so your supervisor takes the word of others over yours? and your coworkers? who is more trustworthy... the irate family member, or the (hopefully) trusted, licensed/certified employees? I think the fact that the pt had a fall, broke his limbs, and cost insurance bux, under the watch of health care professionals, is what would really get you fired... and seriously s a supervisor myself, if a family member told me that, it seems highly unlikely that anyone would allow an elderly person to lay on the floor with broken appendages, FOR THIRTY MINUTES... heres how it goes in my mind hearing that from fam " so let me get this straight, one of my nurses allowed this man to lay there for thirty minutes? and you also let this man lay there without alerting the nursing staff? not that its your position but man thats cold if you did..." I call BS... invalidated d/t ridiculousness...
Oh RLY? some of you get way to worked up about all this, but you ask questions and you get answers. I had a pt with AMS who would rip off anything attached or inserted, bad sun downer, anyway... I wrapped his hands in kerlix to protects him from causing damage to himself, ie... pulling out a fully inflated catheter, pulling out his CVA... risk for infection. initiate a nursing order, wrap lightly around the wrist begin your fold at the volar aspect of his wrist, over the palm, twist over in between the 1st and 2nd digit, continue over the palm, wrap over the top and secure his thumb to his fore finger, and document. he wasnt at risk for breakdown, he had great circulation in his extremities, and when I did my q2 and 4 reassessments, I documented to that effect. he still pawed at his accouterments but was unable to grasp them and all was well...
and really you have a pt on vent who isnt sedated enough to prevent this? that would make me concerned and uncomfortable. how is it that your "boss" determines what care the patient does and doesnt get? ultimately it's the physicians responsibility to call it... speak up for whats right, you know how to do this, who ever the determining authority is, describe the Situation, provide the Background, Give your Assessment, and Recommendation. SBAR... if you fail to be heard twice and you still feel strongly, don;t let it die there, that how mistakes and errors occur. these incidences are preventable, why do we have to wait until something happens to enact change? but as always hindsight bias is 20/20...
Sounds to me like there should either be a change in policy from the totalitarian stance of "no restraint facility", OR, you should't have patients, who require the intervention, present in your facility, and requires a greater level of care.
Good luck, I hope your patient benefits from your persistence.
Yeah from what I'm seeing, I don't see see any adn programs here and the LPN to rn bridge programs require you to have an run license... FML, might have to roll with exelsior
Lol, no you would definitely have to attend basic training, there are no gentlemans courses for enlisted folks, gotta learn to soldier first, then you would have to attend AIT for healthcare specialist, and then you could be directly awarded the nursing mos... Skills for stripes, nope... Can't lead soldiers fresh out of basic, but they do make educated individuals specialists right out of the box... Good luck...
I'm in Honolulu, having a spot of difficulty finding a program that will accept me as a non resident. Does any one have any advice on this or know of any programs that might be of use to me, The Military gives us our License but none of the educational credit, so I have a license, I have taken some courses online for pre reqs and had alot of credit transfered as a result of military experience but they only count for Gen credit. Can I grab a non nursing Associates and the go for the BSN program? Your thoughts?
I love how everyone has an image in thier head about how the military works... I am an Active Duty 68WM6... They are about to chenge that to 68C for manning, budget, and promotions. Thats neither here nor there and should not influence your decision. As far as I know, the United States Army is the only branch that utilizes LPN's. They have a school for it. I went through it. Basic training is 9 weeks (they teach you how to shoot, hide, blow stuff up, wear a uniform, and whoop your ass into shape) Advanced individual training is 16 weeks, (They teach you how to be a Healthcare Specialist (68W), You leave there with a AHA BLS Card, and NREMT EMT Registration) to get the M6 Identifier, You go to a year long follow on school consisting of 2 Months at Fort Sam Houston learning A/P and Math for nurses, then another phase at a MEDCEN where they prep you to sit for the NCLEX-PN, You leave there with an LVN License from Texas and are then shot out needs of the army to where ever it is they need you. Seeing as how they are dropping the identifier and making it its own MOS, I don't know how this will effect the program but I would assume it should be about the same.
To those of you who believe that you don't have a choice of what your job will be when you join the military i say... NUTS... Those of you who thought you didnt have a choice got screwed and placed where ever they would have you. If the career counselor at the MEPS doesnt have the job you want on your sheet after you take your ASVAB, walk away and come back later... If you dont get what you want then, and take something else, thats on you, but once you sign, theres no changing it. Look up something called In/Out Calls if you want to know if they are recruiting for certain positions.
As far as you already having you License when you join, that is something that you will need to speak to a Recruiter about. The Medical Command has Medical Recruiters check here Army Medicine (AMEDD) | GoArmy.com You may be able to qualify for the MOS with that alone or have to sit at an abbreviated medical training school.
By all means follow your desires, having an ADN gives you a leg up while recruiting and equates to increased rank on entrance. Be advised LPNs are strictly Enlisted. The army has something called the Amedd Enlisted Commissioning Program (AECP) which for qualified personnel will allow you to attend a university of your choice, while getting paid about your normal salary, for every year of college the army pays for you then owe them 3 years of service once commissioned. OOOORRRRR... get your ADN... Join the Military, they pay $2400 a year for tuition and there are plently of ADN to BSN programs online... if you get your BSN then all you have to do is go to BOLC and get picked up for commissioning by the AMEDD, In the mean time while you try to find time to go to school you get paid to be a knuckle head, travel the world... Now all that sounds glamorous but it really isnt, alot of getting yelled out, cleaning stuff, sweating and early morning, but its a living...
Experience: SSG, US Army, LVN, Tripler Army Medical Center, Honolulu, HI
3 Deployments, 2 Purple Hearts, and a partridge in a MF'n Pear tree.
so your supervisor takes the word of others over yours? and your coworkers? who is more trustworthy... the irate family member, or the (hopefully) trusted, licensed/certified employees? I think the fact that the pt had a fall, broke his limbs, and cost insurance bux, under the watch of health care professionals, is what would really get you fired... and seriously s a supervisor myself, if a family member told me that, it seems highly unlikely that anyone would allow an elderly person to lay on the floor with broken appendages, FOR THIRTY MINUTES... heres how it goes in my mind hearing that from fam " so let me get this straight, one of my nurses allowed this man to lay there for thirty minutes? and you also let this man lay there without alerting the nursing staff? not that its your position but man thats cold if you did..." I call BS... invalidated d/t ridiculousness...
Oh RLY? some of you get way to worked up about all this, but you ask questions and you get answers. I had a pt with AMS who would rip off anything attached or inserted, bad sun downer, anyway... I wrapped his hands in kerlix to protects him from causing damage to himself, ie... pulling out a fully inflated catheter, pulling out his CVA... risk for infection. initiate a nursing order, wrap lightly around the wrist begin your fold at the volar aspect of his wrist, over the palm, twist over in between the 1st and 2nd digit, continue over the palm, wrap over the top and secure his thumb to his fore finger, and document. he wasnt at risk for breakdown, he had great circulation in his extremities, and when I did my q2 and 4 reassessments, I documented to that effect. he still pawed at his accouterments but was unable to grasp them and all was well...
and really you have a pt on vent who isnt sedated enough to prevent this? that would make me concerned and uncomfortable. how is it that your "boss" determines what care the patient does and doesnt get? ultimately it's the physicians responsibility to call it... speak up for whats right, you know how to do this, who ever the determining authority is, describe the Situation, provide the Background, Give your Assessment, and Recommendation. SBAR... if you fail to be heard twice and you still feel strongly, don;t let it die there, that how mistakes and errors occur. these incidences are preventable, why do we have to wait until something happens to enact change? but as always hindsight bias is 20/20...
Sounds to me like there should either be a change in policy from the totalitarian stance of "no restraint facility", OR, you should't have patients, who require the intervention, present in your facility, and requires a greater level of care.
Good luck, I hope your patient benefits from your persistence.
Gotta meet degree reqs first
Yeah from what I'm seeing, I don't see see any adn programs here and the LPN to rn bridge programs require you to have an run license... FML, might have to roll with exelsior
Lol, no you would definitely have to attend basic training, there are no gentlemans courses for enlisted folks, gotta learn to soldier first, then you would have to attend AIT for healthcare specialist, and then you could be directly awarded the nursing mos... Skills for stripes, nope... Can't lead soldiers fresh out of basic, but they do make educated individuals specialists right out of the box... Good luck...
I'm in Honolulu, having a spot of difficulty finding a program that will accept me as a non resident. Does any one have any advice on this or know of any programs that might be of use to me, The Military gives us our License but none of the educational credit, so I have a license, I have taken some courses online for pre reqs and had alot of credit transfered as a result of military experience but they only count for Gen credit. Can I grab a non nursing Associates and the go for the BSN program? Your thoughts?
I love how everyone has an image in thier head about how the military works... I am an Active Duty 68WM6... They are about to chenge that to 68C for manning, budget, and promotions. Thats neither here nor there and should not influence your decision. As far as I know, the United States Army is the only branch that utilizes LPN's. They have a school for it. I went through it. Basic training is 9 weeks (they teach you how to shoot, hide, blow stuff up, wear a uniform, and whoop your ass into shape) Advanced individual training is 16 weeks, (They teach you how to be a Healthcare Specialist (68W), You leave there with a AHA BLS Card, and NREMT EMT Registration) to get the M6 Identifier, You go to a year long follow on school consisting of 2 Months at Fort Sam Houston learning A/P and Math for nurses, then another phase at a MEDCEN where they prep you to sit for the NCLEX-PN, You leave there with an LVN License from Texas and are then shot out needs of the army to where ever it is they need you. Seeing as how they are dropping the identifier and making it its own MOS, I don't know how this will effect the program but I would assume it should be about the same.
To those of you who believe that you don't have a choice of what your job will be when you join the military i say... NUTS... Those of you who thought you didnt have a choice got screwed and placed where ever they would have you. If the career counselor at the MEPS doesnt have the job you want on your sheet after you take your ASVAB, walk away and come back later... If you dont get what you want then, and take something else, thats on you, but once you sign, theres no changing it. Look up something called In/Out Calls if you want to know if they are recruiting for certain positions.
As far as you already having you License when you join, that is something that you will need to speak to a Recruiter about. The Medical Command has Medical Recruiters check here Army Medicine (AMEDD) | GoArmy.com You may be able to qualify for the MOS with that alone or have to sit at an abbreviated medical training school.
By all means follow your desires, having an ADN gives you a leg up while recruiting and equates to increased rank on entrance. Be advised LPNs are strictly Enlisted. The army has something called the Amedd Enlisted Commissioning Program (AECP) which for qualified personnel will allow you to attend a university of your choice, while getting paid about your normal salary, for every year of college the army pays for you then owe them 3 years of service once commissioned. OOOORRRRR... get your ADN... Join the Military, they pay $2400 a year for tuition and there are plently of ADN to BSN programs online... if you get your BSN then all you have to do is go to BOLC and get picked up for commissioning by the AMEDD, In the mean time while you try to find time to go to school you get paid to be a knuckle head, travel the world... Now all that sounds glamorous but it really isnt, alot of getting yelled out, cleaning stuff, sweating and early morning, but its a living...
Experience: SSG, US Army, LVN, Tripler Army Medical Center, Honolulu, HI
3 Deployments, 2 Purple Hearts, and a partridge in a MF'n Pear tree.