mindlor

The term nurse manager is usually a misnomer. The fact is that most nurse managers do not have any management training. This is why a good many nursing units run inefficiently and have high turn over. A BSN does not a manager make. If I had a hospital I would tend to be looking for RN MBA's to run things eh? Or at lease a BS in MANAGEMENT? Duh?

Nope, Many lawyers have told me that as long as a nurse practices within policy this is not needed. Having said policy will make a lawyer more likely to come after you....why not tap that piggy bank?

If I pick up shifts at my primary job, the 1.5 pay rate is much more than any per diem job that I have ever found will pay. Plus, it is hard to serve two masters.......

I would say.....don't marry her, she will ruin your life utterly and completely.

I just yeah yeah yeah and nod my head to these fools. Then I go back to doing things my way, which is very very successful. I have told many a boss that when they get tired of the way I do things......they can fire me. I have not been fired yet because my survey scores are through the roof.........I sure have quit a lot of jobs though.....I refuse to work for kool aid drinking fools.

not all jobs have such heavy loads, rehab jobs and ltach jobs for CNAs are hard. Grt a job at a hospital on a med surge floor, you will get total care patients but you will also get walkie talkies to balance it all out........you just have the wrong job........

p.s. you learned all the patho you need in your ADN......the BSN is merely a review....

All the BSN programs I have seen have little to do with science. They focus, on legal, public health, cultural aspects, research, etc.......much more important than being proficient in chemistry is being proficient in APA and creative writing

BS = Bull Sh...... MS = More Sh.... Phd = Piled higher and deeper These BSN programs are full of useless classes that have no bearing whatsoever on a nurses practice. They are laden with busy work and are generally designed to separate a nurse from their hard earned money. Where I work you get a 50 cents an hour raise for a BSN.....pfffffffffft

In my 2.5 years in the acute hospital setting the NPs think like doctors. The NP schools are teaching the medical model. NPs do not care one lick about the "art of nursing"....they care about making sure the right tests are ordered and that the right MEDICAL diagnosis is made and treated.. Maybe not always true, but, certainly my experience. I would guess that an NP practicing as a primary care provider may have a different outlook....

Every last on I spoke with had at least a DNP and at least 25 years experience combined as a practicing RN and mid-level provider. disagree with the sentiment that is your choice, however in the academic world this is the thinking. Columbia is considered by many to be a very prestigious school and I cannot imagine them taking this position and subsequently offering this program if they thought Columbia NPs would be out there tarnishing the schools reputation.....

Lets just say I pass out a lot of AMA forms

It is technically against DEA regulations to carry narcs in our pockets per our director.......

OK so I will chime in here as I have before on this topic. As many of you know I was attending the direct entry MSN program at Columbia University before being hit with cancer....anyway while at Columbia I had many a conversation with all of the top brass and the consensus was that being an RN had absolutely nothing to do with being an NP. As an NP one is working with and talking with doctors ie thinking in the medical mindset. Many of the nations top school allow people to bypass RN altogether. Columbia, Vanderbilt, NYU, just to name a few. So, cry, rant, disagree, whatever, but this is the way of things. That said. once my battle with cancer was resolved I personally went and got my ADN and have been working as an RN for 2.5 years. I briefly just last year dipped my toe back into NP school but quickly withdrew as the program was laden with so many time wasting silly classes....I want to listen to lungs and hand out zpack which has zilch to do with studying the theorists who debated the pros and cons of treating impaired religiosity... Furthermore, my experience says that an RN willing to work extra shifts can out earn an NP any day of the week......

Why does this population always seem to be the most needy, the most demanding, the most unappreciative and the most noncompliant......frustrating as we are the only hospital in town who takes these lovely folks.... On a different note, my boss gave me a script to study but my dog AIDET.

Had really just begun the NP program. With work and with my life, the NP program was not going to work out any way. And yes, it was a direct entry program. I was still early in my first class when I left.

So, a competing health system had a job fair. I have not been happy at my skilled nursing job as it is just a horrid place. So......on a lark I headed over to the fair. This same system had rejected me oh....about 9 times. Well, this time it was love at first sight and they offered and I accepted a job on "the renal unit". I love the renal system and I am pretty excited. Do any of you work on a renal unit? How do you like it? What can I expect? On a selfish note it felt very good to hand in my resignation letter. I had grown very bitter after 1.5 years of horrible staffing and inappropriate levels of pt acuity on our unit. They were shocked. BTW, I had found out that I was one of or maybe even the lowest paid RN at the old place...... I had repeatedly mentioned to my boss that I never received any positive feedback but plenty of negative. I would often ask her straight up...Do I do anything right? She would always say yes and walk off. I am here to tell you that as a male, I need and require positive feedback. I would rather have the occasional kind word than a .14 per hour annual increase. So to my female bosses...take note....learn to dish out a little praise. Please bring to light my shortcomings so that I may correct them. But please lets also discuss what I am doing right and even how I can improve on those things. It is hard to go to work day in and day out working an avg of 4 12's per week when feeling unappreciated. Another tidbit for jobseekers. My experience shows that mentioning that you wish to enroll in NP school straightaway is the kiss of death. Do not mention your plans to be an NP.....they will see you as a distracted employee who will need a lot of days off with a fairly inflexible schedule and they will probably not hire you. To get this job, I dropped out of NP school and promised my new system that I will obtain my BSN. A promise that I will keep. I am happy and excited to begin my new journey but man these last 6 shifts at the old place are going to drag on lol...

I think somewhere along the line there has been misunderstanding...listen...it is they, the 3-5 pt nurses that bash and disrespect us. They look down their noses at us and treat us like we are somehow lesser nurses than they. I can and do float to their floors. When I do, I do not feel like I am on a vacation, I am on a vacation..I run circles around them and when I am caught up I go and help them. I end up doing their discharges and admits. When they come to my floor, I run circles around them. When I get caught up, I help them. I do all their discharges and admits....I console them and dry their eyes and let them know that I wont let them fail. Then I watch them move so slowly that it it is painful for me to watch....granted, they have not had the same experience as me. But this fact remains....I can do their job, but they cant do mine, yet they consider me their underling.....so yes, I suppose I am somewhat bitter....

Well all I am saying is when our med surge nurses float to my unit, they are completely overwhelmed, in tears and nervous wrecks......perhaps you would be able to handle it...I dunno...I only speak from my own limited experience....

So I get to work yesterday... I work on a skilled nursing unit...however we have sick peeps. We hang blood, IV meds etc etc..many times it seems like a med surg unit rather than a SNU.... So any way we have like 24 pts and 3 nurses and to my shock, only 1 CNA for the shift. These people are mainly post op knees and hips and need assistance for EVERYTHING. The call light rings constantly. So one tech for all these patients is well, not going to do much for our PG scores... So I had a little tiff, got over it and set about my work. To my dismay, 10 minutes in to the shift what do they do? They pull the one tech to a different unit... This is day shift BTW and was a Friday with a zillion discharges and admits to boot..... we made it and no one fell and no one died but we wont be getting any high marks for service..... The other part of my little minirant is the lack of respect that SNF nurses get. We can and do all of the things you "real" nurses do. In fact when I float to a med surge floor I feel like I am on a vacation. When the med surge nurses float to our unit they find a corner, fold up into a fetal position and cry incessantly lamenting that they will never be able to handle their assignment.....interesting yes? Anyway......that is the end of my story lol

Furthermore, all a bed alarm really tells you is: Yo, you have a pt on the ground

Let me share a personal experience. I worked for a horrid place and left and went to a different system. The director at the new place promised me that staffing would be great, the coworkers were great etc etc.....well it was all lies. I found out that the avg nurse stayed on that unit about three months before leaving. Well in the interim I had met a new friend. she was the director at a different hospital within the same system and wanted me to come work for her. Well I presented this idea to the director that I would be leaving and she was not inclined to let me go. The director at the new place had her HR guy call the other HR guy and before I knew it everything was signed sealed and delivered. Now the bridge to the other place is certainly burned but I dont care....if that were the only place to work I would simply leave nursing and go back to my previous career.... The moral of my story....see if the other facility will work in your favor on the back end of the deal......

Customer service does not equate to brown-nosing. I provide great customer service even while pushing my patients. I am on a rehab unit and at first my patients tend to hate me a good bit. By the time they leave, they tend to love me. Things like :i cant wipe myself?. My reply, well why not, I cant see any reason why you should not be able to. What will you do when you go home? Good customer service can simly mean wearing a smile, being on time with pain meds, knowing their likes and anticipating what they need such as noticing their water pitcher is low and bringing a fresh one with out being asked. The following sentence defines customer service in a nutshell and it is very profound. So, take a deep breath....ready? Ok here we go..... Do unto others as you would have others do unto you. It is just that simple. Do that and the survey scores will be through the roof.

The docs know I am a wrong choice for picking on......I will usually bite my tongue and then wait till the day that its just them and I in the elevator.....at that private moment I set them straight and seldom have any more trbls....just the other day a doc tried to be rude and condescending to me in front of a large group of people....I am fairly quick witted and rapidly turned the tables. The room filled with laughter, the doc was speechless and red faced and I exited gracefully......and it was done in such a way that I respect no blowback....this doc in particular announces to all that he is a christian....which I respect....then he carries on like that....not a good witness....but that is another topic for another time....

hmmm indeed, now that I think on it I believe you are correct roser!! TY