Franjcamp

American Association of Neuroscience Nurses (AANN) The association of neuroscience nursing. This will help you in your quest. My favorite websites as a stroke coordinator are National Stroke.org, AHA/ASA (American Heart/American Stroke Association), NINDS([COLOR=#1122cc]National Institute of Neurological Disorders and Stroke (NINDS), and the BAC([COLOR=#1122cc]Brain Attack Coalition). All are great websites chucked with information.

Our stroke association is looking into this also. This is from the American Board of Neuroscience Nurses: [h=1]SCRN Test Dates and Deadlines[/h]The SCRN Examination will be offered in computer-based testing (CBT) format during two examination windows, May and September. Applications must be received (not postmarked) at the ABNN office by the below deadlines. [TABLE=width: 500] [TR] [TD]Exam Administration[/TD] [TD]Registration Deadline[/TD] [/TR] [TR] [TD]May 1-31, 2013[/TD] [TD]March 31, 2013[/TD] [/TR] [TR] [TD]September 1–30, 2013[/TD] [TD]July 19, 2013[/TD] [/TR] [TR] [TD][/TD] [TD][/TD] [/TR] [/TABLE] Access the Candidate Handbook and Application for more information. If you are an AANN member or a CNRN, do NOT create a new log-in to apply. Please call customer service at the number below if you do not have you password. The CBT exam is administered by Iso-Quality Testing. Iso-Quality testing offers more than 200 locations around the United States and internationally. View a list of all CBT locations. Each testing center's schedule varies based on availability, so if you have a question about a specific location, contact Iso-Quality Testing at 866.773.1114.

I would like to relate that though I was sweating it I have found a nice job as a stroke coordinator. Though a masters degree was not a requirement it didn't hurt to be 60 with an MSN to secure a job I wanted. There is still nirsing after 60. .

One thing I want to bring to the attention of nurses who are looking at taking jobs which pay less. Social Security is set up where your monthly social security benefit is based on the last five years of employment. What I am saying you may have made 70,000 a year for 30 years, but if you drop down to a low paying job say making 15,000 a year for the last 5 years you work, the government bases your social security benefits on the 15,000 a year. They only consider your last 5 years of employment when doling out those checks. Back to discrimination: I find it ironic that places are not wanting to hire older nurses who are generally a fountain of information, but the federal government requires us to work till we are 66 to get benefits and 70 to receive full benefits. I guess it is a way to save money by killing us by forcing us to stay in the job market doing strenous physical work. (Thats meant to be a joke folks, or is it)

Do you know of any case managers who are CNL's?

I just graduated from this program two weeks ago. To carry the title of Clinical Nurse Leader you must take the CNL certification exam which consists of 150 questions. I take mine this Friday. If you do not pass, you will still have a masters degree in the area, but not considered a CNL. The CNL is an advanced generalist. There are definitons and comparisons on the AACN website or just type in http://www.aacn.nche.edu/cnl/CNLCNSComparisonTable.pdf A clinical nurse specialist who is an advanced practice nurse, a CNL is an advanced generalist. Go to the AACN website and go to the clinical nurse leader section. The next website is http://samples.jbpub.com/9780763776312/76312_CH01_Harris.pdf A word of advise...if you live in the Midwest look at the state directory for CNL s. My state only has 22 and a good portion of those are educators who have taken the test to teach. If you are on the east or west coast you are likely to find positions in the CNL field. In the Midwest they are not being used as CNL's, but as other fields such as resource nurses, coordinators, directors, risk analyst, outcomes managers etc. A (+) note is the VA says there has to be 2 CNL s in every VA facility across the US by 2014.

I worked for the same facility 3 different times. Always considered an asset until I quit this last time after having surgery which has giving me a weight lifting limit for life. I furthered my education to a MSN in hopes that I could secure a job as a resource nurse or nurse educator. I have interviewed more than once for different positionwith this company and they chose others over me. One I am 60. The policy in this facility is if you work a cummulative of 25 years you are eligible for life-time insurance, and eligible for their retirement programs including long term disability. I think they can only except me as a floor charge nurse. I find this very disheartening. I have student loans out of the wasoo and have gone on several interviews with local companies, but have not heard back from them. I currently work at a critical care access facility 12 hour shift on a prn bais. This shifts are killing me. The whole purpose of obtaining a MSN was to continue to work at a less physical stressful position. My thoughts are as long as you want to work the floor as an older nurse there are jobs out there, but I am not sure transition is so easy.

This is a concern for me also. I just finished my Masters Degree at 60 and am looking to transition into nursing as an educator or case management position. I have been called into interviews by my previous employer of 20 years, 4 different times and was not hired. I was told recently by one of the employees who is several years younger she was forced to take a UR position cause the company felt she could not cut working on the floor any longer. I currently work at a critical care access facility prn on 12 hour shifts. They are killing me physically. Never thought much about my age being such a big factor. Apparently my mind is intact or I would have not been able to maintain a 4.0 in my graduate program. I was told by a friend who is a CEO of a rehab agency that my credentials should prevail, but he also was honest in saying that he is cautious in hiring anyone over 55. I wish you the best of luck. You may find yourself moving to attain your goals. I guess we just need to consider ourselves as oldies but goodies.

You'll do fine.

Time management is your best friend. All new nurses have to learn to become organized and to prioritize. Watch how your preceptor organizes her work. One week isn't much time for orientation. Our hospital's orientation is 8-12 weeks. Look to see what tools they have available. There are also worksheets online which may help. Most mistakes regarding patient care occurs at hand-off. So make sure your report to the next shift is thorough. As far as percentages...most often it is the new nurses who find the fast pace of the hospital is not their cup of tea. I have seen very few fired in my 25 years at the hospital.

I did not read the original thread, but I just want to reflect on my life's experiences as a nurse who has worked in the same hospital 25 years. I saw nurses who were in their forties and by the time 25 years passed, they were tired and frazzled and truly did need a change of pace. Sometimes 25 years doesn't have to pass to need a change of pace. I have been full-time, part-time, PRN and have worked 3 floors and some other jobs while I was on PRN status. Maybe she was just burned out. I went PRN once because I didn't like the nurse manager I was working under. When a nursing position makes ones life miserable, its time to bail. Nothing is harder to work with then an individual with a negative attitude. You are right to wish her luck and hopefully she will be happier.

For the past several months I have had my name on lists for CNL positions. Not a day passes where I do not recieve at least 1 to 4 job notifications in the field. Granted the positions are hot on the east coast, Nevada and California, but Ohio and several of the central states have recently started listing openings for the position. I receive most of the notifications from Simply Hired and Indeed.com. There are positions out there. I agree I think it is sad that the role of CNS has not been given proper credit. I live in rural southeast Missouri and the local hospital is just now starting to utilize the role of CNS. They have had several CNS's on staff but used them in administrative positions instead of their intented role. Just like everything else in nursing, this area is way behind times. I do not see the role of CNL being utilized until after I retire.

I did not mean to sound unappreciative of education, but I value my past experience in the field of nursing also. Many nurses will admit they graduated and didn't have a clue as to how to function as a nurse. I will admit for 20 years I did not understand why nurses pursued higher degrees. By the end of my BSN I realized how much I hadn't learned in my ADN program. Now that I am coming to a end of my MSN program, I am proud to say I have learned so much. A higher education is definitely worth pursing.

I totally agree with that statement. Recently I made a comment on one of our discussions in my MSN program that I appreciated any good nurse whether she be RN or LPN because experience was the key to performance and one of my professors made a snotty remark that if that was true then why bother with a higher degree. EXPERIENCE HAS ALWAYS BEEN THE BEST TEACHER.

Perhaps what I should have added was this is regarding the process of writing a telephone order itself. That is why I should have written it: T.O./P.O.: Dr. J./Office Person/ Sally LPN/Jane RN. Also the orders I am referring to one was for a narcotic and the other was for IVP lasix. I know each state varies. I was told by one doctor who came from New York City that he had to get up in the middle of the night and drive across the city to write a MOM order because the hospital would not let nurses take telephone orders. I appreciate the LPNs I work with. They are great nurses and I trust them whole heartedly, but I was just leary of the entire process seeing as how I was reprimanded by my previous employer for taking an order from an LPN and then it was a topic in zone meetings for several months afterwards.

Thank you. I spoke with one of my professors in my MSN program regarding this matter. She acted like it was no big deal and happened frequently. It looks to me that it is up to the facilities till they are busted or maybe its how good their attorneys are.

For the rest of the comparison table please visit: http://www.aacn.nche.edu/cnl/CNLCNSComparisonTable.pdf

[TABLE] [TR] [TD=width: 39%, bgcolor: #ffffff] functional front-line units such as a hospital unit, outpatient clinic or home health agency.10 [/TD] [TD=width: 30%, bgcolor: #ffffff] that is responsive to the health care needs of individuals and families. [/TD] [TD=width: 30%, bgcolor: #ffffff] influence: client, personnel and organizational systems. 11 The CNS(even if unit-based) exerts influence on behalf of their specialty population at the system level. [/TD] [/TR] [TR] [TD=width: 39%, bgcolor: #ffffff] The CNL assesses individuals and families to anticipate risks, design and implement plans of care, provide oversight of the care delivery and outcomes for a specified group of patients. [/TD] [TD=width: 30%, bgcolor: #ffffff] The CNL and CNS provide highly skilled clinical patient care. The CNL and CNS serve as advocates for individual clients, families and communities in the health care system. [/TD] [TD=width: 30%, bgcolor: #ffffff] The CNS manifests a high level of expertise in the assessment, diagnosis, and treatment of the complex responses of individuals, families or special populations to actual or potential health problems, prevention of illness and injury, maintenance of wellness, and provision of comfort.12 [/TD] [/TR] [TR] [TD=width: 39%, bgcolor: #ffffff] The CNL implements principles of "mass customization" 13 to ensure consistency of clinical care within populations. The CNL also uses strategies for risk anticipation and risk assessment to design, implement and evaluate plans of care for a cohort of patients. [/TD] [TD=width: 30%, bgcolor: #ffffff] The CNL and CNS use clinical knowledge and skill and a variety of information technologies, including clinical databases, to anticipate risk, perform risk assessments and other surveillance strategies to customize interventions and ensure achievement of health related outcomes. The CNL and CNS design and provide health promotion and risk reduction services for patients. [/TD] [TD=width: 30%, bgcolor: #ffffff] As a consultant the CNS provides expert knowledge and skill in a specialized area of practice to other nurses and the multidisciplinary health care team, particularly for complex or critically ill patients.14 [/TD] [/TR] [TR] [TD=width: 39%, bgcolor: #ffffff] The CNL is responsible for the delegation and oversight of care delivery by other staff on a daily [/TD] [TD=width: 30%, bgcolor: #ffffff] The CNL and CNS mentor nursing staff and other care [/TD] [TD=width: 30%, bgcolor: #ffffff] The CNS serves as a mentor to other nursing professionals to advance the practice of nurses and nursing. [/TD] [/TR] [/TABLE]

Same in Missouri

I found it totally impractical to make a Physical Therapist with a MBA as the director of orthopedics. All other directors in the facility are RNs. He may have a MBA and know business, but he knows nothing about nursing. Unlike the PT's nurses have mutiple roles and are expected to multi-task several issues at once. We do not have 15 minutes to transfer a patient or wait for a patient to move from point A to point B when the patient in the next room may be taking their last breath. I feel if you are going to be over nurses you should know what they go through daily thus you need to be an experienced nurse.

southeast missouri cape girardeau

Having come from a little larger hospital(200 beds) I was told in staff meetings that by a Doctor office giving a telephone order to an LPN and then the LPN giiving that order to an RN, it was a violation of the nurse practice act. Example: Dr. J./Office Person/ Sally LPN/Jane RN. Now I am working at a critical care access facility and they tell me it is not. Can someone explain to me why the same rules do not apply in both situations. Are all states this way?

I am currently in the CNL program at a local university and after the 1st year I still do not know what the role entails. I do know that it has been expanded to include education. Also many hospitals use them in various positions such as resource nurses and case management and not just on the floor. If that was the case I would not be in the program. I also know that the program I am in runs adjacent with the APN and CNS programs for the first year, so it could possibly make it easier to get into the APN /CNS programs because you have already had those prereq courses such as advanced pathophys, advanced pharmacology, theory, advanced physical assessments, and evidenced based nursing practice. What you have to watch is to make sure your course is CCNE approved and will transfer to another university. There is a website on Linkedin called Clinical Nurse Leader that may help explain this role.