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Divine-LPN,BSN

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  1. Divine-LPN,BSN

    LPN's Certified in Anesthesiology..

    Good day fellow Nurses. I have been getting much backlash on this site... I hope that the truth is not too much to handle... I am making it known that RN's and LPN's are not exactly the same. The options for career growth, expertise and pay are no different. Just as an RN must get additional education and specialized certification to practice anesthesiology, so too must an LPN. The ONLY difference is the route to obtain the credentials to practice in a certain setting. I will give a bit more examples and then I am done. To clarify some things, I researched some more facts. I will do this no more because it is menial.... "The primary differences between an anesthesiologist versus an anesthetist are the education they receive and the salary they make."1 While their titles may sound similar, the educational background and working environments of these positions can vary drastically..... In some states they must work with a supervising board-certified physician. Fifteen states have done away with the law requiring nurse anesthetists to work under a physician.2 There are 50 states in the USA, that limited capability is very similar to your argument about the limitations of AA's. I really am not here to negate any RN's. I want to show the truth is all. I can go back and forth with patrons all day. A patron typed "The pay grade of those two is going to be drastically different, as are the responsibilities...." I read, from a reliable source.... "Anesthesiologist assistants and nurse anesthetists both are non-physician members of the anesthesia care team (ACT)....These documents summarize ASA's view that anesthesiologist assistants and nurse anesthetists share identical patient care responsibilities, a comparable knowledge base, and comparable technical skills, a view in harmony with their equivalent treatment by the Centers for Medicare and Medicaid Services (CMS)."3 "The AAs most often work within organizations that also employ nurse anesthetists, and their responsibilities are identical. "4 Another patron typed " I'm afraid OP is not fully informed of what can be done with a BSN without the actual RN license...." While I am not sure what several patrons mean by "OP," my credentials clearly say LPN,BSN. Just to give an example of how the concept of limitless possibilities for LPN's with adequate education and training applies to other areas, like ADVANCED PRACTICE NURSING (APN) - not to be confused with the advanced practice registered nurse( APRN)- Here is some evidence-based data.... ,- "A nurse with a master’s degree is called an advanced practice nurse (APN)"5, "... in most cases, a master’s degree will suffice to become an advanced practice nurse..... keep in mind that you do not need to go right into advanced practice nursing. You can start as an registered nurse (RN), or even a certified nursing assistant (CAN) or licensed practical nurse (LPN) and go from there, working for a few years before earning higher degree and certification levels. "6 That is pretty impressive and I am so excited. I also learned that since I am not an RN, I would be able to work in a specialty- as most APN's do- by becoming certified through alternate routes. For example, I can take a separate training course to become a Certified Midwife (CM). In fact, "Certified nurse-midwives (CNMs) are registered nurses (RNs) who are also trained and certified in midwifery. Certified midwives (CMs) take the same midwifery examination through the American Midwifery Certification Board (AMCB), but they are not registered nurses."7 Although this applies to certain states, I am sure that by doing a random search for this profession, I can find ways to become a midwife- or anything else- by doing more research for something closer to the state where I practice. With this in mind, if I were to combine a specialty certification with a Master of Science Degree in say Public Health, the sky is the limit for the types of employment that I would be eligible for. Oh the possibilities for LPN's... please do not be angered by the truth. Especially if you all are truly nurses with those credentials. I know that if I were an RN with years of experience, ADVANCED DEGREE's and a decent income, I would not mind who is posting anything. Not an lpn, midwife, anesthesia assistant, etc. REFERENCES: 1. Anesthetist Vs. Anesthesiologist. Work Chron Web site. https://work.chron.com/anesthetist-vs-anesthesiologist-6475.html. Updated July 1, 2018. Accessed February 20, 2019. 2. CRNA vs. Anesthesiologist: What's the Difference? Texas Wesleyan University Web site. https://txwes.edu/academics/health-professions/graduate-programs/nurse-anesthesia/news-and-events/department-news/top-five-list/top-five-list-news-archive/crna-vs-anesthesiologist-whats-the-difference/#.XG2VmGZRfcs. Updated March 23, 2016. Accessed February 20, 2019. 3. Statement Comparing Anesthesiologist Assistant and Nurse Anesthetist Education and Practice. American Society of Anesthesiologists. http://www.asahq.org/Statement Comparing Anesthesiologist Assistant and Nurse Anesthetist Education and Practice. Accessed February 20, 2019. 4. Anesthesiologist Assistant. Commission on Accreditation of Allied Health Education Programs Web site. https://www.caahep.org/Students/Program-Info/Anesthesiologist-Assistant.aspx. Accessed February 19, 2019. 5. Advanced Practice Nursing (APN) Degree Overview. Allnurses Web site. https://www.allnursingschools.com/articles/advanced-practice-nurse/. Accessed February 19, 2019. 6. Advanced Practice Nursing Fact Sheet. Nurse Journal Web site. https://nursejournal.org/advanced-practice/advanced-practice-nursing-fact-sheet/. Accessed February 19, 2019. 7. How To Become A Midwife: 10 Tips. Natural Healers Web site. https://www.naturalhealers.com/midwifery/become-a-midwife/. Accessed February 19, 2019. ****I am way too mature, intelligent and aware of what the constant opposition means, to continue. Good day and I wish each nay-sayer the best in his or her career.****
  2. Divine-LPN,BSN

    LPN's Certified in Anesthesiology..

    Good day Nurse Anesthetists'. I was curious to know if I would be able to specialize in Anesthesiology as an LPN. I was surprised to learn that there are a number of certifications and educational pathways to specialize in this field. I visited the American Academy of Anesthesiologists website and discovered that there are a variety of career paths.1 Being that I have my BSN, I can become an Anesthesiology Assistant. With this credential.... "Employment Characteristics: Anesthesiologist assistants work as members of the anesthesia care team in any locale where they may be appropriately directed by legally responsible physician anesthesiologists. The AAs most often work within organizations that also employ nurse anesthetists, and their responsibilities are identical. "2 Wow! Who knew? I am so excited that this is an opportunity for me. Many accredited colleges offer this program like Emory University and the University Of Colorado School Of Medicine. I am pleased to know what options are available to me as an LPN.... REFERENCES: 1. Types of Careers in Anesthesia. American Society of Anesthesiologists Web site. https://www.asahq.org/education-and-career/career-resources/anesthesia-as-a-career/types-of-careers-in-anesthesia. Accessed February 19, 2019. 2. Anesthesiologist Assistant. Commission on Accreditation of Allied Health Education Programs Web site. https://www.caahep.org/Students/Program-Info/Anesthesiologist-Assistant.aspx. Accessed February 19, 2019.
  3. Divine-LPN,BSN

    Conflict of Interest

    I recently attended a community meeting in my town to have an open discussion about troubles in our personal lives. One patron at the meeting stood out to me. For privacy issues I won't say his name. He gave me permission to write this article. The individual who I am writing about was in nursing school. He told me that he finds it hard to survive in his town, even with 3 jobs. Out of desperation, he decided to become an exotic dancer. A month later, he told me that one of the students at the nursing school saw his car parked outside of the exotic club and reported it to faculty at the nursing school. He said that the professors would whisper among each other while in his presence and scrutinized him each time he entered a classroom. By the end of the school week where he noticed peculiar behavior, he was sent to the Dean's office for a meeting. After being informed of multiple complaints from students about inappropriate sexual behavior between classes, he argued his case and was notified of permanent expulsion from the nursing school. The man knew what the real reason was behind his expulsion, but how could he argue with 13 other students? Apparently, rumors spread about his job and it did not sit well with anyone. I felt so bad for him.The young man is very worried about his future endeavors towards becoming a nurse since he feels that he will never be accepted into another school. I suggested that he quit his job and move into a homeless shelter if he could not afford housing. Although the lies about his conduct to get him removed from the program was wrong, he can avoid future problems by changing his job. I vehemently encouraged him to apply to other schools and take that experience as a lesson. Sometimes adversity can be very strong, even unfair, but in order to truly be a successful individual, one must keep reaching for his or her goal. What are your thoughts about this matter? How would you handle the situation if you were facing the financial hardships that he was?
  4. Divine-LPN,BSN

    BEWARE of frauds...

    Good day Alex and BiscuitRN. In order to protect myself and to avoid potential issues of libel, I will not go in to anymore details. The scenarios that I mentioned are truthful and the point that I am trying to emphasize is that we - Nurses- should be careful. We need to make sure that the company(s) is legit, reputable and that the organization has the best practices/up-to-date protocols to care for clients. Nurses can face legal trouble if they work for an agency that is not licensed, if they perform nursing care on a client that is incorrect- even if the doctor prescribed the medication/treatment- or if they follow a plan-of-care that is outdated. This expectation applies to LPN’s as well. We are expected to be competent enough recognize these types of safety issues. In my case, seeing that the agency was issuing flashcards for CPR and other emergency procedures with numbers that did not coincide with the American Heart Association's guidelines, was a red flag. I value my license and I would never want to work for a company that is unorganized and careless since this can be harmful to patients.
  5. Divine-LPN,BSN

    Should I try to earn my RN license or go back to college?

    Hello and thank you all for the feedback. As I previously mentioned, I am a Licensed Practical Nurse and I currently hold a Bachelor of Science Degree in Nursing. I am considering going back to school for graduate studies but I hear that being an RN provides way more opportunities. Well, I have been doing some research and I am so happy because I CAN go back to college to pursue a Master's Degree that will benefit my career as a Nurse. I thought that being an LPN had me barred from going further in school. I also thought that unless I am a RN, my degree would not mean much. Although that is not the case as of now with me holding a BSN - at my first job, holding this degree started me off with a higher than usual base pay,- I just figured that people wouldn't lie about that. So if anyone is wondering, there are endless possibilities for Master's studies that will boost my earning potential as an LPN and allow me to work in other areas of nursing. I can earn my Masters of Science Degree in Public Health, Nutrition, Biology, Holistic Health, Health Informatics, Psychology and the list goes on. Colleges will also accept LPN's into their program if the school offers a "Nursing - Non Practitioner - BSN Track to (MSN)."For other schools, perhaps if you email one of the admissions counselors, notifying them of your current credentials they, may accept you despite the typical requirement to be licensed as an RN. There are also bridge programs that help LPN's earn a Master of Science degree in Nursing. I know first-hand that although those schools have the student attend the institution with the intent of earning their RN license, once you graduate, the degree is still yours. There is no requirement to become an RN. For example, any LPN who wishes to advance his/her career with a BSN can enter an LPN-BSN bridge program. You would finish the curriculum with the credentials LPN,BSN instead of RN,BSN if you chose not to take the boards. My final choice is to go back to college and earn my degree in something that I find interesting. I personally feel that earning a degree is more beneficial than going back and taking the NCLEX-RN exam because I am already a practitioner and if I decide not to continue with the nursing profession in the future - which is unlikely since I love being a Nurse!- I can use my degree(s) to work in other areas. A sound education speaks wonders about my capabilities no matter where I decide to work in the future. Sincerely, Divine-LPN,BSN
  6. Divine-LPN,BSN

    BEWARE of frauds...

    Good day everyone, I feel so inclined to warn all fellow nurses and aspiring nurses to be careful of fraudulent activity... I have worked in home-care for some time and I have witnessed some awful things. Most recently, I have witnessed my hiring manager and RN supervisor give some emergency protocol information that was way off and potentially fatal! I had such a bad feeling from that orientation that I walked out of the office. Can you believe that she was teaching us all to follow bogus procedures regarding tracheostomy care? She was teaching us that if the regular size tracheostomy cuff does not fit, then it is okay to use a smaller one and then she gave some cards that were to be used as a " reminder" of how to perform CPR on a patient but the numbers were way off. I was appalled at what I saw so I tried to notify the Board of Nursing. It turns out that the facility was penalized several times in the past for problems. In addition to that catastrophe, I looked up how to perform certain nursing procedures online -Youtube- only to see that there are videos showing the wrong procedures being performed. The videos do not appear to be a joke. They appear to be the same style and quality of what you would see in nursing school. Can you believe that I saw a video where a nurse poured normal saline in the tracheostomy of a patient during routine tracheostomy care? Forget that she was not performing using the sterile technique. Bottom Line... BEWARE OF FRAUDS WHO AIM TO HARM AND ALWAYS CHECK THAT THE FACILITY WHERE YOU WISH TO WORK AT HAS AN UP -TO -DATE LICENSE/CERTIFICATE TO OPERATE... You may even want to think twice if the company has been penalized in the past.... I hope that this helps! Sincerely, Divine-LPN,BSN
  7. Good day "allnurses.com" patrons. I have been an LPN for a bit. I am wishing to further my career as a nurse but I do not know which direction to go.... I want to maximize my earning potential while becoming better educated as a nurse (not sure what area to choose). I have heard numerous times that RN's have higher earnings than LPN's. I have a Bachelor's degree in nursing but I am starting to feel like a career boost would help me despite my current educational background. I know that you all are very helpful and passionate with your comments. Please let me know what you think I should do. I'm not even sure if I can go back to college for any degree that coincides with the nursing profession as an LPN. I heard and read from several sources that in order to earn anything that pertains to nursing, I must go be be an RN first. Thank you all for your feedback. Gratefully, Divine-LPN,BSN
  8. Divine-LPN,BSN

    Passive Aggression is Harmful to Your Health

    Nursing is a taxing profession that requires plenty of empathy and patience. There are times when disputes arrive or personalities conflict, that can lead to passive-aggressive behaviors. This is harmful to one's mental health, physical health, and overall well-being. If extreme enough, it can lead to substance abuse or violent behaviors that may result in job loss, legal repercussions affecting licensure, and worst of all, patient harm. As a fellow health care professional, I know how stressful our occupation can be, but please take time to de-stress and monitor your temper to prevent the toxic consequences that may follow from passive aggression. What is Passive-Aggression? The definition of passive aggression is “ …the unassertive expression of negative sentiments, feelings of anger, and resentfulness."1 It is like hiding upsetting feelings towards another individual with a smile, despite having inner feelings of displeasure. According to an article from Science Daily, "...losers were more aggressive than winners...Furthermore, the researchers also detected a correlation between aggression and levels of the stress hormone cortisol; the more aggressively a person behaved..."2 Basically, the article is explaining that the hormone cortisol is secreted when exhibiting truculent behaviors. Cortisol is a hormone that helps to regulate blood sugar, the immune system, appetite and it even affects the fight or flight response since adrenaline is commonly released with this hormone when under stress.3 Harmful Effects The health effects caused by unresolved passive-aggressive behaviors are numerous. Constantly secreting the cortisol hormone when you are angry or irritated may have deleterious health effects like contributing to the development of Diabetes, abdominal obesity and Metabolic Syndrome.4,5 Even if one were to remain free from the physical health effects passive aggression, the bad feelings being harbored are enough to realize that it is not healthy. Mental health problems like mood swings and hostility that stem from passive aggressive behaviors can worsen if unresolved. Positive Ways to Manage Passive-Aggression Some mature and healthy ways to manage passive aggression (and stress in general) are to practice assertiveness, deep breathing, going for a walks when agitated and living a healthy life outside of work.6,7 This includes eating nutritious food, avoiding drugs, alcohol and tobacco products, avoiding unhealthy relationships, maintaining spirituality, exercising regularly and getting adequate sleep. If all else fails, seek professional help. Contacting the supervisor about your concerns may be a solution and getting assistance from another professional source- like a psychiatrist for personal issues- is beneficial too. If you encounter a patient or someone else who you notice signs of passive aggression in, kindly suggest that the individual seek professional help if he or she asks for assistance. If the person (s) is not a prodigious reader, you can offer practical reading material from resources like “kids health.org” or "stress management for dummies". As avid student nurses and professional nurses, I'm sure we all are aware that offering advice is a form of non-therapeutic communication. Only offer advice to those desiring so. Conclusion In conclusion, I want to reiterate the importance of monitoring for signs of passive aggression. Be sure to get a good handle on healthy ways to manage stress and hostility. After all, passive aggression associated with that younger, attractive, highly educated colleague nurse whom you interact with on a regular basis can harm you. That nurse may be oblivious to your concerns, therefore taking appropriate action is essential. References: 1. Diana Rodriguez and Lindsey Marcellin. Passive-Aggressive: What Does It Really Mean? Everyday Health Web site. Updated February 17, 2011. Accessed January 27, 2019. 2. Competitiveness, Aggression and Hormone Levels: How They Are Connected. Science Daily web site. Published August 15, 2017. Accessed January 27, 2019. 3. What Is Cortisol? Hormone Web site. Accessed January 27, 2019. 4. Paredes S, Ribeiro L. Cortisol: the villain in metabolic syndrome? Rev Assoc Med Bras (1992). 2014 Jan-Feb;60(1):84-92. 5. Dina Aronson. Cortisol — Its Role in Stress, Inflammation, and Indications for Diet Therapy. Today's Dietician Magazine Web Published November 2009. Accessed January 27, 2019. 6. Mayoclinic Staff. Being Assertive: Reduce Stress, Communicate Better. Mayoclinic Web site. Published May 9, 2017. Accessed January 27, 2019. 7. Chronic Stress Puts Your Health At Risk. Mayoclinic Web site. Published April 21, 2016. Accessed January 27, 2019. 8. Mikail Duran. Image of Boy In Blue Shirt Sitting on A Dock. Unsplash Web site. Published April 6, 2018. Accessed January 27, 2019.
  9. Divine-LPN,BSN

    LIES About LPN's and LVN's

    The exact definition of an LPN/LVN varies by state, employer and organization. According to the Bureau of Labor and Statistics, a Licensed Practical Nurse or Licensed Vocational Nurse provides basic nursing care. They work under the direction of RN's and Doctors.1 Many websites and educational institutions minimize the role of LPN's and LVN's. I am not certain if this is done in an effort to promote the attainment of a college degree or if the representatives from those establishments have been misinformed about the profession. I have found opposing data on these misconceptions and I am raising awareness about it. In an article from nursinglicensure.org entitled “LPN's Vs. RN's”, there are several misconceptions present. I read "The role of an LPN is, as the name suggests, practical."2 This is false because I have learned that working as an LPN/LVN comprises basic nursing care and advanced nursing care depending on one's education level, experience and competency. I graduated from nursing school initially seeking to become a Registered Nurse since I did not know about the option to become an LPN/LVN. When I did not pass my NCLEX the first time, I became discouraged and thought that perhaps I should take a break from trying to become a nurse. I still wanted to work in the healthcare profession so I decided to become a caregiver. While seeking employment as a caregiver, I encountered an LPN with an Associate’s Degree in Nursing who was the charge nurse in her own office at the homecare company that I applied for. This is when I first learned that an "LPN/LVN" is a nurse. Even though I met a charge nurse, I decided to re-take my NCLEX with the misconception that LPN's/LVN's are inferior to RN's. I was so eager to be a nurse that I held on to this misconception and did not care. Perhaps the definitions of LPN's/LVN's that I read in the past have added to my confusion. The description from the Bureau of Labor and Statistics and other websites are very misleading since they mention that LPN's are supervised by Registered Nurses and Doctors.1,3 This is true, but so too are RN's who are not supervisors. Staff RN's on different units of hospitals are supervised by their charge nurse who is an RN or a Doctor. It seems peculiar to me that when looking up the definition of an RN, there is no mention of who they are supervised by. I have since discovered that an LPN/LVN is not an inferior nurse. I think that the lies going around about these types of nurses exist because many LPN schools graduate their students without a college degree. This does not necessarily mean that LPN's/LVN's are lower in status because similarly, RN's may graduate without a college degree, being awarded a diploma from an approved nursing program.2 The length of time that nursing students are educated may be the same for RN's and LPN's too. LPN's and LVN's are not menial or "simple" because they may supervise in a variety of settings and are not limited to supervising unlicensed assistive personnel. The LPN who is a charge nurse requires job expertise that is far from basic nursing care. The article implied that LPN's do not work in hospital settings very often. The idea of fewer job opportunities for LPN's is misleading since nationwide, there are a lot less Licensed Practical Nurses compared to Registered Nurses. If people tend to get their RN license instead of becoming an LPN, it is only logical that you will see smaller statistical data for the job market of LPN's. This is similar to saying that the availability of meatless pasta for dinner at restaurants is limited if you are a vegetarian. This is a misconception since most people are not vegetarians, so the option for it on menu's nationwide is limited if one were to create statistics on it. The option to order meatless pasta is available in restaurants nationwide if requested, just like the opportunities to work as an LPN/LVN nationwide. I did a job search for random hospitals throughout the USA and saw that LPN's and LVN's are commonly hired in hospitals. In California, I saw several openings for LPN's/LVN's on the Colusa Medical Center web site.4 Similarly in Ohio, I saw some job openings at the Akron Children's Hospital.5 As I continued to read the article, it stated "In hospitals, LPN duties, as well as advancement opportunities, are more limited. You’ll find LPNs taking vitals and sometimes administering medications...They won’t have as many options for specialization."3 This too is false because LPN's who are hired in hospitals can become certified to specialize in many areas. Some specialties in pediatrics include Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), Neonatal Advanced Life Support (NALS) and Pediatric Emergency Assessment and Stabilization (PEARS).6 LPN's can become certified in other specialties through alternate routes from RN's.6 Some specialties outside of pediatrics that I found especially interesting and noteworthy are certifications as case managers, transplant coordinators and they can even work in surgery with certification as Registered Cardiovascular Invasive Specialists (RCIS).7 If the scope of practice of LPN's were so limited, the aforementioned specialties would not be available. I believe that the additional education and training required for LPN's to obtain specialty certification prepares nurses for advanced skilled care performance better than training from nursing school. I feel this way because now that I am a licensed nurse who works in the field, I see that the brief timespan covering each skill is not enough to prepare nurses for performance on actual patients. I graduated with my Bachelor of Science degree in Nursing, which was a 4-year curriculum for full-time students. A lot of information was covered during that time. It is unreasonable to expect someone to remember the details of skills that he or she learned months or even years ago. If I am performing wound care on a patient and I learned this skill over a year ago, I cannot afford to make a mistake if I forget a step. This is where certification is very useful since it reinforces the skills that were learned in nursing school with updated information and it ensures competency for the procedure. Registered Nurses are not required to be certified for most procedures. If I did not decide to take my LPN boards and decided to take the RN route instead, I would be expected to memorize all of the skills that I learned from my 4-year long nursing school curriculum. This is very risky and I would not know how to go about getting additional training. In conclusion, I want to commend Registered Nurses on their achievements and hard work as healthcare professionals. I do not intend to discredit the professionalism of Registered Nurses. I am merely revealing the prevarications that exist about the profession of LPN's that I too was misled by. It is most important to remember that every health care professional is vital and plays a critical role in the well-being of patients. It is prudent to remain cautious about misleading information pertaining to the profession of LPN's/LVN's and all professions. If there are lies and misconceptions about nursing, what other information about careers have many people been misled by? REFERENCES: 1. Healthcare Occupations: Occupational Outlook Handbook. Bureau of Labor and Statistics Web site.https://www.bls.gov/ooh/healthcare/home.htm. Updated April 13, 2018. Accessed December 23, 2018. 2. LPN's Vs. RN's. Nursing Licensure.org Web site. https://www.nursinglicensure.org/articles/lpn-versus-rn.html. Accessed December 23, 2018. 3. Registered Nurses: Occupational Outlook Handbook. Bureau of Labor and Statistics Web site. https://www.bls.gov/ooh/healthcare/registered-nurses.htm. Updated April 13, 2018. Accessed December 23, 2018. 4. Licensed Practical Nurse/ Licensed Vocational Nurse Pacific Gardens Medical Center. Colusa Medical Center Web site. https://americanadvanced.vikus.net/jobs/fXrp-HKESU6HfvtB-cKqiw. Accessed December 23, 2018. 5. LPN w/ Medication Card: Akron Children's Hospital Careers. Akron Children's Hospital Web site. https://careers.akronchildrens.org/jobs/182609?lang=en-us. Accessed December 23, 2018. 6. Specialty Certifications for LPN's. Practical Nursing.org Web site. https://www.practicalnursing.org/specialty-certification-lpns. Accessed December 23, 2018. 7. Popular Types of LPN Certifications. Practical Nursing Online.com Web site. http://practicalnursingonline.com/popular-types-of-lpn-certifications/. Accessed December 23, 2018.
  10. Divine-LPN,BSN

    Why do you visit allnurses.com?

    I use "allnurses.com" because this used to be my go-to site for getting advice from other aspiring nurses and nurses who had words of advice for students. I used this site while I was in nursing school and while I was trying to get through the process of passing my boards. Now that I am a nurse, I am very proud of myself and I want to continue learning about the profession from my peers. Thank you "allnurses.com" for this wonderful resource and thank you to every individual who has posted on this site. It is because of you all that I am a bit more seasoned in the field of nursing. I wish everyone the best! :-) Sincerely, Divine-LPN,BSN
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