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gt4everpn

gt4everpn BSN, RN

Licensed Practical Nurse
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gt4everpn is a BSN, RN and specializes in Licensed Practical Nurse.

Free Spirit ;--)

gt4everpn's Latest Activity

  1. so i started out as a new grad working in same day surgery. Usually i was the circulating nurse, but i did work a very small amount of pre-op admission testing (mostly GI) and some post-op patient teaching. I also have worked SDS in dermatology clinic and a short stint in research nursing. I've never worked at the bedside and hate working in hospitals, I don't even think I'd do SDS again. I went back to school about 2 years ago and got my masters in nursing education. I felt that having a masters would be a good thing to have in case I may ever need it down the line. I plan on taking a break while I raise my kids (no kids yet) and working maybe per-diem at my research job which is in a clinic, until they get older then re-enter the job market? I was speaking to my a friend of mine who has been a nurse much, much longer and is now a hiring manager. She told me that despite having a masters degree most employers prefer to see some bedside experience to back it up and that having a masters degree on it's own isn't worth much, especially if I hold it for multiple years without using it. Besides that she told me that I should consider the fact that I have no hard and fast clinical experience besides assisting with minor surgery and procedures and some post-op patient teaching. And if that's all the experience I have to show for a 10 year nursing career (seeing that I hope to re-enter nursing full time when my future children are old enough) it just won't look good to prospective employers especially in a demanding nursing field where nurses are becoming more highly trained and skilled every year. I've always tried to play up certain aspects of each job I've held. For instance in my research job I was the charge nurse but honestly I had no charge nurse duties. I was only responsible for making the daily assignments and monthly patient census, my manager did everything else. I feel silly putting that on my resume. I'm sure most charge nurses do much more. I'm at the point where I maybe regret not having more bedside clinical experience, but I just can't get with working in a hospital. I feel odd when nurses who have been nurses less time than me have a ton of knowledge and certifications and even advanced degrees. What are my prospects for my nursing future? and is it still possible to jump back into nursing at an advanced level when I've never used my master's degree?
  2. gt4everpn

    Say What??????!!!!!!!!!!

    the other day one of my patients thought the admit board was a television, asked me to change the channel, I was like nope that is not a tv lol
  3. gt4everpn

    18 y/o RN!

    thats awesome.. I was a 17 year old LPN 3 years ago.. next summer I will be graduating with my RN- BSN at 21 y/o YAY!!!
  4. gt4everpn

    Say What??????!!!!!!!!!!

    Just wanted to bump this up, I love all the comments, lol
  5. gt4everpn

    When Staff members don't get along!

    I also think that horizontal violence can be reduced or eliminated if the unit has a good NM, if the NM doesn't step in and diffuse a situation and explain what type of behavior will not be tolerated, horizontal violence probably won't be so prevalent.
  6. hello everyone, i occasionally float through the hospice unit my ltc facility has, but something doesn't seem right with the how things are done, i wanted to know it this is standard in hospice or if this is unusual.. most of the patients there are cancer patients who are admitted to the inpatient hospice unit, plus they are assigned an outside hospice program like hospice of new york, or hopice care network etc.. usually when they are admitted to our inpatient hospice unit they only last for 6 wks, infact our unit really is for short-term hospice, patients have to be under 2 months to live to be admitted. a large majority of the patients still recieve life sustaining meds. for instance i had a 52 year old breast cancer patients who was recieving 2 antibiotics iv and she really had a very short-time to live. i've had pt's reciving bp meds and vitamins. sometimes pt's get peg feedings (usually by family request) i have had hospice pts with no dnr (which i now understand why) but still it is so contradicting even difficult at times, esp with the no dnr patient who is actively dying. my question is it normal for a hospice pt to still be recieving certain meds? i know a doctor that would d/c all other meds except pain and anti-anxienty meds because she said that they didn't need any other meds.. and she makes a point. is this right?
  7. gt4everpn

    Can't get hired in a clinic.. with experience???

    well I am including agency jobs and all the open houses I see for nurses including RN's I know someone who graduated with her RN recently and she found two positions in less than 2 months. I don't think there is a shortage of nursing jobs here in NYC.. of course hiring has slowed down due to the economy but everyday I open advance magazine or go online and see tons of new jobs posted! I just wanted to know what's the deal with clinical jobs.
  8. gt4everpn

    Can't get hired in a clinic.. with experience???

    Thanks for the responses, I live here in NYC.. most LPNs work in LTC as in most other states.. usually the job just sits there until they find the perfect candidate.. my thing was why don't they just hire a candidate who is a nurse and who is qualified, sure the clinic setting may be new to me.. but I bet I could get in there and make it work.. it's nothing new.. as far as competition goes.. I think there as much more nursing jobs than nurses looking for work.. here in NYC, there are so many job positions for nurses hundreds to thousands but maybe there is some competition for this particular job I applied to.. even though I'm sure a month has gone by and they haven't hired anyone
  9. Hello!!, so to get right to it, I've beeen an LPN for 3 years working in LTC... everytime I apply to work in a clinic.. I basically never get the position. I applied to one full-time position and it turns out, its really an on-call position if someone calls out and the two other clinics I applied to all want me to either have more experience or ambulatory experience?? Am I missing something.. I mean working in a facility in my opinion is much more demanding and experience warranted than working in a clinic? I've never worked in a clinic but the nurses mostly do assessments and appointments and some med passes, so why is that so different from what I'm doing now? This really confuses me.. a new grad can be put on a unit by themselves with 40+ patients but an experienced nurse can't get a job doing a much less demanding job? huh? I believe a nurse can hit the ground running in any environment as long as it's not an area that is completely unfamiliar to them like working in rehab and then going to ICU.. then of course they would need the experience.. but for a clinical job??? Am I missing something here?
  10. gt4everpn

    Failure to Inform Patients of Abnormal Test Results

    I think this is absurd, every patient should be notified of their labs results whether good or bad, when I go to my doctor he goes over the abnormal test results with me, if there are any, and generally we would discuss the solutions etc.. This should be a violation of patient rights.
  11. i was reading this article on medscape nurses and i thought it was really interesting and accurate. working in a facility that uses virtually no technology when it comes to the prescription and distribution of medications, (everything is pen and paper) , it almost makes me wonder how many med errors go undetected on any given day when nurses are giving out 100+ different medications on each shift (ltc's mainly) med errors do not fall on nurses alone, but in my own experience and in some facilities the fault seems to come down on the staff nurses rather than the system that has failed to catch and prevent the errors. the article highlights how these technologies some new some not so new help to cut down on med errors (transciption errors, missed dosages, known med allergies etc..) and adverse drug reactions. it was amazing to see the great reduction in these errors due to the various technologies. why some health care facilities won't institute or are slow to institute these technologies is beyond me.. money issues, management, administration etc.. all determine whether these techs are implemented or not. overall i think it is in the patient's and nurses' benefit to have such resources and this can also help nurses improve their care and have more time to focus on other duties during the shift. what do you all think? and what are your experiences with these emerging technologies? [color=#00bfff] http://www.medscape.com/viewarticle/458906_3
  12. gt4everpn

    G-tube Flush

    Yes from what I've learned it is to be flushed by gravity esp when the state is there.. To be very honest I have 40 patients plus about 10 peg feeders and other things to do and I usually bolus or inject it because often it doesnt flow fast enough by gravity plus it prevents clogging. I have never had a patient aspirate or vomit when I inject it.. but I do realize that it may cause aspiration pnuemonia.
  13. gt4everpn

    what have you heard about LIU nursing program?

    I can answer all of this.. I started LIU in 2006 and am currently in their Nursing program with 1 yr to go.. since you're a student with a bachelors degree already and from LIU you can get into the nursing program without taking anymore pre-reqs the pre-reqs for the nursing program are about 7 bio classes (chem + bio) 4 englishs, 2 math , 2 philosophy classes, 2 psychology classes, etc.. so yes you just apply to the nursing program and take the classes.. when you graduate.. you graduate with a BSN but you also have to take an NCLEX.. that's the only way to work as an RN, NCLEX is so you can have your RN license. Degrees whether bachelors, associates, masters etc.. are accepted in every state but your license will not.. just for example..say you become a licensed RN in NY state but you want to move to California or any other state, you would have to apply for reciprocity in the state that you are moving to, in order to practice as a nurse in that state. This applies for all states. If you want more info just go to the school website under nursing.. As a fellow LIU student. yes LIU is not a good school, I would go somewhere else for nursing... honestly. Bestest of luck
  14. Amen and praise the Lord, I've been waiting for something like this since before I even got my license. I hope the implement this in LTC too because we really need it there. I hope this gets put to action!!
  15. gt4everpn

    $100,000 in student loan debt?

    I go to Long Island University school of nursing :down: and the total cost of the school for 4 yrs is $ 100,000 and counting why so expensive??? nobody knows.
  16. gt4everpn

    PCAs

    This link should help somewhat http://www.dremed.com/irsrental/index.php/cPath/402_411
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