nate411
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They don't have to "train" anyone. In fact, training is rare.
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The reason why new nurses are overwhelmed in LTC and elsewhere is directly related to the corporate conglomerate systems that purchased the United States healthcare system for the profit of the top 1% at the top of the chain. These corporate systems then find doctors who will reliably order worthless diagnostic tests, medications , and supplements , and vitamins, and treatments to inflate reimbursements. To the OP, paper MAR is no prize, but recently I had to chart a set of vital signs on pointclick care. One set of vitals had 20 clicks, not including the time it took to enter the data, and the bedside time it took to take them. EMAR sucks too.
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One place I worked had employee parking that required you to arrive a full 30 minutes prior to shift b/c the time it took to walk, elevator, then clock in on time. 30 min on way in, and 30 min on way out. Thats 1 hour non-compensated, not including commute time.
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Prior to nursing, I used to be against unions 100% , of all types, shapes and sizes. And now I am 100% for them. It takes no education , certification, or CE , physical stamina , etc...to be working the parts counter at Autozone, except the employees at Autozone are treated a whole lot better. I have never seen such a dime a dozen attitude aimed at the nursing profession, in ANY OTHER INDUSTRY. CNAs getting nurses fired. Secretaries getting nurses fired. Family getting nurses fired. Patients getting nurses fired. Nurses getting nurses fired. Doctors getting nurses fired...it just never ends. They just hit up the vending machine, and out pops the next nurse. Its sick. I think one has to be pathologically toxic to survive in this toxic profession.
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been there, done it. Not "onboarding, but after a weekend. There was no way I was staying.
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I agree. In skilled trades..take welding or tool/ die, since its a hands on learned skill, there are few classes, its an apprenticeship route to becoming credentialed. I think ADN needs to be the entry level at hospitals. I also think that the ADN should be an apprenticeship , rather than classroom (or with minimal classroom). Much of what I did in clinicals in nursing school did not prepare me for bedside, because we made beds and did bed baths. Each bedside nurse would have an apprentice (that is not paid for 2 years) with them at all times, 8 hr shift, 40 hours a week. At the end of those 2 years, the hours convert to credits, and that is the ADN. There would be a huge improvement in quality , for the nurse, and for the patients, and for the hospital/ nursing home
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Poor working conditions and stagnant wages exist across many industries, not just nursing. In my experience, the lack of retention is defacto firing (either outright or forced resignations) on behalf of the corporate hospitals systems and corporate nursing homes that have more to gain by hiring someone new, cheaper, and without benefits.
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There needs to be more discussion about these online degrees that have no clinical hands on time, face to face, like we had in our undergraduate coursework. Wether its RN-BSN, or some other online accelerated rush program. It's actually frightening to envision a hospital full of NPs with a couple of years of nursing experience in total. I happen to agree with some of the others posts that in 10 years RNs in the hospitals will actually be techs, and the NPs will be assuming the combined role of nurse-doctor, on the floor, with a 6 patient assignment, at RN wages. Sorry, but I just do not see the return on investment here, for the nurse, or for the patient. Imagine a scenario where you have an electrician come to your house to do wiring, but you didn't know his "credentials" were from an online program, and his only experience in the field was replacing socket plates.
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Agree. Its this type of harmful, repetitive false propaganda, with all the rest that is all over the internet ...click bait inflated pay rates, click bait "bonus" BS..that is giving people a completely inacurrate set of facts and figures that are being used by millions of people to make career choices ...especially second career people, and ones who have to take loans to get the credentials. I was talking to an MD recently who was talking about hospital politics , and how not all docs on staff are lucky enough to be the "chosen one's" to have NPs to assist with their workload. ...and what you actually have to do, before a hospital will agree to reward the doc with an NP...let that sink in. Its all about cost and profit ...so its no wonder that the "system" is also now flooding the market with NPs, the same way the market was flooded with RNs. ..and Homebound is right. I know NPs who are still working as bedside RNs because they can't find jobs as NPs.
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Because a nurse is a nurse , and a doctor is a doctor. Please tell me what the $$$ differential is? The nurse (practitioner) makes no money. A nurse is a nurse is a nurse ....and $$$ mega bucks wasted on becoming ......a honey roasted nurse...which is STILL a nurse. That's all. Debt, and more and more debt. A circle to nowhere , but being a bedside nurse.
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I cannot figure out why people are stockpiling their money...and I mean thousands and thousands of dollars into becoming another kind of a nurse...just go to medical school. These advanced nurse degrees are worthless. Honey roasted peanuts (more expensive, but still a peanut) . Honey roasted nurse (more expensive , but still a nurse) .
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Thank you all. I am quitting tomorrow.
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