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Mintezia's Latest Activity

  1. Mintezia

    Decided not to pursue RN, may leave nursing eventually

    Thank you both. And you probably are right about me being burnt from nursing. I plan on looking for other educational opportunities outside of nursing. I don't think an RN would change anything for me. I'm not sure why my BSN friends were having a hard time finding jobs. Being in a major city doesn't help.
  2. I have had a tumultous last few weeks. I'm really stressed out today and have been feeling sick for the last 2 weeks or so. But I've decided I have no interest in ever getting my RN. For nearly all of my 2 years in nursing I've been in home health. I've tried out facility nursing in nyc as a new grad and hated it. Home health has been OK for the most part. I've had some bad experiences with some cases. Case 1: 3 yr difference between me and the client. This guy had gone through 4 pages of nurses. Was extremely nasty and manipulative. Case 2: On for about 6 months or so. I was originally supposed to be a fill in. Towards the end my hours started getting sporadic because mom kept 'canceling' my shifts to give to another nurse. This lead me into the next case Case 3: A very good case. The client had a condition similar to muscular dystrophy. My biggest issue was with their dad, who was too handsy. At the time I was too afraid to speak out because I had just found out my room was illegal. Facing homelessness and joblessness in a city like nyc is very scary. And I really didn't want to go back to the shelter. Case 4: I had moved to a new city and took on one case. Even though I was on this case for 2 days nothing went wrong. It was pretty easy except I had an 'accident' when emptying a colostomy bag. For some reason mom was nitpicky. She had a problem with me eating on shift. I always made sure to do my notes and tasks prior to eating and I always cleaned up. Mom mentioned being up during the night. But the second night I was there she stopped answering my texts. These were simple questions and I never bombarded her, but I never came back because of her refusal to communicate with me. Case 5: My most recent home health case. I was there for a year. Client was also a kid. And she was difficult at times. I frequently got burnt out on this case. Mom was interesting. She drank but wasn't overly violent. At the end of my time my client was in surgery for 2 weeks. I never got an updated care plan for my first night back after not seeing her for 9 days. Mom wasn't clear on care and the shift ended horribly. Called out the next night. Mom never apologized and decided that because of 1 bad night I was no longer trustworthy. I never called out and always showed up early. She also fired a nurse because she couldn't take her daughter out to walks. Also the agency was full of flaky people. One of the old supervisors was racist and gave me and other black nurses there a hard time. The new supervisor was nice at first until she started calling me drunk and telling me that she loved me and how beautiful I was, even though she was married. My nursing 'mentors' I also had bad experiences with fellow nurses that would supposedly watch out for me. One of them turned out to be pretty nasty and narcissistic. And the other one was the nurse I mentioned in the last paragraph. I recently moved to the midwest and I'm already on shaky ground. I can't get my references to pick up. I was offerred a job and told EVERYTHING was clear a week ago. I got a text today (training was supposed to be tomorrow for me) saying my references weren't cleared and I wouldn't be hired on (apprently they didn't think one of my professional references aren't what they need) I've waited 3 business weeks to have my license transferred only to go through this. I'm noticing that it's hard for BSNs to find good jobs. I've worked alongside 3 of them at my old home health facility and they all told me they could not get into a hospital. And one of the BSNs here mentioned that RNs don't get paid too well in the hospital. It feels like I've had to fight tooth and nail just to get jobs and keep them in this field. Also, some of the nurses (not all) I've met online and at work are really nasty people. My LPN job was a good opportunity for me since I went to a free program at Job Corps and didn't pay a dime. However, multiple things about the field have worn me down. I've looked at various programs and each time it hasn't seemed like the right decision to go into a program. With this pandemic I think a lot of places especially hospitals will be forced to close. And I'm seeing that some nurses have been unemployed. I'm waiting on a response for a new home health agency. Frankly I really wanted to take a break after everything that recently happened. And I'm finding it gets monotonous. But it seems my lack of good reference and luck will keep me out of any decent job.
  3. Mintezia

    Is being an lvn really that great?

    30K is a HUGE amount of money for an LVN program. Most places it's less than 10k. On either coast and especially around the major cities the cost for schooling will be greatly inflated. The cheapest LPN program I've seen is around 2k and that is in Virgina. I met an LPN in clinicals that got her license there and told me that's what she paid for her program. I'm not gonna lie some LPNs do become complacent and remain LPNs or take longer to get an RN. Schooling for RN can also be costly and time consuming, especially when one adds a full time job, kids and pre-existing loans from other degrees. If you want to work primarily in home health or LTC there really isn't a huge incentive to go on for your RN because the pay difference isn't too significant. Where I work the hourly pay difference between RNs and LPNs is only $5. Some places I've seen only a $2 per hour difference. 8 months is a really long time for pre-reqs. I've never lived in CA but I imagine competition is that fierce for nursing programs. It's quite similar in nyc too. If you really want or need to make money why not try your hand at an LVN program? Generally no prereqs are needed. I've met a few LPN students in clinicals that actually failed out of RN school or dropped out and got into LPN school. LPN school can be challenging because the amount of time spent on subjects and clinicals is condensed. My program was 10 months long. That's about as short as it can get (unless there are shorter programs that I don't know of). LVN is a good career path especially right now. Many of us were fortunate not to lose our jobs in the last few months. And it's pretty hard right now to automate nursing. For now start small. Start and finish an LVN program before even thinking about a bridge progran should you decide to go. Good luck!
  4. Mintezia

    NYS Licensing Process for LPN

    I passed my NCLEX around end of July and had an active license around August 1st. However I had to wait for my physical license because that's what the jobs preferred. I wanna say I got my temporary license in maybe 2 weeks or so. All I remember clearly was that I was working 2 weeks after passing NCLEX. I think it took 6 weeks to get my permanent license. Some places will let you work with your temporary license. And others will prefer a permanent license. I've found the more reputable places will want a permanent license. Also for some weird reason my license and registration did not come together.
  5. Mintezia

    LPN jobs in Utah?

    Hi all! I recently visited relatives in Utah and liked it. However, looking at the jobs for LPNs, there are around 40 postings. My relatives are trying to get me to move there. I would have a lot of help, however, I am not certain about the market for LPNs. I currently live in Seattle and am thinking of moving for a few reasons. I've considered Texas (aside from Austin) because the opportunities for LVNs are greater and the scope of practice seems more permissible than most other places. I've decided to do school elsewhere because in WA state the nursing programs take too long and require more classes and credits than a lot of other places. It's not to sound lazy, but I'll be working full time when I go to school and don't want to make it difficult on myself. I've got some college credits, a lot of gen eds. All I need are the math and science classes. I would like advice on moving to either state. I'm not feeling too certain about Utah honestly. The information for LPNs out there is nearly non-existent. I've got 2 years experience in PEDs home health so there's that. I do worry about Texas becoming overcrowded since a lot of people have been eyeing to move there. However, I know the opportunities there for LPNs are better than most places. Thanks!
  6. Mintezia


    I'm really sorry to hear that. I was let go during orientation at a nursing home I worked at. The ratio was 1:40. I think that too many facilities try to overwork all their nurses, even the new ones. Unless you can find a new place with a ratio of 15 or less, I would just skip the facility. I second home health. I have worked mainly in PEDs because I don't have the strength to deal with adult patients. In some PEDS cases there is no lifting. In the ones where you do lift, the lifting isn't as strenuous. Many of the Peds cases I've covered the clients weren't heavy. For NOC shifts there is a lot of downtime. Day shifts may be more active but I have not worked dayshifts often so I can't attest.
  7. Mintezia

    LVN Homecare during this pandemic, advice?

    I forgot to add I had 1 client I had to administer Gatorade via G-tube. There wasn't anything preventing him from having it but it was a strage request. I'm certain I could have refused and the family would hire someone else who would.
  8. Mintezia

    High nurse to pt ratios SNF

    I'm in home health for this reason. Sure you don't use all your skills (unless you're a visiting nurse with patients of differing acuity levels) but there's no way I want to kill myself for a paycheck. The last facility I was at was 1:40 in an affluent area. Horrifying experience. Immigrant cliques (nothing against them. These are bad because thet exclude you if you aren't the same as them and speak their language). One of the supervisors tried to have me work 6 days straight as a new grad with 40 patients. I honestly think that is corrupt. At orientation there were 2 other nurses and a ton of CNAs for a facility of 500 something residents. So I don't understand why they make it so hard for the new hires regardless of experience. I don't like the mandated overtime or having to chart after shift. I've been hearing of sick Covid patients being returned or brought to the nursing homes which only adds to the load. Nursing homes aren't equipped to effectively dealing with such patients. I don't see how they can continue this model indefinitely especially with the nursing shortage as it is.
  9. Mintezia

    Younger nurse

    Seriously though why don't you guys focus on answering OPs question instead of focusing on me? I think you guys are unfortunately proving her right by being so heartless.
  10. Mintezia

    Younger nurse

    I feel really sorry for all the bitter older nurses here. It's a miracle you guys are still alive.
  11. Mintezia

    Getting Discouraged -_-

    Home health is alive and well during this time. The risk of infection is lower unless you are a visiting nurse. I've had my hours reduced slightly, but there's still work if I need it (which I do not). However, hospitals in my area have completely laid off RNs due to low census. Can't speak for LTC, but I'm noticing they are paying LPNs almost as much as they pay RNs to work there. I haven't had an issue as a new grad in home health. They are usually not picky about less experienced nurses. You will sometimes get families that might have an issue especially if you look young, but that is more of their loss than yours.
  12. Mintezia

    Mandatory overtime in massachusetts nursing home

    Sorry to hear. This really should be illegal to mandate a nurse to overtime. It's one of the reasons I switched to home health. It isn't ideal for everyone but since I have slightly less flexible options as an LPN it worked out. I also would not stay anywhere that mandated overtime. No amount of job security is worth that. In my opinion this is little better than indentured servitutde. I worked in NYC and had friends in upstate NY. Mandated overtime was a thing in both places. I also second having malpractice insurance. I wouldn't entirely trust the BON. At the end of the day the company's interests may come on top and it might not always work in the favor of the nurse.
  13. Mintezia

    LVN Homecare during this pandemic, advice?

    I've been working in homecare since late 2018 while I was still living in nyc. I transferred over from LTC at two different facilities (one in an affluent area and the other in a lower income area) both experiences were nightmares. In total now I've been with 2 agencies. I live in WA now and still working in home health. I've had good and bad experiences. I'll list the cons first. Cons -The agency I worked for in nyc was OK. What I didn't like about them was that they were only located in Brooklyn, so most cases were there. And most of the cases were Jewish families. I have nothing against them except problems came along with certain Orthodox families. To keep it short, this meant if you needed them to show you something or you needed assistance, you were usually out of luck if it was on a Saturday evening or night shift. Also commutes from Brooklyn are long when you live outside of the borough. But I stuck around because I didn't want to do LTC. At one point I lived literally 2 doors away from a facility and still made the 1.5 hour commute. The subway was cheap so it's not like I had huge costs to traveling. -Being sent to Dementia cases where the client was 200+lbs and not able to move on their own...as a new nurse. I almost quit working for my first home health agency because of this. I eventually specified I will no longer do dementia cases for this very reason. All of them except one were nightmarish experiences. The daughter in one of the cases was an absolute witch. It was a 12 hour shift and she was there for maybe 8 hours. She was extremely cruel and the only reason I stayed because money was tight at the time. -I worked for a client that was young and had a crippling condition. He apparently went through 4 pages of nurses, multiple agencies. -more individual troubleshooting. This can be scary for a newer grad but it's best to stay level headed and figure it out. I remember when one of my clients was desatting quickly and they were asleep on a ventilator. Rather than waking up the parents I managed to quickly figure out how to get my client's stats up. Sometimes it's as simple as repositioning them or giving a few saline drops in the trach. -you sometimes get really personal with the families' issues. I've seen multiple marriage strains or disagreements. You also might have to deal with a messy environment, which was especially true when I worked in nyc. In 2 instances I was sent to high rise public housing, which is extremely nasty. Elevators often break. Sometimes you might have pets in the house and the client or their family may decide to use pee pads. One case I accidentally stepped in poop because it rolled off the pad into a dark area. Good -for both my agencies I received better training than I did at the facility. I received thorough training that made a world of difference. -low stress- there's a lot of downtime which means you can read, watch a movie or study. This may actually be a con for a more extroverted type because it can get boring -decent money-this was a bonus to the above. And in certain places home health pays more than the facility for far less stress -flexible schedule-you get to pick or reject cases. Sometimes the family makes it clear they don't want you. But there's so much work available it's not a problem. It might be different in more rural areas though -no mandated overtime-this was another reason I remained outside of the facility. I wanted my time to be my own, plus it should be illegal to do anyway. They even did this to new grads. So one could easily find themselves doing a 16 (really 17 or 18 hour shift with paperwork+commutes). It's easy to get overwhelmed as a new grad and for me, the threat of mandated overtime was a huge risk to my license -more autonomy -family usually changes the trach. May or may not be good. As a new grad I didn't realize the significance of this until watching a trach change on a baby and seeing them gasp for breath. It was a quick trach change but as a new grad frightening for me. -more graititude expressed by employers- you being there means a family member does not have to stay up or miss work in order to care for their loved one. In school home health was discounted by my teachers, but I think people fail to realize this. And caregiver strain is a huge risk. Home health is also really good for those with small children. I've also met others nurses use home health to work extra shifts when they had another job. This one seems to be extremely common. It took me maybe around 7 months to feel confident in home health. Sure you might not use a lot of skills as you would in a facility, but to me high ratios just aren't worth the risk. Risk of infection is low. PPEs aren't really needed as much as a facility unless you are a visiting nurse.
  14. Thanks! This was helpful. I didn't want to specify a town or area because I don't know which would be a good fit. Where did you manage to find a place with a low nurse to patient ratio? Also, is an LVN salary high enough not to need roommates? I am a pretty frugal person but I would like my own place eventually.
  15. Mintezia

    New LPN

    Yup, it's normal. Nursing has made me a bit neurotic. I work in peds home health and after every shift I always wonder if I forgot something even now. I guess it's perfectionistic tendencies and wanting to do as good a job as possible.
  16. Mintezia

    As an LPN, I can't help but feel like I'm not a "real nurse"

    These responses were great! I became an LPN because I was fortunate enough to get into the Job Corps program. I got in very easily. A lot of people spent months to a year waiting to get in whereas there was maybe 2 weeks between the end of my CNA program and start of LPN. I never had to work as an LPN because I lived on campus. Everything was provided for free--books, clothing, ATI, a Sanders test prep, transportation to and from clinicals, food and shelter. It was an extremely miserable experience. I got crap from CNA students and other trades for pursing LPN. Maybe they were jealous because it was hard to get in and even harder to stay in. I was on the verge of failing out the entire year I was in. But the first one with an active license. I dropped out of college years earlier so an RN program would not have been better for me in the beginning. I didn't occur any additional debt either. I do hesitate to get a BSN because home care works out a lot and I'm not sure I'm cut out for a facility. I'm pretty introverted but I don't regret getting my LPN because it is a good living for me. The last LTC I've been to was a nightmare and had a ratio of 1:40. If I were to go back for my RN I am certain everything would be an expanded review for me. I graduated in 2018 but I still remember virtually everything I was taught. I am also really comfortable with vents and g tube so I'm sure I could handle those patients at least.