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  1. Is this normal for a first semester nursing program. The first skills check off was three weeks from the start of the program. It was a head to toe assessment. The skills assessment included heart and lung sounds, and we were told to place our stethoscope over the heart and lungs and pretend to listen. We got a brief tutorial on taking a blood pressure, and using the correct cuff size, half the class didn't know how to use the cuff markers for proper placement, nothing was said how tight the cough should be, how to prevent over inflating of the cuff, or positioning patients arm at heart level. There had been no discussion in ranges on blood pressure, other conditions commonly seen with HBP, and how that effects their numbers. However, arterial pulse differences seemed to be a big focus that week. I've been in the biz for awhile, and I've never had a doctor request it. I'm sure cardiologist are very interested in a patients MAP, but I imagine they are using heart monitors, imaging, and tracings to assess it. The nurses in this class were so wet behind the ears they wouldn't be able to correlate it to other symptoms and determine if it is a urgent finding or if the doctor could be notified by fax...FYI
  2. quitor1moretry

    Need some honest advice

    I did quit that particular program, and I applied to Indiana State University. I have two more prerequisites to complete, and I can apply for admission into the LPN to BSN program this fall. I will graduate, but I will never forget my roots as a LPN.
  3. quitor1moretry

    Male student enters OB room. What do you think?

    And the nurse doesn't have to tell. I am sure I have been given a flu shot or two by nurses who didn't believe in immunizations. Nurses do not have to live by the care they provide. Unless a nurse is delivering care in opposition to the hospital policy and/or a patients beliefs I would not support a patient refusing their care .
  4. quitor1moretry

    Nursing Student: Can a Person with a Trach Work in the Hospital?

    These patients, are just like cancer survivors. Why on-line nursing? Isolating could cause or add to depression.
  5. quitor1moretry

    Need some honest advice

    I was trying to fly so far under the radar my wings were dragging on the ground. Thanks for the thoughtful response.
  6. quitor1moretry

    Need some honest advice

    I'm not giving up. I started at a community college in Minnesota that had a great reputation in the community. Many medical groups will take a grad from this school over some of the expensive private. When my mom was in the hospitals I saw a group of these students come through with their instructor. I was really impressed by his knowledge base, and how respectful he talked to the students. He had a positive energy about him. It is so competitive to get into a good program that doesn't cost 50,000.00. When I applied in the Twin Cities my GPA was 3.6, and I was in the 80th percentile for the TEAS. I was number sixty-six out of two hundred an sixty, and there were only forty spots. So I moved to Wisc, applied, and got in. No waiting list, no TEAS. I felt it was poorly organized and the syllabus was a mess. The instructors didn't even realize the text books were a new edition. The first two weeks every student brought every book everyday to class because we were not told hat half the books we wouldn't tart using until the following semester, The was so small and most of the floor was covered by huge bags/ suitcases. The first week I caught several errors they were teaching. One instructor used an example f her nursing note, that she wrote as students ( I hope) None of the doctors I have ever worked would read 2 pages of information that is not important I was never one to be a know it all, and answer every question first. I didn't point out instructor errors. the class, as to embarrass the instructors, but even when I questioned it after class, or in an e-mail it was met with defense. As far as I can remember the LPN instructors 25 yrs ago were all nice. I understand the critical thinking part of nursing that is so important. Nurses need to consider so many different factor. How much of what a RN/BSN does a nurse learn in school verses on the job? I was very disappointed to see one of the BSN nurses on this site, in a forum tell a second year nursing student from Germany that his mentor wasn't there to teach him. She suggested he refer to the policy and procedure manual. A good nurse can only learn some things from other nurses. Nothing in medicine is black and white. I wonder if the instructors at some of these more affluent colleges have this attitude. I some how doubt it. Could imagine if the govornor daughter went to a school where the instructors wielded their power like I am fearful many do. I want to go to a school where I am treated with respect, I don't expect to be respected, and this is the difference. A quick example is when I went to an orientation for a nsg program at a pilot college. The ones where your two year degree wont transfer to a four year degree. During the orientation the nursing Instructors, and even the director of nursing stood in front of 150 perspective students, and spoke in a reprimanding tone, never smiled, and told us this is how it is, we wont work with you, you need to make it work , or you'll be done. I left and and never went back. Thank you for not yelling at me for having a higher expectation. I wonder how some of these teachers would act if they had a television camera on them. I'm getting up there, so this next university is my last chance my chips are all in! I really think it has become an issue because many young girls will do anything to make it through, but I' m not. I know this is a lot of complaining, and If there was even one redeeming quality of that program I would mention it, bu I honestly can't think of one. I will say this; the microbiology instructor was really good. She knew her stuff. I learned a lot from her.
  7. quitor1moretry

    Unfriending Fever

    Its about reimbursement. Hospitals will contract with different insurance companies how much money they get for a a lap chole. Aetna will pay 5,000.00. The fastwr the patient is discharged, the more profit the hospital makes. This is why we don't check vitals, and especially temps, right before a patient is discharged. If the patients returns to the ER with a fever malaise n/v... New insurance dollars.
  8. quitor1moretry

    Cried during interview. Did I ruin my chances?

    I think it showed your passion for nursing. I would have cried listening to you. You are an inspiration to others.
  9. quitor1moretry

    I'm a real nurse!!! Thank you!

    Me too! But as soon as you make a co-worker mad, the first thing out of her mouth will be, "Are you an RN." Not all RN's are this way. Now that the 2 year RN is fastly becoming the new LPN. Hospitals do not want to hire a nurse with an A.S. degree. Because studies show patients have better outcomes when they receive care from a nurse with their bachelors degree, Insurance companies will pay higher reimbursement for hospitals with pilot status. This means 90% of the nurses performing patient care need their BSN. The sad thing is if a nurse received her R.N. from a school like Argossy for example, their degree will not transfer to a four year program. I guess I'd be pissed too. But they are not rude, it is the LPN who is thin skinned, and has a chip on her shoulder...so I have been told. Doctors in the clinic love LPN's. and not because we are cheap. If an R.N. walks in they expect you to know your stuff, but they are much kinder to LPN's and even teach us things that are not taught in many nursing programs. Recently I told a R.N. that the patient was a nurse her self, and we needed to use her medical knowledge to explain why we wanted her to be compliant with a treatment. Her response was well she's not an R.N. ANYMORE, now she is a patient, and she needs to listen to us. Being a patient in this nursing home did not define her. Of coarse she is still a nurse, not licensed, but she was a nurse. Thanks for letting me rant!
  10. quitor1moretry

    I'm an LPN and I understand.

    All you have to e is happy with your job. Please do not sell your self short. Look up the nursing act of 1950. We are valued. The medical community recognizes many LPN's are critical thinkers, and are under utilized. I worked with central lines after taking additional training. I gave IV pushes under the supervision of an MD. The only thing I haven't done is create a care plan. Any organization with a halfway descent electronic medical record wiill make this as easy as ordering an ultrasound. The care plans at the last facility I worked had goals like, "Pt will verbalize they like their living arrangement. They had goals Alzheimer patients hadn't meant in months, but felt they were appropriate. Don't feel like you are doomed to push around a med cart eight hours a day seven days a week unless hat is what you are truly happy doing.
  11. quitor1moretry

    "Can I give you report?"

    Most cna's see their job separate from the nurse she is working with. I am going to copy and paste your post to my personal notes. Thanks for sharing this.
  12. quitor1moretry

    Nurse Bully, please protect your young – don't eat them

    I came to this site looking for some compassion, but also honesty, real experiences, but found none of that. I remember feeling like a nothing as an LPN. One day I said to the doctor I was working with, "I'm just an LPN." she furrowed her eyebrows and looked at me quizzically, as if she didn't understand what I had said. And then She yelled, I don't ever want to hear you say that again." She continued to yell at me, " I couldn't do my job without you. You save my day everyday!" If anybody ever said anything cross or mean about me to her and she felt it unjust, they got an ear full. Because she knew the challenges I faced just to make it as far as I have. She saw something special in me that nobody else had ever seen in me before, and nobody has seen in me since. Her words of encouragement have carried me a long way. and nobody can take away the fact that I am a good nurse.. I am compassionate. and I want to be part of helping others fulfill their goal to provide compassionate care. So, for those who like my message please respond to my questions, concerns, suggestions and comments. For those who think Im a wack job, please keep your opinions to your self. Thank you and good night.
  13. quitor1moretry

    IM injection gone subcutaneous?

    He probably needs his meds adjusted. what ever dose he was an needs to be increased I have only given z trac for iron, but sometimes a small amt of the drug does leak out if the needle is pulled out immediately after the medication is administered. but usually it wouldn't be enough to cause a patient to revert into a full psychotic state. Tell our doctor about your fears. He will probably feel sorry that you had a conniption over this, and give you a little mini in service, and a perspective we don't get in nursing school. Never fear admitting to an employer if you feel this way. Even if something was not done correctly this is how hospitals are learning why mistakes happen, and we can prevent them from happening again.
  14. quitor1moretry

    Hepatitis A Vaccine

    There is wiggle room. Where are you attending nursing school? Isn't Hep A typically to prevent food born illness? well your set for travel to less developed countries anyway. Every school has their own standards. Good luck with school! Hepatitis B is typically what schools recommend. While most schools encourage students receive this vaccination because it protects against blood born pathogens. I haven't heard of too many requiring it. Again wiggle room with the hepatitis B is usually no problem. Don't make a point of telling your school it was early. Give them the administration record. The dates are clearly documented. Don't give somebody the opportunity to over think it. In reality about a forth of all people who get immunized for Hep B will never produce enough antibodies to reach full immunity. It wouldn't matter if you got three series.
  15. quitor1moretry

    Male student enters OB room. What do you think?

    Well, here is one for the books. On my OB rotation a student, from another country, who didn't quite grasp the difference between Medical Jargon and slang. The patient was agreeable to having a student, and had no problem with that student being male. That is until he entered her room, lifted up her gown, completely exposed her, and said to her, "I have to check your tits now." Needless to say she refused to have a student nurse the following day.