I also feel the same way about the "real world" and nursing. I have been an LVN for 16 years and find that I like what I am doing but people are always wondering when I will go back to school. What you brought up here is another reason I won't go back. I would be a horrible student at this time because I have been out of the school scene for so long. I would have to re-adjust my thinking to basics and nursing school rules. My main focus in response to your message is to keep the patient safe and report anything out of range and infection control.