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DVB has 20 years experience as a BSN, RN.

DVB's Latest Activity

  1. You won't lose your license. If it is found, your facility may get dinged during survey for passing a med from someone else's supply. It is cheating the other patient out of a dose though. Suggestion: If you work in a NH or SNF, you would have the MD, order you a replacement dose after explaining to the MD what happened. Then there would be no "theft" of a medication. Then I would chart replacement dose was ordered and obtained. If they have Medicaid, they can't order early, so it would really be cheating a patient if it was not replaced.
  2. DVB

    3 States Won't License Excelsior's ADN Grads

    Is this just sitting boards for California? Or can you not get a California endorsement if you are licensed previously in another state and went to EC?
  3. DVB

    LIES About LPN's and LVN's

    I also used my LPN as a stepping stone to becoming an RN, not initially, but when they phased out LPNs in the hospital I went back. I just found it weird that she had a BSN with an LPN and not taking the NCLEX RN, so you can work. It seemed odd to me.
  4. DVB

    LIES About LPN's and LVN's

    Interesting, I did not know. What is the benefit of having a LPN-BSN? Would the LPN never take the RN? After the BSN with LPN are the eligible to take the NCLEX-RN? In the four most recent states I have lived, they bypass the PN altogether, so I am confused with that. You go directly from starting school to BSN, however; have to obtain your RN via NCLEX.
  5. DVB

    Anyone else regret becoming a nurse?

    You definitely should quit if you are that miserable. After finishing my preceptorship my preceptor said "Nursing is the worst job ever, I don't know why anyone would want to become a nurse, it doesn't pay, it's horrible, the people are horrible." I just spent 10 K to go to school to have this woman say this to me. After this nurse told me all this, she finished signing my papers and I asked if I had to do anything else. She told me no. I then said "I will never be a nurse like you, I will always teach, I will always be interested in what I do, I will always try to be helpful. If I decide I don't like what I do, then I will quit." I believed that then, I believe it now. If you don't like what you do, quit. Why you would keep going on with the education when you hated it, I don't understand. If you liked a primary job, do that. If you don't, quit. However; in my state you cannot work below your license so you might see if you can work as an MA before your license expires. We did once hire an RN to work as a MA at a MA wage in a clinic I worked at without additional training required. Good luck, hope you find something you like. But if you hate it, you should not do it.
  6. DVB

    Nurse Charged With Homicide

    How we set a dangerous precedent is saying if a RN has a medication error it is homicide. Would it then be hard to say "If an RN didn't check on the patient every 20 minutes and they expired, it's homicide". This is what I am talking about. It sets a criminal precedent for allowing the RN to be charged for a homicide for a medication error. Yes she did bypass the override, it is wrong to do such. However; why does the hospital allow an override? This makes the hospital liable also. My current hospital does not allow an RN to access Vec. Why is there an override available for an RN to access a paralytic? I am not allowed to access paralytics. So how is the hospital not responsible for this portion? Yes the nurse was negligent in pharmacology and apparently stupid to not understand what she was giving and doing it anyway, was her intention to kill the patient? The very definition of homicide is the deliberate and unlawful killing of one person by another. She has to prove that she didn’t mean to kill the person? This is why it makes it dangerous for us if she is charged and found guilty, anything can be considered homicide. First, I do believe this to be true, as I preceptor as part of my duty. I also agree with your reasons why nurses leave the bedside. I do know the RN's are scared, older RNs are scared to practice and younger RN's. At every turn joint commission, board of nursing and administration is chipping away at autonomy to practice. How many travelers do you have? How many people graduate in your area and work? Yes I agree some are the fact that it isn't what school portrayed, but I have been questioning nurses for the past 20 years. I also have questioned why they stay. I love what I do and try to help others love what they do, but administration and joint commission taking away our abilities to practice is definitely a problem. I don't work with limited resources, I work for an organization that is staffed rather well currently, however; we have RN's leave all the time. If we add homicide to a medication error, how long will we keep them? https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3762080/ https://nurse.org/articles/reasons-nurses-leave-profession/ https://www.registerednursing.org/why-new-nurses-leaving-profession/
  7. DVB

    LPN to RN

    Congrats on continuing your schooling!! I also was an LPN. However; for 11 years prior to my RN, BSN. I also loved my time at a SNF. The bonus for working SNF is you are able to beef up your resume with skills. Even though as an LPN, you technically cannot asses (we all do), you should have some pretty terrific skills in the area. SNF, really tests what you are capable of doing. You have sometimes the same level of patient as the medical floor, as they are usually surgical patients who never made it to the medical floor leaving for the SNF. So you essentially have a post acute patient. My suggestion is beef up your resume and sell yourself on an interview. All LPNs work as patient techs at my hospital, so it's not really going backwards as you still do IV's, and patient care, if it is in the acute setting. Many times hospitals will hire a new grad in the ICU, as they can train you how they want you, so perhaps as their manager if they hire new grads. If not, see if the externship is in acute care, the ED, the ICU etc and if they will hire you. I went from SNF to ED. So it can be done. I would also list out your actual skills on your resume. Strong assessment skills care of post acute patients (remember they usually only stay in the hospital for three qualifying days, so are they not acute?) Medication pass to post acute patient in a fast paced setting with 20 patients. sell yourself is what I can really say. Beef up the resume with what you do. Most people in the hospital don't know what a SNF really is. It's not really even a step down, its surgical quality patients day 3. Good luck!!
  8. DVB

    LIES About LPN's and LVN's

    First off I would like to say more education = more money. I started as an LPN to continue my education at a wage that would allow me to not take out student loans, while this is not always desirable, it worked for me. I worked as an LPN for 11 years. I originally started at the hospital in pre-op, in 1999 the LPNs were phased out for RN only. I chose to go to a SNF. During this part of my career, I was a charge nurse and oversaw CNA and RN staff members. I then became a nurse manager as an LPN. I could not sign my own MDS and it had to be checked by an RN. Per most states LPN is not allowed to assess, hang blood, or work in a NICU or acute care setting, they are allowed to pass medications, provide wound care and do all the functions of an RN without the "glory" associated. I then chose to obtain my ADN and continued on my path in nursing. I was now allowed to sign my own MDS. I chose to continue my career in the acute care setting. Upon hire at a magnate hospital I was required to obtain my BSN, which I have done. This did not change my practice, just allowed me to remain employed in critical care. I did not find the article to be demeaning to LPN/LVN. I can't say that I would have continued on if LPN were not being phased out of acute care. I didn't want to continue my career at a LTC/SNF/LTAC personally. I wanted the ED, OR, now PACU. In the magnate hospital I work for, we do employ LPN's. They are not in acute care, again they are not technically allowed to asses ( I know they do), however; we do hire them in the clinics, discharge lounge and weight management (working as a clinic nurse as well). To be able to start IVs as an LPN I had to take a certification to ensure my skills, as well as wound care. As an RN I am not practicing under anyone, I have autonomy to practice (and be sued), therefore; I do not have to obtain certifications as the board of nursing gives me full autonomy in my practice, whereas when I was an LPN I was working under my RN. My certifications are related to where I work. If I want to work critical care, ACLS. Pediatrics, PALS. These are my only required certifications. I am required to have CEUs as an RN, where as an LPN these were not a requirement. If I chose to become certified in my specialty, it's for financial and learning reasons, otherwise, I am not required to become certified. As an ED nurse and PACU, I am required to obtain TNCC and keep it current. I am uncertain how you have a BSN without having a RN. My guess is you challenged the LPN boards after not completing the RN boards? Almost every BSN program requires an RN if it is obtained after a ADN. This whole statement is confusing, unless you received a Bachelors in nursing administration? This is different than a BSN. Where I am employed only an RN is allowed to take ACLS or PALS for free as they are only used in critical care areas. Our LPN staff needs no certification as they do not do much direct patient care. If you truly have a BSN, then you can sit your RN boards without any additional schooling needed. The BSN program at most universities bypass the LPN now and do not have the student take this at all, which is why I question at true BSN, versus a bachelors in nursing administration. If this is what you have, then you would be required to take the RN program. We have an LPN who has a Bachelors in nursing admin who is currently in the RN program. Later she will have to obtain a BSN to stay at our facility as it is a different degree. Is this what you meant? I read the original article, but it didn't feel as though it was attacking or mean spirited to an LPN/LVN. I have been there and chose to advance my career so that I could work where I wanted too. If not for that, I would never had continued school.
  9. DVB

    Nurse Charged With Homicide

    We set a dangerous precedent being supportive of homicide charges for this case for all nurses. We make nurses the hospital scapegoat for a tragic incident. They wonder why most RNs get out of nursing the first five years? Things like this. We will never get or keep reliable staff if we are filing criminal charges for a medication error. Things that should have happened? Disable to override function. Make it so you have to call the pharmacy to escape the override. The pharmacist can verify with the MAR and RN what you intend to give. Medication refresher course for her if this is her first medication error. Continuing education for staff and clinicians alike. Disciplinary action, perhaps even up to a loss of license. However criminal charges will chase away many people from seeking nursing as a career.
  10. DVB

    Help pacu nurses

    ASPAN standards is- 1 Phase I competent RN and one RN. Your manager is not wrong that pre-op needs to be in the pre-op area. PACU in the PACU area. You actually cannot have them together per ASPAN standards. However; your second RN has to be available at all times. So having them separated by a corner or door does not work. You are not following ASPAN standards. Until the patient leaves the PACU you are supposed to have two RNs as far as I am to understand according to ASPAN. You have to show the standard to your manager and inform the manager that it is not safe. You cannot expect to be able to yell or call if you need something. We did this and refused to work without following the standard. So we have on Phase I competent RN and another RN at NOC shift during the week. During the day, it's all PACU RN. In PACU on weekend we have a PACU shift person and a PACU on call so we meet the two RNs that are needed. M-F we have a resource nurse that is designated as their first responsibility is to the PACU. They have had some PACU experience, but not a PACU RN. So they cannot take primary on a case if the PACU RN has no arrived when on call. Once the patient is in Phase II the resource nurse can take that patient and the PACU RN can take another Phase I patient. Basically you have to inform them and show them the standard. It took years for us.

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