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Angeljho MSN, NP

Psych Nurse Practitioner

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  1. Angeljho

    DNP vs MSN

    The way I see it, the DNP is a waste of time. There is no incentive to pursuing one other then a feeling of self accomplishment. As a new NP, I'm seen as an attending with a full caseload. Meanwhile, residents are still learning, taking classes, and gaining a far better education that I could only dream of. Seeing these residents motivated me, so I looked more in-depth into DNP programs to see if I could enhance my clinical knowledge in a similar fashion. It turns out that the "practice based" terminal degree was just more fluff policy and research courses. I'm hoping that either the DNP will shift focus and become an actual practice based degree that offers intensive clinical/pharm courses beyond the master's level or a new nursing terminal degree will come into play that does that. The DNP is just another PhD to me. I'm actually thinking of pursuing med school, but that's a whole other topic for another day.
  2. I've seen a lot of complaints on this forum about the quality of NP education and training. However, while I mostly see complaints here, other forums and media defend NP education. If NPs feel that their training is inadequate, why not tackle this issue at a higher level to advocate for better training (or a better model of care)?
  3. Yes, along with making your page private and not putting your face as the profile picture. But still be cautious because there are still ways an employer can find you. Let's say your friends on Facebook with "Jim" who has a public page. He mentions your real name in a comment on a post and you respond. When employers look up your name, his profile might come up and the link may lead to that direct comment; and voila, an employer has found you.
  4. The only social media that I know can help you professionally is LinkedIn. Facebook and MySpace are NOT professional social media sites and have no reason being brought up in an interview. I don't see how having a Facebook page would give me an "edge" over others who are going for the same job. Yes, I know employers might look up a Facebook as part of their unofficial background checks, or whatever. But if an employer requires me to have a Facebook so I can look more sociable, I find that an invasion of privacy.
  5. I also don't see the correlation between social media and being comfortable with technology. Is this something employers would suggest? Please explain further.
  6. Forget posting text.... Nowadays people post VIDEOS of themselves doing illegal activity.
  7. Angeljho

    LTC is making me hate nursing!!!

    Hey all, I have my 6+ months of experience and work has gotten better in the sense of getting to know the residents; residents who wouldn't take a single med now trust me and no encouragement is needed :).. But as for the job getting better... Nope. It's actually worse because now I'm dealing with MORE paperwork, new arrogant supervisors, and this crazy habit of management calling all nursing staff for inservice in the middle of our shift (one time inservice went on for an hr and a half, right in the middle of evening fingersticks and insulin coverage).. Also, it seems like the better I get, the more I get new paperwork and responsibilities shoved at me.. I still stay 2 hours after my shift sometimes (you know those days when you get an admission, a fall and have to transfer a resident all on the same shift.. or the ultimate terror.. two admissions OMG) but i feel better because I understand everything I'm doing now.. I still wish I had another nurse with me instead of having to do everything lol, but knowledge does lead to confidence :)..
  8. So a lot of people are telling me a whole bunch of mixed information. I work at a nursing home that largely hires agency nurses (me being one of them). I have a full-time schedule, and I'm a regular on my floor for my shift. I'm creating my resume and I put down my agency under work experience but others argue that I should put the nursing home. I don't want an employer to think I'm deceiving them, but I don't want them to look at my resume and be taken away because I'm an agency nurse; especially since I'm getting the same experience as if I was a full-time direct hire. I know I can explain my situation in a cover letter, but where is my work performance reference coming from?
  9. Angeljho

    LTC is making me hate nursing!!!

    I'm a new grad charge nurse in a LTC facility. I've been there for almost 2 months and I'm at the point where I'm literally scared to go to work. At first I floated, and that was ok, but I just became a regular on a dementia/psych floor. The paperwork and charting is sooo heavy, and I'm the only nurse on a 40-bed unit. I know I have to "manage my time" more effectively, but there's not enough time in one 8 hr shift to do everything that is required of me.. and i don't take lunch. I have to pass meds (and the time schedules of the meds are so crazy), start tube feedings, supervise CNAs, chart, pick up orders, check orders, treatments, and various other paper work that come in books.. and the worst of all is getting an admission.. i always fear that i'll get an admission .. and on top of all that, i JUST learned that i'm required to re-do the whole treatment book for the new month.. and my god, the daily interruptions i get.. supervisors coming every 5 mins to check the medex while i'm giving meds, CNAs calling me for this and that, residents not wanting to take their meds (i have to spend so much time just to encourage them to do so). I don't want to quit because I want to be able to handle everything, and I've floated to every floor to know that other floors are easier to handle; still hard, but a little easier. I just don't believe one nurse can do it all safely.
  10. working 3 to 11 shift for five days (plus being called in to work my days off) are too much for me. I feel like I have no life whatsoever. I prefer to work in LTC and I tried researching but found nothing. Does any LTC facility in nyc off 12 hr shifts?
  11. I've been working for 1 month as a charge nurse and I float on all floors. LTC is challenging because you reeeeeally have to manage your time. I can't stress that enough. time management is extremely important because you WILL get interrupted by residents, supervisors, aides, pharmacy techs, and other crazy things that will just happen out of nowhere (especially while your passing meds). It's important to be able to bounce back on track or else your 8 hr shift will become a 12 hr shift.
  12. I'm a new grad in LTC. I have 40 residents and I have to do EVERYTHING within my 8 hour shift. At first I tried to tell myself "It's ok if I take my time passing meds" and "It's alright if I stay longer to finish my paperwork", but now I realized things can't always be like that. I feel like in order for me to finish on time, I have to cut corners (haven't taken any short cuts yet). I hate that this job is highly based on rushing from start to finish. Every minute counts and management is constantly down my back about speed. I guess in LTC, good nurses finish last.
  13. Angeljho

    Med pass in LTC

    Absolutely correct. I have 40 residents to give meds to and from day 1 I've been trying to come up with a system to quicken my med pass safely. There's just no way around it. I found that if I rush, I'm going to make a mistake. The best thing to do is to come to terms with the fact that it's going to take 2.5 hours for a med pass in LTC. I know other nurses do it in an hr and it discouraged me at first, but I learned that it's best to do it the safe way or no way or at all.
  14. Angeljho

    Would YOU accept this position?

    I'm a new grad as well. I'm charge nurse on the floor with 3 CNAs and 40 residents. I have to do all med passes, wound care, documentation, etc. I'm still fairly new, but the more you do it, the more it becomes natural.. kinda like riding a bike. Idk about your LTC facility, but mine provides the nurses with ACLS and IV training and certifications. Ask if your facility provides training.
  15. Angeljho

    (LTC/Rehab) Under what circumstances would you resign?

    Supervise LPNs?? I wish I had the help. At my facility there's only ONE nurse on the floor (not including the supervisors). One nurse passing meds, doing paperwork, wound care, paperwork, supervising CNAs, paperwork, paperwork, paperwork sheeeesh.