imenid37

Does anyone know if there was ever a hospital nursing school in Tifton, GA? Or has anyone ever heard of Coastal Plain Hospital?

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Dude you bring up some good points. I worked in OB for years. We did L/D, OB triage, nursery, GYNs. We even went on ambulance transports with patients. I was fine to take whatever type of those patients. There were nurses who only did labor or always wanted the nursery. If they did not get what they preferred, there was often a lot of complaining. My only real gripe about our assignments was when we got pulled to med surg. Our policy was to do NA type functions: VS, clean up, ambulation, blood sugars, I/O. We needed to be able to go back to OB ASAP. We did not take C. Diff patients. Every time, I was pulled to one particular unit, They attempted to assign me 8 med surg patients. One night, I even said I would be an NA and take the 4 GYN patients they had. No go. This charge RN insisted I take a team of 8 elderly patients. I said no way. Call the supervisor. She backed off. When the sup made rounds, she b——d about me to her. She got the same answer that OB nurses acted as an NA. I had not done M/S for about 20+ years. Mostly our GYN patients were not complex. No way in Hell would I risk my license charting on 8 older people with multiple conditions and unfamiliar meds. The kicker was they had the usual # of nurses, but were down for NAs. I don’t agree with entitlement. I also don’t agree with dumping or bullying. Though as I said above, our newest nurses, whatever their ages, may not have had the prep in school they usually get. They are going to be very green and possibly legitimately hesitant. The seasoned folks will need to define clear exceptions and provide intense mentoring. Many have a great attitude, but a select number are happy to do as little as possible. I suppose that is just some people’s nature. When you orient new nurses, teamwork needs to be part of the plan.

It is called dual enrollment. Our college has an agreement with several state and private universities to take some BSN classes while finishing their ADN. For some students, it is great. Others cannot handle it. They cannot get the BSN degree until they graduate with the ADN . They can take most of the BSN courses, with their ADN coursework. Many can graduate with the BSN 1-2 semesters after they finish the ADN. Others don’t finish either degree. The student complaining about the virtual sim, was taking a physical assessment course from a university, while she was barely squeeking through two 200 level ADN courses.

You are right. There are many students experiencing great stress right now. However, the expectation for all students should be the same. The reality is that whether you are 20 and living at home with your parents or a 40 year old single parent working full-time with three kids, your expected minimal performance on exams and in clinical is the same. There are some part-time programs or programs geographically closer which are better suited for some students. It is up to you to decide if you need a change.

There is a lot going on with new nurses. Those who just finished in December or June had their clinicals and in person classes impacted by Covid. Virtual Sims and Case studies are great but they do not cut it. Lots of the reality, prioritizing, and organizing that comes at the end of a program is lost. There have been a lot of student complaints about clinicals and EVERYTHING! Many are poor test takers. That is impacted by inability to study together in person and also impacts the emotional support they give each other. In the ADN program , we see a lot of students who not only have the massive task of their core nursing classes, Covid related self, family, and work concerns... often they are also taking BSN classes from another institution. The BSN school does not communicate with us, nor we with them. I get that students need to have the BSN as a goal. Some cannot handle the added load with their ADN courses, esp at this time. One student complained about our virtual sim product, comparing it to the one in her BSN course. This student received the absolute minimum passing grade in my course and the other ADN course she was taking. Of course, I had no idea that she was taking another course. School is getting them through the minimum academic and hopefully, NCLEX requirements. Esp now, it often isn’t teaching team work and enculturation them into the profession. This applies to many 20 somethings as well as 40 somethings. They have 1, 2, or 3 patients. They are not ready to walk on to a unit and take a full assignment. Part of it is normal. If your remember being a new nurse, it wasn’t a picnic. We also need to go back to some basics in education. As the Covid impacted new grads, enter the workforce, they need direction and support. It is hard because demands on everyone is increased. RN to BSN is great, but not all students can handle it. Students who flunk out of the ADN program will have no use for the courses, if they cannot get through the RN portion. Hospitals need to emphasize the expectation of teamwork. Everyone is tired. We aren’t giving you a finished product right out of school. Support and honesty about expectations and frequent feedback is what is most needed.

My daughter is in school for MSN/CNM. She started with an ADN. She got her BSN online after she had been a nurse for aabout 10 years. She could have gone back sooner, but she was happy with the ADN until the hospitals in our area, really started to push the BSN. I think Frontier has a bridge program for ADN prepared nurses, but I heard they may be discontinuing it. I cnnot say 100% for certain, though.

I guess it is a bunch of generic CRNA students who think they know it all and are better than others. I am a CNS in a DNP program. We have a lot of practicing CRNAs. They are smart, articulate, and well mannered people. We have been in groups together. As pre-APRN students, some people are very cocky about their ability. Humility is coming. It always does. Some people are -$$holes for life. Most, when kicked in -$$ realize we all need each other.

I have been so low, I have thought about it for months at a time. Right now, I am doing pretty well. I had a person who was my boss who was a liar and a narcissist. She violated our HR policy and interviewed and hired another outside person for a position, I had formerly held with outstanding evaluations. The CNO backed her up. She was “sure” that the policy was not violated. Where on Earth did I get that idea? Maybe from the back of the employment app and the policy manual? It said that any and all qualified current employees will be interviewed prior to accepting outside applications. This woman, my direct manager, was a total narcissist who made my life miserable. I quit because I could not stand her. She stabbed her BFF in the back who she had hired. Two of her multiple children have profound mental health issues. One committed suicide. I encountered her at another facility almost ten years later and quit when I had heard she was hired. I have never ever felt the same way about nursing after this experience. I keep to myself at work sharing few details. I am not a FB friend of any coworkers. I enjoy patient care and the work, but keep a self imposed isolation because I cannot bear this again. Being forced to provide elder care for my verbally abusive and distant mother has not helped me either. Sometimes, as a nurse, family and coworkers are very quick to dump on you with no thought of ever reciprocating even to the slightest degree. I enjoy activities such as traveling and caring for animals. I have a few close friends who are not nurses. I let nursing mean everything to me earlier in my life and it was a huge mistake.

So really why do you need to work an extra weekend when you take vacation? It is a 24/7/365 operation. I worked at a place where we got no weekend diff. We always had to cover our weekend off, even though we were paid on Sat like it was Tuesday! I get fake call outs. They are annoying. Truly you don’t always know why a person calls off. Do they have a sick kid and not get excused for that? Did their spouse beat them up? You really just don’t know. Many times a nurse gets no lunch or bathroom break while at work. That type of situation makes it easy to justify wanting off for some people. If the hospital and the coworkers are always just and considerate, you are right to be angry. Otherwise maybe you have to realize this is life and it happens in every job/ industry. For some nursing is a magnificent profession and for others it is simply a job. Most people fall somewhere in between. If people are consistently treated like professionals , then most will act that way. Does your unit not have prn people who can be scheduled to work on a weekend so regular staff can be off without having to make up time off that they have earned?

There used to be a lot of vo-tech high schools with an LPN track. I think accreditation rules pushed most of the LPN programs into trade schools and colleges. I just tried to look this up and I see Fairfax County VA still offers an LPN program for HS seniors and adult learners. https://www.fcps.edu/academics/high-school-academics-9-12/career-and-technical-education-cte/practical-nursing In my area, nursing homes and some hospitals are now hiring LPNs due to the shortage and salary cost of RNs. I don't know about the ASN for HS students. A lot of adults struggle with balancing their other life activities with nursing school. The responsibility of being an RN is pretty heavy for an 18 year old in my opinion. I say this as a person who became a nurse at 22. Bringing back the LPN to more high schools may be a better step. There again, it would take some time for many 18 year olds to be able to be responsible for a unit full of nursing home patients as LPNs often are.

So because she may have had a coag disorder, does that excuse this patient assaulting her? It is like a pregnant woman being hit in the abdomen and dying of an abruption. Does that mean the attacker should get a pass because the woman chose to be pregnant and she would not have died if she was not? I don't think so! Now coroner has ruled the nurse's death a homicide because of the blood clot related to the leg injury incurred during the assault.

Loved being a unit educator. Stupidest thing I did was to quit. Academia has a better schedule, but a few students can really make it or break it. They have a lot of "rights" even when obviously in the wrong!

I like the schedule and I like creating materials. Working with most of the students is great, but some are very challenging. Personally, I don't think the rigor of school prepares the students very well for practice. We entertain too much griping and whining. Questions must be worded so that they do not use "difficult" words. The students will see technical language in the clinical area, so hand holding will not help them in the long run. Math skills in simple operations, addition, subtraction, multiplication, and division are severely lacking for many students. There needs to be more clinical experiences, but resources are limited. It takes students, even in end of curriculum courses, significant time to perform relatively simple skills. Some are timid and many are over-confident. A select few do not accept criticism or suggestion appropriately. It is disheartening. Is some of this linked to safety issues we see with nurses in practice? Maybe? A few faculty favor increased rigor, but many continue the constant coaxing and hand holding. Very frustrating!

I wish you luck. Your passion is admirable. I would say if you get the CNS degree and don't practice as a CNS immediately, it could be an issue. There also may be issues finding a preceptor. Doing something like nursing professional development may keep your hand in the clinical area while allowing you to work on quality projects, serve on committees and represent your specialty at the institutional level. The CNS could be a very influential role right now, but it is "out of vogue." The other problem with many specialties is lack of a certification exam and lack of APRN designation depending on the state where you practice. It is like being a unicorn. Everyone agrees that you have many wonderful attributes, but you don't quite fit in anywhere.

Go for nursing education or an NP role. Peds NP if no NNP programs in your area. CNS roles are a bust for most areas. Been there. Done that. Argued with the state BON. I am actually licensed as a CNS. I have the title, but it means little. I am not treated like an APRN. Now really burned out and teaching in an ASN program.

When I saw your age and how long you've have been a nurse, I thought we were twins! I have never even worked at McDonald's. I started in a hospital as a volunteer and then got a job as an aide back then in the early 1980's, then on to the RN. Sometimes, I think much of the stress and unsettlement I feel now is that I have never done any other type of job. I have had many side jobs, but they were all nursing too. I feel burned out, but what else will I do and still make the $?.... and would I like it? Maybe try going back to school or getting a certification so you can do something else. I don't mean get your PhD, but maybe something like case management or an IT (no not me) certificate. Sounds like you may be a little bored too.

I feel kind of lost. At one time, I loved being a nurse. Of course there were ups and downs but generally I was happy with it overall. When I was younger one of my daughters had a chronic illness. I thought I was stressed then... little did I know what was ahead. It isn't anything awful, but it weighs me down. My mother is elderly. My dad died a few years ago. Since then, I am responsible for my mother who has dementia. I have a sister. She calls regularly. At least once every 6 months or so. When she does, it is because she has some problem. She has no money and multiple illnesses, so I am told. Somehow she is able to take cruises and fly out of state every few months. I am pretty sick of her. I told her not to call me any more. Breaking ties with her is not a big deal. Everyday, I get calls from my mother's caregivers. She needs groceries, diapers, etc. I stay overnight 4 or 5 times a week to save her money. I take her dog to the vet. My husband shovels her snow. This is year two of things this way. Prior to that she lived out of state and caregivers stole from her. Now my husband's mother fell and is confused. When my daughter was ill, going to work was almost an escape. I could concentrate on work and I had some great coworkers. Five or so years ago, I left a long time workplace because the manager was a narcissist who criticized everything I did. I had always had stellar evals. I have an MSN and had been in education. She picked at everything I did. My grey hair, my height, the wording in my charting. We did not gel. She saw me in sweats and asked me one day with a giggle if I was going to work out. I had enough sense not to respond to her as I would have liked. left that workplace voluntarily. She was asked to leave, apparently? Since that time, all of the stuff with my mother started. I have had a couple of jobs, but they don't really click with me. As an older nurse, I hate the IT and am slow with charting. It annoys me the time put into charting when you barely have a minute to say hello to a patient and the phone rings to call you for the next task. I work with students and find many are wonderful, but a significant number are difficult. I think I am hesitant to become too attached to a job after my former experience. I know I should just get over it. I wish I knew how. I am taking a class and know I bombed the paper I just submitted because I was so busy with my mom and had to submit a particular form for the end of course in Excel. After two hours and calling one of my kids out of state, it was converted to the acceptable format. My heart was not in it. Anyone else get down in the dumps and find work happiness again? I hate to be such a grumpy old bag. I wish I could find a way to be happier, more organized and less sick of it all! I would love to hear from someone else who is now standing right in front of the light that is supposed to be at the end of the tunnel.

LPN's are making a comeback in central PA on med-surg units. WHY??? Because they can't get RN's. All the young BSN's are back to school right away for APRN and GONE! They want ED, ICU, L&D, not med-surg for their 2 years of inpatient experience.

Tell her you are concerned about her. You want her to get some enjoyment out of her retirement. You would hate to see her get hurt on the job or driving to work in the winter. Does she have any former coworker/friends who are retired who she could get connect with? Could she volunteer to help with health screenings or something which is social, but not as demanding as the ED? Lots of people who were former nurses and other workers in the hospital volunteer at the reception desk or helping patients check in for routine testing or procedures. It's a lower stakes chance to see everyone they want to stay in touch with while winding down fro the working world. What about a mission trip? it doesn't have to be international, it could be helping with a disadvantaged area or Habitat for Humanity?

As someone who has been a preceptor, clinical educator and a college instructor you might want to rethink being an educator. Being brash and headstrong won't be an advantage as an educator. You gotta be firm, but flexible. Your orientation may not have been great, but you should have tactfully spoken up. You have experience and you know what you need out of orientation. There is a way to ask for what you that is thoughtful and appropriate. Good luck, but it doesn't sound like a good fit for you.

Also you need to erect a sign... Poop free zone or No s##t Sherlock...at least not in this bathroom. Well I needed a laugh, so please thank your poop monitor manager for me.

My mother is in her mid 80's and has dementia. I took a break from my job and am doing very part-time teaching. My mother has caregivers part-time and I also watch her. She can be very unpleasant sometimes. Mostly she is confused but ok. I have been helping to care for her for about 9 months now. She had a full time caregiver who stole from her in another state. I moved her closer and so I am better able to see what is going on with her. I feel like I was was once very engaged at work and top of my game. Now I feel disjointed and miserable professionally. By the time I do what she needs, I am drained. I still read journals and do CE, but I feel disconnected. I like teaching, but I woud like to do a little more. Today I went on a job interview after my mother had me up all night. I had no time to eat. I couldn't focus and I know I flubbed the interview questions. One easy question I was asked, just woud not come to me. My sister is not physically helpful or even verbally supportive. She is just pretty much absent from the situation. I know a lot of nurses care for aging relatives, will I ever be professionally normal again? I feel like trying to help my mother is a career killer. We do not have the $ for full time caregivers, so I do have to help her at least 50 hours/week. I would love to know what is at the other end of this from others who have "lived to tell" the tale. It is very hard right now. Any insights or suggestions greatly appreciated.

" I have to memorize all the rules of APA." For probably less than $ 50, you can get PERLLA. It will save you the hassle of using the APA manual. My advice is do the BSN now or if it becomes an urgent matter, it will be a real pain.

What about taking the small hospital job and remaining prn at the ICU job? They ICU would probably take you back FT, if it doesn't work for you. You would still have your hand in the ICU world.