nursingcand

Helene Fuld is ACEN and CCNE accredited so being eligible to take NCLEX wouldn't be a problem

I am applying to TESU's ABSN program too. Is the program very competitive to get into? is there a waitlist?

I'm a new nurse, working her first job at a wound care clinic for about a month. The job is ridiculously tiring. Wound care is especially tiring because it requires more than just walking steps. I have to squat/ bend/ crouch to look at the posterior side of people's legs, trying to measure wounds at hard to find areas of the body. After work, I get so exhausted that I just collapse in bed. I have purchased a new gym membership that I have barely used because I never have the energy to workout after my shift ends. I have no energy to talk to my loved ones, or go out on dinner dates. Usually 6 hours is sufficient amount of sleep. But with this job, its not enough. The job is so fast paced which adds to the exhaustion. They expect us to finish patients so quickly (due to understaffing) . Adding the fact that I am still new, still learning, getting used to things, makes it even more stressful. I just don't know how I am going to pull through the week. It goes beyond just physical exhaustion, it is also mental exhaustion since it requires so much fast paced thinking. I walk to work feeling like a zombie, half awake, muscle pain everywhere. I just have absolutely no personal life because I am just so exhausted. Is this normal part of nursing? I know I can't be the only one experiencing this. Should I just suck it up, get used to it and accept it as a part of my life forever? I just don't think I can sustain this until old age. The fatigue is extreme. I have no personal life. Please don't tell me that I should just go for another career. Because I am not in the stage of my life where I can easily go back to school for something else. I have a family to support.

I don't think it really matters because my original point was... your judgement will never come close to the judgement required of a doctor. This was my initial point and only point.

All of this began when a nurse was offended I said nursing really wasn't the most difficult thing I ever been through and that I have studied for harder exams. Then she tried over exaggerating her own scope of practice to try to make up for her bruised go. Yea, we get it. RNs do get to use some of your judgement, but you will never make any real major decisions on your own. So please take a seat.

Even an inexperienced person can tell when an RN is tooting her own horn. Thats the last type of person on earth I would trust to believe in.

Theres nothing on here that indicates I didn't know the difference between LPN vs RNs.

I don't need egotistical RNs looking to toot their own horns to teach me what the differences in scope of practice should be for LPNs versus RNs. Down to earth, realistic, HUMBLE nurses only. I definitely know the differences between the scope of practice between LPNs versus RNs. thats why I'm here to call you out when you try to over exaggerate your own scope of practice.

RN jobs do require some sort of judgement but not nearly to the extent of type of extensive judgement that is required by doctors. Very frequently RNs try to over exaggerate their own scope of practice to boost their own egos. Even if you do use your judgement, it will be the docs telling you what to do when you encounter certain types of situations. You really don't have any real decision making power. I have been taught head to toe assessments by my instructors at LPN school, its really not rocket science

I'm a newly graduated LPN. The job search has been awful since I got licensed. Chaotic understaffed nursing homes seem to be the only place that hires LPNs. Nobody wants to work at nursing homes. They have such a hard time keeping nurses that every nursing home will work with up to 10 different recruiting agencies to try to find nurses. I have seen 1 nurse to 40 patients and even a time where I found a nurse in charge of 80 patients. My job training was literally just 3 days- which is far insufficient for a new grad. I knew I wouldn't be ready for the job in just 3 days so I just quit. The work environment was utter chaos, plenty of things that posed risk to my license. I barely had time to eat lunch. I just never realized how mistreated and unsupported nurses are. I would never worked in understaffed conditions. Having to rush as I pass out meds just scares me so much and gives me so much anxiety especially when I'm new and not sure where certain medications are. It freaks me out. I only have 8 hours to pass out meds to so many people. I feel like I'm being set up to fail. I tried to get away from the understaffing by going for home care. But it didn't work out because I was just too inexperienced to be left all alone with a patient for 12 hours a day. Right now I am working at a wound care clinic where they're trying to push through as many patients as possible through the clinic in order to boost revenues. I see as many as 20-30 patients a day, overworking everyone. As stressed as I am, I can't leave this job for because there just aren't any better nursing jobs where things are slower paced, where nurses are treated correctly. I plan on going for my RN next year , in hopes of better job prospects. But currently, seeing RNs are leaving the field in droves too, I am having doubts. I know not all jobs are at the bedside but... the pay for case management / clinic nursing jobs are really very low. I would need to work 2 jobs to support my family. Can any experienced nurses provide some guidance ?

I became a licensed LPN in NYC in November. Since then, I have trained a day in a nursing home then left because it was utter chaos there. I felt like I would never be able to keep up with all the tasks. So I switched to doing home care because I didn't want to deal with the under staffing. It didn't end up working out because these agencies do not provide training but even if they did, it would only be 2 days training- which would not be enough for a new grad especially if I'm dealing with someone's airway (trach and ventilators). So now, I'm stuck in a bad place. The nursing homes are too busy and stressful for me. Nursing home nurses are also too busy and burn out to provide me with decent training. The nursing home I was sent to , only provided me 3 days of training with a very burn out, impatient nurse who hated her job. But then I'm also too inexperienced for home care. A lot of these home care agencies don't want to train me more than 2 days because it would cost them too much money. A lot of parents also don't want me practicing on their precious children. I asked the home care agency if they could put me with less risky patients such as G tube patients without respiratory problems. But they told me that it would be very difficult to find such cases. Bayada home care has a nurse residency program which sounds perfect for a new grad like me but their pay is worse than awful. I have to save up to move to Illinois to start RN program next year. With their terribly low pay, I won't make enough to save up for tuition. So at this point, I feel like I don't where to go. I would never have imagined that my job search would be this bad. I've been unemployed for 2 months since I passed the NCLEX. The more time I spend unemployed, the more paychecks I'm losing. I specifically don't want to work at a clinics pushing papers around on the desk all day because I want to learn the important skills for nursing such as head to toe assessments. But it seems like nobody wants to offer new grads sufficient training.

Sono Bello hires LPNs in their ORs. Is the OR competitive to get into? I'm currently working at an non acute assisted living facility and also home health cases 1 on 1. I can't do nursing homes because I feel like its only a matter of time before I lose my license. Nursing homes are plain illegal businesses from top to bottom. Nurses do so many wrong things in nursing homes just to make sure they get off work on time.

Should I work for Sono Bello as an OR nurse? Would any kind of OR experience be necessary to getting a chance to work in OR? Is the OR competitive to get into?

I certainly agree with you that multi tasking, being a quick thinker, having great memory, physical stamina, a laser sharp mind that never gets frazzled are important qualities. But there is just one thing you left out : trying to make an impossible workload seem possible.

Its been a little over month since I had been applying to LPN jobs now. 94% of LPN jobs tend to be at nursing homes. I spent a day nursing home where I watched a very burn out , stressed, nasty nurse train me. She had to give meds to 30 patients, do wound care, and explain to me everything at the same time. There were so many things that she did which jeopardized her license. I don't want to mention anything specific on here. But nurses really jeopardize their license in under staffing. I've heard other terrible horror stories from staff at other nursing homes too... Nursing homes are basically "illegal businesses". I don't know how they manage to get away with so many things. I really dreaded going back after the first day of training. My hands and feet were moving non stop from 8am to 3:30pm. After that shift, I was so exhausted that I slept 11 hours. I don't think I can ever work in that type of understaffed situation. It is so dangerous. I don't know how some nurses still put up with it. They deserve so much better. If all the nurses just walked out instead of trying to tolerate their BS, then Administration would just treat us better. why? The facility cannot operate without nurses. The more nurses put up with their BS, the more they will mistreat us. Its not hard to find a job as a nurse, but a decent job with decent staffing/ pay / benefits is very hard to come by. Benefits are terrible unless you work for 1199 or hospital where it may be better. Clinic nursing is easy work but the pay is so incredibly low that I would need to work 2 jobs just to be able to be financially stable. Right now, I'm only doing 1-1 home care / luxury assisted living as an LPN where under staffing isn't a problem. I can't ever imagine going through that sort of an understaffed horror story of a nightmare on a daily basis. Many nurses come into the profession wanting to help people, but over the yrs, a lot of them just give up. If I ever get my RN, I would either go straight to the OR or do home IV infusion or aesthetic nursing. The benefits from the agencies / nursing homes are so crappy that it got me thinking about leaving the profession. Because I can't imagine growing old and sick at the age of 59 on this type of crappy insurance that barely covers anything. These nursing homes hire 4-6 different recruiting agencies all at once because they know there is extremely high turnover so they need a constant steady pipeline of new nurses coming in to fill these jobs that nobody wants.

CPAs are paid what they are worth. Nurses tend to get low balled a lot in terms of salary. If a CPA points out a problem, they get taken seriously. If a nurse complains about burn out and stress due to understaffing, nobody cares. Not throwing a shade at nursing but just stating what reality is.

I'm a new grad LPN trying to decide if I should work at a nursing home or drug rehab clinic. Every single nursing home in my area is understaffed. I just rejected a job offer where there was severe understaffing 1 nurse to 120 patients. Then now, I am interviewing at another facility where there is 1 nurse to 84 patients. Maybe not every floor is understaffed but it frightens me to imagine that I will be left alone with 80 patients to take care of as a completely inexperienced nurse. Sure, training can be a few weeks to a month but still I am an inexperienced nurse regardless... I shouldn't be left alone with 84 patients. When I was doing clinicals in LPN school, I noticed that a lot of the LPNs weren't even doing wound care for the patients' bed sores. Patients would go days without their wound dressing being changed. Aren't nurses afraid of the day the State will visit the facility and question about why things are the way they are. If state is in, would it mean that I would need to do med pass, wound care for every single one of the 40- 80 patients within an 8 hr shift? I don't even know if it is possible to do that many people within 8 hours. Nursing home says LPNs a decent salary while hospitals pay LPNs nothing which is why I'm leaning towards long term care but I am really afraid of putting my license at risk by doing an unrealistic workload etc. What is your advice? should I just avoid New York nursing homes entirely? Do you think the nurse to patient ratio will be better in drug rehab clinic?

I'm a new grad LPN trying to decide if I should work at a nursing home or drug rehab clinic. Every single nursing home in my area is understaffed. I just rejected a job offer where there was severe understaffing 1 nurse to 120 patients. Then now, I am interviewing at another facility where there is 1 nurse to 84 patients. Maybe not every floor is understaffed but it frightens me to imagine that I will be left alone with 80 patients to take care of as a completely inexperienced nurse. Sure, training can be a few weeks to a month but still I am an inexperienced nurse regardless... I shouldn't be left alone with 84 patients. When I was doing clinicals in LPN school, I noticed that a lot of the LPNs weren't even doing wound care for the patients' bed sores. Patients would go days without their wound dressing being changed. Aren't nurses afraid of the day the State will visit the facility and question about why things are the way they are. If state is in, would it mean that I would need to do med pass, wound care for every single one of the 40- 80 patients within an 8 hr shift? I don't even know if it is possible to do that many people within 8 hours. Nursing home says LPNs a decent salary while hospitals pay LPNs nothing which is why I'm leaning towards long term care but I am really afraid of putting my license at risk by doing an unrealistic workload etc. What is your advice? should I just avoid New York nursing homes entirely? Do you think the nurse to patient ratio will be better in drug rehab clinic?

I do want to become an RN. But I'm reluctant to get my BSN because I'm still unsure if nursing is still something I want to do for the rest of my life. New York allows RNs the maximum of 10 yrs to obtain their BSN. The job of an LPN is very automatable. The job of an RN is more complex and less automatable which is why I am chosing to do it. But from everything I'm seeing now, I don't see a permanent future in nursing unless if I were to pursue an NP. I'm not willing to work in unsafe nurse to patient ratios either. You can't walk to work feeling well everyday if you know your license is at risk. I know hospitals offer tuition assistance but usually its after a very long commitment such as 5 yrs. I don't have another 5 yrs to finally begin school. 1199 offers tuition assistance just 1 yr after joining the union. Nurse bullying is a big thing. I have seen way too many nurses complaining about nurse bullying including a random nurse that I met on the train. During these hard times, nurses should be standing together against the hospital administrators instead of trying to be divisive amongst each other. If you're already understaffed, the least you can do is to make the environment welcoming to new nurses so that they can stay with you instead of leaving.

I just read some reviews about the job offer and some of the complaints include severe understaffing of 1 nurse to 120 patients. A lot of nurses left the facility after they slashed the pay. I thought about rejecting this job but at the same time... aren't all nursing homes understaffed? so what other options do I have? going for outpatient clinics which pays absolutely nothing? I might have to work 2 jobs to become financially stable.

For me personally, I think the school part of nursing is way harder than the hands on, thinking on feet, head to toe assessment clinical portion. It was the sheer amount of material required to be memorized that was difficult for me. But I trust that I will learn everything else naturally as I continue to do the job. I do agree that experience is the only thing that makes a nurse. I know what you're talking about. I'm looking for a LPN job that is associated with the 1199 union because they offer tuition assistance / reimbursement. But 1199 nursing jobs tend to have much lower pay. In my area, the industry pay for LPN (non union) is supposed to be 42-50$ an hr. But the 1199 unionized jobs that are near me are paying 30 an hour. The one I applied for is 30 per hr + 10k sign on bonus as a way to "sweeten the deal". It's 10k being prorated across many months after the training period ends. It makes me wonder why they are offering a 10k deal when all the other nursing homes are offering just 2k to 5k sign on bonuses. Could it be a place that nobody wants to work at? is the 10k bonus just a way to get employees to stay with them? It kinda breaks me that I've spent so much money ($30k) on school, worked so hard just to be "low balled" this way. I might need to work 2 jobs in order to have enough savings. LPNs are making a comeback those hospitals. After covid, there was a mass exodus of RNs leaving. Hospitals can't afford to phase out anyone if nobody wants to work with them. They're offering LPNs 29 per hr in my area. I've been seeing many RNs going for their NP. Might be another sign being an RN isn't a satisfactory job. NP seems like a great route but I would have to go to get my BSN (which I don't want to do). And many students complain about not being able to find clinical placement in NP school. I might go for my NP eventually if I'm certain I can't find another way to make money. The nurse bullying was the biggest determining factor in my deciding to not stay in the field forever. Feeling safe and comfortable in a work environment is the least thing anyone can ask for in a job. If there is no safety, no point in being in it.

Nurses are around the patients a lot more than the doctors. Thats why nurses seem to know more than doctors at times. But I can't say the same as for the "expertise" aspect. I went on my first job interview at a nursing facility today. It just left a really bad taste in my mouth. It seems like it's very common for some nursing facilities to underpay or "low ball" hardworking, beyond stressed out nurses. They have plenty of money to provide hefty 10k sign on bonuses but lack the money to pay their nurses a decent wage. Maybe if you paid your nurses a bit more, you wouldn't need that sign on bonus. Its their sneaky way of ripping nurses off. Nurses just don't seem to get any respect. It's very unlike the environment where I came from in accounting where people got paid for what they were worth. What you've said about experienced nurses quitting is also a huge factor on why I wouldn't stay in the field. When you have rookies 2 yrs in being as charge nurses, its not only risky for patients' lives but also our licenses. If anything goes wrong, we lose our livelihood. But there must be something terribly wrong if you're willing to put a rookie as a charge nurse. If a rookie is the charge nurse, then it is a clear sign that its a job nobody wants. Other than this, I've been hearing about a ton of bullying amongst nurses. Nurses are uncivil and cruel to each other. I don't think nursing is the field that I want to be in for the rest of my life. I would do it for the job stability as a backup career until I can find something else. It's really sad people show absolutely no regard to such an essential role in healthcare.

Well what you've written shows otherwise. You've overstepped your role as a nurse into a doctor's role. You're obsessed about comparing difficulty of licensing exams of various fields (something that other people wouldn't even care about discussing). I'm gonna tell you right now that nursing really is not the most difficult license to obtain. If you want prestige, nursing is not it. And its futile to argue that you're going to command equally as much prestige and respect as a physician. Know your role.

if you wanted recognition , you should've became a doctor or a CPA. Nursing is not the field if you want to be recognized. It is not the field if you want the biggest respect.

I think we would have to accept that londonflo is a nurse, and not the doctor. Re-read the differences between the duties of a nurse and a doctor. You're getting way too ahead of yourself.