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llg PhD, RN

Nursing Professional Development
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llg has 43 years experience as a PhD, RN and specializes in Nursing Professional Development.

llg's Latest Activity

  1. It sounds like you have a pretty good handle on the issues. You just need to decide which path you prefer. The MSN will probably get you to CRNA faster -- but it would probably be more expensive. The ADN route would be cheapest, but it would take the longest. The ABSN would be a hybrid of the other two. With any of those paths, there is no guarantee that you would ge a job as a staff nurse in an ICU right after graduation. Some ICU's don't hire many new grad ADN's, they prefer BSN's. Some might be hesitant to hire an MSN-entry grad because they don't want to invest a lot in your orientation only to have you leave your staff nurse position as soon as you can. etc. etc. etc. With any path, you might have to work general care, med/surg for a while before getting into an ICU -- but maybe not. Since you know you want to go into an ICU as soon as you graduate, I would ask if any of those programs offer a good chance for you to do a preceptorship in an ICU as a student? That might be the key in getting into an ICU early in your career. But in the end, there are no guarantees -- and you will simply have to be prepared for a few bumps in the road, delays, expenses, etc. regardless of which path you choose. Those the one that "feels" right to you and then adapt to whatever the consequences of that choice are with no regrets.
  2. Take the NCLEX and get your license. Also get a nursing job and establish yourself as a successful professional nurse. Then if you want to explore the mortgage option ... you can do so knowing that you can always go back to nursing if that doesn't work out the way you dream. If you don't do nursing for a while now, you may find it next to impossible to become a successful nurse later. And I am as skeptical about the mortgage thing as the others. Do you have expertise in finance and/or mortgages? If so, why didn't you go that route to begin with. If not, that would add to my skepticism. If it were easy for someone with no expertise to make that much money in the mortgage business, everyone would be doing it. "If it sounds too good to be true, it probably isn't true."
  3. Nursing is the one (and only) profession that makes the commitment to meet all of the patient's needs -- be they glamorous or not. If the patient needs us to make a sophisticated judgment, we need to learn how to make good sophisticated judgments. If the patient needs us to wipe their bottoms, we wipe their bottoms. Whatever ... That is what makes nursing unique among the healthcare professions and what gives us our power/authority. We don't walk away from a patient need. We find a way to meet it -- and are willing to meet it ourselves if needed. As a nurse with a PhD, working in a hospital ... I have been known to clean up procedural trays after procedures ... take trash bags to the trash room ... change diapers ... feed babies ... carry specimens to the lab ... make copies of my class handouts ... gather my own data ... man the sign-in table at education events ... etc. None of these things required the use of my full expertise. But my dignity was not damaged by any of these activities.
  4. llg

    My post-polio patient

    I guess I can imagine it ... but I don't believe it would happen in real life. Today there would be all kinds of complications that wouldn't let such a simple, straightforward approach be attempted.
  5. llg

    Normal new grad feelings or not feeling NICU?

    Obviously, I don't know you and might be completely wrong about this ... so take it with a grain of salt. You sound like you are simply not a "baby person." Some of us love NICU not because of the acuity and intensity, but because we like babies. It sounds like you are not really into babies -- and perhaps found level IV NICU attractive because of the intensity/acuity. You would be just as happy in an adult ICU or ED. Me? I would be miserable in adult or ICU, but my NICU interest was based on an attraction to neonates. I liked the intensity, but also loved the cute little faces ... and toes ... fingers, the smooth skin, little tiny baby butts, etc. I can go on and on about all the things I love about newborns, especially preemies. And I am an old, jaded nurse in my 60's, not some newbie. Now that my career has taken me out of the NICU, I miss the babies and still "ooooo" and "ahhhh" sometimes when I see a cute one. If that is the case, then you might be happier in an environment such as a level 1 trauma setting ... or adult ICU ... some place where it is intense and high drama all the time. Most NICU's (even level IV's) have periods of calm and stable patients interspersed in the midst of some high intensity and drama. In fact, the blend of the two is considered emotionally more health for the staff -- to have periods of "rest" mixed in with periods of high stress. That mixture and balance helps us to stay in the NICU for a long period of time and not get burned out. Units that are high intensity for every shift tend to me more like battle zones -- and often experience staffing problems, interpersonal conflicts, etc. because of the constant stress that the staff is experiencing.
  6. It sounds to me as if your career has consisted of "odd" jobs -- not "average" jobs. Not everyone is cut out for management (especially with no training for it or support from your boss). So the fact that you couldn't slip right into your current management job shouldn't make you think that all of nursing is not for you. Did you like working in the med/surg unit before it got crazy busy? Could it be that you simply worked in a grossly understaffed, lousy hospital and would have been satisfied if you had worked for a better hospital? That's a key question to figure out. When you left that job, you ended up in an outpatient role that you might not have been ready for. You may have needed more experience in med/surg to handle the independence, politics, and now leadership expectations. What type of nurse did you want to be when you first chose to become a nurse? Have you had the opportunity to try such a job to see if you would like it?
  7. llg

    12 years a Slave (called nursing)

    Life is too short to be miserable in your job. Let go of the fallacy that you have to be good at -- and enjoy-- all nursing work environments. You have enough experience to know whether of not this job is a good fit for you or not. If not (and that sounds like the case) ... start job hunting.
  8. llg

    Not digging outpatient

    Most nursing schools few their primary mission as preparing you to pass NCLEX and getting you a license. Then, they try to prepare you for your first job -- which for most people, is in a hospital. Third, they try to recruit you into their graduate school (if they have one). Preparing you for a long-term career comes below those other things on their priority list. I obviously disagree and fell that there should be more emphasis on long-term career success and satisfaction.
  9. Actually, that is a false comparison. Tobacco and alcohol only hurt the user -- not other people who may come in contact with the user. And there are restrictions on the use of both tobacco and alcohol when the effects might hurt others. For example, it is illegal to drink and drive. And it is illegal to smoke in some public places -- and individual establishments (e.g. restaurants and schools) can ban smoking within their facilities. We also have laws mandating seat-belt use, stopping at intersections where there are stop signs, and all the other traffic LAWS that people obey willingly (usually) because they understand the need to keep people on the road safe. There are also LAWS in health care that people obey in the interest of Public Health -- such as laws related to the dispensing of controlled substances -- and the need for people selling their services as nurses and physicians to be licensed, etc. So it is simply non-factual to say that we as a society don't have laws that curtail our behavior and limit our choices in order to protect the public. We have many such laws that people accept and follow every day.
  10. If patients need it ... then it is not beneath "the dignity" of a nurse to provide it. Nurses do those things that patients would do for themselves if only they could do it for themselves. And that includes wiping their private parts -- and bathing -- and screening people for illness -- and transporting themselves -- and preparing meals -- and feeding themselves -- and folding laundry. Maybe you need to review the role of the nurse in society and the types of work that nurses have traditionally done. The one characteristic that sets nursing apart from all other roles in society is that we are the one discipline that commits to helping the patient with ALL of his/her needs -- not just the ones that we consider "glamorous." Maybe there are other jobs that you will enjoy more than the one you currently have -- and that is OK. But taking care of the patients needs should never be considered beneath a nurse's dignity as a nurse (what that means.)
  11. llg

    Question about cover letter

    I would just tweak a little.
  12. llg

    New Nurse Exhaustion

    Making a list of strengths and weaknesses (I prefer to call them "learning needs," to think about them positively.) is a great way to start. From there, let your mind wander to making a list about what you like and dislike about nursing so that you end up with 2 lists. Then, look at those lists together and see where your thoughts wander -- imagining the type of job you would enjoy and that you would also be good at. What made you choose nursing to begin with? What images of nursing did you have that seemed appealing to you when you first decided to go to nursing school? Let your mind wander there, too.
  13. llg

    New Nurse Exhaustion

    My recommendation is to look deeply into yourself -- into your likes and dislikes, talents and weak points, etc. and decide what type of work would be a good fit for you long-term. Then make a plan to qualify for those types of jobs. You seem to have drifted from one job to the next without having a sense of direction. When you couldn't find a job right after graduation ... what kind of job were you looking for? What type of nursing really interested you? You seem to have settled for whatever job you could get. That's not a bad thing necessarily, but you can't let that determine your whole career direction. That was just a temporary landing spot to get you some experience and a paycheck. The same seems to be true of your current (2nd job) -- it's just a job to you, something you could get when you wanted out of your first job. What type of nursing would you really want to do if you could choose? Identify that ... then make a plan to get there. Having a plan and working towards it may help you get out of your rut.
  14. I don't see why either one of you needs to make a big sacrifice. There are so many relatively short, easy, online BSN programs out there that I think you can both go to school -- even while getting married and having a baby. If your bride-to-be starts now, she can probably finish the BSN online before the baby is born. And maybe you can start your schooling by just take 1 class at a time while she is in school. That way, you are both working full time, bringing in money to pay for your schools -- but both making progress on your educational goals. You just might be going a little slower than you had originally thought, but you will still be moving forward. Once she is done with school, you can pick up your education pace a bit if that pleases you. But I see no reason you would have to stop making progress altogether. Don't think of it as an "all or nothing" choice. Neither of you needs "all" and neither of you has to settle for "nothing." Think in terms of speed. She can speed it up a bit to get done before the baby ... and you can slow it down a little for the next year or so. But you can both keep moving forward with your education.
  15. llg

    Post-Baccalaureate Nursing

    If you want to be a nurse, be a nurse. A master's level entry degree is a legitimate way to do that. If you choose that route, just be sure you choose a good school -- and be prepared to start nursing with an entry-level job even though you will have and MSN. New grads are new grads, no matter what program they go to and need a little time in practice to make the successful transition to practicing nurse. But once you get a year or so of experience as a nurse, that MSN will help you move up the career ladder to higher level positions faster. You don't have to start nursing with an MSN: you can start with a BSN or ADN. It all depends on your personal preferences and situation. A lot of people in your position start with ADN's and enter the workforce quickly to save money. Then they let their employers help pay for them to go to a program that gets them from ADN to MSN (or DNP) as they go to school part time while working and gaining hands on experience. But starting with an MSN is also good. If you think being an ultrasound tech or PA will make you happy, then do that. No one can tell you what will work best for you. You have to choose the career that will suit YOU best. All 3 careers (nurse, u/s tech, PA) do different types of work. Which type of work appeals to you the most? That should be your main question to start with. What type of work do you want to do for the rest of your life?
  16. llg

    Farewell Esme - In Loving Memory

    I was so sad to read of Esme's death. She was a great moderator here on allnurses -- very generous with her time and support. Rest in Peace, Esme.

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