Tommy5677

My advice to anyone encountering a situation with police is to DO WHAT THEY TELL YOU. Accidental or not, your resistance led to the assault charge. You will now need to include that every time you renew your license and on every job application. If you fail to disclose with a prospective employer and they find out, you will be terminated. Good luck.

A little Vick's vaporub under the nose with a mask usually does the trick. I think I was told this by an oncology nurse.

I'm not far behind you and graduated in '80. I too could have most any position I wanted until about 10 years ago. Now all the ads are either BSN preferred or required. I remember the days (I'm on the verge of retirement so that gives you a clue) when you could have a direct appt with the DON who oftentimes would hire you on the spot (a sign of desperation to be sure). Then HR took over. Now you need 2 interviews with HR before you even get to see the DON and then at least 2 interviews with the DON. All while competing with 200 other RN's for the same job. If you're not the greatest interviewee on the planet... I worked as a Health Coach on the west coast with an insurance company for 11 years, moved east, saw an ad for exactly the same job I was doing all those 11 years. They didn't even give me the time of day and I'm sure it was because of degree status. Oh and both were BCBS companies.

But the unfortunate part is that the ADNs have been relegated to nursing homes. Not to take away from nursing homes but there should be more options. If you don't want ADNs in management, fine, but don't take away hospital bedside. The notion that BSN's are better nurses is a myth and remember, we all take the same exam. If you want ADNs to be less than, give them a different exam but don't make them take the same exam and call them less than. That's what the nursing profession is doing.

I would probably agree with this but in a different way. I would encourage people to get the ADN, take the NCLEX, get a job, and then enroll in a RN-BSN program. It's likely that in the long run it will cost less money. The only deterrent I can see to this is that those programs will tell you things like you can do it in 3 semesters, except we're talking about 60 credits. You're probably not going to do that in 3 semesters but at least you can work.

It's an opinion

I'm in total agreement. Many with a BSN who got their ADN first will tell you it's nothing but fluff (community health and research, neither of which is on the NCLEX) There are also many BSNs, including one here, that will tell you stats show BSNs nurses are better. The research was done by a University with, are you ready, a BSN program. It's laughable. The nursing profession is it's own worst enemy, afraid to stand up for itself (if we wanted to we could put hospitals in their place, groveling at our feet).

Did you see where post COVID nurse salaries are plummeting? That's how much hospitals and admins think of you. As Boomers continue to age, we are heading for a serious crisis, as if we don't already have one.

Wow. I just learned how to do a simple algebra calculation for that one

43 Years ago I received my ASN from a private university. We started with 66 and graduated 32 so yes, there is a weeding out process. Also, when I did the ASN I did the entire thing in 2 years, including 2 semesters in the summers, which is kind of not a thing anymore.

Whatever you say. I'm apparently not allowed to disagree with you.

Finally, a voice of reason. Thank you for your post.

He gave it to the wrong patient and nearly killed her.

It doesn't matter because no one will hire her anyway. It's all moot. I never said she should return to any hands on clinical area. There are nonclinical things she can do that require a RN but people here don't even want her doing that. I think there was some kind of motive here with this post to get people's dander up and it has succeeded.

Thank you for that. They could still do case management (believe it or not) and prior authorization. Things that require a RN. What about nursing informatics or something of that nature? Well, for that she would probably need a MSN. I think most of those commenting here are just unreasonable. I'm not trying to excuse her. Had she followed policy and protocol she would not have made such an egregious mistake. Maybe she could make lemonade from lemons: go on the lecture circuit teaching nurses what not to do, or whatever that might look like. Here's an example of a guy who got lucky after a med error. Wrong med, wrong patient: Michael Villeneuve knows this firsthand. After graduating from nursing school and working in a neurosurgical intensive care unit, Villeneuve gave the wrong medication to a patient. He administered a dose of potassium intended for one patient to another. Villeneuve realized the error immediately and called for help as the patient's heart went into distress. All he could think about was that his career was over, that he was going to lose his license, and that the patient was going to die. Fortunately, the patient recovered. Villeneuve went on to head the Canadian Nurses Association, where he educated nurses on safety before his retirement in March 2022. Anyway, it happens. This guy could have still been revoked even though the patient recovered but he and the patient got lucky. Nurses wanting to be judge and jury is just tiresome.

I get it and you're right. I'm just no longer interested in the post.

I seem to be the only one here willing to cut her some slack. Even with putting limitations on her practice everyone here seems to have a need to crucify her. Maybe this isn't the right forum to ask such a question.

With your line of thinking no nurse would ever have a chance against the BON. I'm certainly glad you're not sitting on one. I would be OK with her screwing up a claim or a work comp case? Are you serious? Because she was grossly negligent with reference to the med error, you automatically assume she would be incapable of doing anything competently when you have no idea the working conditions she was under. I'm not excusing her. She failed miserably at her job but no one ever said that nonclinical work was mindless so stop putting words in my mouth.

At least one nurse here would beg to differ. She believes the research showing better patient outcomes with a BSN where the university providing the research has a BSN program, is valid. Mmm hmm. In an ideal world we would have all BSN's but this is not an ideal world. As I said before, if you want to validate BSN required then give them a test that includes the community health and research components the ADNs don't have. Don't tell ADNs they are less than while making them take the same test.

I think that she should have her license reinstated but not fully unencumbered. She should be restricted in the types of work she can do. No clinical. She could do any number of things: case management, work comp, health coaching, etc. Give the girl a break. Honestly, I didn't even know a nurse could give Versed. I thought you had to be a CRNA to do that. Apparently not. I know of a story a friend shared with me sometime ago. Linda was the charge nurse on a busy ortho unit. One of the nurses got an order for K+ IVPB. Guess what. She gave it IVP. Immediate cardiac arrest. Dead. License revoked because any nurse should know you don't give K+ IVP. That's the worst med error I personally know about. Finally, if you've been a clinical nurse for as long as I have, you have made a med error. If you say you haven't you're probably not being honest. Granted, this was a deadly one but hey.

This is one of the ways BSN prepared nurses attempt to belittle ADNs. I did all the above you cite here with an ADN. Yeah, it's called home health care, or HHC which I did for the same company for 7 years. The things you list here are basic nursing concepts so please don't tell me I'm incapable of any of it because I don't have a BSN and community health nursing. Besides, community health is way more than just about discharge planning for home health care. Apparently I know that better than you. Such a feeble attempt. I think it's time I opt out of notifications for this thread as I will no longer entertain any of this nonsense.

I never did CM but I was a Medicare health coach for BCBS for 11 years with an ADN in the early 2000s. No one ever questioned it. When I moved to the East Coast in '15 Anthem BCBS had an ad for the exact position I was doing in Oregon. With 11 years experience they would not even give me the time of day. Honestly, I don't much care anymore as I'm on the verge of retirement working for a Psych NP and she never questioned my credential. I'm the director of her holistic practice and certified in Low Energy Neurofeedback and Alpha-Stim.com. It's one of the best nursing gigs I've ever had. Planning on full retirement in '25.

I guess I should clarify. It's only a bad thing when you have been relegated to it. ADN nurses can rarely find positions anywhere else, including case management. Definitely not school nursing and even then it wouldn't matter if I had 20 years ER experience.

When I did Medicare HHC in the 90's I did it with an ADN (I prefer ASN since that's what I have). I was the respiratory lead and traveled all over the city of Las Vegas (outside my territory) because many others were reluctant. When I worked as a Medicare Health Coach for a major insurance company, I assisted with the development of the respiratory program (asthma and COPD). Nobody at either place ever questioned or challenged my credential because I was liked and respected. Currently as I near full retirement I work part time for a psych NP providing holistic services for her patients, probably the best gig I've had as a RN. I think the point is that nurses now with an ADN would have a difficult time getting a position with any of the above, even with all the experience.

The profession of nursing can do whatever it wants or sees fit. I get the BSN thing on several levels but one person referred to getting the RN to BSN as "fluff". It's not right to continue the ADN programs and then relegate them to nursing homes. It's insulting and a slap in the face and I can no longer in good conscience encourage people to go into the field of nursing. If you think all the fluff is necessary to be a good nurse then BSN's should have a different exam that includes said fluff. Do not tell ADN's they are less than and then make them take the same exam. It's total BS. When it comes to change, we sure have a history of shooting ourselves in the foot.