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xokw

xokw BSN, RN

Public Health

Content by xokw

  1. xokw

    What pathway should I take?

    The cap is definitely higher than that in some areas!
  2. xokw

    CPNRE - test times

    Nope, a few times a year still for the CPNRE, which is better than it used to be, when I wrote in 2013. It wasn’t even that long ago but there were only 3 days per year to write. Yep, 4 days. One mid-January, May, and October. Hopefully when the CPNRE moves to the NCLEX (I don’t know when), it will be more open like what happened when the RN exam switched over!
  3. xokw

    Mini Rant

    Really? It is a shame that that has been your experience. My workplace is on a wage grid that brings you to $49.61/hour after 6 years with amazing benefits, pension, 6 weeks vacation, etc... You’re obviously working in the wrong area if you think the pay sucks. I’m sorry for the patients who are on the receiving end of that negativity.
  4. xokw

    Long term care vs Hospital

    Any experience is better than no experience on your resume. Working in LTC was one of the most challenging things I’ve EVER done and I actually learned a ton and developed a lot of valuable and transferable skills from the time I spent there.
  5. xokw

    RPN to BScN 2020

    I think the bridging students started out around 60 at that time and we definitely lost probably 15 that I can think of. Some failed, some decided they didn’t like Mac so chose to pursue other options.
  6. You can bridge through Mo/Mac regardless of the school you do your PN program through.
  7. xokw

    RPN to RN bridge too lengthy (Ontario)?

    I graduated from Conestoga in April '13. I guess it just depends on your career goals and your professional interests, but I have quite a few friends who completed the bridging program with me and really enjoyed the majority of it!
  8. xokw

    RPN to RN bridge too lengthy (Ontario)?

    I recently completed the RPN to BScN bridging program through Conestoga/McMaster and now work as a full-time Public Health nurse with my Regional Municipality. I don't think the program was too lengthy and I think it is natural to look at the program, see the extra one year, and assume it is too much or that it should be shorter, but it isn't going to change and people have been complaining about it for YEARS. Yes, you will see classes where the description or content may seem like it will be similar, and in terms of overarching topic it may be, but the depth and breadth of those classes IS different. The nursing theory, anatomy, pathophysiology, research, etc., that I took as a BScN student were far different than those that I completed as a PN student. The sciences in particular were way more in depth, something I highly underestimated before I began the program and as I look back now I recognize that I entered the bridging program somewhat naive to what exactly the differences would be. I would be happy to send you some of my typed notes if you would like to see what I am referring to. I also regularly wrote 10-15 page papers where I felt I was graded with much higher standards in regards to my quality of evidence than I was as a PN student. In my bridging program I also spent a significant amount of time learning about statistics, research, the critical appraisal and application of evidence to inform organization and system-level changes, etc., all of which are highly applicable to my Public Health career, an area of work that is not available to RPNs or even diploma trained RNs (at least in my Region). I'm not ragging on PN programs, truly, I was the proudest RPN for many years and in fact I just officially resigned my RPN registration last night and it stings a little bit. I will always advocate for RPNs, I believe them to be highly skilled health care professionals that have such an impact and important place within our system. I am, however, able to recognize that I am a completely different nurse than I was before I bridged - not better, not smarter, just different. You can PM me if you want any additional information or an example of the coursework in a bridging program. Edited to add: If my intent were to stay in med-surg where I worked as an RPN, I would never have bridged. I would have practiced no differently from one day as an RPN to the next day as an RN, because there is really nothing I learned throughout my BScN to better prepare me for that role and if that were my intention to stay in that type of area, I would have felt robbed. Because of my interest in Public Health, the bridging program was an invaluable tool and I feel like I gained so much.
  9. xokw

    RPN to RN Programs in Ontario

    I completed the bridging program through Mac. I enjoyed it, but it is not for everyone. It’s known for less clinical and for being more heavily research/theory based (Mac is considered a top research university so I suppose it makes sense). As someone who was very interested in moving in Public Health nursing, it was a perfect fit for me and I loved it.
  10. xokw

    Post - Diploma RPN Bridge to BScN @ Ryerson

    Maybe! We were all working as RPNs as well, so who knows what the rationale was!
  11. xokw

    Post - Diploma RPN Bridge to BScN @ Ryerson

    Wow! I did the RPN to BScN program through Conestoga/McMaster and we needed 354 during our final semester (plus one class) and 288 during our second last semester (plus two classes). Crazy!
  12. I PROMISE you that you don't have to be good at math to be a nurse, seriously. I used to think I wasn't very smart either, sometimes we surprise ourselves.
  13. xokw

    RPN-BSCN Bridging Application 2019

    Hmm I’m not sure. Things were done really differently back then. I wrote in 2013 and back then it was paper-based and we all wrote on one day in big auditoriums. The school submitted your name to the CNO like really early (I believe I got my paperwork in the winter) and it was booked and paid for like 4 or 5 months in advance. It’s totally different now so I really have no idea. Sorry !
  14. xokw

    Care Partners?

    I have a love/hate relationship with community nursing. I joined CP as a newer grad RPN with only 2 months of LTC experience and when I started it was amazing. The money in community is rarely great (although it can be. I know an RN who made $119k last year working in home care), but the relationships you develop with your patients are awesome, unmatched. You will never feel appreciation the way you do when you provide care to someone in their home. As an RPN I also developed a wide range of skills rapidly by working in the community, the skills I used FAR surpassed the skills I used when I transferred into the hospital, and I also loved that I had a more holistic view of my patients than I did in other settings. The company was well run initially but I watched it go downhill quickly. Being harassed into doing on-call and being told you aren't a team player if you say no, left with no support in the community and feeling completely alone was the norm (nothing like needing some urgent help with a patient situation and having a manager simply not answer their phone, they were famous for that). Things like having a patient assigned to you with a skill you've never done before or are just not comfortable with and being told "oh well, figure it out". It isn't just CarePartners, it's community nursing. This particular area is growing at a pace with which the companies and the nurses can't keep up because the funding within this area is not growing proportionately. I left the community after 3 years and moved into med-surg nursing in an acute care hospital and I often said that my worst day in the hospital is better than my best day in the community. In a perfect world, community nursing would the greatest job out there. In reality, it's brutal. You're on your own (even though they will tell you that you are NEVER on your own), the pay sucks, the responsibilities are HUGE and seemingly endless. What I mean by that, for example, is in the hospital when I need a specific supply, I walk out into the hallway and grab it off the supply cart or call down to stores and someone will literally tube it up to me. In community, you are responsible for ordering every single patient's supplies, fighting with the case managers at the LHIN to get their supply orders approved because of their arbitrary "supply maximums" (imagine being allowed to order a maximum of 6 pieces of a product like foam or inadine every TWO weeks for ankle to knee bilateral lower leg wounds which require a daily dressing change, it's a constant battle). It's a lot of work at home, the LHIN requires a ton of mandatory reporting on patients which comes at no extra pay to you (I spent sometimes 2-3 hours on paperwork at home after a shift). Not to mention the filth and squalor you have no choice but to work in. The most memorable moment in my nursing career, and I don't know how I will ever top it, was entering a patient's home who was being seen for wound care. He lived in pure filth, a true hoarder with dirt and animal excrement everywhere (but you do get used to that because you quickly learn that for many patients that is the norm). I was there to change his coccyx dressings, undid his brief before rolling him and found his abdomen and genitals and entire bed crawling with thousands, yes literally thousands of tiny pharaoh ants. They were covering his entire midsection, the g-tube site, crawling in and out of his suprapubic catheter insertion site. his brief was full, the bed was full. Everywhere. He refused to go to the hospital, a care conference was arranged, pest control came in and determined not only did he have an ant infestation but cockroaches as well. Ultimately he was deemed capable of making his own decisions and we simply had to use PPE and shake off after leaving his house. When I went to the hospital I lost a lot of skills, spent half my shift transferring people to and from the commode and changing linens; I felt way less like I was a nurse but my life got a lot less stressful. I see from your recent posts that you have left the hospital after many years. I'm happy to answer any questions you have if I haven't completely scared you away
  15. xokw

    RSV

    RSV isn’t a big deal? As the mom of a preemie RSV is one of my worst nightmares. Glad to hear your facility is treating it accordingly.
  16. xokw

    Care Partners?

    I did for three years when I was an RPN.
  17. xokw

    RPN-BSCN Bridging Application 2019

    Yes you can. That's what many of us had to do (apply before we were registered). Most schools will offer you a conditional acceptance based on you being registered before the middle of August-ish. I completed the RPN-BScN program at Conestoga/McMaster if you have any questions.
  18. I find this crazy! I was an RPN for 5.5 years and never had an issue finding a job. I even got into the hospital without too much of a headache. I can't understate the importance of having an immaculate resume. Really, spend the time on it. Contact managers directly, network, take additional certifications. The effort pays off in the end.
  19. xokw

    Is this normal?

    I agree it's insulting but I think that's the going rate in an RH. Unreal. Try to get into the hospital. As a part time RPN in the hospital I made $29.60 plus 14% in lieu of benefits. I think it came to just over $33.
  20. xokw

    RPN New Grads in Ontario and Orientation

    I've received anywhere from 2 (LTC) to 8 (hospital) orientation shifts. I'm in southwestern Ontario.
  21. xokw

    Nurses in terms of hours

    I had no idea I was responding to such an old thread, I'm not sure why it popped up but thanks for pointing it out :) Regardless, it is wonderful to see how it varies! In my area dialysis is 6 days per week with days and evenings but no nights or sundays and my close friend who works in the OR works straight days with an oncall weekend once every 6 weeks. Public health here is a separate job and is something you just apply for as you would any other facility or organization. I don't understand what you mean by seniority or accommodations because here you either work for Public Health or you don't, so if you were in another job and needed accommodation, you wouldn't land in PH because of that! Seems very different from where you are, that's for sure! I consolidated my BScN in a M-F position and have many friends who work M-F jobs in nursing or jobs with no nights! Lots of options out there :)
  22. xokw

    Post - Diploma RPN Bridge to BScN @ Ryerson

    Congrats! Did I read that right that you only have to do 165 hours for preceptorship?!
  23. xokw

    Nurses in terms of hours

    You DON'T actually have to work nights, weekends, holidays, etc. just because you want to become a nurse. There are definitely jobs out there that have more stable/consistent shifts. - Clinic Settings (with that comes a variety of areas) - Public Health - Day surgery/endoscopy - Most OR (of course this has an on-call aspect but not regularly scheduled nights and weekends), - Dialysis (hours vary from place to place but two of my local hospitals have dialysis units in the hospital and are straight days/evenings with no nights) - Teaching (would come with a lot of "at home" work so arguably could spill into nights/weekends) - Case Management - Occupational Health (depending on the position) Good luck!
  24. xokw

    NICU mom to NICU nurse?

    Hello there, long time no post! I have a doozy of a question! For the longest time as a nurse I have had no idea what I actually wanted to do career wise. I became an RPN, went back for my BScN, and always assumed that throughout the years of schooling eventually I would gain some practicum experience that would really "speak" to me and push me towards my calling. It didn't happen. I have experience as an RPN in LTC, community, and med/surg nursing, and have done placements in med/surg, palliative, emergency, psychiatric and public health nursing. Still nothing. Then, last year my son was born prematurely and spent some time in the hospital (level 3 NICU, then level 2 NICU, then SCN), in total about 6 weeks. Since my experience, and as I prepare to return to work, I can't shake this feeling that I am being drawn towards NICU nursing. I've never wanted to work with babies, or parents, or children of any kind to be honest (hence the lack of placements in those areas, it was NEVER an interest of mine), but it's as if something in me has changed. So here's my question - Have any NICU moms (or dads!) successfully transitioned into NICU nursing? Is this even possible with the emotional piece involved? Do you personally know any NICU RNs who previously had a child or children who spent time in the NICU? I'd love to hear (and not just personal opinions telling me what a bad idea it would be, but actual experiences or experiences of someone you may know).
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