nurse15dc

evidence based practice

Thanks for starting this thread and for all info/experiences you have generously shared chuckster. I'm surprised that you have to take cultural diversity considering all the other classes you have taken. From the youtube videos it sounded like a foreign language class would fulfill the cultural diversity requirement. I'm still undecided/researching the whole rn-bsn thing. Good luck to all!

I'm amazed that as stated on this thread it took some up to 5 months to get admitted and get a DAR from OU. They should make it easier for students.

An inarticulate "Wow wow wow" back to you! I guess by "ben" you meant been. Have you or OP PunkBen ever EVEN bothered to to notice how much YOUNG nurses EAT THE OLD!!! Get over yourself. We who have been in nursing have EARNED the RIGHT and are allowed to vent. If you and op have a problem with it reading AN is NOT a job requirement.

Agree. The judgemental attitude of new nurses is getting very old.

Right. It seems odd that a pre employement drug screen gets reported to the BON. OP were you already on BON discipline. Or are you already in a diversion drug program when you relapsed. No sympathy. I think the BON is WAAY too easy on addiction. They get out of diversion and get a clean record only to divert or smoke weed again, again and again.

I honestly think there is just an oversupply of nurses. Hospitals also seem to post more jobs than they are actively hiring for. Persistence and improving your nursing skills should eventually pay off in a job offer.

https://allnurses.com/nclex-discussion-forum/finished-bsn-but-598783.html You need to ask in the Philippines International Forum many are in your shoes. To work in the US you need a green card or a ss #. There is no way to bypass this law.

I'm curious due to some of your other questions. Where do you work JohnnyDepp23? Are you a student?

I don't know about Canada but in the US employers retaliating by issuing a complaint to the Board of Nursing against an RN who complained is sadly VERY common. You might need a lawyer. Your license will probably not be revoked for the mistakes you made but in the US this type of complaint and discipline will stay on your record in the national data bank and can hurt your future employment.

Sorry but I don't get something. Is this your second accidental needle stick? Did you have a pt with MRSA and CA and stick yourself?

Be sure and ask whatever school you are thinking of how many new grads get jobs. There are many new grad RNs without work because we have graduated too many. I think some school will take your tuition knowing that there is an over supply of nurses looking for work.

Your license mandates that you report this nurse. If you don't report it her actions are on you.

Right. It's not "admitting hiring discrimination" if a hiring manager values a University degree over an online degree! The OP asked the question in hopes of getting honest responses. I can honestly say that many nurses I know still look at online degrees as lesser and easier than a degree obtained at a brick and mortar University or College- (not community college but colleges that offer 4 yr BSN and ADN programs.)

I don't think the information is as private as users think too. About the posting of status reports-I wonder why people think everyone is interested in the mundane details of their lives. Another thing that bothers me about fb is that people seem to be doing things for the sake of being seen by an audience. It seems narcissistic imo. I call email or see my friends/relatives when I have something to say.

Your suspicions and logic is spot on. There should be more blogs and articles like yours in the media to get the word out.. But like the others said we are responsible for picking careers that have enough jobs available. Protesting and demonstrating the lack of jobs in any field is silly as we are the ones who choose our educational and vocational path. I DO NOT believe many baby boomers will be able to retire. My parents generation was probably the last generation that have the retirement money and government perks to afford to stop working. (For boomers SS and medicare will have to be cut and retirement age will have to go up.)

Exactly what I was wondering when I read OP's post. But it sounds typical of unfair things I've seen in BON discipline. I've known a few newbie RN's who made mistakes where no one was hurt. But since hospitals often have to report errors to the BON, the RN's had to pay $$ for attorneys only to end up with permanent black marks on their licenses. But when an RN makes a mistake and then cries "I'm an addict". The BON gives THEM every consideration and then wipes away the record of the mistake. Even when addicts relapse again and again. IMO this is a messed up unfair practice VERY common with boards of nsg!

I agree the NJ hospital thread had a great, interesting, unifying debate going and was not racist. That's why it continued for over 132 responses. The "puppy mill" comment was not on the thread about the NJ hospital. "Puppy mill" was a comment on a different uncensored, undeleted thread. That phrase was used on an activist type thread trying to unite American nurses. It was titled something like , "I'm disgusted with American Nurses." It was about unifying American nurses. My feeling is someone at the tail end of the thread on the NJ hospital (not a Filipino) was offended because not everyone agreed with her. That it is why after 132 responded to the NJ thread it was suddenly censored. I agree it is a total TIME SUCK if certain threads can be deleted after that many different people put time into the debate. This thread is more offensive and makes less sense to me. Why bother posting if your replies get deleted?

Just noticed the thread about the NJ hospital that garnered 132 responses is gone. Why let that many people put their time into responding then suddenly delete it after 132 responses? That thread had interesting debate this one makes little sense by comparison and lpn2icu must have know how inflammatory the title is. There are offensive things said on this thread so it should also be deleted.

The 'their team' comment reminds me how frustrating it was working in a large Houston hospital with a lot of Filipino's. Once a month a sheet of hard to fill shifts would come out and we were all supposed to get a fair chance to sign up. (These shifts came with a $220.00 bonus.) But there was a team thing going on---Any Filipino who was on when the premium bonus shift came out called all other Filipino's and the sheet would be filled before me and the one other American RN could get a chance at the bonus money. Op may need a dictionary before using "racist" in a header. I'll add that I'm white and the only other American RN at said hospital was black. Like others said it's about money and the economy not racism.

I can relate to massrn116's comment of feeling like I constantly have to watch my back at work. And maybe a few other psychological changes. Two people very close to me who don't know each other made the exact same observations of how I've changed in the yrs since starting work as an RN. (btw I became an RN at age 36 so my personality traits were probably already well established.) They're comments were well meaning but they surprised me. Both said I was always known for my 'sweetness', calm even temperament, sensitivity, and cheerfulness. I never thought nursing could change me that much but I trust they were being honest. I admit I never used to feel angry or depressed very often. And in my work before nursing-I never had a job where I felt paranoid or judged to this extent.

Sometimes NM is stuck between a rock and a hard place. I wouldn't want that job. Demands for cost cutting from higher ups vs pt and nurse safety. But when they show no empathy snippy replies like in your example, I've been known to reply as you did. When they go on about pt complaints and improving customer service it does make me think they have long forgotten how incredibly hard working on the floor can be. A few months ago as our NM walked by the nurses station she must have notice the 2 phones ringing, 5 call lights, family members standing around waiting to talk to a nurse and the general look of us being swamped. For the first (and last) time she sat down and started helping the charge nurse answer calls, family questions and phones. She only lasted 2 hours at the nsg station. The icing on the cake was when one frustrated pts husband complained that the NM was ignoring him! He had been standing at the nsg station waiting to ask some question. She told this pts husband that she was going to help him but that she could only do one thing at a time. Now if a staff RN got the same complaint from that man, we would have gotten one of the time management and customer service lectures you mentioned. Or maybe something REALLY kind and helpful like "Get used to it....it's only going to get worse."

I agree that there is much less of a need for RD's so their salaries tend to be lower.

To me it doesn't matter, I go with the facilities policy. For my name badge I'm OK with whatever sequence and initials the hospital uses. Some just want RN some hospitals add degrees and certifications. I generally use initials and degrees with the RN on professional correspondence and resumes. -----I took a course in protecting your license against malpractice lawsuits and board actions once. The lawyers teaching the class said to sign all legal documents such as charts with ONLY the level of license, degree on your job description. Meaning if you're only being paid as a staff RN (and your hospital doesn't make you add all the initials) then according to this malpractice team it's safest NOT to add them. Some ppl here will says this sounds negative or paranoid but I'm just posting b/c op asked for opinions. In this class they explained that if an emergency happens or a case goes bad, adding extra degrees, certifications and initials to your charting can hurt you if you are deposed. If you are paid as an RN then even in a case that goes bad, you should only be held to the standard of practice outlined in your state's Nurse Practice Act for RN's. According to the class...If you sign a chart with a lot of initials the opposing lawyer can use this against you. In class we played it out where I was on the stand explaining everything I did in a "pretend ER case"that went bad. When the "fake" opposing lawyer asked me to explain exactly what the initials and credentials in my chart signature meant I accidentally said something to the effect of 'evidence of knowledge and a higher standard of care.' That doomed me. As we continued to play act he grilled me on the case and he kept using the idea of my initials as proof that even in an emergency my initials required me to preform at a level above and beyond what my pay level and RN license requires. So unless required or asked to, I now sign charts with the lowest license, certertification or degree in my job and pay description. Just adding my 2 cents.

18 months out of nsg school a disoriented post-op pt unexpectedly tried to get OOB while I was setting up his IV. Luckily I was able avoid a fall by grabbing him and easing him to the floor. Unluckily for me the 'physical' nature of nursing that day caused a permanent back injury. The injury flares up and causes me extreme pain when I lift over 25 lbs. No class in proper lifting and "body mechanics" could have prepared for what to do when alone in a room with a disoriented belligerent obese male pt who very suddenly tried to get OOB and started to fall. I firmly believe that people need to make their own career choices. Personally I'd be better off if I'd gone with the career choices the poster above mentioned, a CEO or MBA. To me one of the problems is that nsg is extremely hard work with a heavy amount of responsibility day in and day out. You really can't afford to have an 'off day' (when you're not at full capacity), like you can in other jobs. In my hospital when census is low and it looks like we might have an easy shift they send one of us home. I'm currently looking for a job or line of work that is a little less stressful.