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londonflo

londonflo

oncology
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londonflo has 43 years experience and specializes in oncology.

londonflo's Latest Activity

  1. londonflo

    Fear-mongering in nursing school

    https://money.cnn.com/2016/09/22/pf/college/itt-accreditor-acics/] "The Department of Education began the process of revoking ACICS' recognition in June, months before ITT Tech closed, but the final decision came Thursday." And insanely impossible to discharge in bankruptcy. The International College of Health Sciences does not hold accreditation from The Southern Association of Colleges and Schools (SACS) although ICHS grant associate and baccalaureate degrees in nursing. https://www.ichs.edu/about/accreditation The program however holds approval from the state board of nursing in Florida. Through this mechanism, the graduates are able to sit for NCLEX. I never attributed ACEN as responsible for the downfall of ITT. Look, I cannot go on this journey anymore with you. I don't know what your thinking is and I don't want to repeat myself anymore. You have probably graduated at this point in the school calendar, --- take care and good luck.
  2. londonflo

    Fear-mongering in nursing school

    ACEN and CCNE are programmatic accreditation. To see where the lack of a programmatic accreditation resulted in devastating results for students, one need only to look at the recent debacle of ITT and Breckinridge School of Nursing. ACEN and CCNE both investigate the financial soundness of a nursing program, ensuring that funds exist and will continue to exist and are supplied for all areas of school function. The lack of any financial accountability to the ITT students left them without a degree and without transferable credits.. SACSCOC is regional accreditation and yes, they are the ones who have granted your institution the ability to award degrees. Non-degree programs offered at technical schools may be 'certificate' programs.' Practical nursing is an example of a certificate program at the community college I teach at. I can only speak of what I am familiar with, not a global generalization. Once again, for clarification, your state BON gives approval for your program's graduates to sit for the NCLEX. That approval can be taken away if graduates do not consistently achieve better than national passing rates on the NCLEX. Only 34 states are NLC states. So that is not a "standard of education". There are some states that probably will never participate in NLC as they disagree with program approval for Excelsior. Yes, the NCSBN are the group of all state BON. Maybe. Quality usually costs more. You will be asked to complete a 6 - 12 month post graduate questionnaire on your educational program and its helping prepare you to be an RN. Please complete that. Your constructive comments will be used in the program evaluation which is a major part of the ACEN or CCNE self -study for accreditation.
  3. londonflo

    So frustrated.

    I would think the masks would need to be different sizes for a kindergartner than a high school students. Shouldn't the masks be fitted reasonably? Why can't the administration put it on the student's classroom list -- like they do Kleenex? Maybe with some guidelines about what cartoon character etc. can be on it. Would you get better buy in from the kids if they got to pick out their own mask? Are you maybe creating the supplies for the parents who just buy the school kits from the school? I use a mask when mowing and found plenty of the paper ones at our hardware store. But they are disposable. Have you spoken to other school nurses in the area? This is when networking comes in handy. Administrators all have 'old boy' networks and go off to conferences together. I am suggesting in the future you recommend you meet with other school nurses may be once a month or so or start a group yourself. Best wishes
  4. londonflo

    Full time jobs hard to find ?

    I taught oncology nursing for over 40 years. Most students who choose oncology upon graduation either had a personal experience with a family member/friend or had a connection with an oncology patient during clinical. In fact it is hard to get someone to explore oncology as a specialty with out first hand experience because they think it is always a negative experience. Guess what! Patients get better, patients develop new strengths, or patients try to face the day knowing time is limited. I am not trying to be sappy. Sometimes good things happen when you are not expecting it, For example, we realized that patients rarely used their call bells during "American Idol". That was a good time for the nurse to catch up on things. Then we could get the "post show briefing" while getting patients settled for the night. Some of our younger patients were filled with enthusiasm for their favorite performer! Usually students in my experience choose their post graduation specialty because of a personal experience. The students who are CNA's in ICU are amazed at what the RN does during a rapid response/code and want to emulate them. A student sees a surgery and comes back to the floor saying "I want to work in ortho, open hearts, etc". Students who want to become NP's (and when first enrolled in their entry level program everyone wants to become one) want ICU. OP, I am glad you see a need for someone like yourself in oncology nursing. That will get you through some tough school days "when you are dancing as fast as you can and still can't keep up". Go for it - PS. When I was in graduate school I read a transformational book - "Coping with Cancer" by Avery Weisman. He was a psychiatric oncologist. That small book helped me understand a lot about the coping of the oncology patient.I referred to it a lot. When I retired, I was cleaning out my office and I had my torn, thumb worn, highlighted copy, full of post-it notes in my hand and said to my husband "I am going to keep this". I can't find the car keys but I know exactly where my copy is (all 192 pages of it)!
  5. londonflo

    Want some more fun? Here's another conspiracy theory.

    Mr. Royston Potter is a man of many talents. He is an 'accredited' (sic) writer and Biblical Scholar. He is Royston Potter of the Potter Expositor and through exposition he provides information to the reader about a particular topic or subject. The 'accredited' author intrigued me so I located 2 of his books. The first is his true story called I wed three wives: The polygamy story of Royston Potter. Actually he only had 2 wives in 1982 when he was dismissed from a law enforcement job because of his polygamy. In 1986, now with 3 wives (he feels 3 wives will get him to 'celestial marriage'), he ran for Salt Lake County Sheriff. His promise if elected: halt reinforcement of laws regarding multiple marriages, prostitution, drugs and traffic laws. I guess he is now searching for a new cause to exposit on. His 2006 book is The Crimson Thread: The Struggle to Become Jesus During the Revolt Against Rome, An Historical Novel which has 4 1/2 stars and 6 ratings. May be 3 from wives and another 3 from his children? Below is a photograph of the happy family. After 28 years in the service, Potter received absolutely no personal decorations for merit or valor whatsoever, not even an Army or Joint Achievement Medal. All items on his massive and hugely impressive rack of six (6) total ribbons are for service vice meritorious performance or valor – what one might call “been there” badges, were one inclined to do use that term. Oh, this isn't his first 'conspiracy theory' case either. He believes that the Boston Bombing was perpetrated by unknown special operators. He is also a celebrity of sorts. He was featured in People Magazine (probably in one of the back page stories). You can read all about it here: https://people.com/archive/ex-cop-royston-potter-runs-afoul-of-utah-law-but-not-his-three-wives-vol-20-no-22/ Please know although I wrote this tongue-in-cheek, I do respect all those who serve our country. I also respect someone's choice of religion and their tenets and beliefs. Just keep it legal.
  6. londonflo

    Fear-mongering in nursing school

    ACEN and CCNE are there to protect you the learner to get a quality program in exchange for your time, effort and $. If entry to licensure nursing program is not accredited by ACEN/CCNE you cannot: -get Federal funding for graduate school -get into reputable graduate schools -have access to Federal funding and other forms of financial aid. -any loans available will be private and may be from the school owners themselves at ridiculous interest ACEN and CCNE criteria do NOT include NCLEX pass rates. This honor belongs to the state boards of nursing. If a school has 3 years of pass rates below the national average, the state will step in and put the program on probation, in the 2 states I have practiced in. I don't know if this true of all other 48 states. Probation will outline what needs to be improved and if a program is not successful, the state can eliminate that school's graduates from sitting for the NCLEX in any state. Closure will result. Pass rates are big time important and yes, that is what initiated the preponderance of exit exams, review programs and textbook test banks. The school wants to survive and graduate learners that can pass the NCLEX on the first try. Second try doesn't count in a school's pass rate. It actually is important information for you, too. Hey DudeWithTheBigDog, I hope you give some thought to being involved in the nursing education process in the future. You will learn about all the quality controls in any educational program which is vital to helping perspective students gain a sound education. And there are a lot of BIG DOGS in accreditation. You can participate in site visits regardless of your educational level.
  7. londonflo

    Nursing salary vs. tuition repayment

    City Colleges of Chicago which I would assume would be the most expensive ADN program only costs roughly $14,000 and that includes an additional 2 semesters for pre-requisites.The U of I system campus in Chicago sticker price is less than $40,000 for 4 years. No where near your estimate of $1000 an hour or $120,000. No one pays that much, with all the discounts and aide. I could not find the per credit tuition price. Best bet is to make an appointment to find out the actual numbers for tuition and fees. I know one of the tactics that for-profit recruiters use is to say you will get out a year earlier and make up all the $ you spent in tuition and pay the loan back in the first year working. In actuality, many grads are so tired of skimping that they want to have a decent level of $ to spend on living and socializing. And please don't forget about taxes. Yes, become an RN. The profession and society need YOU. You need to grow. Choose your program wisely and don't fall for a quick sales talk.
  8. londonflo

    Fear-mongering in nursing school

    Obviously the nursing profession was not what you wanted. I applaud you for your insight into the health care profession you yearned for. However you failed to glean from your brief time as an RN that nursing care is holistic, something which medicine has never been accused of. Disparaging nursing theory as "hogwash" seems immature and if that description doesn't fit you, childish may be more apt. Look, I respect your future plans and your position in your first year residency but you are toxic when commenting on nursing.
  9. londonflo

    Fear-mongering in nursing school

    If the fourth semester was the only time you had withdrawn, you should be in good shape (all though I must add - depending on your school's policy). First thing is look up the policy and if there is a policy on any kind of withdrawal due to illness. I can't remember the "Title (whatever Roman Numeral)" the government put in place but I will try to recall. I don't see that you would need to provide a list of your medications whether for mental health or blood pressure regulation. Do remember that Discrimination is defined as “the unjust or prejudicial treatment of different categories of people or things.” Yes, indeed that word may need to be used. Campaign for yourself!
  10. londonflo

    failing due to less than .1 of a percent

    This has always been the expectation of college learning. Faculty are not going to give you a "Cliff Notes" version of the content. Instead, faculty are to highlight an area or theme of the content. If you weren't expected to read your textbook, why would we have you buy/rent them? I know that some students never buy the books or worse, brag about never having cracked them after buying them. Those claims may impress their friends but show a total lack of personal investment in their learning. Truly I may understand your frustration with your nursing school and faculty. You enrolled thinking all would be presented to you, in bite size pieces and all that was required was 'seat time'. I outlived my usefulness in nursing education as I expected students to meaningfully participate in their learning. I have wondered why NCLEX prep programs, books and test banks have proliferated in the last 10 years. Most of the students I knew did not have to use these resources to successfully pass NCLEX. I read on AN of graduates setting aside 4-6 weeks to prepare for the test. I wonder if many of them do not truly learn the content in their college classes and now must attend to learning it pre-testing. Just a thought. Obviously you are succeeding and are on track to graduate. I guess the process of learning difficult content isn't entirely broken or we wouldn't have the capable graduates we have today.
  11. londonflo

    failing due to less than .1 of a percent

    Was it easy? I asked above about what classes were like after face-to-face was changed to online. I really do want to know what it was like with examples. Actual examples - not nothing has changed. Enlighten me. Did you faculty have office hours and were you aware of when they were or where you could find that information? You may find this hard to believe but we actually taught classes effectively when there was no email, no texting and no voice mail. We actually had to put forth the effort to meet with the faculty. And we did.
  12. I was rash in posting the entry above. Upon reflection I realize that many LTC workers did not take micro. For this reason, and many more, LTC facilities should have an infectious disease Registered Nurse whose sole focus would be monitoring the infectious diseases that are on the horizon (via Public health, CDC and WHO), develop thoughtful plans on establishing an N95 stash, the budget to order supplies and the ability to close the facility to non residents. This RN should develop realistic plans to isolate patients who live in a congregate and follow through with disinfecting and cleaning private and public areas. The RN should also, using BEST practices, develop stringent guidelines for assessing/evaluating staff entering the facility
  13. londonflo

    ADN vs BSN Nurses' Competency

    Since the development of simulation and mannequins being much more realistic many curriculums have moved these skills into the first semester so that students have many opportunities to practice these in lab with high fidelity simulators and other training mannequins. Yes, some of the skills used in assessment are introduced and practiced in lab so that students can use them in their first clinical experience. In my experience, a high level skill that requires a level of nursing judgment in application is not expected to be used in clinical until the nursing student has a nursing background sufficient to decide when and how to deliver that skill in a safe manner. As previously said, some of these skilled may be done by unlicensed workers if the procedure is outlined in detail and parameters are set so that the skill is safely and appropriately employed.
  14. londonflo

    ADN vs BSN Nurses' Competency

    I deeply apologize for the mistake of attributing the quote to the wrong poster. Thank you for noting it.
  15. londonflo

    ADN vs BSN Nurses' Competency

    EmilyJoy did you change your screen name?
  16. londonflo

    ADN vs BSN Nurses' Competency

    As BSN students, during your first semester, what are your further competencies? I posted yesterday regarding my 40 + years in providing nursing education for diploma, associate degree and bachelors programs. I have learned that students, in their excitement at the possibility of joining this profession sometimes exaggerate what they have learned. For example, a student (not mine) in response to my asking about her clinicals said "I started blood". When I explored this as it was either an overstatement or against the nurse-practice act in my state, it turned out that she had "assisted" in priming the tubing. Getting back to your quote: From my extensive experience in dealing with the curriculum, faculty and students in each type of program, your first semester is rooted in the principles of care and safety. Your college does not have any principles of care and safety that other programs do not. I have been instrumental in the development of 2 different nursing diploma programs phasing out and becoming single purpose BSN programs. Both programs achieved full BSN accreditation and have kept it. I am also confused on your BSN preceptors statement. Do you not have a clinical instructor or is the preceptor the nurse responsible for the patient? Are you in a facility that has an abundance of BSN nurses so that those students in your entire clinical group each have a "preceptor"? Chances are, if the required BSN preceptor is not available, any RN with a license will help you meet your clinical goals. Sacrificing clinical time because of a lack of "suitable" preceptor is foolhardy.
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