FutureNP90

Hi! Just to confirm, is this NorCal, SoCal or both? Thank you!

Hey! Im at the Oakland campus, I am already in the Master's portion of my program, so I am not a part of the preceptorship issues going on. I fully expected to be in the group clinical because I didn't hear back while all of my colleagues were sharing their spots. I got lucky and got a preceptorship (Im pretty sure I was one of the last students to get one because I received mine like two days before classes started). Unfortunately, about half of my cohort did not; instead, they did a group clinical at a nearby hospital. I'm sure they made the most of it, but Im positive they would have preferred a preceptorship. One of my close colleagues actually had a preceptorship all agreed to between the school and the hospital; everything was set up in MyClinicalExchange and then had it removed "because the hospital isn't taking students" ... ? BOMBASTIC SIDE EYE. I don't work in SM administration or the BON/BRN, but from what has been going on, it does appear that preceptorships are not going to be offered at SM anymore. From my understanding, speaking to higher-ups in the nursing field - I've worked in the medical sphere before going to nursing school, this may be the direction of things, and this may at some point be something that is going to happen all over the country (possibly) because of the current climate that we are in, and SM is just one of the first schools in CA to go through this change. This way, hospitals can promote new grad programs to increase retention (signing on for two+ years instead of 3-12 months). Don't quote me, but I think this is already starting to be rolled out in New York. Do I think this is good? Absolutely not. I can say from experience that I greatly benefitted from my preceptorship and got a taste of what working as a nurse may be like, and I wish that all my colleagues had the opportunity I had. IF you have the opportunity to go to a school that does not have preceptorship issues, pick that! But I would also ask if there may be changes to that in the near future that may affect your preceptorships and clinical experiences. Unfortunately, I didn't get a Psych clinical due to Covid, and instead of Critical Care, I got a "higher acuity" MS clinical because the hospital we were at did not want students in the ICU during Covid. I was really upset about this and reached out to other nursing students on Allnurses from other programs in the Bay Area, and they told me the same thing - they were all having issues with clinical placements and had to complete vSIMS or projects to make up the clinical hours. That made me feel a little better that it wasn't just SMU but a Bay Area issue. All that to say, we are still in a pandemic, long covid symptoms are disabling people, and our healthcare system is in a crisis, and I think this is just the way that schools and hospitals are trying to deal with it at the expense of their students (because you are going to pay that tuition anyway). Is that fair? Especially when this is costing us a fudgeton of money and loans; heck no, but you are all doing your due diligence by doing your research on here so you can make the best decision for yourself. If I sound a bit blazé about it, it's because I am past my prelicensure, and I've already come to the realization that I needed to suck it up and finish instead of fighting the school with every inconvenience that I and my colleagues have. Also, compared to some of my colleagues, I have had a pretty unproblematic experience so far, but I have always rallied with them because what happens to one of us happens to all of us. I also want to add that all the posts you see from current students in the forums are definitely VALID; I have heard, seen, and read the proof of everything those students write on here. Does that mean it's everyone's truth? No. But don't dismiss what they are saying as them just being disgruntled; I've seen a comment that eludes to this on one of the forums and I didn't like that. Anywho LOL sorry for the long post! I hope this helps, let me know if you have any other questions! Here to help ?

LOL Im asking you because you mentioned it, and on this forum thread we have been trying to provide evidence based information that supports what we are all trying to express. But I guess I forget everything I learned in school and instead, I guess Ill just cite you and your personal experience instead of the science that has been backed by evidence for the last hundred or so years...cool cool This is what this sounds like: "My sisters cousins boyfriends best friend had a friend whos nurse told them that they don't need the vaccine to be immune, it just happens."

how? Maybe I don't know much about the immune system, but how does this work? and how does this make more sense than the vaccine?

Yeah, and I hope you didn't find me hostile, but I feel the hostility or passion (if we wanted to call it that) comes from providing evidence based and substantiated information, and still being ignored because personal "beliefs" are standing in the way of making educated decisions.

Just going to repost this here again, for OP, because it seems like (from what I read) you like to agree with those who prefer not to not vaccinate.

Yeah, keep trolling. Good luck to you. Also, no, calling someone an anti-vaxxer is NOT hate speech. some people want to be oppressed so badly. get over it.

Im not going back through all the pages to find the studies that you posted, but can you let me know if these were "Joe and Sally anti-maskers/anti-vaxers"? OR were these medical professionals at work who know that even without the vaccine, if they masked up they would help lower transmission of the disease? Because let's be honest, the majority of those who are anti-vax are also anti-mask, and those are the people dying in the hospitals right now, asking for the vaccine when its too late. Well, let's think about why there isn't much information about the severity of covid in reinfected patients, maybe there is a reason why this is not a prioritized observation? If people are being reinfected with covid 45 days to 3.5 months after being infected, did they really build immunity to the disease? Best case scenario, the reinfected are NOT as sick as they were the first time; but is it worth the medical bills? (now that we have a way to prevent spread and severe disease insurances will not be fully covering medical services). is it worth the fever/headache/malaise/ long lasting medical issues? Why do people insist that being sick is fun or nothing to worry about? Worst case scenario, you lose lung function, brain function, you cannot breathe, you get intubated and never get extubated, oh yeah and you can die. Why go through all of that when you can PREVENT it? On top of that, I will mention it again, the vaccine is not just about the individual. It's about the population, about your community, about your children, the immunocompromised. I don't understand the selfishness, especially as a medical professional. Are you willing to take responsibility for someone who decides not to vaccinated because they quoted you regarding your lackadaisical attitude regarding vaccination? What if they show up at your door with medical bills? or being served with wrongful death? When most of the information out there is telling people to get vaccinated, when most of the evidence out there is supports people getting vaccinated, when most physicians and nurses and other medical professionals are telling people to get vaccinated...it sounds like those who are neutral or decide not to be vaccinated are the ones "cherry picking" information to apply to their "beliefs". Im not here to convince anyone to be vaccinated, at this point Darwinism is doing its thing. If a person is out here "drinking the kool aid and not knowing the flavor" it's those who are anti-vax, and spreading unsubstantiated, non-evidence based anti-vax information.

no one is saying that patients are stupid. just that its our responsibility as medical professionals to make sure that the right information is being circulated. NOT misinformation or disinformation.

semantics, especially when the end result is the same. Using fear, misinformation, and disinformation to get people to do what they want. Even if its not "what they want" but you forget that fear (fear of dying, fear of injury, fear of the unknown) is a powerful force.

**my response to you is in italics above** See, heres the thing, WE are smart enough to look at information and decide whether or not this information is truthful and evidence based, and that is because we have the education that helps us made those type of inferences when we are reading material. Im sure you were taught how to do research and how to differentiate between published journals, opinion pieces, etc. Those who don't know will look to professionals to help them create a course of action for themselves (and lets be honest only 42% of Americans have a BA/BS and only 13.1% have a Masters). A medical assistant CAN make an imprint on certain people because those people don't know better, let alone that it fits their anti-vax narrative.

I'm sorry, I promise I'm not trying to be rude but I'm not sure I understand your response. Who is "they" (employees? Joe and sally?)

You would think then that someone would've reached out to you to help create a cure, right? I agree we are all different, but we cannot say each of us is unique when it comes to this pandemic. The worst part is, you don't even see the privilege in your statement. There are those who don't have access to a vaccine for whatever reason (healthcare, health information, distrust in medicine because of inequity and inequality) and here you are thinking you are "special" for not needing to get one.

This is the study that the OPINION article has quoted: https://www.medrxiv.org/content/10.1101/2021.06.01.21258176v2 AND still at the end of the paper the conclusion states: Conclusions: Individuals who have had SARS-CoV-2 infection are unlikely to benefit from COVID-19 vaccination, and vaccines can be safely prioritized to those who have not been infected before. This does not mean that those who have already contracted covid should NOT get the vaccine, but that it should be prioritized to those who have not been vaccinated yet. That being said, once those people are vaccinated, because we cannot standardize the viral load and therefore the immune response to help get a handle on the pandemic and reach herd immunity our best case scenario get out of this pandemic is to be all be vaccinated (if you are a valid candidate). This will result in less transmission of the virus (which Delta apparently now has an R naught of 5-9.5), less transmission means less people sick, less people sick means less people die. One thing to note: this study was done on healthcare workers (employees). These people are avid mask wearers, especially at work, where risk is very high. We are not talking about Joe and Sally who go to the supermarket WITHOUT masks and insist that their freedoms are being taken away if they are told to wear a mask, quote "HIPAA", and scream "I cant breathe" (which if you are screaming...you can breathe).

It blows my mind! At this point its willful ignorance. How can you have that much education, and no way to apply critical thinking. At this point, I don't even care about the kind of shortage that results, but we need to make sure that nurses and other medical professionals that do not believe in the scientific method and how they impact their populations need to go. It's embarrassing I agree!