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  1. You said that the PA profession doesn't offer a lot of upward mobility. The NP profession is pretty much the same. In health care, especially these days, experience tends to lead to opportunity and respect rather than where one went to school. Especially in nursing, you'll need to gain the respect of nurses who have vast knowledge due to both education and experience, and you've got to EARN respect on the floor. It's actually a pretty rough profession. I can't imagine not having experience as a nurse, and walking into a first job as a NP trying to give orders, etc. I am aware of the growing number of schools with dual BSN/NP accelerated programs, and it'll be interesting to see how it all unfolds in practice.
  2. favthing

    Assisted living ?

    I work in assisted living and pass meds as a nurse. In many ways its more like a nursing home than "assisted living". Our dress code is not a nursing uniform, but business-casual. I love the philosophy of assisted living, and find that residents have come to trust and rely on me for health-related concerns. I think assisted livings are so broad in their potential, each one or each company is unique. As for charting, if I see a resident needs the kind of care that would warrant a problem with State, I talk with the family and my boss about either sending out to the hospital, getting a home care RN in (for wound care or catheter issues, etc.), or talking hospice. I see that I take just as good of care of my residents (if not more because the goal is holistic care) in AL as I would in a nursing home. I just have to utilize outside, specialized resources to provide care rather than do it myself, and chart in this way. I still assess and follow up like I would in any other setting, but I'm more of an "organizer" of care. And I chart in a way so that my attention doesn't have to go in to regulation like it would in a nursing home, so that we stay assisted living. As for a med tech passing meds in assisted living, no way! As a nurse, I'm going to be looking for desired and adverse effects, getting to know my residents WHILE I administer meds, and during the med pass I'm performing subtle but very important assessments. From my assessment, I may use nursing judgement to hold a med! I mean, most anyone can pop a pill into a mouth, but the administration of meds from a nurse to a patient or a resident involves a LOT more than just giving pills.
  3. favthing

    nursing jobs

    Health care is so regulated. I'm a LPN and am in my last semester of my ADN. I go to school in NW Ohio, but am a nurse in Michigan. What I can do in Michigan as a LPN is very different from Ohio, where I am IV certified, for ex, but in Michigan I cannot start IVs. A LPN classmate lost her CNA job at a hospital, not even able to work as a CNA if she wanted to, when she got her LPN. At least in Ohio, you can't work as a LPN either when you get your ADN. Definitely read up on your state BON regulations. You are responsible for maintaining your license, not your potential employer per se. For ex, if you are in a health care setting and working as a secretary you see a patient code or have a situation in which you are skilled, you need to know what you will do. You are a licensed nurse, after all, is what they might say. You're going to have to be very clear, and understand exactly what you can/can't do.
  4. favthing

    Losing your perfect pre-nursing job

    LTC a waste of your knowledge and talent? Hmm. I find that the "skills" you referred to in the hospital environment can be practiced easily. On the other hand, the often-overlooked "skills" that that can be practiced in LTC are actually incredibly difficult to obtain. These are the more traditional nursing skills that only experience will provide. I hope you can find the hidden, more unspoken value in your current job.
  5. favthing

    Obsession with nursing( is this normal)?

    You WILL make it. With your devotion, even if it takes a couple of years, you will make it. Be sure to keep your grades up, number one. Next, make quality use of your time by working in health care while you are waiting. And, what you read on this site gives a good idea of what's going on in nursing, but ultimately your experience (and each of ours) is unique. Just because others can't get into NS doesn't mean you won't. We each have our own story. I'm done with my ADN classes, and just have precepting to do. I did my LPN the year directly before my ADN. Even instructors looked confused at times, like "why aren't you in a LPN-ADN progression program?". I didn't want to miss my seat in the ADN program in which I had applied to at the same time as the LPN. And I chose an extra semester to risking having a wait for the progression class. It turns out I'll be a RN sooner compared to my LPN classmates, even though most people thought I was crazy at the time! Do it your own way, and apply EVERYWHERE and to ALL programs. Find balance in your life. Don't be obsessed with nursing. While nursing IS fulfilling, keep it PART of who you are. Part of my New Year's resolution is not to give so much of myself to nursing. I'll be a better nurse if I take care of myself, too. Learn this now!
  6. favthing

    A nurse that needs agnger management

    I think that any person who wants to work with the public, especially those in health care, needs to consider their personal tendencies that are going to affect others. Nursing already is set up with very clear professional standards, with the BON overseeing these. A lot of these standards assume personal and social responsibility.
  7. favthing


    From this post, answers about why not in CRNA school pretty clear.
  8. favthing

    Working in a nasty nursing home

    You can learn a lot from seeing the "negative". Just be certain to remember who you are, and keep your values intact. It's amazing the power of one positive person, too. Whatever you do, show by action, not by verbally judging. And remember, management is well-aware of what's going on, and you'll likely be hurting only yourself by bringing to their attention what is new to you. I say go for it! Focus on the residents, on providing the kind of humane care that they need.
  9. favthing

    Do you correct your professor?

    The problem is, it's the same couple of students who are quick to correct. A lot of times THEY are wrong. Sometimes not, but usually everyone else knows the professor slipped a wrong word or something. There are some people who just love to find fault, and these types generally are uncouth with delivery. If I have a concern, I'll e-mail or visit my professor/instructor in private, of which I've done both. One time, the instructor brought the issue up the next clinical day, clarified the topic, and thanked me for bringing it to her attention.
  10. favthing

    Smokers in Nursing School--How Are You Treated?

    We recently got an email from our nursing dean that a local hospital (huge system in our community) will not hire smokers as of a given date (I think Jan). No need even apply. I really feel for smokers, as nicotine (and the stuff they put in cigarettes) must be horribly addictive. A lot of people live by the adage, though, "...as long as you don't hurt others", but cigarette smoke DOES hurt others!
  11. favthing

    Sleeping on the job

    Where I work it's a pretty close-knit community, to say the least. I started working as an aide, and now am a nurse. At any given time, there's an aide who will not speak to me. I have made the decision to FIRST be a nurse, which means foremost being an advocate for the residents. I cannot believe the difficulty and stress involved with supervising. It's so much easier to overlook and get along with aides (or in your case LPNs). Please don't though, as it makes the job of nurses who DO require high standards that much more difficult. Good luck.
  12. favthing

    Punched in face, kicked by resident

    Thank you all for the thoughtful replies! I see this is a problem that is only getting bigger! As for dementia issues, in particular Alzheimer's disease, I have a passion for geriatrics partly due to caring for those with this horrible disease. As disturbing as the thought processes can be, generally there are tried-and-true methods that work in caring for this population. When you throw in the residents whom nobody else will take who have a long history of schizophophrenia, bipolar, etc., this is what I'm wondering, why us? And in my psych clinicals, we had plenty of staff (that would be ME who's called if a problem where I work!), we had the use of restraints (in AL restraints are not allowed), meds (already beaten up by the time connect all the dots get meds), and seclusion rooms if necessary (maybe the nursing office in AL!?). It just seems that we who are being dumped on with psych cases are the most vulnerable. While we do have psych services and meds (IF the family signs on and agrees to both), it's truly a far cry from the kind of intervention these poor residents need. Those I've tried sending to ER with psych-related issues almost always get sent back with dx dehydration or something, not even having been seen by psych. In the case of this resident who hit me, the DAY BEFORE, we sent her to the ER because she was out and about damaging items and required 3 staff members to keep her from hurting others. She returned to our facility a few hours later, with her family fuming mad that we'd sent her out, as if why??? That next morning, my incident, I did a prn med, she woke up a few hours later, saw Doc, and sent to a different ER the other side of town. I mean, the little old ladies and gentlemen looking for a retirement community, I didn't really have time to appropriately provide for them...that's what gets me too. And for the advice of brushing up on my psych, yes thanks doing that, and also sent a Christmas email to our psychologist, wished the Psych NP Merry Christmas by phone,...:) trying to keep warm relationship because we NEED their help. I'm also looking at my career goals, as I want to be a Geriatric NP, but I may want to lean more Psych NP for a secure job.
  13. favthing

    Punched in face, kicked by resident

    Oh no! You were pregnant, and hit by a patient! How awful! The thing is, we do need to be honest, and go to management as you did. We are nurses, but just as the doctor in my case would not take the abuse, NURSES should not take the abuse either. If your co-workers had gone to the DON, you likely would not have had this experience, as you'd not have been let in to care for the patient while pregnant.
  14. favthing

    Punched in face, kicked by resident

    No, not injured. It was just an awful feeling, more like being violated I suppose. Also, in danger and there with, excuse the simplicity, a "crazy" person.
  15. A resident who clearly belongs in psych and new to our facility punched and kicked me. I was responding to an aide who called for assistance because they felt threatened. Later in the day, the doctor I'd notified was with a scheduled visit, and the resident attacked her. For this it was an emergency out to hospital. I'm often the only nurse on duty, with management nurses who are sometimes available. I'm finding more and more psych-related issues with residents, and with over 35 residents to pass meds for, I'm overwhelmed. How do other facilities handle residents who are a threat to staff and other residents? All I could do was beg my direct supervisor to please not let this particular resident back. I told her I can't handle all this, that I'll need help if this resident returns. The thing is, my time for the 60 or so residents I've got to consider is being sucked up by a couple of residents with their hallucinations, delusional thinking, etc. I'm in assisted living, by the way, and I love where I work, but I feel I need help with handling so many issues.