If you are expecting an elaborate article, you won't get it here.
1. cost too much to transfer license from another state. About 220 bucks just for me to transfer my RN license since I am moving to another state. Lame. it's not like ive performed any crimes in the past few months.
2. Phd in nursing- LOL? Who would get a phd in nursing? it is not like it is as an elaborate field as chemistry, biology, or psychology. WHAT A JOKE. This is pretty much just a bullbeat way to try to OVERLEGITIMIZE the nursing profession. What are you performing double blind controlled studies on.... HOW TO GIVE A BEDBATH OR BREAK THE SEAL ON THE ASPIRIN TABLET???? Keep it simple folks.
3. Overcomplication- nurses are probably the worst at over complicating things. I remember back in undergraduate, we were taught those elaborate care plans. Do you know what care plans are? GARBAGE. You never use them and nobody cares about them. Unless you are one of those old hags with a Phd IN NURSING..... You know what else is dumb. NURSING DIAGNOSES. you know what those are? cheap copies of medical diagnoses, aka nurses trying to legitimize themselves with medicine. I remember having to come up with these stupid things. IMPAIRED NUTRITION SECONDARY TO DIFFICULTY SWALLOWING. ARE YOU KIDDING ME, NO CRAP, IF YOU CANT SWALLOW YOU CANT EAT. NO CRAP ROFL. I also remember the nursing skills manual. 10 pages on HOW TO FOLD A FREAKING WASHCLOTH AND MAKE A BED. Go home overcomplicators, go home.
I also remember having to learn indepth about diagnoses such as cardiac tamponade. WHENS THE LAST TIME YOU PAGED THE DOCTOR AT 3 AM "Hey I think this patient is in cardiac tamponade, you know when they stick the tampon in lemonaide???" ARE YOU KIDDING ME... NEVER.
I could go on and on about point 3.
Overcomplication is a simple way to try to self-legitimize. Something the PHD level nurses are professionals at. Good professionals simplify as much as they can, not do this garbage.
To me it's interesting that multiply entry points only seems to be an issue for nurses, among nurses. Other health professions that have multiple entry points, physician (at least two), PAs (at least three), respiratory therapy (at least two), don't seem to be beating each other up about it like nurses do to each other.
Except bachelors and certificate PA programs are becoming almost non-existent with only a handful left when compared to masters.
Specializes in burn ICU, SICU, ER, Trauma Rapid Response.
Except bachelors and certificate PA programs are becoming almost non-existent with only a handful left when compared to masters.
There are still a handful of associates degree PA programs around. You are right that most have gone to masters and more doing so all the time. Doesn't change my point that there doesn't seem to be PAs beating each other up over degrees like nurses do.
Specializes in Oncology; medical specialty website.
Despite my criticism of the original post, this I will say:
As I finish my 5th year of nursing, the professional-development classes which have been most useful have been those which focus on MEDICAL and SURGICAL problems and interventions... ATCN, TCAR, TNCC, ACLS, STABLE, etc... all have us thinking and even acting more as PROVIDERS. I find the efforts to compartmentalize nursing and medicine to be contrived and forced, nonsensical, and counterproductive.
I have to agree that a substantial portion of what went on in nursing school was useless fluff... and probably more contributes than inhibits events like the one to which I was recently party. Every hour spent on (what I consider) fluff is an hour not spent on solid, practical knowledge.
I would truly love to be part of creating a nursing program from scratch...
I find when it comes to CE credits, I get more out of doing CME than nursing oriented CE. I want to be challenged.
Specializes in Oncology; medical specialty website.
Yeah, that's all fine and dandy if you're only licensed in one state. But, if you're a traveler like I am, and am license in eight states (and counting) and have to do continuing education in about half of those, my costs are about $1000 a year just for licensing alone, not counting certifications, CEUs et al. I would KILL to pay $100 a year!
Why are you paying for CE? There are so many sites out there that have free accredited CE.
[1] You're the triage nurse at an urban trauma center. You're overloaded with patients and ambulances and having to triage patient traffic to the waiting room or the hallway. A rig comes in, you examine the patient and find them tachycardic with distended neck veins... what do you do? Send them to the trauma bay - bumping the present resident to the hallway - place the patient, and perhaps grab the attending, with whom you have a solid and long-term relationship and say, "This dude's in a bad way... tachy, JVD, muffled heart tones... you want us to set up for a pericardiocentesis?"
[2] Same hospital but patient was stable on arrival... went through the prelim trauma eval... and waiting for disposition or perhaps further study... it might be that CT is backed up and you're holding patients... and then the patient starts to crump... JVD, tachy, muffled heart tones... you page trauma and say, what? In my case, most likely the person answering the page is a doc I know and you bet your butt that I'm going to say, "hey man, this guy's showing signs of a tamponade..." and you bet your butt that I'm going to have a bunch of docs at the bedside in no time flat... and that I will have already set up the bedside US and had the trays sitting out (but still unopened).
What? I'm not following the second clause... I mean, I guess if the nurse is an idiot and speaks that way to the docs then I'd guess that they wouldn't be taken seriously.
I've had several docs say things like, "good catch... thanks for watching them so closely... thanks for letting us know... you saved him..."
This what happens when education and experience collide.
Chillnurse got to say half you postings I love and the other half I hate but always I learn something.
License fees: I don't like it either but it's the price for being allowed to practice. Maybe you can deduct it from your taxes.
PhD in Nursing: This degree trains nurses to generate new knowledge. Our profession can't advance without them. Also nursing faculty at universities are required to have one, so they are a necessary evil. Pressure on all faculty to publish is the reason you see junk research.
Nursing care plans: They are a valuable teaching tool if used properly. If not they are a big waste of time.
Phd in nursing- LOL? Who would get a phd in nursing? it is not like it is as an elaborate field as chemistry, biology, or psychology. WHAT A JOKE. This is pretty much just a bullbeat way to try to OVERLEGITIMIZE the nursing profession. What are you performing double blind controlled studies on.... HOW TO GIVE A BEDBATH OR BREAK THE SEAL ON THE ASPIRIN TABLET???? Keep it simple folks.
And this is why the profession will NEVER be taken seriously. Since all we do is give bed baths and hand out pills, your point is well taken. Why even bother with an associate's degree? These skills can be taught in a week, by anyone.
PauperRN
83 Posts
Nursing deals with emotions, ohh and lots of females. Do the math.