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Need MORE help with a decision! :-)
Stay where you are at with the job you were blessed with and let him go and do his service. He can come back and visit you and you can go and visit him when you all have time off. You all can video chat online and stay in contact, but I feel both of you should get to persue your careers with out the other having to give up theres. Don't do anything you'll later regret, like leaving a job with an oppertunity to open many doors in the future for you. Everyone I know that gave up a career for their husbands eventually grew to resent their spouse for it and all of them ended up divorced and now seriously regret letting their exhusbands make them give up their careers.
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How many other nurses do you work with?
I have 2 years HH exp and I usually worked with 1 "nurse" that was on call and 1-3 other HHA. My current job I work with a lot of nurses because it's HH and I work in the office. So I get to chat with the field nurses all the time. I don't "work" with them I just get to enteract with them. I still consider it working with the nurses because I chat with them daily, call if their are changes on their patients orders and inform them about their notes. So on an average day I will talk to or see at least 3-5 great nurses. We have the best nurses at my job, they really are amazing and they do a wonderful job. :)
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Physical Abuse against Staff
Hospitals in my area have it posted that no abuse of any kind will be tolerated and that services will be refused and people can face prosecution. Its very serious. At my internship site I had a lady spit in my face because she didn't want to fill out paper work (she hadnt been in the facility in 2 1/2 years and they switched over to EMR's and didn't get her files updated). No one there did anything about it, she was fired as a pt nor was there any consedquences for her. The other MA's appoligized for it and I often got handed the difficult pt's because they felt that I handled bad situations well. Other places I have been at said they would have fired the pts. I treat the nurses I come in contact with very well and if I have a problem with something I handle it with as much patients and class as possible. I thinkt hat since I have been int he field I have more understanding. Its kinda like wairessing, you never know how hard it is or what people put up with until you work in the field (that being said dont forget to tip good like 20-50% IF you get good service). But I dont agree with employers who do not stand up for their employees or who dont have any policies to enforce the safety of their workers. Because that's what it really comes down to.
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feeling defeated
My 1st experience in the MA field after school was a bit rough. It was a temp placement but led me to the position Im in now and I am greatful for the experience. Dont give up. You have to have the bad jobs and hard times to appreciate the good ones and by doing jobs that don't work out you can learn. I have learned from every failed job I've had, every successful job I've had. Now you know you don't want to work for that hospital, and you didn't enjoy the job you were doing there or the people. You have learned a lesson. In the future make sure that you are clear about your position, your expectations, follow up with supervisors about your performance and you have experienced peds and seemed to really enjoy it. So persue it. There are so many different styles of nursing, its a very flexible field to go into and I think you shouldn't give up or feel bad. You are doing somehting you are passionate about and you just haven't found the right company to work for at the right time to make a life long career. That doesn't mean you wont find it, keep looking and don't give up
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Any experience as Manager of Clinical Practice @ Gentiva?
I dont know where you are from but Interim is nation wide and they are a great company to work for. I work in the office while I got to school and I love it. Its my career and dream job and after I finish nursing school I plan on transitioning over to the nursing side of the company. I really think they are a great place to work for, the people are amazing. I am not sure what the benefits or wages for the nurses are but I do know that we have some of the most amazing nurses and they seem very happy with their employment. If you dont choose Gentiva you can always look in and see if you have an Interim in your area.
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what did LPN school teach me? not much im afraid... will RN school help me?!
I just finished school for my RMA. I had no trouble in school, it was a breeze for me. I have previous nursing experience though. I did not get a good education at the school, as many others have complained about. THe school is extreamly expensive and they don't really give that great of an education. We never learned IV's or caths when we were supposed to and in one mod (6 weeks each 8 mods total) I was only there for 60% of it, I missed almost 3 weeks of classes and I finished the mod with a 92% if that tells you anything about the quality of education. I never read one thing or studied one thing on the nervous or respiratory systems that they studied of those 3 weeks and was able to ace the final. The reason that I learned anything is because I am self motivated to learn. THe books were several years out of date and some of the teachers weren't even MA's and some of them never went to school to be a MA, they got grandfathered in before you had to had formal education to get the RMA. I read the whole books covers to covers, researched things online and educated myself. When I did my 2 month internship (clinicals) I went 40 hours a week instead of 20 and worked closely with the doctor to learn everything I could possibly learn. I had a great doctor that I was interning for and I asked a lot of questions and really soaked up as much knowledge as possible. I still to this day ask tons of questions to doctors and nurses, I really try and educate myself as much as possible. I knew before I went thought RMA school that I wanted to continue on and get my BSN. I only got my RN so I could get a job while I went to college. Businesses around here don't like the college I went to, students can't pass their RMA exam (which is odd b/c with out any studding I went and took it 4 months after I finished my last class and I got an 87%) but the school is known for putting out shotty students and giving a really bad education. Enrollment was way way down by the time I graudated, the school has sealed their own fait and I doubt they'll be around here for much longer. But LPN, CNA, CMA and RMA schools are so popular now a days, they charge out ragous amounts of money for degrees that are not in demand and dont' give good educations. Its just the latest crave. It will pass. I remember a few years ago Avation was all the rage and there were tons of schools popping up all over that said the field was growing and theres good money in it and they over charged people for a **** pore education but eventually the craze curns out, the school get the reputations they make and everything dies down. I'd suggest not going to a tech school unless you want to working in ac/head/refrigeration repair or plumping or computer tech fields. Tech schools are not designed for the medical field and wont provide a good education. Local community colleges and state universities will over CNA-MSN degree programs. People would be better off going through them because they may have to go to school for a little bit longer but they will get a better education and better job potentials and over all everything is better. But hang in there, just becuase you didn't get a great education with your entry level nursing doesn't mean you will always be in in that position. Go to school if that is what you wish to do, study study study and ask questions, hang out with other nurses and premed students and remember that you are in the early phases of your life long career. Theres no need to rush to know eveyrthing (which in medicine no one will ever know everything because its always changing) but relaxe and enjoy your career.
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When did you decide nursing was for you?
I wanted to be a special education teacher from the time I was 6 years old. I always thought I'd go into teaching until I started working as a care giver for adults with MRDD. I didnt go to school to be a teacher and I thought that the career would be a good second choice because I was working with people with disabilities (something I have a natural gift for that was reconganized when I was very very young). But after going into caregiving I had to do nursing skills, like giving meds, bathes, wound care, pt and ot and I fell in love with nursing. I decided when I was 24 after almost 20 years of thinking that Id be a teacher to go into nursing. Do what your heart desires, you are not old and you wont be stuck in a career. Id waite to invest in a bachlors degree, just work your way up and try an lpn then a ASN and if you still want to continue in the field invest in being a BSN. The average person changes careers 3 times in their life. With your LPN if you decide to change your mind on the career path and go into another field you havne't invested a bunch of time and money into the career and will have the freedom to change your mind and go in a different diraction. THat is the gift of being young.
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We will NEVER treat any patient better....
I love my job. I work for Interim in Wichita KS. I am not a nurse with them, I work in the payroll dpet checking in notes and I take care of the com care stuff. I have the most amazing job, my coworkers (mostly nurses) are amazing, my bosses are dream employers and the whole company is wonderful. I couldnt ask for better people, pay or the job its self. I really do feel so blessed to be working at Interim and its the foot in the door place I wanted. For now I work in the office but in a few years after I get my bsn Ill be working in the field and hopefully Ill be in the office on the nursing side. It all depends on where you work and what you do and who you work with. I got really really lucky getting my job and Im thankful for it each and every day. And as far as comming into the ED expecting miracles. LOL I dont think people expect miracles there! I do think that they expect quick treatment (though 20 mins would make many pt happy, generally er visits come with a 3-6 hour wait just to get a room then another 1-3 hour wait to be seen in my area. A trip to the ER generally takes 3-8 hours when the er). So I dont think its an impatients of a waite I dont know anyone who would waite that long for any other services. But I do believe that many people who go to the ER don't actually have emergancies. Sure on holidays when you have things like high fevers in children or posion ivey an ER trip is understanable but when you get people comming in with sinus infections and strep throat that is the problem. Its an emergancy room and its supposed to be for emergancies only. I think that's more of the issue then patients not wanting to wait to be seen.
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Incompetent nursing assistants
I recently got my RMA and while doing my clinicals I was very diappointed to learn that in many physicians offices the MA's simply copy the last vitals from the patients charts to skip parts of the vitals or even worse just make up the vitals. One RMA that began her clinicals half way through mine was trained to divide the pulse by 4 to determine the respirations! I corrected her method and was so disappointed in the ma's that were working at the physicians off and that the ma who was in training went along with it. I have a few years caregiving experience (and now that I have some training I can't believe that I was doing some of the things in care giving with out any formal training. Like passing meds, bathing and lifting clients, wound care etc). I think it depends on the persons. CNA's are a dime a dozen, the pay isn't very high (min wage or a dollar or two above mw) and the training is quick dirty and cheap. I feel the same way about ma training though. I am going to start my prereqs for the BSN program in Aug so to me nursing means something other then the other kids I went to school with. Many of whome never go on to take their registry test or work in the medical field. It all depends on where someones motives come from and I think that people who work ina career that they are passionate about and really love to do then they will do a great job and give it their all. But unfortunatly many people think being a CNA is an easy job and a lazy one hence why you end up with lazy poorly educated and low worth ethics and morals in the work place. I am a confrontational type of person so if I see something being done that is not correct and accurate I speak up about it and if nothing is done then I keep speaking up and speaking up until something is done. This has cost me my job in the past but I thinkt hat it's more important to secure good care for your patients then earn a pay check.
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whats the difference between Rn and BSN? or is it the same
LOL Thats a great question. But unfortunatly the only way to answer it is to let time tell for its self. While its true that more hospitals are requiring a BSN there are many different areas nurses can work in. Physician offices, nursing homes, in home care facilities etc. Knowing what the economy will do is a prediction of the future. Some years graduates find jobs before they finish school, while other years jobs are far and few between. Wheather or not the economy is on the up or down nursing is still competive. So which is better for finding employment upon graduation? There's no real way to tell. It all depends on when you're graduating, how the economy is doing at the time in your area and what the facility you are applying to requires. I hope that helps you. I don't think it'll help you choose a level of nursing unless you are looking into working in a hospital then depending on the requirements you may or maynot need the BSN in your area. For financial reasons, if you are just wanting to work as a RN and not teach or be an administrator then save your money and time and get the ADN. You'll still be just as successful and you wont have as much invested to be paid back.
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I have your meds, please take them:)
I have never nor will I ever pass a med with out watching the patient take it in front of me. I can not sign off that a med was given unless I have witnessed it myself. That is the way I was trained to give meds and I will continue to follow that policy. Better safe then sorry.
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Difficult Interview Questions
#1 Interview advice I've ever gotten ALWAYS follow up a red flag statement with a green flag statement. IE: 7) Didn’t handle a stressful situation very well. Give your statement of your stressful situation then follow it with a positive statement about what you learned because of way you handled it or how you would handle it differently because of what you learned. So for ex if you were under stress because you were checking in patients and had been requested to assist the physician with an exam and still had an injeciton to give so you assisted the physician, gave your injection then attended to checking in patients who at that point had been waiting more then 30 minutes past their appointment time and there for made the physician behind schedule. You miss managed your stress and tried to do everything by yourself and could have learned about working as a team and have gained the experience to pass on responsibilities to your coworkers who are capable of the job needing to be done so that you can properly attend to your responsibilities. So follow up your bad things with good things, you tried to take on too much and were incapable of handling your responsibilities but because of that experience you have learned how to manage your time and responsibilites and know when you to ask for help so that the patients are not neglected. I love this advice because its true in ALL areas of life. Not just interviewing (for any job not just nursing) but also when you are dating someone and they ask tough questions (why did your last relationship fail, why are you still single etc) you can state a negative message then follow it up with a positive one. It turns the answer around and makes you look so much better. I got my current job because I took this advice. Always end your answers on a positive note.
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Nursing school now first come first serve?
I am very disappointed in the college. Nursing school should not be first come first serve. Yes there is a high demand for students and there is a high demand for nursing in the medical field but its more important to offere QUALITY over QAUNTITY. The school is going to start putting out ****** nurses that are not going do well in their field and eventually the medical facilities in your area are going to start seeing that trend and stop offering employment to their graduates. Which in turn will lower the applicates to the program and cost the school serious money. Its a bad idea from every prospecitve.
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whats the difference between Rn and BSN? or is it the same
RN is an assocites degree (2 year). BSN is a bachlors degree (4 years). In the field they peform the same clinical duties however BSN's get in administrative positions easier then RN's because of their advanced education. Also RN can not teach nursing, BSN can go on to teach. Hope that helps. P.S. If you don't want to teach nursing then stick with the RN, after a few years and proof that you are capable you can apply and get into administrative positions if that is the route you want to go, so save your money and time if that is your goal. If you are just going to be working clinically then stay with an RN because you wont need your bsn.
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Pitt State/ks/BSN
I live in Wichita KS and I will be attending WSU starting next year (Fall 11) to get my BSN. I have heard good things about WSU, Butler(ASN) and K State. Sorry but I haven't heard anything about Pittsburg State. You should check out their website, do a campus tour and speak with the students that go there. Usually students who are 2-3 years into the program will give the best idea of what a program at a school is like and what their expierences are like there. I wish you the best of luck in your career and education. Deb