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AshleyPCA

AshleyPCA

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AshleyPCA's Latest Activity

  1. AshleyPCA

    How do I report fraud and neglect?

    I in no way EVER abandoned her. I never left her alone and did not quit without training in 2 new PCA's first, even thought she already had several others. That was a very unnecessary accusation! I don't understand where you got that idea from. I in no way participated in fraud myself either. She is the one that filled out my time cards and submitted them. This did not keep happening either, after I learned of her doing that for me, I told her I preferred not to use my own money and get "reimbursed." I think readers are taking all of this in a wrong way.
  2. AshleyPCA

    How do I report fraud and neglect?

    Actually, I am not suddenly concerned...I've been considering reporting her and was actually pressured to do so while I was working for her for those 5 years. So this is not just a sudden decision of mine a year after I quit. Also, I did not have a personal relationship with her which went sour in any way. I was never "friends" with her. Sure, I got along with her for the sake of my job, but never did I develop a close relationship with her. Finally, I am not the only one who is questioning doing this. There's 4 other PCAs that worked for her around the same time I did who have kept in touch with all of us and have discussed reporting her together anonymously. So, I didn't want opinions about my past relationship with her or assumptions made. All I was hoping for was for someone to read the information I gave and to let me know if any of this is worth reporting. The fraudulent paperwork and grants? Leaving her daughter home alone? Etc. And if so, how do I, and other PCA's, go about reporting it?
  3. AshleyPCA

    How I Passed the NCLEX: Summer 2014 w/ NCLEX Book Review

    Thanks so much for this post and your positive words for all of us who have yet to take the exam. I am awaiting my ATT and hope to schedule the exam the second week of October before I leave town. I am beyond nervous. I will shoot you an email shortly!
  4. Hello nurses! I hopefully will be passing my NCLEX within the next couple weeks and will be looking for nursing positions right away and considering grad school. Nursing is my second degree, so I have a rather large (being modest) loan repayment schedule coming. Let's just say it's much larger than average and I am very worried. I have been researching loan forgiveness programs and I understand that there are some for nurse educators and some for nurses agreeing to work in rural or underprivileged areas. I just don't want to jump into a position right away that will not offer me any incentives to work toward loan forgiveness (say it's not in a rural area or something like that). I am just wondering if anyone has any information about specific ones provided by the federal government or the state of Minnesota or in the Midwest anywhere? Any new/different ones out there that I may have overlooked or not heard of yet? I am willing to relocate and to commit to a certain number of years at a specific location, of course. I am interested in nursing education, however I am hearing nurse educators just don't get paid much. So it is even worth it if I still have large student loan payments meanwhile working toward the forgiveness? Any information, advice, or links would be wonderful!
  5. Please let me know what you think of this. I know it's long, but here's the info I have, PLEASE read: Fraud??: I've been a home care PCA for several years now for many different families. One particular client I worked with had autism. She was sweet, gentle, and wouldn't hurt a fly. However, her mother admitted to, and even showed me paperwork, where she proposed that her daughter was violent and had a massive list of diagnoses in order to get her 'round- the-clock PCA care. Later she "started" up a non-profit organization, so she learned how to write grants. She then would write grants for her non-profit organization for money, electronics, etc. She got a few grants, and one of them was for an iPad and other devices, which she claimed her daughter would benefit from. As I worked with my client in their home, my poor client RARELY got to use "mom's" iPad. She's milking the system to get electronics and money for herself!! More fraud??: Furthermore, this woman has a reputation for having "too many" PCA's and taking advantage of them (treating them like babysitters, having them work overtime so she can go to "meetings" (which were outings with friends by the way)). This is not what the state wants you to use PCA's for. I worked for her and took care of her daughter for over 5 years (simply because I truly cared for my client) and numerous times she was LYING on my time cards so the state would pay for money she had me spend while working with her daughter. She would have me take her to get school clothes, take her out to dinner, and use my own money so she could "add a few hours" on my time card and just let the state "reimburse" me so she didn't have to pay for anything for her daughter. On top of this, the autistic client is now 18 and I am hearing from her current PCA's that her daughter is not benefiting from one dime of her social security disability benefits. The mother is apparently suddenly going on vacations, getting botox, and spending more on herself in general (most likely with her daughter's social security). Neglect??: Finally, I believe she neglected her autistic daughter. Who cooked for her/took her out to eat, bathed her, dressed her, brought her to and picked her up from school and activities on a daily basis??? Her PCA's did. This was because she had no patience to deal with her own autistic child and cared more about her social life. She's a stay-at-home mom by the way. Once, she had me work later than I was supposed to so she could go to a wine tasting with her friend. Several hours after my scheduled clock-out time she arrived home, via taxi, drunk as a skunk and told me she'd "tuck" her daughter in so I could go home. She was caring for her daughter while intoxicated! I was also stuck between a rock and a hard place several times when she'd call home and say "I'll be home late tonight after your're scheduled to leave, but you can go home. Just lock up before you leave." Should I leave her daughter home alone so I can get a couple hours of study time for my nursing exam in the morning, or should I stay and ensure the safety of my client??!! Her daughter was 17 when I quit. She still had a bedroom decorated from when she was a baby, she still had a teeny tiny bed which she was too tall for, and only received up-to-date teen fashions so she could fit in because of hand-me-downs and presents from myself and her other PCA's! She clearly would not buy her anything or get her updated or adult things because her daughter "would not know the difference." It's true, she probably wouldn't, but she would get excited and want to wear my old Hollister shirts that I gave her while she was in high school, probably because she saw that's what her classmates were wearing. Is any of this true neglect? Anyways, I'm just frustrated with this issue and I have not yet been able to figure out how to properly report her, or if I even can. Is any of this actual and reportable fraud and neglect? If so, how do I report it? Who do I report it to? Also, I am hoping to pass my NCLEX within the next month so I am also curious about whether or not if I did report her with an active nursing license if the state would take my report more seriously? I do not wish for her mother to serve time or for her daughter to be taken away or anything like that, but I do hope that some justice be served for all the other families out there who deserve home care, but aren't getting any because they aren't being fraudulent like she is and aren't neglecting their special needs children in any way! Maybe just pay a hefty fine, community service, and get PCA hours reduced. That would be the justice! Please, any advice would be appreciated!
  6. AshleyPCA

    I'm a new grad interested in Public Health

    Too much baloney, just wondering what specialties you've worked in? Have you done other nursing cares and had patient care experience within those 30 years, or has it been strictly specialties such as education , management, etc.? Just curious!
  7. AshleyPCA

    Non-nursing major graduate wants DNP!

    Thank you for the advice. But along with that, its true that you should not just jump right into NP school right after graduating as a rookie nurse. Thankfully, I do not plan to do so. Most programs here in Minnesota actually require a few years nursing experience anyway. So I won't be jumping right in to a graduate program this fall. Insted , I plan to work and gain experience in the specialty I plan on going to grad school for.
  8. I will be graduating in August with my BSN and have always wanted to work in pediatrics. I have enjoyed each clinical opportunity I've had with children and their families and I hope to one day pursue a graduate degree focusing on pediatrics. However, one of my other passions is public health. I would like to see myself working for a local or state health organization and being involved in health promotion and prevention programs for children. Does this type of job position exist?! It just has to! Anyway, if this is possible, what route of education would you suggest after I graduate? Public health or specifically pediatrics? And what type of experience do I need to be competitive (children's hospital, pediatric clinic nursing, etc.)? I will graduate with honors in August, but I just keep hearing that no matter what, getting into pediatrics is competitive and tough as a new grad. However, in order to get into graduate pediatric programs you need experience! HELP! Any suggestions or advice would be greatly appreciated :) Thank you for reading/replying in advance!
  9. AshleyPCA

    I'm a new grad interested in Public Health

    I am glad you posted this! I too, am concerned that if I get a PHN job right when I graduate in August, I won't be respected as a future advanced practice nurse or nursing faculty (what I'd like to go to graduate school for) if I don't have the med-surg experience. But, I think what you said was very true, and uplifting. Just because you've never put in a foley doesn't mean you aren't a competent and knowledgeable nurse. Thank you!
  10. I am about to graduate with my BSN in August and plan to take my NCLEX in September. Then obviously, get a job! I am really into public health and community outreach, but this doesn't always involve things like med-surg nursing skills. I have heard from some nurses saying that it's a good idea to have some sort of hospital or med-surg experience so you can perfect your nursing skills (IVs, caths, trach care, etc.) and experience having a patient load, but I've also heard from other nurses that this is not a requirement for some advanced nursing positions if I go to graduate school. I just fear not being respected as an advanced practice nurse, or possible future nursing faculty, without this type of experience. However, I am all about the "nurses do not always have to be at the bedside" movement (nurses are useful just about anywhere and in many other fields other than just at the hospital or clinic). If it's a good idea to get some real bedside nursing experience, and perfect my learned nursing skills I also fear not finding a job right away. Hospital jobs are difficult to find and are not easy to land as a new grad . However, I heard it may be easier to apply for lower - key position such as a public health nurse or home health (but will provide less nursing- skill experience). What should I do? Any suggestions and shared experience would be wonderful :)
  11. AshleyPCA

    HELP! MSN or BSN-DNP???

    I am in a serious pickle (or two): I am about to graduate with my BSN in August 2014 in Minnesota and I have had the ultimate goal of becoming an NP. I already have a previous bachelor's degree in health sciences so this will be my 2nd bachelor's degree. Therefore, I have already spent a TON of money on school, but I understand that in order to become an NP I will need to spend more. But, I am unsure of whether I want to go the MSN route or the BSN-DNP route. I am concerned that if I do the MSN, I will not be able to practice as an NP due to the possible new requirements for having a DNP soon. I am considering several specialties (public health, pediatrics, or if it's possible...pediatric public health!). Most of all, I enjoy working with children and their families while promoting healthy lifestyle choices and especially prevention. I am just not exactly sure how I would combine these two (does this type of nursing job exist?!) Does this require me to be an NP? I would love to say that I am an NP and providing primary care, but not exactly sure if this is where I'd like to end up forever. If this is the graduate route I choose, then is there any preference I should have regarding whether to go for my MSN first then get my DNP later, or go directly for the BSN-DNP bridge program?? Both will obviously require more time and money, however, both seem to take about the same length of time (about 3-4 years full time). Again, I am also nervous about the MSN route and not being able to practice as an NP just because I only have a master's. Or is this not going to be an issue? Pickle number 2: Since I am considering both public health and pediatric primary care, I am stuck when it comes to graduate programs. Throughout nursing school I discovered I am passionate about both but I truly love the feeling of teaching patients about prevention, doing community outreach programs, and providing preventative services. If I could be a primary care provider (an NP) AND do this for children and young adults I would be very happy in my nursing career. I am concerned though, with the rigor of graduate programs, especially on the track to becoming a practitioner. Advanced pharm, advanced anatomy and physiology, and other difficult classes may cause me to regret my decision to enter a PNP program. But with public health, it would be a little less stressful regarding classes, but I wouldn't be able to be a primary care provider. Or would I? The only other thing that concerns me is if I decide to go a public health route instead of becoming an NP, the money just isn't there to help pay off all my loans, start a family, etc...or is it? Side note: I will be graduating with honors and feel rather confident in applying to both types of programs. But experience is an issue when it comes to applying to either type of program as well, and that is very limited since I will just be graduating soon. BSN-DNP programs here require a minimum of 2 yrs experience (so I could get done with DNP around 2020), but some MSN programs don't necessarily require too much nursing experience (so I could get done earlier, possibly). I hope this is not too confusing or frustrating, I am just trying to figure out which school and career option will be best for my interests :)
  12. AshleyPCA

    Direct Entry MSN or Accelerated BSN?

    Chloejean104, I was in your same position a couple years ago. I too, graduated with my bachelor's in another field and wanted to get into nursing school and eventually become an NP... however I did not know whether to do the direct entry MSN or go for the BSN. Well, ultimately I went for the BSN. I am about to graduate and it only took me 2 years. However, I am sad to say that I will only have another bachelor's degree when over these past two years I could have been earning my master's. I chose this route because all of the schools to offer the direct entry MSN here, and most anywhere, will suggest you not work during the program since it is so rigorous and I was scared of not doing so well. Although this BSN program is not a walk in the park either, I have been able to still work and earn money, as well as get all A's so far. Also, it was cheaper to do it this way since graduate credits are more expensive (unless you qualify for grants or scholarships). Therefore, even though I am receiving only another bachelor's, I am able to say that I am graduating with honors and will be considered competitive when I apply for new grad positions. No matter which program you choose, it will be tough, time consuming, and stressful at times. So, it is a tough decision and it truly depends on the cost, length of each program, your current degree and grades, your pre-nursing credits, and what you want to get out of it: to say you have advanced in nursing by getting a graduate degree (one step closer to being an NP), or to say you earned yet another bachelor's but could do well in the program and have an easier time getting into new grad positions and graduate school. I want to point out too that I did not graduate with my first bachelor's with the greatest GPA, so I was also nervous about getting accepted into the entry level MSN programs. If you think you can handle, afford, and get into an entry level MSN program, do it! If you are unsure of either of those, maybe look more into accelerated BSN (which is possible to get done in 1 year too). Just think hard about it and go with the option which will benefit you more in the end (the one that will allow you to get good grades, feel good about yourself and your accomplishments, and not leave you so much in debt, etc.). Either way, good luck to you!!
  13. AshleyPCA

    Non-nursing major graduate wants DNP!

    Go with the accelerated BSN! I am now almost graduated with my BSN just two years after graduating from Iowa with my first BA. I'm so glad I went this route because now I can begin applying for direct BSN-DNP programs. Its been rough though, no social life or ability to work as much as you may need to, but its all been worth it to me knowing I'll be done in just a couple months from now. I'd suggest looking into a program like mine, its a program requiring nursing pre-reqs and all that, but because I had a previous BA they allowed me to squeeze right into this cohort's third year. So I am getting my BSN in 2 years. Not sure if other schools will allow that but its worth a shot! Look into other accelerated BSN programs as well.
  14. AshleyPCA

    DNP in 2015? Forreal?

    I was actually wondering the same thing if they were going to now have entry level DNP programs, it actually wouldnt make much of a difference from the MSN entry levels since they're changing the requirements now for advanced practice (maybe). Just so you know, YES, someone with a non-nursing Bachelor's degree CAN become an advanced nurse within 4 to 5 years now with these cutting-edge entry level programs. These people without non-nursing degrees are WELL capable of becoming advanced practice nurses because these programs don't just let these students in without preparing. You do need certain nursing pre-requisites included in that bachelor's degree to get into the entry level, as well as a good GPA. So these aren't easy programs to get into either, so you know the people applying with a French Upholstery Design degree aren't just getting in without any previous undergrad nursing coursework. Then in the program they are prepared to take the NCLEX and gain experience and the same nursing education as anyone else, just at a faster pace (which the pre-req's and undergrad GPA verify that they will be able to keep up with the pace). So in a nut shell, these entry level nurses are JUST AS GOOD as any other nurses out there! They're prepared in a different way (just more rapidly), but with all the same things.
  15. AshleyPCA

    Non-nursing major graduate wants DNP!

    The Entry Level programs prepare students in unrelated fields by the way, hence "Entry." So yes, they do allow students to "jump" right into nursing school and start preparing for a nursing career, just as long as you have certain pre-requisites, which I do. (Just to be clear about the fact that I WOULD be going to a nursing school)
  16. AshleyPCA

    Non-nursing major graduate wants DNP!

    Correction: Sorry if this caused confusion, but I STILL would be going to nursing school no matter what program I choose, theres no such thing as becoming an NP without it and I know that! You can still be a non-nursing major and get into nursing programs(Entry Level), that's what I am talking about. But what I was wondering is if there were and Entry Level DNP programs out there like there are Entry Level MSN programs for non-nursing majors. I have not been successful in finding any so I am not counting on it anymore I guess. But thank you for the advice, I will definitely look into Allen and Kirkwood and go from there. Heard of any good ones in MN? I would like to go back home and get in-state tuition. I have been looking but it seems as if I want to get my BSN in an accellerated program in MN it will take me almost 3 years!! Ouch. I am just looking for the fastest track to my DNP after I graduate. I guess this is what I get for changing my major/career choice halfway through my undergrad!