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DoGoodThenGo

DoGoodThenGo

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Youth is wasted on the young. How true. Attended CSI in the 1980's while very young and quite silly. Changed majors now considering returning to nursing school armed with the wisdom that comes with age.

DoGoodThenGo's Latest Activity

  1. Oh I don't know... From above linked article: "Security camera footage showed that the patient had his oxygen discontinued when he were transferred from the ambulance stretcher to the wheelchair. And while the patient's vital signs were taken by a nursing assistant, the pivot nurse never spoke with the patient. At no time was any staff observed to complete rounding on the patient as per their policy. The report shows that two other patients, with less-severe ailments, were triaged, examined and discharged while the patient in question was still in the waiting room." https://www.ydr.com/story/news/2019/10/13/patient-dies-er-wellspan-york-hospital-what-we-know-now/3971892002/ If Wellspan-York had nothing to hide why did they wait > 24 hours to alert coroner of death? Also why the flurry of changes to ER nursing service including suddenly filling several positions with travelers?
  2. YORK, Pa. - Officials have confirmed the death of an ER patient at WellSpan York Hospital in August after the person was left unattended in the waiting room for more than an hour. https://www.ydr.com/story/news/2019/10/13/patient-dies-er-wellspan-york-hospital-what-we-know-now/3971892002/
  3. DoGoodThenGo

    BMCC 2020

    Since you'll already have a four year degree, it serves no purpose getting an ADN now that NYS has passed the "BSN in Ten" requirement. You are far better off just going for a second degree/accelerated RN program and be done with things. On average both an ADN and second degree program would still have you taking same prerequisites (missing science, math and whatever other classes), and run same length of time (about two years give or take). Only difference is at end of things one will leave you with the coveted and required BSN, the other with an ADN degree which may prove of limited use in current NYC nurse employment market. Would only recommend anyone take the ADN to bridge program BSN route is if they cannot get into a second degree program. That or they failed out/were removed from an accelerated program but found an associate degree school that would take them on. Otherwise it just doesn't make sense financially nor time wise. Many years ago now when NYC hospitals hired ADN nurses then things were different, but that ship has largely sailed.
  4. DoGoodThenGo

    NYP Weil-Cornell non union

    Cannot give specific answers to your queries, but can answer at least one general. When Columbia Presbyterian and New York Hospital/Cornell merged the places that were union remained, and those that weren't largely did not. IIRC New York Hospital wasn't union before the merger, and still are not. OTOH Columbia Presbyterian was and still remains a union shop. You might be interested in this: https://allnurses.com/which-hospitals-recommend-nyc-t368320/ Prior to being taken over by Northwell (then North Shore-LIJ), Lenox Hill's nurses aides, techs, etch were represented by 1199, which one assumes continued thus still remains so. Same union represents "unlicensed" staff at Columbia-Presbyterian IIRC. 1199 is a strong union and has done well in extracting benefits from hospitals for their members. IIRC the same tuition reimbursement and whatever else you mentioned at Lenox Hill also applies to Columbia-Presbyterian. In fact (again IIRC) Columbia Presbyterian by contract with 1199 reserves a portion of all new graduate positions for union members who have recently graduated nursing schools/become newly licensed RNs. Far as getting more direct insight you might have better luck in speaking with NYP-Weil Cornell nursing assistants in their native habitat. That is find some going to or getting off duty and strike up a conversation. The SAS (Q) train at shift change times is full of NYP nurses and aides. Am not suggesting you lurk about the 72nd and Second subway station, but then again..... *LOL* As for union versus not as with any job you have to sit down and see what works for you . If planning on attending nursing school tuition assistance is something worth having. But how much is it, and is it worth having? If you've never attended college previously chances are between NYS aid (TAP) and Federal (Pell) most of your tuition will be covered. Addition of (hopefully) limited federal student loans can cover the rest. This is especially true if you plan on attending a CUNY or SUNY nursing program. OTOH if you're aiming for NYU or another private school, that will be more expensive, and require more comprehensive financial aid package. Since you seem not planning on being an aide your entire healthcare career, know that usually the same union does not represent both nurses and unlicensed personnel. So in four or so years (upon completion of nursing school, passing the boards), you'll be looking at finding new employment as a RN, and thus probably asking these same questions all over again.
  5. DoGoodThenGo

    Failed Fundamentals at BMCC, now what?

    Sometimes the best defense is a good offense. Stuff happens. Life happens. But it is important to realize when it might be best to step back rather than soldiering on. This advice is often best headed when high stakes are on table, such as nursing or any other educational program where grades and continuation policies are often set in stone. My standard advice has always been if floundering (for whatever reason) in any course by first several weeks it is best to look at withdrawing. If that option is off table still wise to sit down with an instructor, counselor and or even department chairperson to see what options are available. Everyone can come back with one thousand reasons for why they failed an exam/class after the fact. But that often is cold comfort as instructors/departments have heard it all before. However if someone reaches out before things hit the fan, then things *may* be different. Cannot recall if BMCC has any sort of re-entry procedure for students, but I'd see if that is an option. Sadly far as CUNY is concerned nursing programs are one big family. Having been removed for cause from one program most always means none of the others will allow entry either. You might find this thread useful: https://allnurses.com/failed-nursing-first-time-cuny-t335108/ You may find only a handful of options (if any) open. Complete your undergraduate (AAS) at BMCC, then go onto a BS program (rocking each with a GPA at or > 3.0), then apply to second degree BSN programs. Attend a LPN program, then upon graduation and licensure move to a bridge RN program. Try applying to a private (and or for profit) nursing program some of which may be more forgiving of accepting those with a past. In particular I'd look for a school that gives personal interviews as part of the admission process. This would give you a chance to explain what went down. That being said things cannot come across as a Pity Me Pines sob story. Again these people have heard everything and their primary concern is how potential students are going to handle the demands of a nursing program. Am here to tell you right now, if your current GPA is barely 2.5 or worse hovering around 2.0, most places even if so inclined won't take a second look. Far too many applicants and or current nursing students these days with 3.0 and above GPAs. In summation if at all possible I'd try to get back into BMCC, that would be the easiest route. If haven't already try meeting with department chair, advisor, instructor.... anyone to see if something can be done. Good luck.
  6. DoGoodThenGo

    Does the BSN in 10 apply to all nurses or just RN's and why?

    This is probably one of the better articles on how things reached this stage: http://home.nwciowa.edu/publicdownload/Nursing%20Department%5CNUR310%5CBSN%20Required.pdf Also the famous (or infamous) white "position" paper published in 1964 making the case that BSN should be mandatory for entry into professional nurses (holding a RN license). It is important to remember a few facts. As then written the ANA advocated while making the BSN mandatory for becoming a RN, it also called for creating another license for ADN and diploma graduates (technical nurses). Per the paper the BSN nurse wasn't supposed to be at the bedside usually. Rather she (or he) would be in a leading position of the nursing care team (technical nurses, LPNs/LVNs, aides and techs). The BSN nurse would (among other functions) plan and evaluate patient care; the actual work in delivering such care would be meted out to technical and practical/vocational nurses and assistants. This is largely keeping with the (then) thoughts that BSN nurses (via their education) possessed the necessary background to diagnose, evaluate, supervise and so forth patient care, but sort of often thought slow on the uptake of "nursing arts" as it were. That is they were full of theory but short on rationale/practice. You can see how such a proposal was going nowhere in the 1960's and at once drew howls of protest. Diploma nurses who still were in great numbers then largely ran many hospitals or at least floors/units. They were then and for years afterwards as a group on average having highest board passing rates. Diploma nurses also as a group on average (then) ran circles out of the box both in orientation and first several years post graduate over ADN and BSN grads. To tell them they would now be called "technical" nurses was more than many were going to accept. While this mandatory BSN debate raged through the 1970's and well past the 1980's care models changed. Team nursing which by and large was the standard in 1960's had been largely replaced by primary. Also by the 1970's many hospitals began phasing out practical/vocational nurses on first units then floors. This left just RNs and aides delivering care. Obviously without "technical" and practical nurses much of that famous ANA white paper proposed doesn't work. For as hospitals and other facilities are concerned a nurse, is a nurse, is a nurse. Unlike some other countries (such as Canada IIRC) being a RN does not automatically equate to holding a BSN degree in any of the fifty US states. This is what various BSN in Ten pushes seek to address.
  7. DoGoodThenGo

    Does the BSN in 10 apply to all nurses or just RN's and why?

    It is a long and complicated/drawn out story, and don't have time right now to sit you down so here are the basics. LPNs in NYS aren't professional nurses (RNs) so obviously the statue does not apply. Practical nurses have their own educational and licensing requirements totally separate from registered nurses. As to the "why" this all came about, again it is a *VERY* long story. Much of it is covered here: https://www.nurse.com/blog/2017/12/20/new-york-governor-signs-bsn-in-10-into-law-for-nurses/ Long story short for >60 years (or is it 70?) since a famous (or infamous) white paper was published proposing mandating making the BSN the minimum requirement for entry into the profession there have been raging debates ever since. Hundreds if not thousands of students were told all during nursing school (ADN or diploma programs) that the BSN was soon going to be mandated so they had better make plans. It never happened; with many not only becoming fully licensed RNs but worked entire careers and now are retired (or close to it). Only one state (North Dakota) made the BSN mandatory, and it soon backtracked. However the "nurses in white coats) as some like to call them never gave up on their goal. If they couldn't get the BSN made mandatory from the top down (via state government laws), there was another way; from the bottom up. That is convince facilities (mainly hospitals) that somehow a BSN prepared nurse brought more to the table than ADN graduates. In 2013 Linda Aiken, RN. co-authored a study (published in 2014) showing that in many patient care areas hospitals with a higher proportion of BSN prepared nurses had better outcomes. https://www.americansentinel.edu/blog/2014/06/04/how-does-your-nursing-degree-affect-patient-mortality-rates/ https://www.rn.com/headlines-in-health/driving-factors-behind-the-80-percent-bsn-by-2020-initiative/ That study along with some others was behind the push to get hospitals behind increasing their BSN staff. In years that followed across the country places began going with "BSN only" or "BSN preferred" for new grad hires. North Shore-LIJ system (now Northwell) was one in New York, but pretty much all downstate hospitals won't touch a ADN grad (newly licensed or experienced) under most circumstances. As it relates to New York state the rest just came down to politics. Healthcare is one of the largest employers here (Northwell is the largest private employer in NYS), and the various unions representing nurses and healthcare workers hold considerable political clout. The rest as they say was history. Since hospitals already largely had moved to hiring BSN grads only, and the unions (such as 1199) won protections to see that their members are protected (those graduating from ADN programs given ample time to get their BSN), the state had cover it needed to enact the BSN in Ten. It gave Andrew Cuomo more to brag about that NYS is "at the forefront of progressive legislation" and leading the way in matters of healthcare and so forth. Finally should point out the one main reason North Dakota's BSN mandate failed was the huge nationwide nursing shortages of the 1980's through a good part of 1990's. As anyone can tell you while conditions on ground vary locally, there is *NO* shortage of professional nurses (RNs) in NYS or many other parts of the country. In fact if anything for some areas there is a surplus and places are beating back applicants with sticks. This has made it very easy for hospitals to pick and choose. While in the past due to a shortage they had to take any nurse with a license; now thanks to a glut places are free to put in place certain restrictions. In North Dakota the state found that once their BSN mandate was put into place it made a bad situation worse. That is instead of more BSN nurses (either graduates or bridge programs), ADN or diploma nurses could easily find work in neighboring/other states; and they did.
  8. DoGoodThenGo

    Does the BSN in 10 apply to all nurses or just RN's and why?

    Far as NYS is concerned diploma nursing schools long ceased to exist. IIRC there is only one such program left somewhere upstate. Basically the profession and more to the point employers (hospitals) made that call. The latter no longer would hire diploma graduates so schools had to make choices. Many such as Saint Vincent's and Beth Israel simply became ADN programs. Others like Flower and Fifth just shut down. On the profession side there was a push to move nursing programs out of hospitals and into colleges. This included the new community colleges which began offering ADN degrees. Both sides could see and or wanted the benefits of having professional nurses with a "well rounded" education which came from attending college. Spoke with someone working at College of Mount Saint Vincent's nursing program who also had been as Saint Vincent's in Manhattan. Asked her why Saint V's in the Village discontinued their famous and highly regarded diploma program. Reply was quick and short, "no one would hire them". On another front sometime by the 1960's or 1970's (cannot recall exactly) insurance companies began refusing to pay for care delivered by student nurses. That is the old apprenticeship method of teaching nursing (which was still well entrenched late as the 1950's) where much to a bulk of bedside care was delivered by students or probationary (probies) nurses was out. Facilities were informed insurance would cover care by licensed professional or practical/vocational nurses. With that big chunk of money gone hospitals found it increasingly expensive to run diploma (or even ADN) nursing programs. More so as states began mandating standard minimum credit distributions for all graduate nurses needed to sit for board exams. This is how things pretty much rolled across the country. Some states more than others held onto large numbers of diploma programs (Pennsylvania IIRC comes to mind), but overall their numbers have been declining since the 1970's. For any diploma RN who does not currently hold a NYS license, once BSN in Ten comes fully into effect they will be required to obtain their four year degree within ten years after being granted NYS license.
  9. DoGoodThenGo

    Nursing Uniforms: From Skirts to Scrubs and Beyond

    Well that's what things all come down to today isn't it? You'd have all sorts of heck breaking loose if any facility even remotely tried today to get even a largely female nursing staff back into starched whites and certainly caps. Happily for the Millennial age nurses and those near or coming after them in many local areas dress code decisions have been made for healthcare facilities by local governments. Here in NYC for instance it would be nearly impossible to mandate caps unless a place agrees/wants male nurses to wear them as well. Ditto for dresses/skirts and anything else that is gender specific. https://www.newyorkcitydiscriminationlawyer.com/dress-codes-uniforms-and-grooming-standards.html Mandating whites alone (dresses, pants or whatever) is still around for some facilities; mostly LTC, nursing homes and such. IIRC one of the last NYC hospitals that had their floor nurses in whites was Lenox Hill. This was before the place was bought by North Shore-LIJ. Now nearly everyone wears the standard "Northwell" (as NS-LIJ is now known) uniform of blue pants with white top. Ironically the housekeeping staff at then NS-LIJ (who are 1199 union IIRC) voted to wear the same blue dress with white bib that was standard student nurse uniform for many NYC schools for ages.
  10. DoGoodThenGo

    Nurse accused of impregnating women in vegetative state

    Nathan Sutherland is no longer a LPN far as the state of Arizona is concerned. So there is some justice in the world. https://www.dailymail.co.uk/news/article-6634093/Nurse-arrested-comatose-birth-voluntarily-gives-nursing-license.html
  11. DoGoodThenGo

    Nurse accused of impregnating women in vegetative state

    Former caregiver of the young patient in question gave a media interview in which she stated the woman's large and extended family visited often. They are American Indian from a local tribe and (former) caretaker stated often large groups of fifteen or more family/tribe members would visit. This was at least every two or three months. As noted part of being named legal guardian for her daughter the mother at least was required to make regular visits; which she did, at least once per month IIRC.
  12. DoGoodThenGo

    Nurse accused of impregnating women in vegetative state

    Far as Hacienda Health facility in question, that ship has already sailed. Soon as story broke family of patients began telling media that trust was "broken". Cameras are being placed in patients rooms by family. Some family members are moving into patients rooms, and or at least staying overnight. In general what normally happens has done so: all staff are "guilty" until proven innocent. Meanwhile the facility itself instituted new rules basically mandating no male staff member may care for/enter a female patient's room alone. So now male nurses and aides have to buddy up with a female staff member. This obviously is causing issues with staff and they have complained since the place isn't exactly the most luxurious in terms of staffing. As for that "most trusted" profession...., media reports began not soon after this story hit that if people think this is an isolated incident, they'd better think again. If you believe some reports/comments abuse of patients in LTC, rehab, nursing homes and other facilities is rampant and common.
  13. DoGoodThenGo

    Nurse accused of impregnating women in vegetative state

    Well think about it; if the LPN in charge of this patient's care was one of her primary nurses for all these past months do you think he was going to document and or report any signs of pregnancy? Furthermore if any of the other nurses or staff even brought up the subject he could always "laugh it off" by simply saying "now how could that happen in here?" or something to that affect. Being as that may a former caretaker of this young woman gave a media interview. There she stated that her patient depended upon staff for everything. Bathing, toileting, feeding, linen changes, etc... So yes, on the face of it you'd think someone would have noticed physical changes in this young woman. OTOH if Hacienda Health is remotely like many other such places there is probably only the legally required minimum professional nurse/RN. She (or he) is likely the DON with little direct patient care responsibilities. Next (and likely largest group of nurses) would be the LPNs, which again if this place is like most others there are only just enough to satisfy various mandates. Thus they are probably spread thin providing care legally only a nurse can provide. That leaves the largest group of care providers; techs and aides. Their knowledge of human A&P beyond what is necessary to be certified probably varies. Even for those that are female and have had children themselves noticing certain physical changes in the young woman while bathing or whatever intimate contact may not have registered as pregnancy. Again after all how could it happen in a supposed secure facility. If they did notice and reported their concerns to the above LPN, he surely would not document and or otherwise "investigate".
  14. DoGoodThenGo

    Nurse accused of impregnating women in vegetative state

    This story broke during period when site was down for revamp. As such it might be considered "old news" by now. That and the arrest follows weeks of reporting on a story that just goes from lurid to disgusting. https://abc7chicago.com/911-audio-shows-panic-after-comatose-woman-gave-birth/5057282/ https://www.10news.com/news/national/new-details-in-arizona-case-of-woman-in-vegetative-state-giving-birth CEO of Hacienda Health resigned shortly after story broke: http://ktar.com/story/2385389/ceo-resigns-after-patient-in-vegetative-state-reportedly-gave-birth/ Even more bizarre the mother of young woman is her legal guardian (she has been in a vegative state since about three years old and confined most of this time to care at Hacienda Health). As part of court ordered care the mother had to file reports with said court regarding her daughter's health and well being. Mother visited her daughter at least once each month since including the time she was pregnant and she didn't notice anything was wrong either. Well at least she didn't file any such report with the courts. But wait, there's more. About eight months ago as also per court order a physician filed with said court his report regarding her condition after a physical examination. Doctor noted "no change in condition". Patient would have been only about month or so into her pregnancy, and while likely not showing there are other signs that would have been visible. So either the doctor in question made only the most cursory of physical exams, or just stood by her bed and "looked things over". In any event both in house physicians for Hacienda Healthcare are gone as of today. One resigned while the other is suspended. For the record this has happened at least once before. Back in 1996 a comatose young female in Rochester, NY was raped by a male staff member of LTC facility she was confined to care. She subsequently gave birth to a baby boy. https://www.democratandchronicle.com/story/news/2019/01/11/comatose-woman-gave-birth-rochester-23-years-before-phoenix-case/2540086002/
  15. Don't want to post link because while a "news" item is really only about local New York. Anyway the Real Deal is reporting today that the College of Mount Saint Vincent has filled plans for a new building that will house both dorms and school of nursing. From article: "Riverdale's College of Mount Saint Vincent is planning to add a new six-story, 91-unit building to its campus. The school filed plans with the Department of Buildings on Monday for a building at 6301 Riverdale Avenue that will span roughly 60,000 square feet. It will contain space for dorm rooms and a nursing school."
  16. DoGoodThenGo

    Bellevue Hospital (NYC) School of Nursing Grads - Save Your Cap

    Nope, they're not and don't expect they ever will; not for the money seller is asking. Again a museum, collector, alumni society or whatever likely would love to have that lot; but no one has that kind of money lying about spare. Also as noted there isn't really anything anyone can really do with them other than for collectors/display purposes. At least here in NYC area haven't seen a cap in ages, and that includes during Nurses Week. This much less at or anywhere near Bellevue. Besides those caps would need to be restored to white or something close enough (which may not be possible), and likely material is too fragile for shoving pins into that are needed to anchor the things down onto head. Quite honestly am surprised that "family of nurses" themselves didn't donate those caps to Bellevue's alumni society or something. Anyway we can only hope after several more months of not even a nibble seller will see sense,and either drop his price of just donate the things.
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