lorazepam

I would suggest reaching out to the on-site CCE Manager and asking how you can improve your application/interview to join the program. or why not join an EMT program? Better cases imo

It's my understanding that there is only ONE Clinical class. I can't remember if you come to campus or arrange something with a hospital? The SON Handbook and Newsletter have more information. I HIGHLY recommend reading through that material to get a better idea of the curriculum. I think fees are based on your status at time of registration. If you take 3 units, you pay for part time status because you're taking less than 6 Units. http://www.csudh.edu/schedules/fa10/fees.htm

California recently enacted legislation that required BSN programs to design a curriculum that allowed for an ADN nurse to receive their bachelor's in a year. If there are places that are questioning online programs, the Board of Nursing should be aware to either educate employers about Online/Distance learning or re-design currirculums. The Board also approves nursing education before the institution can award degrees. Advanced Nursing Education is becoming more of a hot topic as more ancillary positions start to pop up and as the public continues to confuse anyone in scrubs as a nurse (like medical assistants). Nurses are working hard to distinguish our role as a profession and one way they feel they can accomplish that is making advanced education the standard. Most online programs require state licensure prior to admission. If you're a new grad, don't take an online program until after you have a job, since it sounds like they won't take you if you just graduated from the online program.

Where I work, I know nurses in certain specialties are sought because they have a clinical understanding of the processes of that department. Have you considered working for a health care/ bio-med company? Philips Health Care has an application called "Trace Master Vue" and their clinical support was an ECG tech. She comes on-site (to the hospital) and assists in the implementation of the product. At the local level/hospital, depending on the size of your facility, you may be the only support person and you'd have to be able to assist staff who are involved in different areas of patient care. That's the level of support I give. I assist lab, radiology, in addition to nursing areas such as emergency and maternity. I think it helps to have experience in the department, because you're able to relate to the staff more, but if you have good people skills, I think you can do anything.

Hi Blue, Have you spoken to your supervisors about your plans? I'm sure they would be happy to give you some perspective. I personally like your idea of getting a masters in management with an informatics certificate. Management is broad and I think that background can lead you into different areas. Technology will also move forward which may change Informatics and different roles in the industry. I think rninformatics has a degree in Informatics? She's a great source of information!

The program doesn't require full time student status to complete. You take as many classes as you can handle. Apparently, California enacted some sort of legislation that requires colleges to design a program for ADN nurses to complete a BSN in a year. And if you look at CSUDH's BSN student newsletter, it definitely looks like it! I'm currently attending part time, and I met a lot of MSN students who said that's how they started with their BSN because they were working full time, family, etc. As for difficulty...the motto was, "You get what you put into it." I will say though, just from experiencing some classmates so far...it's hard if you don't know how to work a computer (but if you're accessing allnurses.com you're already smarter than the average bear). If you've never done a research paper before using APA citation, it can be a little overwhelming. I definitely don't feel like I'm in "nursing school" but I do feel like I'm taking an English class and writing about my experience/knowledge as a nurse.

Cool! I won't know anybody there, so say hi please! :)

actually, i'm starting my program this fall as well, 302 & 306 i believe. i'm going to orientation next thursday, if you have any questions you'd like me to ask, let me know! i'm probably going to ask about how to challenge the courses. good luck for fall!

or both? https://allnurses.com/general-nursing-discussion/adn-to-msw-480537.html#post4310737

What's the news with Hemet Hospital? I was considering applying to their ER.

How does the application process work when applying to Riverside County Medical Center in Moreno Valley? I'd like to get some ED experience and was thinking about applying to Riverside. Does anyone have any thoughts on the facility?

Interesting, right?! I only became concerned about it because a facility in our region had a member of the Joint ask about an applications intended use, user competency, etc. We currently have "blanket" policies regarding the security of patient health information, but nothing about it's end users. I felt it was important to discuss, since Health Information Companies can create these wonderful applications, but not all states may need all it's intended capabilities. I believe a facility policy on it's use at the facility would maybe deter future questions on why/or why not a piece of documentation was left blank, like any other piece of paper documentation. More opinions on this topic are certainly welcome! I'd like to keep this thread going :)

What a great read! I lol'd :) Read similar situations on www.ertards.com

My thoughts exactly! I had a feeling it was out of my immediate responsibility/job description to draft a policy. (And I don't really want to!) My role though, is to orient users to the application. My worry is that I will teach them what the application is, and then a piece of documentation is missing and it would fall back on me. How should I proceed with teaching an application?

Thank you so much for the reply! Everything you mentioned is not the case at my facility. I want the right thing to happen and have a P&P that outlines the use, who it is used by, etc. I have brought it up to my manager, and the senior analyst, but there hasn't been any initiative. We currently have 3 applications related to documentation on patients and are in the process of going live with another application. There are no p&p on these applications. Any advice on what I should do? If anything?

The program wants their money. What happens after the program is up to the student. CA Nursing programs are pumping out more graduates than the state has jobs for.

Yeah, I would suggest reviewing the laws of your state as to what your legal title should be. Is there any chance of speaking to your supervisor about just a job title change? Maybe even removing the liscensure from the title? Discuss that you are not legally an LPN and should not be titled as such. Also, are there any things different in your assessments that you don't do because of your LPN title, that you would normally say or do for a patient, when you have RN training?

This is my 3rd attempt to post to this thread! I made 2 really great posts, but everytime I post, my connection crashes! *crosses fingers* CCE is a really great program! To address the interview process, I was an interviewer. My suggestion, try to be the first one to answer the question. Remember, you're in a room with maybe 2-3 other applicants. Most of the questions kind of generate the same response from the applicants. I've sat in interviews where the answers were similar to the first one who answered. The first one who answered was usually the one accepted. I've turned down applicants before. I was looking for a person who really, really wanted the clinical experience, and who wouldn't be afraid to touch patients. YOU WILL TOUCH PATIENTS! You will clean BMs, empty urinals, do diaper changes. That exposures really cements whether or not you really want to be in the hospital setting. You will experience all sorts of sights, smells, and maybe even tastes if you're not careful! lol. Anyway, this is shorter and less detailed than my previous attempts, but good luck! Feel free to PM me if you need more info.

Hello IE nurses. Rancho/Inland Valley are part of the same healthcare system, "Southwest Healthcare System" which is under a bigger organization, UHS Inc. So...I'm assuming they function similarly. Rough waters though: http://www.nctimes.com/news/local/murrieta/article_99593172-48cc-11df-9cc4-001cc4c002e0.html And from the corporate office: http://ir.uhsinc.com/phoenix.zhtml?c=105817&p=irol-newsArticle&ID=1427618&highlight= 30 miles north is Corona Regional which is also a UHS facility. They are not part of the Southwest Healthcare System, so their operations are slightly different. Corona Regional also employs a rehab facility, Corona Rehab. There is also the new Loma Linda facility opening off the 215, which is a few miles east of Inland Valley. If you go north on the 215, there is also the Valley Health System facilities: Hemet & Menifee, but Hemet is more east. If you changed counties, update yourself on the laws regarding nursing practice. I used to work in LA County as a hospice nurse and RNs were allowed to pronounce deceased patients. In Riverside/San Bernardino, there is a different process and I believe they require you to go through training to pronounce. As for me, I work at Corona Regional Medical Center, basically a small community hospital

I used a mini mag key chain flashlight that I was able to ring into my badge, so I always had it. Also, someone mentioned even cracking open the patient door, bathroom door, was sufficient enough. The room should already have some sort of lighting on during the night to satisfy some sort of fall risk prevention assessment.

I do not work in the ICU, but I've seen the US pulled from the floor when the census is down to 4. I work in CA, so with ICU considered a specialty, RNs have a ratio, although I can't recall at the moment. I also, have never seen an aide in the ICU where I work and I don't think I can recall seeing an aide at the other facilities I've worked in. In my experience, the RN has done total care for all patients, but again, we have a ratio. At my facility, and the facilities I have been in, the Charge Nurse does not take any patients. The Charge Nurse is the support to the staff, so their responsibilities are resource, orders and bed control. I have seen the Charge Nurse work as the patient advocate, communicating with the department manager or director for the need for another staff member, or at least a US. ICU RNs are also responsible for assisting in a rapid response, so in that event, that thins their patient care staff as well. Your situation sounds unacceptable, especially if one of your staff is called to work on a code or rapid response.

my opinion: lawsuit, it sounds discriminatory

Do any of you have policies & procedures on the intended use of your clinical applications? I heard about a surveyor asking a facility on their p&p on an application. The facility shared with them the p&p regarding security of usernames/passwords but the surveyors were asking about the intended use of the application, level of access, competencies, etc. Honestly, I'm surprised that in the past facilities I've worked in, I have not seen a policy regarding any clinical application. I've seen policies on documentation (for paper, ex: SOAP charting, PIE charting) but nothing that clearly states, "Here at ABC Hospital, documentation is done on XYZ EHR. In the event XYZ EHR is down, please refer to downtime procedures." Maybe it's just me and I haven't been exposed to much, but can anyone else share their experience with this topic?

It sounds like your manager is very knowledgeable about the do's/don'ts. She sounds like a good person to consult with. Also, as explained in the above posts, different states have different legalities. Different facilities have different policies on the situation you described. Keep patient safety first. The doctor doesn't sign your paycheck, consult with your manager. And think of this experience as an opportunity to develop thick skin. As you become more experienced, you won't be afraid to confront doctors about issues related to patient safety, or accountability. You may even develop a clever way to get the physician to lift a pen and write the order themselves!

Once in awhile, NurseADVANCE or NurseWeek will post regional salaries and the cost of living in their magazines. Companies (aka hospitals) will pay according to national measurements, competition, costs of living, etc. Also depends on the facility, if they have procedures/equipment that require specialized training, you may see a little increase in your wage compared to other facilities who don't offer speacialty treatment. Also, wages increase with years of experience. When I started, I made about 22/hr at a straight pay facility with evening and weekend differential. Be fearful of this though: IFYOUDONTPASSSCHOOLYOUWONTMAKE$$$OMGWTFBBQ!!!