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llg PhD, RN

Nursing Professional Development
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llg has 44 years experience as a PhD, RN and specializes in Nursing Professional Development.

llg's Latest Activity

  1. As a previous poster said, this is an age-old problem. Some units are perceived as being "better" than others. When I was in school many years ago, the "glamour unit" was the CCU. In some children's hospitals, the most popular units with students is the oncology unit. People have favorites and preferences for the type of work they do. That is to be expected.
  2. llg

    Unable to wear N95 or papr

    The hospital should have announced its policy many months ago. So yes, it was handled badly. But ... if you claim that you have a "disability" which makes it impossible for you to do certain kinds of work, they have every right (and even an obligation) to require that your "disability" be properly verified and documented by a physician. They can't just take people's word for it. However ... I agree that it was handled badly at the time as everyone should have been well aware of the policy long ago, giving you time to get your documentation in place.
  3. llg

    HELLLLLLLOOOOO, Retirement !

    Hi, Hannahbanana. I finally took the plunge about 6 weeks ago -- retired from my main job at a hospital. I am still doing a little on-line teaching and hope to be able to continue that. Because I sold my home and moved in the same time, I have been too busy (and stressed) to feel retired. I hope to actually start a lifestyle that seems like "retirement" after the holidays. I had a friend in college named Hannah that we called Hannahbanana. Wouldn't it be a coincidence.....?
  4. llg

    Nursing concept map/ care plans

    Legitimate? How would such a service make money? There are very few people willing to pay someone else to write a care plan for them except for students -- which would mean that anyone who is doing that would be helping the student to cheat. The "legitimate" market is too small to be profitable.
  5. llg

    Shortened orientation for staffing needs

    It really depends on the details. Sometimes, such things are necessary -- and might not be a big deal if the new nurse only being asked to do things that she is capable of doing. That is the key. If the new nurse has been taught certain skills and can complete certain tasks safely, then it should be OK if she is asked to perform those tasks while still within the orientation period. However, even a nurse who has been off orientation for a while should NOT be asked to take on responsibilities that she has not been prepared for. People get too hung up on the phrases "on orientation" and "off orientation." It's not clear cut. There is a middle ground of being competent at many tasks and capable of being a huge help -- but not yet 100% finished with orientation. My favorite system is one that counts people as 100% "out of the numbers" in the early phases of orientation, but then counts them as "partially in the staffing numbers" as they progress through orientation and become capable of taking on some responsibilities. The person who is going to be completely "off orientation" tomorrow should be capable of taking an assignment today -- with just a little backup help available if needed. And someone who "just came off orientation" yesterday still needs some back-up help available. Exactly what is appropriate and what is not appropriate depends on the specifics of the situation.
  6. llg

    If I have to leave?

    I certainly hope that this is just a little bump in the road for your parents -- and not a major event. Once the immediate crisis is over, perhaps this incident will stimulate you and your parents to have that difficult conversation that most families avoid until they have no other choice. The "what to do with Mom and Dad" as they become too old/frail to handle crises -- and eventually, everyday life -- by themselves. Can they locate suitable resources in their current home region? Are you prepared to quit your job and move in permanently with them to take care of them? etc. When my mother was faced with that issue many years ago, she had to look her parents in the eye and tell them that if they expected to call her every time there was a problem, then they needed to move close to where she lived. With a teenager still at home, Mom could not simply run off to where they lived for weeks at a time. After some explorations of the options, they did decide to move where my parents lived -- and were very happy they did so. Your family's decision may be different. Your/their options may be different. But this is not the last time you will get the news that something is wrong and your presence is requested for what could be an extended length of time. Whatever you decide ... your family needs a long-term plan and not just a short-term response to a particular event. Good luck!
  7. llg

    Driving 1.5 hrs (one way) to work. Good idea?

    There is no way I would consider a commute that long. I don't think it would be safe.
  8. llg

    Went to inactive license

    I also graduated in 1977 and am in the process of semi-retiring now. I am still going to teach a little -- so I need to keep my license a while longer. But I will be letting it expire in just a couple of years. I think it will bother me a little, but hopefully, by then I will have moved on to a new life as a retiree and found other things to do.
  9. llg

    General question

    That is a good question and I am not sure of the answer. You'll need to check 2 things: (1) Will a school accept you into their NP certificate program without an MSN? In the olden days, there were programs that did not require an MSN. Most of those now require an MSN -- or require that you obtain your MSN or DNP as part of the program. But you might find one that doesn't have that requirement. (2) Will you be able to get licensed as an NP in the state where you want to practice? That may vary from state to state. Regardless of what you find as you investigate the 2 questions above, you may find that you will need so many nursing courses to the NP certificate that you might as well complete MSN as part of the process. I'll be interested to see what other posters more familiar with the current regulations say.
  10. llg

    Quitting Nurse Residency to Start A Different One?

    It's not stupid to want what you want ... but I think it is unlikely you will be selected. While you technically meet the criteria for the residencies that you want, you are not exactly what they have in mind -- and it is likely that in a competition against lots of other new grads, your chances of being chosen are not high. My recommendation is to apply for the programs you want ... but don't count of being accepted. You might be fortunate and be selected, but be prepared not to be. Develop a good "plan B" for yourself.
  11. llg

    Need some serious new grad advice

    I agree with the other posters. Also, I noticed that you will be working with pediatric patients. Most children's hospitals would greatly value the type of experience that you will be getting. You may never have thought about being a peds nurse, but if you end up liking the peds population, you should have little trouble getting a future job in a peds hospital. And believe me, the children in peds hospitals are just as sick and need just has much intensive care as the adults in the adult hospitals!
  12. llg

    ADN vs BSN help

    I think you are doing the appropriate homework to investigate this question and thinking along good lines. Continue to do that and: 1. If you can realistically complete the ADN in 2 years and you will be able to get a good job that you will like as a new graduate ADN, then I would go that route. As you realize, it will be cheaper, get you into the workforce sooner, and save you a lot of money in the long run. 2. However ... in some areas of the country, it can take 3-4 years to get an ADN because the good schools are so crowded that they have added extra requirements (making them almost as long and expensive as BSN programs). Also, in some areas of the country, newly graduated ADN nurses are not eligible for some of the best jobs. The best hospitals with the best new graduate orientation programs and popular specialty programs, etc. may limit their hiring to only nurses with BSNs. If those factors are true in your region, then there is little to no benefit in doing the ADN first. You might as well go for the BSN from the beginning. You'll get your career off to a better start -- and in the long run, that may be more important to your long-term professional and financial life than the money saved up front. Perhaps you can improve the financial aspect by working a little more during your first 2 years of college, applying for every type of financial aid, etc. 3. Quality matters. No matter what type of program you choose, make sure it is of good quality. If the nursing student market is crowded with lots of people wanting to go to nursing school, there are probably some schools that are reducing their quality to take in more students so that they can make more money. Be sure you are going to a school that is fully accredited, a high NCLEX pass rate, and a strong reputation with the best local employers. Don't compromise on quality.
  13. llg

    RN-to-BSN curriculum

    While it varies from program to program ... most programs assume that your original RN program covered the physiology and individual patient care topics sufficiently for you to become a competent, practicing RN. So they don't include much of that in the RN-BSN curricula. Remember, they are not trying to prepare their students to be competent bedside nurses -- you should already be prepared for that. They are also not trying to make you into an advanced practice nurse. The BSN is an "entry-level" degree and they are just trying to give you the broader education to better prepare you some of the more advanced functions of some of the more sophisticated jobs at the staff nurse level and slightly above. Such roles include: preceptor, charge nurse, staff educator, unit manager, discharge planner, patient educator, program coordinator, community health nurse, policy writer, research team member, evidence-based practice project team member or leader, etc. Such roles are available to nurses without a Master's Degree, but not all ADN and diploma programs provide a lot of coursework focusing on the broader knowledge base that is helpful for such functions. I teach online nursing courses in which half of my students are enrolled in an RN-BSN program (already practicing RNs) and the other half are pre-licensure students who already have Bachelor's Degrees in other fields enrolled in a "nursing as a second degree" program. Both groups need some of the same content (community health, health policy, leadership, research and evidence-based practice, patient education, etc.) -- so there is some overlap in the courses they need and they take those classes together. But their needs are not totally the same as the pre-licensure students need the clinical piece that the others got in their original RN program.
  14. llg

    Is it wrong to stay in med-surg?

    I strongly agree with the previous posters. If you like your job -- stay there and be grateful you are able to earn a living in a job that you like! It is a job that is needed by society and your work helps many people on a daily basis. Be proud. You might want to explore becoming certified as a med/surg nurse. You also might want to become a Charge Nurse and/or Preceptor. With you experience and maturity, being a leader on your unit might become a strong, positive influence on the culture of your new workplace. That would be a wonderful thing. The culture may not be perfect now, but you could help make it better in the future. 😄
  15. You're right -- and I apologize for posting mis-information. I would however, hesitate to outright lie about anything on an application. Even though an employer may not be able to fire you directly for such a lie, the lie may well poison your relationship with that employer. They may stop trusting you and choose to get rid of you through less direct and obvious means. So I would choose to be honest whenever possible, particularly if you know that the lie will be discovered when you start working. If your employer can't deal with the "real you, as you are on the typical day" it's probably best to find that out in the beginning and find a job that is a better fit for the reality of your life.
  16. llg

    BSN school help

    In order to know if a program is a good fit for you or not ... you'll have to tell us what characteristics you are looking for. The people here can all list the schools they went to ... but whether they are a good fit for you or not will be a total crap shoot. Why was WGU not a good fit for you? What characteristics of that program were NOT right for you? Are there specific things you ARE looking for in a program?