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CarolinaRN0501 MSN, NP

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CarolinaRN0501 has 7 years experience as a MSN, NP.

CarolinaRN0501's Latest Activity

  1. CarolinaRN0501

    The Frustration of Getting Licensed

    I wish I had had the opportunity to network-there was an opportunity at a conference being held near my school but it was canceled due to COVID. Can’t focus on the what if’s though. Trust me, I am not striking out on my own haha. Major props to NPs who run their own business, though! I’ve applied to several family practice offices associated with the hospital I work for. And several other offices outside of the system as well. Naturally, a lot of the offices have a hiring freeze due to COVID so my options are very limited (most places are contract POCT which is fine). The frustration comes when you do have a recruiter call back and then basically hang up on you when you attempt to explain the licensure situation. “New grad friendly!” But they don’t add the fine print of they don’t help with this. We must have seen the same add! I’ve reached out to them already and received a response. If I can ask, I have an idea of what I want from a collaboration but are there certain things I need to be asking for? The company says they go by the boards of each individual state in making agreements.
  2. CarolinaRN0501

    The Frustration of Getting Licensed

    So you've gone through graduate school, passed certification, gotten registered in your state as an APRN but can't get licensed because you can't find a physician collaborator. And you can't get a physician collaborator because jobs either will not look at you due to 1) you're a new grad and/or 2) you don't have a license And around and around we go. Has anyone else gone through this frustration and if so-any tips? As expected, it's very off putting going through the job hunt.
  3. CarolinaRN0501

    LIES About LPN's and LVN's

    I am a little confused by your article. You appear to have written from both sides of your argument but at the same time focus only on the LPN/LVN side. And it is hard to follow as it appears you jump from idea to idea-but I feel this is more of the argument stand point. LPN/LVN versus RN or both...it's hard to see which side you're writing from. You list several facts you found but I am going to offer some counter facts. The reason for this is the exact same as a RN. The LPN/LVN is a licensed healthcare profession. This means that certain laws govern both of us. And laws vary from state to state. There is the National Council of State Boards of Nursing (NCSBN) who over see these laws but each state has their own State Board of Nursing (BON) and the Nurse Practice Act which we practice under. That you practice under. And the same thing goes for doctors, physical therapists, occupational therapists, etc. Every healthcare professional has their own governing body (as I understand it). It's complicated but that's the way it works. Which is why it is so hard to find an 'exact definition' of an LPN/LVN. Same goes for the definition of a RN. Now the article you mentioned, I looked it up. "The role of an LPN is, as the name suggests, practical. LPNs are expected to report even minor changes in patient care to a registered nurse or other medical professional. As for what they actually do on the job, often it’s a lot!" In the full context, the author is not degrading LPN's at all. In fact, the article is just comparing the two roles and not pitting them against each other. Having worked with many LPN's, and learned from them as well, I know this is a fact. Fun fact, I learned my IV skills from a LPN and now I'm the go to IV sticker on my floor!!! Alright, now lets tackle on who supervises who. Again, this varies state by state and facility. Most of the time, RN's will be supervised by other RN's. This is correct. There is more to this however. There is a chain of command. Let's use my facility, a hospital, as an example. On my floor, there are floor nurses. We are 'supervised' by a charge nurse. However, this charge nurse has the same amount of education that we do. BSN, ADN, and diploma (three year degree). The charge nurse role is to support us, offer assistance when needed, round with providers and case managers, and numerous other things. It is a leadership role. Any floor nurse with leadership skills and enough floor experience can be charge nurse. Above us and charge is the nurse manager. This position is held by a MSN. And it is a manager role. Exactly like it sounds. Above her is a divisional nurse manager. And it goes all the way to the top to CNO and CEO. Despite what your article says, doctors do not supervise us. They work beside us. This isn't to say this isn't the case in other offices or hospitals. But from my personnel experience and to give you an example. But in general, going back to laws, they do not supervise us as they have their own governing body that supervises them and their own supervisors. This. These are not specializations but certifications. Yes, you can be a LPN/LVN working on a cardiac floor or on a pediatric floor but you would get these as certifications. ACLS, PALS, NALS, and PEARS means you are able to do emergent skills such as intubation or push emergent drugs above the basic skills of CPR (BLS) for each specialized population. And even then, I am tempted to say these vary state by state and facility. And then there are specialization certifications such as CCRN, CMSRN, CDN, CWORN, and many more. These are classes that you have to have so many years experience and have to prove your license. Facilities will usually offer a course for these. But be careful about throwing around the term "specialization" or "certification" as people study very hard for these and are proud to obtain them. They're essentially like taking boards all over again. I really don't know what you are saying here. I am genuinely confused. I obtained my BSN several years ago and use the skills I learned in clinical every day. Yes, it is true we do not have to be certified for most, if any, procedures. Do I have to be certified to insert an IV? Change a dressing? Switch out a colostomy bag? Insert a catheter? Calculate a rate for a cardiac or insulin drip? No. But if I need help I can call on a nurse who has pursued further education in those skills for help on guidance on how to do so. And then continue with their recommendations. I would also like to add that you mentioned that you didn't know if there was a push towards degrees which is leading towards to misrepresentation of LPNs/LVNs. In short-kind of. I vaguely remember in undergrad learning about why the LPN came about. And it was due the true nursing shortage many, many years ago- I believe during WW1 to WW2. There was a shortage of nurses due to the war and nursing programs created 'quick' programs to fill the need. The LPN/LVN was created to fill in the gap as well as the diploma degree. Both of these are being phased out as well as the ADN degree as the push for the BSN degree and 'evidenced based' programs become the norm. In conclusion, I commend my LPN/LVN colleagues. As I said, I learned my IV skills from a LPN and I'm the go to person for IV sticks now. Easy and little old lady with CHF skin hard. I agree there is a lot of confusion on the role of LPNs/LVNs but I believe this is solely due to fact that there aren't that many around any more. In my facility, they are required to work on obtaining their BSN RN to continue working there. There is also a lot of confusion on what they can and can't do and this has to do with the various state laws that surround both RN's and LPNs/LVNs. I recommend that both RNs and LPNs/LVNs look at their state legislature to figure out their scope of practice so we can continue to work together. After all, both our job descriptions are anything but simple.
  4. CarolinaRN0501

    What's up with this RN?

    I've honestly ever thought about this before. I was taught the 'this RN' or 'RN' in school and it just stuck. The electronic charting we use is mostly clicking boxes...unless it's a notification of some sort and then you only get like 2 1/2 lines to write something out. So it's a lot of "RN notified of pt c/o blah blah blah..." If I talk about another RN (witness or something) in a note, I will write "Jane Doe RN" for clarification. Even MD notes are short and to the point "Nurse at bedside. Nurse this. Patient that. Dispo this." It's all short and to the point.
  5. CarolinaRN0501

    Medication error

    Please, do not let this turn you away from nursing. Learn from it. Grow from it. Any nurse that says they have never made an error of some sort is lying through their teeth. As several people have said already, there were a chain of events that lead up to this. I believe mrsboots87 laid it out perfectly though. My biggest one would be why wasn't a rapid response called if the patient was deteriorating? And your floor support is another issue I have. You should have a leader you should be able to go to for situations just like this.
  6. CarolinaRN0501

    Clinical Experience Thoughts

    Thank you everyone for your responses. As the initial soreness and shock of the experience of it has worn off I can look back on this experience and agree with all of you. Yes, there were some miscommunication errors here. I had met my preceptor face to face before I had initiated the preceptor/student agreement. I did not know, however, that she takes on more than one student at a time- if I had known this, I would have continued to look for another preceptor. When I walked into clinical that day, it took me by complete surprise. And I don't mean this as in I refuse to work with a preceptor that takes on more than one student. But she had 2 students a day completely booked all of this month and into March. 6 days a week, Monday through Saturday. And there were at least 5 to 6 different student names listed that I saw, not counting mine.That in my opinion is way too many students to take on. She has one office staff member that does her scheduling-which should change (in my opinion), so situations like having too many students does not happen again. In regards to the name badge, again this is my fault. I told her that day I had lost my name badge. I only offered to wear my facility's name badge as a form of identification, nothing more and nothing less. Little side note that I find kind of humorous looking back on this: my name badge actually doesn't have the name of my facility on it, just a symbol behind my name/picture. But again, I understand the implications, it was just an offering and a thought of 'Oh no, I can't find my school name badge, I need to bring some form of ID with me' that I brought my work badge with me. Since this experience, I have been contact with a several other offices, all of which seem better able to handle students. Please read this as: MUCH better able to handle students. I am looking forward to hearing back from these in the following weeks. I can say I have learned a lot from this experience and also what to expect and what to look for in a preceptor, as well as my clinicals in general.
  7. CarolinaRN0501

    Clinical Experience Thoughts

    As most nurse practitioner students know, it is very difficult finding preceptors. I secured this preceptor in September/October last year. Paperwork was sent back and forth and approved by all parties involved (school faculty, office manager, and preceptor). Last weekish-when I called to get my hours set for my rotation, I was told the days to come and that was that. However, I caught pneumonia and had to call out. I notified my preceptor that I was unable to come only to be somewhat shocked that she had no idea who I was. She stated that she had no paperwork from me. I told her my full name (as I go by my middle name) yet she was very adamant that there was no paperwork from me or my school and she always saved the paperwork. Fast forward to this week, on the clinical day she told me to come. This is where my 'clinical experience' begins... I am going to list my concerns I had that day. 1) I brought my copy of the paperwork which at first, even after meeting her, she still said she never received. However, after flipping through the paperwork, she suddenly remembered completing it. 2) While in her office going over said paperwork, I was quizzed on why I traveled so far to this particular clinical site. Why her office? Why couldn't I do rotations closer to home? How long had I been practicing? What type of nurse was I? On explaining how my school had cancelled the contract with my hospital (which owns the area I live in plus several surrounding areas), that only brought more questions. Why wasn't I willing to pay honorariums? And it seemed she did not approve of my answer of the school not wanting us to pay honorariums (even though I am more than willing). 3) There was another student there. And apparently there was supposed to be a third. All with the same preceptor. Upon discovering that she was going to have three students, she turned to me and the other student and stated that one of us was going to have to leave (even though the other student had yet to show up). Me and the other student decided to see if the other student would show up, which they never did. 4) I was out for a week due to illness, so I am already playing catch up when I came to clinical. My school wants us to do at least 16 hours a week. And I explained this to my preceptor; however she just directed me to her calendar which was already full of student's names...til mid March. And explained that she only takes two students a day. And when I expressed concern over how I would be able to get hours, it was my problem and she was not willing to work with me. 5) The name badge issue. I lost my school name badge over break-this is my fault as I must have misplaced it after my summer simulation course. I ordered another one as soon as I realized it was missing. However, I did bring my work ID badge as it has my picture and name on it as a form of identification. But my preceptor refused me to wear it. 6) Calling me the wrong name. As I stated previously, I go by my middle name. My preceptor continuously introduced me to patients by the same wrong name every time we went into a room. The other student there and other office staff members called me by my middle name. Looking back on this, I am inclined to believe she was doing this out of spite of me not having a name badge. 7) 'Refusing' to look at patient. This one was actually brought to my attention by my school advisor. Supposedly, I refused to look at a patient's throat when this is not the case. I clearly stated I wished to observe her perform one more examination. And yes, I know this is a case of he said she said. But I was keeping notes on all the patients I saw with my preceptor, and the first two I observed her doing an assessment. I consider the first one as the 'breaking the ice' /'first day nerves' patient. The second one, even though there were things I actually tried to observe or do, she told me the details were too minute for me to see/feel. All other patients I did skills on. Again, sorry for the long post. As you can see, I am somewhat upset. Mostly due to this preceptor contacting my school advisor. Who then contacted me. I was 1) Going by a different name, 2) Did not have a name badge, and 3)Refused to look at a patient. I understand the legal implications of the name badge, school issued or my own work issued. However, my nurse license has my full name on it and again, I did not refuse to look a patient. Due to the issue of already being behind one week in clinical hours and having to wait until my school name badge comes in, I was forced to withdraw from my clinical course for the sake of saving my grade and standing in my school. I will be taking this course again in the fall but not with this preceptor as I believe she did not want to precept me from the beginning. Whether it was she took on too many students or I just happened to be the weakest link at the right time, I do not know. Has anyone else ever experienced anything similar? Or even just 'normal' clinical experiences-what should I expect going forward?