All Content by DNTcode
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Starting Excelsior's MSN - Education
Hi guys, how much did it change from 2010, is it still doable? I called and been told, that taking few classes is like a full time job. I just wonder how many classes at the time are doable with full time or part time job and some life and time for hobbies...? How difficult is it? Any input from someone currently attending (RN to MSN, MSN) would be highly appreciated. Thank you in advance
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2 years out of Nursing School. Failed 3 times Help!
Keep trying... each time you are eligible to repeat attempt - DO SO, and meanwhile try practicing questions. You will pass. My best friend studied hard during school. Disciplined beyond normal. Every day she would sit in library and memorized book cover to cover.. Nicest person ever. Not one bad string in the textile of her personality. No doubts she would have been sweetest nurse. I would entrust her my beloved without blink of an eye. When time came - she did not pass NCLEX, (and if someone should have passed that test - that was her!) and failed it again, and again and again. Stopped communicating and almost gave up. Few years later finally she did passed that damn test. Just keep trying and don't pay attention to the result, once you walking out of door of the testing center, start preparing yourself for next date when you can sit for NCLEX again... and again. It will happen if you do not give up. Just practice questions over and over, any questions, app on your phone... the cd, the online... any you can get your hands on.
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Is 61 too old to start Pre-Nursing?
Hi, if you think you would enjoy it, if you think you are physically fit (well you do CNA... so I assume you do) and if your head is sharp are you gonna run into any hardship - during school, financial, health...any? nothing can hold you apart from your passion! I would totally go for it. I am an immigrant (the effin immigrant who should not be in the nursing school - as I been told... and here I am :) so I had to study in another language, take it from 0, deal with people who had issues with my accent and so on. So not just many would say it was hard...it was like horse obstacle race. Waste majority of people have to study and they have hard time with it.(I did not have to thanks God!). Many people have an emotional issue with - I got bad grade... how come... because the questions - test your thinking and your knowledge. Not just your memorization. So you get unlikely scenarios, or nonsense options to pick from... - your thinking remember, that is what is tested. And sometimes correct answer isn't there. Do not get upset. Some other people have an issue with the fact - there is not one correct answer... there is more ways how to "skin a cat"! There is unhealthy competition sometimes, but if you would like it and you feel fit... GO FOR IT. My coworker is over 70 y. old... While you apply to school, work as CNA... and keep your eyes and ears open and decide if you would really like to do the job.
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What do you think about BSN?
Good for you! I am so glad you made thoughout the process and you are what you deserve to be!!! Doughhhh that is really kinda given that more paper the better. What was I thinking???. Make sense. Good logic. I am sure that you with more paper are better and better and better. Can you actually eliminate MD? I am convinced that with your paper education, you may not need them around. We sometimes joke that some of the docs are kinda in the way, and ask them to step aside, lol. I am just sorry you had to start as regular nurse and not like MSN right away. Too bad patients had to suffer through the process. What do you think, shouldn't be MSN mandatory before anyone actually starts taking care of patients? I think it is not bad idea. How can we make it happen? So you know, since MSN is better. Together with America is great again... I think we have nothing to worry. At all. Ufff. Now I just have to think about those losers how can they actually operate daily living without MSN...
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Memberships advice anyone?
Hi, thank you for reply! yes I am certified, and I am member of nursing society in that specialty. I found one interesting and that is the Neuroscience nurses in addition to AACN. Wound nurses does not look bad either. I was just curious if someone has maybe some better suggestion, could be out of my scope, just to know about something out of my usual scope or specialty. I found accidentally the organization for working with disabled, but it seems they have stipulation one has to be involved in care with disabled.
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Memberships advice anyone?
Hi, I am seeking a lil advice for myself and my ICU coworkers. We are in the quest of searching for suitable nursing organization memberships. I used to pay memberships to several organizations with hopes or expectations, but either I did not find the use to specifically my area, or simply I did not see the benefit and price being good match. I searched and searched, and it is bit time consuming, and I am running out with ideas. As an enthusiast I used to be ENA member, which I found to be kinda expensive and after some time - well it had not much benefit to me. I am member of AACN and even I had moments when I thought it is not much of use to me either, I like the fact that it is very accessible to find interesting CEU's that are "free". We all are looking into some memberships (our employer "encourages" us), that would be let's say inexpensive and bring us something beneficial. Can anyone give tips or advice what nursing memberships you have good experience, or could be interesting and for good price? THANK YOU
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What do you think about BSN?
Nope, just trying to find out how does nurses feel about it. I seen ASNs, I seen BSN fresh grads at ICU (and except inflating their overconfidence they have nothing to back up with, BSNs truly did not show any advantage compare to ASN's). At the same time, I see lot of experience nurses... being grounded because they do not have BSN, some giving up and trying to do their BSN... after 25 years in nursing, where they actually are sharper then two NP's... I personally feel this is ridiculous bad joke, or maybe scheme how to make nurses more miserable, as they have to pay for it, and sacrifice so much time... I do not know, I just wanted to see, if there are other people who feel same, or if I am just an alien.
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Can you become an RN at age 19?
Yes, it is! My nursing classmate was 18 during first semester. I am not sure how old are you, but... if you have right conditions yes you can! Even at the high school, you can look around what prerequisites the nursing programs in your area demands, and you can take advanced placement classes. (Sciences and general education classes like for example chemistry, anatomy or sociology, psychology are quiet often required) You can apply during your last year of high school. Just accept things may not go as you planned so year here and there...
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Unsure if this is what I want anymore...
Well, I used to have same fears prior to signing up myself for nursing. Was not sure if I would be able to handle it, like it, if I would be able to deal with all it brings. Since I was a chicken, I volunteered in the hospital first to see...so I know I would love it, and I wanted to do that. I am glad you have an instructor who helps you! That is a treasure as many colleges in my area are well known for not supporting students but in contrary working hard on tripping them and eliminating them as some sort of a which hunt. (Thanks god, maybe not so much thanks god as it comes to outcomes, they opened recently nursing program at private university but thanks god for one thing: as anyone who pays gets in - unless really, really mentally unfit, there are suddenly no more students interested in those abusive colleges... yay, wake up call :) but back to your problem! I would say, that you have many things on your side. School support, you are half way through. Now you just need to find out, if you really have just usual doubt or if you really truly will not enjoy this calling. If you feel like it is too late to call it of, then look at carrier options. You may very likely find something without need to deal with bedside, homeless, mental issues and everyday trenches battlefield of nursing! There are nurses in variety of setting, and some are call jobs, office jobs. You might very well find fit
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What do you think about BSN?
Ok... and I can't refresh on the topic, if anything changed, or anyone still feels to add anything to it? Feel free to ignore and omit any topics that are abundant..
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What do you think about BSN?
You are right!! Thank you for stating more information! Just to explain: the statistic is not exact, first of all, I did not remember exactly but I recall it was ridiculously low number, so I wrote ...something like... just to clarify why there is such a absurd number. (as the real one is not so absurd, perhaps?)
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Quitting Nursing permanently
I fully understand how you feel. Nursing was turned into hell by some management graduates (or more so undergrads... like that would actually matter if they have master or only bachelor anyway), who actually in the best case scenario - walked down the hospital hallway and that made them qualified, rubber stamped and certified experts on "how to manage hospital". Have no idea what is it about (no matter how much they are convinced they do), people who will be sitting in disciplining appointment across the table with nurse who received awful complaint and they never actually see patient for more than two minutes, if ever. They do not know what it takes to be a nurse and deal with patients, On the other side - it is hard to fight it, when patients are picking up doctors, hospitals, nursing homes solely on some internet grading (that does not reflect anything real and valuable - do you ever question how certain hospitals shockingly placed in top 50... while the really good ones did not make it at all...), which doctor has brightest smile or based on what color scheme and wallpaper was used in their rehab... well if those factors are the most appealing to the potential patients... the ignorants with bachelor degree in management and accounting and economy will rock the world. And they will rock it hard and well till the tipping point... More and more people is frustrating with fact, that nurses nowadays are trained in - SCD's first, then MRSa, then "did you got Flu shot this season???", are you suicidal? and then maybe do the compressions and medication - the real saving the life thing. That we have to pay dues to our boards... who tell us when we call them to "google it" or do it yourself online - on nursys (which has no phone number so you can't call them at all) and when there is issue your nursing board tell you - it is third party... we do not care, but we do not do that - use the nursys...or "did you tell the worker that license can't be transferred to Oklahoma??? (yea, like shouldn't your worker tell me, not that I should know more about their comfy chair job???) About constant CEU's Trainings one have to go to work on their days off.. in the most inconvenient times BSN degree and then I am sure in future MSN... nurses practitioners are more and more prevalent at bedside... how funny is that? Increased demands on charting, tasks, and responsibilities, with equally decreasing benefits, rights and protections... Managers who can't do basic bedside thing for one, ONE patient, telling you how should you manage whole floor by yourself and with smile on a face and nod yes to everything! After of course you sacrifice your day off for some extra training that your employer requires so they are on good terms with Jaico for example. Yeah... Joint Commission is another excellent example of important part of nursing :) Instead of stepping on the neck the smart ass administration and making them responsible, they just announce their visit... and for few days in few years hospital is miraculously fixed up, fully staffed... But maybe better because with ignorantism rulling the world... it would be always a nurse who would be in loss, getting witchhunted and responsible for everything. So yes, I understand your burn out. I myself think of - just find different job. Something completely, completely different. Accountants after few years can reach six figure salary. Teller can work themselves up to manager positions... Yet nurses stay same... no matter what you do, how important it actually truly is, and how miraculous we are to tackle that all down despite of all the obstacles thrown under our feet by leadership, administrations, commissions, legal bodies, nursing bodies, patient themselves, our salary does not reflect that, our salary does not increase, and I think our benefits are one of the lower tier ranks. For me unfortunately I am medical field addict, and I really am not able to change the path. But if you are considering it, all power to you. Just do not give up your license yet, you may one day realize you want to go back. Or things I described above unexpectedly got sort out by new Bernie Sanders, or who knows... you might find yourself in bad situation, and there could be nice nursing job working for some really nice doctor.. and you might regret giving up your license. You may look at how to keep your license inactive... and under what conditions you cold reactivate it. That's all. Just research it, do not do any harsh and premature decision. Good luck to you!
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What do you think about BSN?
Let's keep aside the mandatory BSN by 2020...(supposedly based on a study, that come to the conclusion that something like there were 0.002% higher survival chances of MI patients if solely BSN nurses were taking care of them. ) Is BSN better nurse than Associate degree nurse? And if you really believe that BSN are better, what is it that makes BSN nurse better?
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Voluntary surrender
I hope nothing happened to anyone, and they call you to the board just for some stupid bureaucratic reason. Honestly, I have no idea how it works really, but years ago we had a nurse who was just making you think... like how did she ever got her license. She had nursing license in four states. Rumor had it, they revoke her license in one state, there she was, working with us with no issue. Not sure how about now, but it seems that some states just do not communicate. At least back then. Also as someone who was transferring license, I know that some places asked about license in other states. But not every state does it. Since USA has smart non-unified licensing... So they make you go through all the hoops, and pull money out of your pocket here and there... I guess the bright side of it is one can still work somewhere if losing license in one state - one needs to know what states requires what. Good luck with your non nursing degree before license renewal, and good luck on surrounding your license
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My new nurse manager is driving me crazy
She said, "not my problem, carry your cell phone.", Well, I think, she just gave you a permission, an exception... to carry the cell phone You can very well, use an email... thanks god for that! And start communicate with her exclusively via emails. (do not forget to print them out!) Send her an email: Sorry about the question of policy that was unclear to me regarding personal phone calls to nursing station that would involve our secretary picking up the phone. Thank you very much, that you told me to carry my cell phone. I will do! ? If she gives you discharges and full patient load... Send her an email: OK, so I am having 7 patients... 3 are acting out, 6 are halucinating, 5 is suicidal, together with discharges, but I just wanted to make sure, you are aware that is putting them at risk? I just do not want to get anyone in trouble if anything happens. I have done that and won, but it was because I had long good very good track record. But I personally think it is not worth of starting fight with donkey. (you know they are dangerous from all sides?) You can dig all laws. Not sure about your states, but some states if your child has disability and so on, they can't fire you if you would murder someone. Check your laws. Good luck
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My new nurse manager is driving me crazy
Are you my coworker??? (I am sarcastic, because this reminds me soooo much my work) Except of the personal Nazi Hitler style, micromanaging, tha you can literaly feel the droplets of your manager breath on your posterior part of the neck and shoulders, she had no idea what is going on on ICU (like drugs do not get titrated as prescribed q 5 min increment of 0.01... but if pt is crushing you jump start the drip... and soooo on. Then it was getting really really hard to explain little more advanced rationalles. But she managed over 100 nurses! Great with paper. I am sure that for her exclusively they invented wording: "paper pusher". I tried to explain over and over and over... till I realize I am doing something really stupid, because a) manager who never worked in ICU setting does not, will not, can not grasp it no matter of the amount and quality of spoon feeding provided. b) she might understand, but does not care a bit. c) she does not like people who can move head in left to right direction, and she prefers people who will move head up do down and repeat, no matter how stupid the idea is. d) she loved snitches, excuse me, wrong word that was out of line. Lets be profesional here: the chronical notifiers of: "I just want you to make you an aware that nurse so and so did not put the caps on her tubings, and on one tubing the sticker was missing, I see the nurse so and so priming her tubing with left hand instead of right one, and the family had to wait for ice whole 5 minutes and 23 seconds!!! :nailbiting:" (while those notifiers left patients BP after open heart role up to 220 systolic and stay there till MD himself run into a room. But hey they were excellent nurses with years of experience, on a good terms with manager because they had whole logs of who forgot stickers on tubings , and managers managing style too closely resembled the: divide and rule style. f) for any left to right head movers any slightest complain is good enough to get them called in the office e) all of the above after the realization of the e) was the correct answer - at least per my experience, I came to the bestest (not the best, but the bestest) day of my life... a simple notice :) the hell continues fume up there, and I am free of it, stress free, and happy, it feel so much better. And guess what, I had job right next day after I resigned, and they offer me more money, better benefits... people are nice, no the spies types nurses like in my previous job making a log on who did leave in the room the saline flush unattended...(you know, that intubated and restrained patient could have got to it and overdose himself with it, right???) Manager on the previous hell created unit is rewarded per her achievements by the administration, great managing, oh well, turn over nurses is sky high... but well, not much she can do about it right??? Patients safety... can't comment...do not wanna get in trouble, so really lets leave it out of comment. So if you find any other idea how to turn hell into paradise, I would really love to know, I will forward it to my ex-coworkers who keep suffering there.
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Out of school, forgetting a lot
Hi fellow nurses, I just wanted to ask you, do you as well feel like with equally gaining experience you equally forgetting knowledge from nursing school? It crept on me, I even do not know when and how. I did not realized it till recently someone asked me how many vertebrae are there... I had to count for while, and check it as I was not quiet sure if I am right. Same thing with helping a coworker with her microbiology. Oh, yes, sure, I was pretty good at that.... oh, well, I realized, that beyond there is some lyer, and some bacterias are gram positive and other are negative, could not remember much more. Had to refresh it myself. On one side I learnt things I never needed in nursing school. Like the usual drug dosages for example, but at the same note, I forgot some really basic things. So when new grads come, I start feeling like they have to think I am dumb... Is it just me, and I should do something about it?
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New Grad rejected from First Hospital
Hi, I think it would not do a harm to ask them why. Just keep in mind, they may not be quiet honest, and they may just give you some vague diplomatic answer. To the applications... Only two applications? you might very well end up like anyone else... rejected, rejected, rejected, rejected even from the dirtiest nursing home. Yet still do not let it crumble you and apply again. My first applications and interviews...after countless rejections, I literally begged the manager who finally invited me for an interview to give me job in the nursing home. I did not care how little they will pay! Just please, please hire me. She did not. Today I am grateful to her, because should she hire me - I would be probably stuck there till now. Thanks to her rejection I received way better opportunities and experiences. And so it could be in your case, you just do not know it yet. To the honesty in your application I would love to know more details so I could tell you if you were really asked to resign. From the little you described I came to assumption: You very well could end up just mutually agree that practice of doctor Smith was not the best for you, as you were not adequately qualified at the time for that type of tasks, which would be out of your scope That is not same thing as Dr. fired you. Most likely Dr. herself was aware, that it might have not been in accordance with law if she would fire you, or it is sensitive topic for her as well as it might have been slightly unethical, or she was just maybe nice and did not want to fire you, so she might possibly not want to ever acknowledge for any of these reasons, that yes, you were asked to resign, or she wished to fire you. Unfortunately here comes in play screwed up system - I hope you left on good terms. Because if you did not, no matter how right you were... you will have this ugly stinky sticky material glued to you forever. So head up, nerves ready for lengthy process of job hunting! Good luck
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Excelsior RN to BSN
First, I did not do the BSN, but I have to say I took few of their exams (and let me tell you they were not the easiest). Took Pathophysiology (but I did a lot of other stuff, certifications, I enjoy reading advanced papers about how body works...) without studying and had A. Man handling testing center said, it is first time he seen someone to pass it with an A, and that pathophys attempting people usually leave crying. Then I took psychology exam, quiet confident since I have had that since my high school, I know a lot, I mean a LOT about that stuff. Yet it did not went that well like I pictured it would (I expected an A..). Lets say, generally, not to interfere with policy not to share the information: questions were about anything else but the actual psychology problems itself. So I guess it comes to - be plain lucky. I also had some dissatisfaction with school, (but way, way less than I have had in other schools, and poor adviser sucked up my bi..ing, for which I admire her endlessly. Dear J., if you ever read this, I wish I could send you huge box of chocolates, you deserve every little crumb and smudge of it!) overall, I am very happy with them, I actually think it was great choice. Not perfect, but very very good. The customer service is really good. Some professors were great. Some were lets say biased since I did not follow their opinions on current topics, or "pleased them". Others were fair and just even I did not follow their opinion on current events. ... like anywhere else. I do not like writing papers, and all that technical stuff. But I like how otherwise it is at ease, end of fingertips, everyone is nice and helpful, I was pretty much able to find everything on my own, and got accomplished a lot in short time.
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Taking the assignment or dispute it???
LOL, I love your response!!! I guess it precisely reflects upon current trends in nursing
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Prioritizing
Do you have any background on the patient? I would generally think that your order is correct... I might maybe put risk for fall ahead of activity intolerance. Good luck on your assignment
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I got fired while being on orientation at a hospital for just 1 week. Why did this happen?
Hi, I would believe that employer generally has the right to fire you during orientation at any time without any issue to them. Also, on the other hand, they do not do that if they do not have serious concerns. Usually they would kinda notify you, but at the same time kinda discounted you. (look down on you, if they had to notify you about basic rules). Some places are more understanding, some are less. Some places has certain dynamics and cultures, other have them more relaxed. I probably would not even blink or breath loud if I was to finally after 5 years get job I crave for. But it seems to me bit odd, they would have done it for few minutes of personal phone call. The fact is, that you could have notified the speaker, you need to pick the urgent phone call and apologize, just a tip for next time. Could have, should have, does not matter now, you can try to ask that job back, you could probably try HR as someone here suggested, maybe you could try for another floor, but I personally do not think that anything would have chances to succeed if they already decided to terminate you. (But it is just my guess, I might be wrong) Or you will have to just start all over and applying to hospital jobs. Good luck.
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Worried about turning in my two weeks
Hi, I am quiet positive that word will get out. People will probably talk, then they will forgot you. Guaranteed. Most likely they will not be happy as they invested time and resources into you. But if you decided already... well then anyway you will be out of there in two weeks. Not sure how correct I am, but I would think, that quitting job in such a short term, without anything else lined up is not very wise. I would suggest you otherwise. If you feel good about your coworkers, if you feel safe there as new grad, try to stick up there, build some experience, and later, later start applying and go for what you dreamt about, when you get that - then give them your two weeks. But it is just a suggestion, it is your life, you will have to deal with whatever you will decide.
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Tiny acts of kindness
OmG, that is so nice!!!
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Confronting Doctors with Wrong Orders
Hi, sometimes I catch myself, especially recently to doubt myself. I used to advocate, I used to get into arguments, I used to refuse to carry out dumb or harmful orders. Almost always I was proven correct by time... and by other nurses following the wrong order... causing patient to do what I was afraid could happen. Yet most of them did not felt bad about it in slightest. The doctors did not feel bad about it either. Many times patient for whom I advocated, would (of course) graciously thank the doc. (not that it matters, or that I was expecting anything). Many times my advocating changed nothing, as things took the desired course, pt was ok not knowing a thing about backstage battle, or happened what doc wanted... and in best scenarios, doctor did not try to throw blame on the nurse, so no one hold the responsibility. Many times I created bad relationships with some highly arrogant and equally not so good doctors. Patient leave, doctor stay. As I stay as well. Working with that doctor. Who treats me with hate, humiliates me and is generally nasty to me. And he does not care I actually pretty much saved the patient. The doctors ego got booboo. Sometimes I question... what for?? Why did I do that? I watch my coworker. She is right hand with the most awful doctors. She never tell them no. They bring her coffee from Doctors launch. And she let them do whatever BS they wanna do. But then when she calls a shot... they let her.... hmmm...