KDBSN,RN

I have my BSN and have been a nurse for 4 years. I want to eventually get a job as an exec tutor or cno of a healthcare establishment. Should I get my masters in nursing with a mha or just a mha without the msn? What online schools would you recommend? Thanks

Where did he get his degree from?

I want to work in health administration. I currently have my BSN and really don't want to go back to school. I was wondering if I could receive my certification in nurse administation instead of going back for my msn in administration. Is that a bad plan or should I definitely get my msn? I graduated in 2010 with my BSN, worked on the floor for a year and worked 3 years in the operating room. Please any advice will help. I'm ready to advance my career and would love a job in health administration. Thanks.

Pet Peeves: Giving report to the day shift and the day shift nurses look at you like you haven't done anything all night when actually you haven't been able to sit and eat for 12hours and you are staying over to chart. When you can't understand the doctor's accent and you ask the doctor to repeat the orders and they get upset. Waking the medical management doctors in the middle of the night for an increase in pain medication for a patient and they tell you to call a different doctor. Having to report "critical lab" values @ 0600 for oncology pts. Ofcourse their plts and wbcs are going to be critical.. they have cancer and are recieving chemo! Then the doctor on the other line says "ok". No new orders. Pointless to call. Being a "new" nurse (1 year experience) and being treated like I have no idea what I am doing and being talked down to by my previous preceptor, even though he graduated at the same time I did but started at the hospital first. Can't stand nurses who act like they know EVERYTHING and really have NO idea what they are talking about. When you walk into a pts room and they have 5+ old ivpb's hanging on the iv pole. When there is one aide for 22 patients and she has an attitude all night even though the nurses are answering call lights and helping her when needed. Giving report to nurses that have worked on the unit for 10+ years and they say "I don't care about that" when you are giving the back story of the patient and then saying "just tell me what I need to know". Then telling the NM that the "new" night shift RNs give bad report. YOU CUT US OFF THE WHOLE TIME AND NEVER WRITE ANYTHING DOWN ANYWAY! When call lights go off and the "lazy" nurse looks at the room number and knows its hers but doesn't get up to answer it and lets it ring and ring. When nurses pass rooms with iv pumps beeping. Just go in and fix it !! When the laziest person sucks up to the nurse manager and she is to blind to see how he really is. When the laziest person on nights wants the Charge nurse postion so she can give herself the easy patients and never has to take an admit (yea she said that in front of me). When you are charge nurse and assign a new admit to another RN and she gives you attitude even though she has 2 less than everyone else. When doctors don't listen to you on the phone and try to hurry the conversation. (Don't they think it is important I am not going to call you for no reason at 11pm) Patients bring there own popcorn in and asking you to make it @ 0100. (Needs to be discharged) When you take over at night and ALL the IV's are infiltrated and all the day nurse had to do was flush x2. When the report you get when you come in for nights is completely wrong. (iv sites, antibiotics, discharge planning, cxr results) Did you even know this pt. When the ER nurse gives you resport and doesn't even know if the pt is alert and orientated.. no assessment? When nurses come in to work and complain the whole time when they are there. When orders are illegible and you call the doctor for clarification and he gets upset. When doctors ask you if you are a rookie nurse because you look really young. When doctors flirt and treat the blonde haired lazy nurse nicely but treats the brown hair in a bun and glasses nurse like she is an idiot. When you just get report and family members want to know EVERYTHING about what is going on with the patient and you haven't had time to go through the chart. When nurses leave and forget to give report.

I had similar situation last night. Pt npo @ midnight for EGD @ 1300 next day. TF usually continuous but turned off @ midnight. I called the Doc @ 2200 because the patient had 18Units of lantus ordered, he told me to give 9units. No d5 ordered. Checked CBG @ 0300 it was 94 then @ 0500 it was 78. Called Doc to get d5 hung and he ordered if cbg