fortune-teller

The average age for RN is about 47. You are young. With determination, I am sure you can do it. Good luck.

Phasing out LPN's? My answer consists of 2 words: Not possible. Rationale: 75 million baby boomers and RN's cannot take care of all those aging patients alone. Many people/nurses have been saying it ever since 1999.

Cannibalism! Photo: Momlogic.com

"Wow. This seems like very bad advice. Once you accept an assignment, you are responsible for care, which would guarantee that you could be charged with abandonment if you try to leave in the middle of a shift. ETA: Which brings up another question. What would she be reported for? Clocking in to a little box on the wall and then clocking out?" She already clocked in... What else she could do? After she clocked in and she found out the assignment was considered to be "uncomfortable..." She should have found out before that. Check the BON's guidelines when in doubt. In New York, I don't think the NYS-BON will allow the nurses to do it. That is abandonment. I don't know about your state. Different BON's have different policies/guidelines regarding to that situation. Why do you think she was terminated? How could she find out the assignment was "unsafe?" She must have done more than "clocking in..."

You just hope the DON is not going to report it to the FL-BON. The way to approach this problem is to take the assignment first even it is unsafe, then you proceed to discuss your concern with the supervisor or DON. If they have no intention to listen to you, then it is time to pack your bag and go somewhere else. Anyhow, I hope you will be OK!

If you could get into an RN Program, you should go for it. However, if that is not the case, you can use the LPN Program as a stepping stone. The very first time when I heard some nurses said that LPN's would be phased out was in 1998 and that was 11 years ago. With at least 75 million baby boomers, I don't think it is easy for anyone to get rid of LPN's. I myself was an LPN. Regarding to the pay, it depends on the location. In big cities, you get "big" pay. In small towns USA, you will get small town pay. In NYC, $25 to 29/hr in a nursing home if you work for an agency. I know in some parts of Florida, an RN is only getting $22 to 23/hr to start. It is your decision, once you become an LPN, it is easier for you to get into an RN Program and you can also work while you try to finish your RN Program. Good luck.

I am not so sure if your bosses were really "understand." I think all the bosses are diplomatic and smooth talking is part of it. Have you noticed that some nurses are doing the same thing? In front of you, they will say XYZ is no good and in front of XYZ, they will say some nasty things about you. From you posts, I am not really so sure if your bosses are totally on your side. Just perhaps.. At the end, I am not saying that you are a bad nurse. You do stand up and speak up for your patient. But I think there is a better way to solve this problem. There is not need to lose your coolness.

You must also read the OP statement--the very first post in this thread. You will come up with a bigger picture because I was responding to the OP. In this case, there is no need for an incident report!

The administrator was correct as there is no evidence at all. A nurse's "intuition" is just not good enough in this case.

You must quote my post entirely! I said an incident report is not needed and I stand by my decision;however, it seems to me you intentionally left out the big part of it. Anyhow, I rest my case, as there is no needed to go on further. Have a good day! And good luck to whatever you do in the future.

how do you know the wife is controlled by that man? are you closely related to them? is op's intuition a standard for all of us? it is just not right to judge a person when we are not even there. if the op was a judge, many innocents might have to go to jail based on her intuition. so sad.

I wasn't there so I don't think it is appropriate for me to judge what that man did. Different cultures have different ways to approach women. When you work in one of the Arab countries, you can't even have any eye contact with your female co-workers. Anyhow, many of you, without even being there physically, already decided that man was an evil doer. I remember from time to time when I watch the 20/20 or 60 Minutes, I see some people go to jail for no reason at all. No physical evidence. Just only she/he says, the innocents could end up in jail. So sad.

So much work...so little time. You finally realized that you only have two hands and just 10 fingers and it is not enough.

Doctor without Border! Requirement: 2 years experiences in your specialty! Pay: Very little! No student loan forgiveness! Good luck! I always respect those who sacrifice!

Both of them are the same! The second one I had to spend more time to define the first one! What do you mean by "your prior statement...erroneous?" An incident report is not needed in this case due to the fact that there is no harm to the resident in this case! Reporting to the supervisor regarding to this "incident" is not the same as filling out an incident report! Did you read the bottom part of my 1st post right here?

I have already stated it! What did she do when she encountered a problem and this is an intervention... The state knows the nurses are unable to prevent all the incidents/problems from happening; but they want to see the interventions done by the nurses.. What the nurses did to prevent similar problem from happening again! If the nurses are unable to solve the problem alone; then the state investigators want to see the collaboration between the health care teams regarding to this problem.

It depends on who you are shadowing. Shadowing a good one is a plus, but shadowing one that is unorganized and unwelcome is a NO, NO!

BSN is preferred! You see it here! You will see it again in any employment ad! AAS in Nursing + Other BS/BA degrees

This is one of the major problems in the LTC unit....Time management and the amount of work that is more than you can handle by your 2 hands and 10 fingers. Always use your own judgment! Some residents have their own "biological clocks" to take the meds. Some don't take anything after certain time because they have to sleep before the hours of sleep. You must know all the side-effects of the meds. Certain meds cannot mix with others; so you have to know that too. You are still new to the unit and when you get to know all the patients, things will be getting easier. Of course, as I stated, use your own judgment...I think Coumadin is not one of those meds you can mess up with or should you give the 6 P.M. and 10 P.M. B/P meds all at once? Insulin given at 9 P.M. is another one you cannot mess up with. Other than those...you must know your patients and you must use your own judgment. The most tricky one is the neb. treatment for COPD, especially the one that is given Q6 hr. Some patients refuse the 12 midnight neb. tx. even you give it to them at 11 P.M. In this case, I will discuss it with the M.D. and see if he/she could make the 12 MN neb. tx become a PRN. Good luck!

There is no need for any incident report unless a harm/injury is being done to the resident. Anyhow, for your information, you must document the findings in the nurses notes. Plus, you also have to state that nursing supervisor was informed and issue was discussed. Also, what did you do after the "incident." This is an intervention. This will protect yourself from the state investigation should there is a harm/injury to that resident. The state want to see your intervention/action whenever there is a problem. Failure to act is a negligence; and a lawsuit is a possibility. Good luck! And I don't think you will have to worry...

No 2 nurses are the same! Some nurses can't find work because of many reasons such as unstable work history--jumping from one job to another in less than 6 months is a big red flag to some recruiters. One year in Med/Surg is better than new regards. If you mom knows someone somewhere is a big plus for you...

Did you apply for a temporary license? Two weeks after I sent out my application, they printed my temp license. However, the CA-BRN stated that the FBI rejected my fingerprints due to the poor quality work done by the NY Police Department; so I have to do it again. Where did you get your fingerprint done? You mind if I ask.... Looking for work is the 1st step unless someone in Calif is willing to support you until you find work. I filled out a few online applications. Just in case I might not be able to land a job in the acute care setting, I have also called all the rehab/long term care facilities located in the Los Angeles; and I have sent out/emailed my resumes a few days ago. Hopefully, I will get something before I make a move. By the way, at least you have one year in Med/Surg, and this is way better than many new grads. You will have a better chance...believe me. Good luck.

I am just tired of being in New York City. I have been here since 1982 and it is time to see the sun set in the Pacific Ocean. Plus, I am so tired of the work in the Med/Surgical ICU or Trauma ER. I am so burnout right now!

There are 4 of them: 1)Dr. Susan Smith Mckinney Nursing and Rebab Center 2)Gouverneur Healthcare Services 3)Coler-Goldwater Specialty Hospital & Nursing Facility 4)Seaview Hospital Rebab Center and Home. Coler-Goldwater is a 2000 beds facility; so you might have a better chance to get a job if the facility is hiring. Gouverneur Healthcare Services is a long term care facility. It has a clinic on the ground level. Good luck!

Good luck! By the way, they allow you to park your car on the 4th floor and you have to apply for it. In my case, it took them nearly 3 weeks to give me the permission to do so. The 4th Floor parking is so much safer.