Sydney2011

Of course they are a student. No nurse would be asking these questions.

My background is almost the same as yours. I started in SNF/ long term with a background in HH as a CNA prior to becoming and RN. I’m also a CM with a home care agency affiliated with a large hospital system. Case managing in this context more means that you’re the lead nurse in charge of that patient- you’ll the primary contact person as well as the one organizing and overseeing their care. My orientation was three months and that’s standard with my agency. There is a ton of overlap between SNF nursing and home care, and if your work experience has been similar to mine, then you’ll be well prepared to be working on your own and trying to utilize resources when needed since long-term care nursing rarely has enough in-house support and you get used to being resourceful because you really have no other option . At least for me, after I got past that initial learning curve, I find home care nursing to be so much easier SNF. Good luck!

I can’t believe we have nurses on here comparing the flu to Covid

Definitely start with doing the NCLEX. I can totally relate with life getting in the way after nursing school because I waited two years to do the NCLEX because I had a newborn baby right as I was graduating and then I had another baby. Get your license and then either get in the workforce even if that means getting your foot in the door at a long-term care facility and then apply for a RN to BSN program. Aside from getting into a BSN program, the longer you wait the harder you’re going to find it to be to find a job as a RN. Your options will be very limited and even some relatively more reputable long-term care facilities might not hire you with no experience and having been out of school for a while.

Haha. Dude. You DO know that drinking and driving IS illegal, right? Try again.

Original Poster, if you haven't already, read the book Bottled Up. It's all about how the "mommy war" on infant feeding methods is completely uncalled for and how the evidence actually doesn't support FFing as being as detrimental as many people claim. The author also writes about how the strong push for BFing is having some unintended consequences for at-risk infants. It's a worthwhile read.

Realistically, VBAC or not, if it's too risky to deliver without immediate 24/7 access to c-sec then it's too risky for any woman to deliver in a hospital since risks exist for all women in L&D. I'm an RN and I've had 3 VBACs. I also had insulin-dependent GD.

"The first year (or so) is brutal and miserable. The main difference seems to be that, back in the day, nursing schools told people about this, and we graduated expecting this to be our experience (I know that was true for me). Apparently, students now graduate and enter practice with no expectation of this, and a lot of new grads seem to think a) they are the only ones going through this, and b) this means there is something wrong with their job and the answer is to jump ship and look for greener pastures. " This post seems unfairly divisive and dismissive. I graduated in 2010 from a good BSN program and my instructors were very clear about the difficulties of being a new RN. And more often than not new RNs who quit are not seeking greener pastures assuming it is the workplace environment rather than their own lack of nursing skills. More often, they are simply feeling overwhelmed and/or seeking a better fit. They are likely considering the needs of the patient population. On a similar note, it's posts like your post that reminds me just how much some more experienced RNs dislike incoming new grads. Maybe a more welcoming attitude would go a long way.

Hi everyone, I graduated in 2010 with a BSN, but I'm just now entering the field since I have been a stay at home mom for the last 4 years. I was hired at a LTC and rehab facility. I'm very nervous starting this position since I will only be in orientation long enough to complete a checklist of skills and after that I'm on my own. The facility has 103 residents with 2 RNs and 4 CNAs on every shift. Despite reading my state's nursing practice act, I'm feeling a little confused about what exactly I can and can't delegate to CNAs. I'm also concerned that the facility appears to have a large staff turnover (I know, not uncommon for LTC) and I've already noticed some practices being utilized that are not evidence-based. I'm wondering what advice you would have for me coming in as a new (old) grad and if you could recommend any reference books or a comprehensive guide to evidence-based practice in LTC and rehabilitation nursing? Any "does or don'ts" I absolutely need to be aware of that might easily be overlooked by a new grad? Any input would be greatly appreciated! I totally feel like I'm in over my head.