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eriksoln BSN, RN

M/S, Travel Nursing, Pulmonary
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eriksoln has 15 years experience as a BSN, RN and specializes in M/S, Travel Nursing, Pulmonary.

Born in NC to a military family. When my father retired, we moved back to where my parents grew up in PA. Spent my earlier years landscapeing. Got my RN later and am now looking to specialize.

eriksoln's Latest Activity

  1. eriksoln

    What scares you most as a rn?

    I'm the guy everyone gets for stuff that makes their stomach turn and churn. Vomit, sputum, trachs, BM, loose BM, blood..........eh, w/e. It don't bother me. I work on a M/S unit, so, the one thing that does bother me won't be on our unit: Bone flaps. The neuro people with part of their skull missing. I'm so afraid I'm going to poke their brain or something. I won't take these patients, and I don't care if that makes me a bad nurse.
  2. eriksoln

    Job Satisfaction Declining for Nurses, Survey Says

    Any Star Wars fans out there? Remember Han's quote: "Must've hit pretty close to the truth to get her all rielded up like that" BSN nurses take it so hard when they find out they aren't all that, don't they?
  3. eriksoln

    Job Satisfaction Declining for Nurses, Survey Says

    HEY:mad: I googled those names BTW:madface: I'm nice to animals. I have two Orange Tabby kittens............Calvin and Hobbes, and they are spoiled to death. So naaaaahhhhhhh:p >_> :eek:Oh. Wait. "Beat a dead horse".................ok, I get it. N/M.
  4. eriksoln

    Job Satisfaction Declining for Nurses, Survey Says

    IDK. Maybe it's me. I just get annoyed when people so boldly pronounce things such as "My BSN makes me a better bedside nurse than ADN trained nurses" and then can't back it up. I mean, I wouldn't throw such statements out then then have nothing to fall back on when someone asks "Why?". Well, at the very least, I'd have more than "Well I don't know cause I've never been a ADN" and "I learned cultural sensitivity in school" to back up my statements anyway. It's kinda like...........if I say my baseball team is better than yours. Well........I can quote stats, point out how many people are in the all-star game, refer to the win/loss record and make all sorts of arguments as to why it is so. But.........as you can see.....those who claim BSN training makes you better at the bedside have............"Blah blah blah".
  5. eriksoln

    Job Satisfaction Declining for Nurses, Survey Says

    i'm all for bettering the profession too. but part of that is, as you put it......."learning to check our biases and stereotypes at the door." one of the biggest biases with nursing at this point in time is that bsns offer something at the bedside that adns don't. that is a joke, to say the least. and to top it off, this bias is fed by schools who want people to spend more for their degree and by healthcare admin. who want to make cosmetic, cost free changes to their staff in hopes of impressing the general public. if bsns really offered anything "extra" that adns didn't, they'd have been offering more money for the bsn trained nurse and all sorts of incentives for people to take that route instead of adn. but........they didn't. why? cause it doesn't change much of anything other than cosmetics. instead, they waited for the opportunity to require bsns without having to pay for them. the recession came, jobs are scarce and everything is more competitive. so, they offer the same old wages and benefits but require a higher degree for it. doesn't sound to me like they truly believe bsns have much to offer beyond what they already get with adns. i'm moving on to get my bsn because i see and appreciate my away from the bedside opportunities to invoke change and have my voice be heard. i feel i will be better heard with the bsn education. that, in a nutshell (plus job security) is why i decided getting my bsn is worth it. i do not believe however that i will suddenly have magic wands in my scrubs that were not there before that i wave around and all of a sudden........my co-workers respect me and my patients understand their eduction better and i see things hours before they happen. that is the fluff schools push off on people while trying to convince you to sign the dotted line.
  6. Dexter? who? oh, I need to meet this guy.
  7. eriksoln

    Job Satisfaction Declining for Nurses, Survey Says

    Explain it then. Tell me what outcomes you can generate with your patient an ADN trained nurse can not. Answer the (trick) question. Or do you agree with my friend who says its "zen-ish" and can't be put into words.
  8. eriksoln

    So sad, Nurse Assaulted

    Makes sense.
  9. eriksoln

    Job Satisfaction Declining for Nurses, Survey Says

    they want bsns because they look better in publications, not because they are better. since the only thing having your bsn does for the facility is allow them to boast "we have "x" percentage bsns", exactly what you said is true: you are paid as an adn and you get treated like an adn. why..............you are an adn. i'm going for my bsn. i though long and hard about whether i wanted to or not. i joined in on a lot of adn vs. bsn threads, dove in head first, looking for something concrete that separates the two. i wanted something to hang my hat on, something to keep in the back of my head while i went back to school. never found it. i know why too. see, as i did earlier this thread, my question has always been "what does having your bsn do to help you with bedside nursing?" i would often, as i did here, expand it to "what do you do or understand, given the same patient and resources, that an adn does not? what happens differently for your patient, since you have a bsn?" as with this thread, i got no answers. most changed the subject very quickly, others tried very hard to talk with big words and complicate the issue........but it always came back to there being no real answer for the question. one nurse did tell me something i believe (to a degree), which is that it is somewhat "zen-ish" and can't really be put into words or explained, that it is like being told to describe what vanilla tastes like. i found my own answer, and am confident in it's truth. that answer being: at the bedside there is no difference. same outcomes, same pg scores, same understanding, same everything. the difference between a bsn and adn nurse presents itself away from the bedside. hence, my question is a trick question, since it only concerns bedside nursing (i knew that this time around, not before). adn nurses are taught more of the language about research, they are judged rigorously on their writing styles (apa must be learned), they are forced to take more of a community look during clinicals (i had to write a very large paper describing my nursing experiences otherwise i would have had to do clinicals.......ones that didn't involve hospital bedside nursing) and the mechanics of political nursing are introduced on a larger scale (contacting politicians about certain bills etc). in short, the adn is more prepared to do things off the clock and away from the bedside to help advance nursing as a profession. and, this is what brings us to why so many people believe there is no real difference. bsns are more prepared to "enter the conversation" regarding nursing being a profession. they are better prepared to take nursing leadership positions in which they can make a difference and be the voice of nursing. but................this is a huge but.............most don't. they perform the roles of an adn nurse, go to work, clock out and go back to their everyday life, all the while telling themselves they are better at it for some (very imagined) reason or another (often things the school told them, the same schools who tell people there are thousands of jobs in nursing). since their higher degree only grants them powers away from the bedside, and they don't use them..........the line between the two degrees is very thin and blurred. i have news for the bsn grads who think they offer anything at the bedside that adns don't. your kidding yourself. it's probably a form of denial, denial brought on by the fact that you know your education has gone to waste because you aren't doing anything extra away from the bedside..........just clock in and clock out and be done. as i said, i am going back to school for my bsn. why? because i think i am ready to take that extra step in my career, the part that has nothing to do with bedside care. i feel, while being a part of committees with my hospital, i need to make myself better heard. no one wants to hear what an adn thinks, but some people (admin. and higher ups) will take a bsn trained nurse into account. heck, right here on this very site i was called "a layman" in an article i wrote about how "customer service" kills healthcare. i imagine the point the person was making was that i am adn trained and hence "don't see the whole picture". i'm also planning on being more politically involved. too many things changing and being done these days to sit idle and hope for the best. but this stuff is all off the clock and away from the bedside. thats where my bsn can help me.
  10. eriksoln

    One in four RNs wants a new job

    DOH. Or they just need to change fields. Being able to move around, even within your own facility, has become limited since the recession. My hospital at least, likes you to stay where you are at.
  11. Are you allowed to admit what you'd probably be is a serial killer? Will I get modded for it? I know all the details too. I used to be a landscaper before I was a nurse, so I think the breaking point would have arrived while I was still doing that. My weapons would be from the landscaping field. A weed whacker to torture people with and for leaving my mark (a circle, representing the moon, in the forehead). I would need the clippers used for trimming thick branches too cause besides my mark, they would also be missing the fingers of their good hand (would require some research). My target: Anyone, especially rich folk, who is nasty to service industry people. I would sit in Taco Bell during the day, wait to spot a nasty customer and then make them my next target. I could also go to the hospital, pretend I am visiting people and seek out a few nasty patients to pray on. My name: Man On The Moon. I would tell my victims "the man on the moon told me to do this". If you've read Stephen King's "IT", you'll get the humor from this. All the while, I'll preach to them how they were unwanted little "nasties" for being so rude to that Taco Bell cashier.
  12. eriksoln

    What's the issue with med surg?

    A year an a half ago, when census was low (seemed to be for every hospital), for some reason the admin. made it mandatory that when ICU didn't have enough patients, they could float ANYWHERE. Before, it was to the ER and step down units only.........no M/S, rehab, ortho or any other high ratio units for them. In the past year and a half, they've lost over half their staff, there are only a few veterans hanging on. Most that quit cited the above policy change as a contributing factor.
  13. eriksoln

    So sad, Nurse Assaulted

    I know, its a fine line but, I'm lead to believe her being a nurse is why she was attacked by the title. Not so. TBH, if the title read............"Girl attacked at nightclub"...........I'd have said "That's the nightlife for ya" and moved on.
  14. eriksoln

    What's the issue with med surg?

    I've said it before and I'll say it again (or, rather, ask it again): How in the world did good "customer service" and safe healthcare get interpreted as............pretend you are a quadriplegic and have as much done for you as possible?
  15. eriksoln

    My Student is draining me.....

    I don't know your student but I'm willing to bet they work as a CNA somewhere. Sometimes this is a good thing, other times it is not. They've probably heard all the bad habits nurses around him are in and hasn't figured out that it's not good nursing to be so jaded. I once had a former CNA new hire nurse tell me "Oh, those chart checks they do on night shift are all BS, they just make the nurses do that cause everyone is asleep." Mind you, this was said to me while I was desperately trying to get off nights because..........eh, well, thats another thread. So, I waited till the new nurse was at the point in her orientation where she took a reduced load of patients and had them all day. I followed her after one such day. Did the chart checks. Yes, there were errors, more than a couple. Wrong labs entered, wrong CT ordered, a med order was scanned to pharm. but never posted but was still signed off by her. I didn't raise a stink, but I knew she was coming in the next day and would have the same patients, so you can imagine what the report was like. "While doing chart checks, I was lucky enough to find the ordered CMP entered as a CBC so I chagned that. I'm glad I found that cause the pt. is on TPN and they need those labs early so they can order today's TPN." "While doing chart checks, I saw the CT was ordered to be done with contrast, but the order is for without. Oh my, that would have been bad to give barium to someone admitted with suspected bowel perforation." "The patient is supposed to begin PO protonix this AM, they D/C'd the IV. I asked pharm. why the changed the order (:oOK, this part, I was rubbing it in but it got my point across) back to IV and they acted like they didn't have a clue of what I was talking about. But, the orig. order is signed off, so sometime during the day it must have been changed to PO, but when I did chart checks........it was back to IV again. But, anyway, they corrected it and changed it back to PO again so all is well, we caught it before they had a dose via the wrong route." I still work with this girl. Her attitude about night shift is still about the same, but at least she knows enough not to voice it so arrogantly.
  16. eriksoln

    What's the issue with med surg?

    Nurse pt. ratio is the biggest concern. But there are MANY other points that make M/S unique and difficult: 1. Everyone will tell you "acuity" is going up and up. M/S most certainly has seen an increase in pt. acuity. In the not so distant past, patients with certain treatments simply weren't accepted onto the M/S unit (Q2 hr blood glucose with insulin gtt. for example) but they are now. But the pt. ratios are not adjusted to reflect this. 2. You deal with patients from admit to D/C........the whole spectrum. Not everyone does this as much. So, you have the new patient while they are extremely sick all the way up to D/C. You're not just dealing with one facet of the patients hospital visit. You can (and often do) have: A new ER that needs admitted or was just recently admitted, someone going to OR, someone coming back from OR and someone being D/C'd all on the same team at the same time. 3. Many other units use the M/S unit as a "soon to be D/C'd" dump off. The pt. on the Cardiac Step down unit go to the M/S unit one day before D/C. Then, the next day go home, with the M/S unit being the last stop. This is VERY BAD for your PG scores. Every patient from every other unit who is unhappy with their care comes to you last, and if you can't use your 1/2 day with them to magically make everything right, the PG scores reflect it. Unfortunately, since they were on your unit last.............all those comments about rude nurses and doctors or w/e.......are accredited to your unit, even though it's plainly obvious they are talking about the other units. This leads to many emails/meetings about answering call lights and "smiling while you enter the room" that really should be directed at others. 4. People in general don't get it that when you go to M/S from another unit, it is usually because you are better and getting close to going home. So, you have this patient from the ICU who is used to having a nurse with 2 total patients come to you. They don't want to hear about doing things for themselves or about figuring out how they are going to do things at home. They want their dilaudid and pillows fluffed like on the last unit. Getting them from "enjoying the service" to taking part in their own health often is daunting.
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