg to school nursing is intimidating (am I qualified??) and would be a pay cut (like a $10,000 pay cut!).

    But I'd be off every weekend and extended time for holidays. The start date is in like 12 days so if I was hired, so I'd probably have to work the next month straight (no days off) to work out my 4 week notice for my current job to stay re-hireable. I would feel guilty about leaving my unit though because I've been here for 4, my manager gave me an award last year, and also the top award for nurses at the hospital this year for a job well done.

    The school nurse position would alleviate the eventual stress of finding someone to watch the kid on school breaks though because I would be off, but school for her isn't for another 4 years and the husband thinks I'm crazy for worrying about that now haha (and that means less money we'd have to pay for childcare during those times off). I'm determined to get off weekends to enjoy my marriage and husband more...but do I hold out for the position on my unit, or go for the school nurse position and take a pay cut?? The husband says as long as I'm happy we can make it work financially, as long as it's not more than a $10,000 pay cut. But I really don't know if it will make me happier?? Plus just because I apply doesn't mean I will get the position...I'm just nervous even applying to a job outside of a hospital, especially with a pay cut.

    Dear Wants to be With my Family More,

    The school nurse job sounds perfect for you.

    You will have family-friendly hours, weekends and holidays off...and your little one will be in a better school district as a bonus!

    It's natural to feel nervous when thinking about a new job, but I have a hunch you will be winning awards and recognition in no time as a school nurse, because it's who you are.

    I'm not sure why you feel you have to give 4 weeks notice, the standard for non-executive positions is two weeks. Working one month straight with no days off is really not a good choice, please reconsider that. Likewise, there is no basis for feeling guilty, you aren't doing anything wrong. If you have a supportive manager, he/she will be glad for you if you land the new job.

    Please let us know if you decide to go for it, and good luck!


    Nurse Beth

  • Jul 28 '16

    Hi Nurse Beth,

    Help! I'm in N. Cal. about to start LVN program (lottery). RN was first choice, but have waited years in various lotteries. 1) true that LVNs will soon be obsolete as career? 2) realistically, how hard to get into LVN to RN bridge program? Heard only if RN students drop or fail. 3) I'm very grateful to be chosen in LVN lottery, but REALLY want to be RN! do I really have a chance and what is best/most realistic plan? thank you!

    Dear LVN to be Wants to be RN,

    Congrats on being accepted into the LVN program!
    Being an LPN (LVN in CA) can definitely lead to being an RN, as it did for me and many others.

    Check with your own school right away for eligibility for LPN to RN bridge. Some schools accept LPNs into second semester or even second year if there is a seat (for example, if an RN student drops out). Your educational credits will be evaluated.

    Other schools have programs designed for LPNs and cater to the working LPN. LPN to RN/ADN and LPN to RN/BSN programs. Keep your grades up to increase your chances of being accepted.

    LPNs are not going to become obsolete. They are not going to be used in place of RNs in acute care, and many hospitals have gone to an all-RN staff, but there are many opportunities for LPNs outside of the hospital setting.

    Having said that, a hospital I know that has a shortage of ED RNs recently hired several LPNs to work in the fast track area. It’s really genius, because there is so much the LPNs can do- blood transfusions, start IVs, administer medications, insert foleys and NG tubes, would care. The primary limitations are assessment (although they can collect data), patient teaching, and IV medications. They can manage IV solutions that have nothing added.

    The pendulum may swing as the skills of LPNs are recognized and used in smart ways.

    From the determination I hear in your letter, I am sure you will accomplish your goals. Starting as an LPN sounds right for you, and an opportunity to start your nursing career.


    Nurse Beth

  • May 18 '16

    I guess some one was expecting to play into the sick role. Hard to get sympathy from others if the experience isn't awful. I know people like that... Bedside nursing is so hard. So glad I don't do it anymore

  • May 18 '16

    Literally can't please everyone. I'd offer some unpleasant PRN suppository or something to make it feel more hospital like for 'em [emoji6]

  • Mar 13 '16

    Quote from SunStreak
    Why on earth would you resign during orientation? You haven't even given it a chance.

    I would like to know why you want to resign.

    Whatever the reason is, I think you should definitely RECONSIDER!

    Many times the orientation period is the most likely time that new employees/new graduates will leave, as the orientation itself can speak alot about the organization and a new employee's comfort level. If the orientation is shoddy or non-existant, employees are at a risk for leaving. Part of a good retention strategy is a good, solid, supportive orientation.

  • Jan 24 '16

    I worked for them too over 4 years ago and they didn't do a credit check. If they did, I def wouldn't have been hired!

  • Jan 24 '16

    Apparently not, because I just started working for them and my credit
    is in the toilet.

  • Jan 12 '16

    Quote from blueorchid981
    Any difference of starting pay for new grads in Houston or Dallas?
    Is it cheaper to live in Houston or Dallas??
    Medical center Houston new grads get more than that in internship programs....Dallas is definitely more expensive than Houston.

  • Jan 7 '16

    I would graciously differ in my opinion from that of Nurse Beth's. And I think I'm thinking along the same lines for the future as Letter Writer is thinking too.

    As much as I hate to say this, ageism is a real possibility for older nurses. An MSN may be the 'hedge' factor/'ace in the hole' for job security and/or mobility for an older nurse. (Just throwing this out there.)

    I'm figuring Letter Writer should be in her early 40's. And, God be willing, her health will hold out for those 20 years or so. But that could change with the bat of an eye and a simple misstep on her basement stairs. Other significant life changes also possible.

    It is unknown at this time how the future of nsg may evolve in the future. A Master degree may become the required degree for such positions as Infection Control, QI/QA, IT, etc. Will she be prepared to compete at an older age?

    I believe there is another thought to consider re starting an MSN. I THINK (and I may be wrong) but a 'clock' starts ticking when one enrolls. There's a time limit for degree completion if I recall for a grad school degree. (Someone set me straight if I'm off here.) My thinking is 50/50. Wait too long to start school and you're behind everyone else at an older age. Start too soon and the burden is to finish regardless ... At this time, Letter Writer is still fresh in undergrad study skills, technology, support systems, etc. Not to mention that school costs can only be expected to increase with time. Also one must consider the admissions competition to increase also (AEB the current increasing enrollments NOW).

    Letter Writer does NOT have the luxury of planning for a long-term future. Her goal is more intermediate-term and she sees that. My recommendation would be for her to seriously investigate and pursue graduate education. It would be one thing if she had said she had "zero interest" at all for continuing her education (like she commented re management). She seeks to be competitive. And that reality will be grad school.

  • Jan 7 '16

    I attended their info session too and was going to go there. I was hoping the only classes I would have to repeat would be A & P and micro, but, it turns out they wouldn't accept ANY of my credits. I have 171 units from a California JC, and I got an A in all but two classes (B's). My husband fooloshly pulled me out of my last prerequisite class (general chemistry- I was hedging my bets on which LVN to RN bridge I could get into), and made me go to work as an LVN/LPN,....... for the next 11 years! Needless to say most schools require A & P and Micro to be within 5 years. But Carrington refused to recognize any units over 3 years old, so for me it would not be money savings, it would be a waste of time as I have been practicing in the field for over 10 years in 2 states and I would have to take all the classes over again as if I had never had them at all, to the tune of over $50,000!!!!! I went to a JC to save money- $26 per unit. I know Universities charge hundreds per unit but that is ridiculous.

  • Dec 23 '15

    Recently I was so sick that all I could do was lie around for four days. Fever, coughing so hard there was post-tussive vomiting, laryngitis/no voice, body aches, malaise, pure misery. That was the first time I called in sick, so my coworkers knew it was bad. Lol. Luckily three of those days were my days off. Not the best way to spend time off!

  • Dec 23 '15

    I got flu A last year. It was no joke, I couldn't get out my bed for 3-4 days. Anyone who comes to work with the flu, doesn't really have the flu.

    Simple cold? Unless it impedes work I would go.

  • Dec 23 '15

    I also didn't want to clean poop when I considered nursing as a career. Now I am a GI nurse, I love it and poop is all I see all day. Go figure. Nursing is weird that way. I am sure she will change her attitude toward poop.

  • Nov 28 '15

    Quote from ambr46
    Did you even read the statute that you posted? I value LPN's I used to be one for a long time. An RN can function in the role as an LPN but a LPN cannot function in the role of an RN...just as an RN can't function as a PA or M.D. There is no high horse is the stipulations of the board of nursing, so if you are disgruntled then take it up with them.
    Obviously YOU didn't read it. The difference in my state is the blood products. Are you not comprehending that at all? Lemme reiterate, the ONLY difference is the blood products in my state. You and everyone else here that is down playing lpns totally sitting up on that high horse.

    I'm not disgruntled whatsoever, I'm tired of the superiority complexes. You obviously don't value LPNs as you say considering you don't give them what they deserve ...respect. If you did, you wouldn't be here downing them. Hell my county is one of the few that still has practical nurses in the hospital.

  • Nov 28 '15

    Quote from Horseshoe
    There is no state in which LPNs and RNs have the same scope of practice. And in each state it goes beyond one or two things such as hanging blood.

    The differences in scope between LPNs and RNs have everything to do with the amount of formal education they receive. It doesn't mean that LPNs are ignorant, it doesn't mean all RNs are intelligent, it isn't about being "better than" someone else. It IS about not taking actions or interventions for which one has not not been OFFICIALLY educated or trained. If LPNs are doing the EXACT same thing as RNs in a given facility, it's because the RNs are not performing every action which is within their scope, not that the LPNs' scope is identical to that of an RN. OR it may be that the LPN is acting out of their scope. They absolutely are NOT identical, and pointing this out is simply statement of fact, not insult. Similarly, the scope of advanced practice nurses are not the same as that of an RN.

    Read through your Nurse Practice Act. You may be surprised to see some of the differences between these scopes, and you may find that you or LPNs in your area are actually acting in violation of some of these legal limits. Just because something is being done does not mean that the law is being followed.

    Lawd Jesus we talking about RNs vs APRNs now.

    The only difference between the scope of practice of a LPN and RN is hanging blood in Florida. Lets not go into the whole LPNs don't know the why of doing each task either. Girl bye.