DianeMyra

I like the ED. There is a lot of teaching and talking to patients, the charting isn't as lengthy as the floor, oodles of autonomy: the doctors listen, and respect the RN's (I work at a teaching hospital), hand's on care, great teamwork, and meds are given as ordered; not 50 0900 meds. ~ Diane

I'm not sure how our peds dept does it, as we have separate triage areas, but if an adult presents with SI they stay in sub-triage which only exits with a badge. Also, personal belongings are removed, and they are placed in a hospital gown. It's not 100% (we've had a few bolt through the door when it opens, then we call security), but it's pretty effective. ~ Diane

They're more on the ball in person; if you live close enough, I'd suggest popping in. ~ Diane

Of course this does not include overhead; having been a hairdresser for over 20 years, I can attest that it is not quite this simple.

traumahawk99, As previously stated, I'm not arguing whether the BSN should be entry level; it's a complex issue with logical arguments on both sides. Folks like LindaRN, Miss Mab, Freedom42 and many others have written posts addressing this topic much more eloquently than I could even pretend to. However, I find it illogical to declare that BSN programs dole out "fluff". I admit some of the pre-req courses were little more than making one well rounded, but I'm incredulous that anyone would deny that courses such as pathophysiology speak directly to patient outcome. As I also previously stated, I'm speaking to the choices offered where I live. I'm sure some ADN programs offer additional courses in patho that the program in my area did not. Your posts are emotionally charged with little accuracy in regard to what I say. For example, I would never deny that real world knowledge isn't valuable; I'm not sure how you arrived at that. My point is that additional education is beneficial to the patient as well. I also didn't say your IV example was a waste of time, I said I can see how you think researching literature is a waste of time if you think nurses research how to start an IV by reviewing evidence based practice. I don't think anyone would deny that skills such as starting an IV are best learned in the field. But perhaps the efficacy of continuing the archaic practice of the Homan's sign could be determined and would cease when keeping up with the literature. My point concerning your apparent unwillingness to budge comes from you misconstruing what I say. Not that my post was so very enlightening, in fact I thought it was fairly simple. I'm simply pointing out that the additional classes I took made me a better critical thinker, and more knowledgeable regarding the human body, and what can go wrong with it, than I was prior to taking them. I have also taken additional classes as credit/non-credit because I know more knowledge equates to better understanding. Personally, I have picked up on slight patient mannerisms consistent to something I learned about in class which led me to act sooner than I would have without that knowledge; I'm no fool, I know this perceptiveness increases with experience also, it simply doesn't have to be one or the other. It would be much easier to discuss these issues if responses weren't so "knee jerk". You've stated in another post that the BSN degree is "worthless"; I don't expect to convince you otherwise. I've never cared for the phrase "Let's agree to disagree"; instead I'll just say that it's just too frustrating to have my words, and thoughts the behind them, mangled. ~ Diane

Classes such as the extra pathophysiology courses I mentioned help reduce “failure to rescue”; I find it amazing that you can’t connect this to better patient outcome. Topics such as starting IV’s are hardly what is researched; with this statement it’s clear to me why you don’t appreciate the value of reading evidence based literature, and find it a waste of time. I’m certain this will be your viewpoint no matter how strong the evidence is to suggest otherwise. My last post did nothing to elucidate the value, and purpose, of higher education, even a little bit, for you. ~ Diane

I know all schools are different, but where I went to school we were required to have additional psych, sociology, logic and critical thinking, and pathophysiology 1 and 2 just to get into the BSN program. The knowledge obtained is advantageous to patients. Many of the additional requirements within the program also benefit patients; for example, leadership taught me how to advocate for my patients effectively, and research taught me how to cut through the enormous amount of information out there to find legitimate literature for best practice. Whether I agree, or not, that BSN should be the entry level is not the point I'm trying to make. Frankly, I'm dismayed by erroneous statements. The post I quoted was just an example; I have read numerous posts about the "fluff" of the BSN, and the "superior skill level" of the ADN. My wish is that people would be happy with their chosen path without tearing down someone else's. ~ Diane

This is something that has always bothered me about nursing school. Why can't I take my test home to study from it, and keep it as a reference? The test can be used as a learning tool as well, turn it back in with correct answers and rationale for 1/2 credit or some such. I know it takes time to write a new test for the next class, but isn't that part of teaching? ~ Diane

I don't dispute that. Easier than what? ~ Diane

Well, if the OP can go from a 25 year old with 2 years ICU experience in November of 2006 to a 21 year old just graduating from an ADN program in one year's time there's no doubt in my mind he can retire at 30. ~ Diane

Did I miss something? Has America reinstated prohibition?

I read assigned material twice. It took a lot of time, but on the second time through I got many "ah ha" moments which helped me understand interrelated concepts. ~ Diane

Hey Tweety, I'm more of a lurker than poster, but I have enjoyed reading posts written by you. I Just wanted to say that you're in my thoughts and prayers. ~ Diane

Usually questions come first.

LOL, but as of your posting, it's only 28 hours old. Give her time, she may be busy looking for different career options.