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RN34TX has 17 years experience.

RN34TX's Latest Activity

  1. RN34TX

    Not getting charge nurse position

    I get where you might interpret my comment that way, but that's not what I meant. I meant to say choosing someone for a leadership position based on clinical skills and experience alone without considering other factors. I did not mean to say ignore their clinical experience and pick someone who wrote a great thesis. When I was 35 I had a 28 year old manager and I really didn't think she was mature enough for the manager role either. Some 28 year olds might be but she was not. We all know nurses who are experts in their specialty and can run circles around the others but might have difficulty in getting along with others, working together as a team, bullying behavior, etc. I agree that the chosen charge nurse or manager should have top notch clinical skills but we as a profession have traditionally chosen people for leadership roles based on skills and experience alone and that's what needs to change. Almost all of my previous managers and some permanent charge nurses that I've worked with in my career were great nurses but lacked people and leadership skills. Leadership roles go beyond nursing skills and abilities. Nurses at the bedside are leaders and this is where leadership development begins. Your staff nurses who are good at dealing with difficult patients, family members, and colleagues and who consistently set a good example to their peers are the ones you need to encourage to pursue charge and leadership roles, not the nurse who can take the sickest patient on 5 drips but maybe complains constantly and puts down her colleagues, aggressive personality, and has poor stress management and coping skills. Or this great nurse could be the exact opposite. Great nurse but when you put her in a leadership role she ignores bad behavior and problems on the unit because she doesn't want to deal with conflict or doesn't know how and lacks the skills. This is who we have traditionally placed into these roles looking solely at their clinical abilities and not their leadership capabilities and this is how institutions end up with bullying and ineffective nurse managers and charge nurses. Since most people leave their jobs because of their boss, institutions are starting to pay attention to this and it is being studied.
  2. RN34TX

    Not getting charge nurse position

    I would find the highly patronizing comments about not getting a charge position because I'm so good as a staff nurse to be extremely offensive and a cop out for not giving me your real reasons for not choosing me. Having said that, I have also seen someone become my permanent charge nurse simply because she felt entitled because she put in her time and was the most experienced. Current research/literature now demonstrates that choosing someone for leadership positions based on clinical skills and experience has been a tradition in nursing that needs to change. Leadership positions are no longer for people to settle into and slow down as one ages and prepares for retirement. We need people with ambition and get up and go. It it was extremely frustrating to have both a charge nurse and a manager who were desperately hanging onto their positions showing up for work every day sighing, rolling their eyes, and acting like they were so stressed out all the time while counting the days until they could retire. I am now the manager and I chose a charge nurse with pep and get up and go because I feel there is no longer any room for people in leadership positions who can barely get out of bed let alone lead a team. This is might not describe the OP at all and she might not have been chosen based on purely political reasons hence my comments about her managers patronizing remarks. I say to the OP if you have the ambition for this type of position then you need to leave and go for a leadership position in another unit or facility. Your manager does not appreciate your leadership capabilities. I know several people who left hospitals after 10 or 20 years to get an opportunity at an outside hospital for a leadership position to show what they are capable of.
  3. RN34TX

    Nurse Manager Opportunity

    MBARNBSN made some very good points about the possibilities of your situation. They could just be blowing smoke dangling a carrot in front of you to see how much you will do with an empty promise of a manager position. With respect to your questions, My background before becoming a manager was that of a staff and charge nurse, nothing more. My salary change was a $15,000 a year increase. I went into management because my manager was leaving and she wanted to groom me as her replacement and I was deathly afraid of who was going to become my boss if I didn't step up and take the position myself. Prior to this I had no desire to be a manager or supervisor of any kind. Like MBARNBSN said, sometimes the manager has no say so as to who will be replacing him/her and some of my colleagues stated the same thing but they could not have been farther from the truth in my case. My manager's opinion on who should replace her weighed very heavily as it should. What at I learned from that experience is this: If you apply for a manager position and they call and tell you that they are only doing interviews on one particular day only and you need to be there that day or forget it, it means that they already have someone in mind and that the other candidates are being interviewed just to show that they are making an effort to consider other applicants but they already know who they want. The benefits include generally working hours that are not a set schedule as long as you are there during the majority of the business day (I can go into work at 6:30 am or 9:30 am for instance) and if I want to take a day or week off I just take it. I don't have to worry about what other nurses might have put in time off requests for the same time. I also have more authority now to do things that I couldn't do alone as a staff nurse such as stepping in and taking action against workplace bullying/incivility. The cons are that your work is never done and you could easily work from 6am to 10pm every day and still not get caught up with all that administration as well as your staff expects of you. When you work staff, you clock out for the day and it all becomes someone else's problem until you return the next day with a new assignment. I lay awake at night sometimes worrying about things and I know I shouldn't. Didn't do that as a staff nurse except when a particular patient went bad or something. When you you try to stay in the trenches and help out your staff when they are short, your manager work sits undone while you work as a staff nurse taking care of patients. Those are some of the cons.
  4. RN34TX

    The 'De-Skilling' Of Nursing

    There is no endless or ever growing pile of studies on BSN nurses and patient mortality. There has been only one study by Linda Aiken so it's far from being a basic fact of life. It's another example where if something gets repeated enough times, it starts to become accepted as the truth.
  5. RN34TX

    Info on EC, I live in Illinois

    From the description it looks like you need to be working as an LPN when you apply. As far as IL is concerned, you will need to get licensed in another state and work as an RN for two years there before you can endorse into IL as an RN.
  6. RN34TX

    Will there ever be a surplus of nursing jobs again?!

    The first comment from the nurse educator who cautioned against making any changes in the number of new grads they churn out every year was most interesting to me. Of course she doesn't want any changes. The more new grads that get churned out, the more job security she has. Also, what is so hard about looking at the number of people applying for RN licensure to figure out who is actually entering the nursing workforce vs. grouping together everyone graduating from a nursing program? Of course the numbers get blurred when you group together people who are already RN's going back to school for higher degrees. That's basic research and statistics taught in a basic BSN program.
  7. I'm looking for a reasonably priced MSN program with a nursing administration/management focus, preferably a Texas school but willing to consider other online options. UT Arlington looked very appealing but I saw so many negative comments about how hard it is or how the faculty is not very helpful or clear on what the students are supposed to be doing. I expect to work hard in any MSN program but for what even state tuition grad school costs, I do expect a reasonable amount of guidance and direction from the faculty, even though I am a good independent learner. Anyone out there who is doing or has completed TWU's Nursing Health Systems Management MSN program?
  8. RN34TX

    Yet more MSN vs. MBA advice needed again

    Thanks again for the advice. This is why I'm seeking advice outside of my own environment as far as colleagues, managers, educators, etc. on campus go. Those who have advanced degrees in nursing all seem to strongly advocate for my getting a nursing degree, some have even stated that it is "stupid" for me to not get anything but an advanced degree in nursing. Those with MBA's, MHA's, etc. all seem to say that I have enough nursing credentials and it's time to branch out and learn the business side of healthcare. You have an advanced degree in nursing yet you are supporting my getting an MBA.
  9. RN34TX

    Yet more MSN vs. MBA advice needed again

    I get what you are saying and I must be the opposite of what you were going through. The thought of even hearing the term let alone doing yet another project on "evidence based practice" or doing yet another research project on the effectiveness of prophylactic antibiotic therapy is just not appealing and makes me think that I wouldn't be successful in an MSN program. I looked at many MSN programs in nursing administration and the classes that had to do with human resources management, leadership in healthcare, employee relations, budgeting, finance, etc. are things that nursing school did not teach and I'm interested in learning about. Ideally, An MSN/MBA dual degree would be my best option and take away from the agony of choosing. But I have yet to find one that suits my needs/abilities as far as cost, distance, etc. go. Every MSN/MBA dual program that I've looked into is around 60-63 credits give or take. I could get an MSN and an MBA separately for around 72 credits (36 credits for each individual program) with the luxury of choosing an individual MSN and MBA program that I really want so I'm failing to see how doing a dual degree saves a lot of time or money. Kind of like doing an LPN program before an ADN RN program. You spend 12-18 months of LPN training depending on your school only to be given about one semester of credit toward the RN program. Really no incentive for doing the LPN program first.
  10. RN34TX

    Yet more MSN vs. MBA advice needed again

    Wow! Thank you all for your recent comments and wisdom on a thread I started last June that sat dead until very recently. Thank you all! I quoted Bryan because of the respect comment. As far as respect goes, I am not going to choose a degree based upon whether other nurses respect it or not. I want to be respected for what I can bring to the table, not the letters after my name. I can't stand nurses who expect to be respected for their RN licenses, BSN's, MSN's, DNP's, or what have you, yet fall short in actual job performance whether they are a staff nurse, educator, manager, or director of what have you. You may have impressive letters after your name, but what are you actually doing for the organization to make it a better place for both employees and patients? This was not intended to be a criticism of your post as it was very informative and really made me think. Also you pointed out that it was just a perspective to consider, not necessarily your own personal opinion. As I pointed out earlier, my hospital has managers, directors, ect. who have a wide variety of degrees MSN, MBA, MHA, etc. so that's why I'm so confused as to what path I need to take. I've been told that they only care about having a masters period, no preference as to which discipline. But I get what you are saying about the MSN. I recently attended a conference at a hospital in Austin where the MSN is king, so I have seen that type of environment. I could perhaps end up at a facility like this where the MSN is an expectation. But you are talking to someone who took the long route in nursing (LPN, then ADN, then BSN) so to me yet another nursing degree seems like another chore vs. a non-nursing degree seems more like an adventure. I actually look forward to interacting with other students who are not nurses and come from other backgrounds. Again, great comments from everyone and it's really helping me to think about what I'm doing.
  11. You are not "just a poor" anything. You are about to become a true professional that may be used to making "crappy minimum wage" that a potential employer may try to cash in on. You are the future of nursing and should not accept the first job that is handed to you regardless of pay without investigating other opportunities. You and your generation of nursing will demand better than the generations before you and this is my hope.
  12. I didn't have to go to school full time and not be able to work full time for 2 years, racking up bills and loans for tuition and books for a fast food job. Fast food workers did not have to make these sacrifices to obtain their jobs so I fail to see how we are supposed to feel great about our salaries because we make more than they do. We earned the credentials to command a higher salary than someone who stopped their education after high school. Name one profession that even comes close to the amount of responsibility that a nurse carries that makes far less than a nurse.
  13. What a great politically correct way to put it. I'm the only one from my family who obtained a bachelor's degree and maybe two of my cousins who went to vocational/tech school after high school. Most finished high school at best. When you have a profession full of people who either came from a poverty stricken area of the U.S. or a 3rd world country, who think that $30/hr is a great wage because their brother works for peanuts at a gas station or what have you, then yes, you have a group of people who save lives for a living and see no problem here because things are so much worse where they came from. The problem is that they don't understand how valuable they are and how their acceptance of low wages and working conditions undermines the profession.
  14. Wow, with all of this going on, it's amazing how the CA BRN had so much money and resources to investigate the incompetent Excelsior College RN's who were running rampant through their state providing substandard care for 30 years before they did something about it. I joined this forum in 2004 when the CA BRN was all the rage with their landmark decision to exclude EC grads from getting RN licensure in Dec. 2003, and how they will lead the way for other states to follow suit because they are so far advanced and ahead of everyone else.............. Where are those people now? Not hearing much from those folks these days.
  15. RN34TX

    RN to BSN online

    Faxing transcripts and getting it in writing as to which courses will be accepted means nothing. Even if this is was honored by the school at that moment, it has nothing to do with what extra requirements they can tack on before graduation in semesters to come. I know this because I faxed transcripts and got it in writing as to which classes were required for my BSN long before I started. As the requirements changed twice over several semesters, I took it up as high as I could, and was constantly being told that "It's not us, it's the Board of Regents who are doing this" and nothing could be done. IMHO, pick a school and get your degree as fast as possible. Dragging it out only opens you up to "new degree requirements" starting right now regardless of when you enrolled.
  16. RN34TX

    Nurse being kissed in iconic wartime photo dies, aged 91

    This is exactly what my earlier post was referring to. My reference to it being an ugly memory of the 1990's politically correct era was speaking to the fact that "sexual harassment" (although I was actually talking about "sexual assault") had gotten so diluded at that time, that the women you are referring to were going to suffer backlash and not be taken seriously anymore because it got to a point where if a man so much as looked at a woman the "wrong way" or said the wrong thing, and "victimized her" it was considered to be a crime, or at least a juicy civil lawsuit. IMHO, the "politically correct" era of the 1990's, was a slap in the face to the women's movement of the 1970's. Those women did not march in the streets for equal pay for equal work, sexual harassment in the workplace, etc. just to have the next generation 20 years later call a lawyer if they didn't get their way and could use the "victimized woman" excuse for not getting a promotion or raise. As long as there are people willing to engage in frivilous lawsuits with plenty of news coverage to boot, women who are true victims of crime or discrimination will continue to be taken less and less seriously, and be looked at as mere whiners or people looking for money.