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cinlou BSN, MSN, RN

Emergency and Critical Care
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cinlou has 42 years experience as a BSN, MSN, RN and specializes in Emergency and Critical Care.

I have been a nurse for 37+ years. I was an LPN for 10 years before returning to school for my ADN when LPN's were being phased out of the ICU's. I have worked in many different specialty areas, mostly Emergency and Critical Care.

cinlou's Latest Activity

  1. cinlou

    NEW RN "But old LPN"

    I had too, been an LPN for about 10 years when I went back for my ADN. I had spent those years in mostly critical care before they removed LPN's from ICU. When I received my RN I was also considered a new grad. Even at that I still made more money, and once I proved myself and and my skills, I gradually increased my salary and options. Don't give in. I know how it feels, I had felt a bit humiliated and I felt like they were getting an experienced nurse for new grad pay. But I kept that hidden and did the best quality care I could, and eventually was given back too.
  2. cinlou

    Can't Smell-Can I be a Nurse?

    I have had peers with same issue, one had and then lost it, and she said she did not miss it except when she ate. She did not feel it impaired her ability to be a good nurse, because she learned how to compensate for the loss. Some nurses can smell ketones on the breath, some can not for example, it doesn't mean you wouldn't recognize the other aspects of say DKA.
  3. cinlou

    Why so many negative nurses in the field?

    I have worked on floors and in units with bad moral. If I couldn't influence change I left for my own sanity. Behavior roles down from the top. trying to run healthcare using business models does not help. Why are we not using nursing theory? I once wrote to studer and asked what nursing theory they were using, the woman I spoke with had no Idea as to what I was talking about, and yet studer supposedly took his model from healthcare. So much change and transitions need to take place.
  4. cinlou

    Why so many negative nurses in the field?

    Op, I hear what you are saying. When I started nursing almost 40 years ago we were taught to not say anything keep it to ourselves. Do not judge others etc. We gradually gained credibility as nurses. I think some nurses come into the field for different reasons, maybe more financial than caregiving. And that is ok we all need to live. The newer generations were taught to speak up about everything, so they are more vocal. I have worked with some who enjoyed escalating patients because they like to take them down and restrain them. I shaved an elderly client in the ER and was told I shouldn't do that because they would expect it. So, yes, times have changed, and we do not need to be negative just to belong, do what is right even if you stand alone. There are so many opportunities as a nurse not at the bedside, maybe bedside is not where you need to be, try something different for awhile. Try to teach new nurses and protect them from the negativity. Teach encouragement, organization techniques, delegation, caring and commitment, understanding and ethics. Let us help change this negative face of nursing, if there are more positive people others will either join or leave.
  5. I was over 50 when I received my MSN Ed. I was an ER/specialty nurse and I knew physically I would not be able to continue. I needed to look for options as retirement would be far away. I planned to sit on the beach and do on line teaching. That didn't quite turn out, but a door opened for a Director for a Practical Nurse Program, I am coming up on the end of two years now. Academia is definitely a change and it was like moving to a new country and learning a new language, but having influence in how nurses graduate and what skills they graduate with is very rewarding. Open up your options you are young and have a great deal to offer young nurses, go for it. We teach our students that healthcare is lifelong learning, never stop learning.
  6. cinlou

    This week, I have learned..... (8/1)

    1. I learned that I can get a lot more work done, after my students have been pinned and before the next cohort (yes I said cohort :)) starts. 2. I Love watching my students complete their LPN school and be pinned. 3. I Love getting calls from employers asking for references 4. After 35 years at the bedside, I am very happy to be a director of LPN/CNA programs and being able to help people towards their dream 5. You are never to old to change focus, earned my MSN/Ed at the age of 50+ 6. Reading AN helps me improve our programs and help teach adult learners with respect and compassion 7. We added chaos theory into our simulation scenarios for more realistic learning and the students love it 8. Had feedback from a DON of a LTC facility that hired 2 of my last year students and she said she did not have to spend a great deal of time teaching them their lab values, they new them. This made me feel awesome 9. 2 of my clinical instructors I hired are ER nurses I worked with, and are awesome with the PN students 10. I Love being able to hire people I have worked with, that I know really care about teaching, love the students and are willing to go the extra mile. I have so many other things but I will wait and add more as I go, since this is my first posting on this thread. I read the previous posts, and thank you all for the boost
  7. cinlou

    Are med-surg jobs extremely competitive?

    This is where you can really put together a very good cover letter and resume. Make sure you focus on your strengths and how what you have learned in your clinic roles will help you in the MS role. Make your resume specific to the job you are applying for, too often nurses keep the same resume and just put it out for all jobs, but what you should do is alter each one to focus on the requirements of the posted job and how you can contribute to that role and the facility based on the skills and experience you have gleaned from your previous jobs. Good luck, you should do well
  8. cinlou

    A Public Thank You

    I Love Nurses, you guys crack me up. I'm a dark chocolate girl, so was grateful when M&M's came out in dark chocolate.
  9. cinlou

    clinicals

    Awesome, sounds like you are heading in the right direction. Good Luck
  10. cinlou

    clinicals

    So much of what you are experiencing really depends on the state, the facilities, the school, and your instructor. As an adult learner, you, like most just want to know the what and why, and when one feels like it makes sense then no questions asked, but if the response does not make sense you need to ask more questions. Nothing wrong with that. Some instructors do not know how to teach older adult learners, and some are great. I am a Director of a PN program, and my students get most of their skills checked off in their first semester. In our state they are assigned to nurses on the units, once they have been signed off in the clinical setting they are able to work with their nurse. Starting IV's etc. When I was in school in Tx. my instructor had to be with me for any invasive procedure. So each state is a little different. Know your states rules and regs. If I have students at a facility that does not have enough patients I try to find other sites, but in deed they are limited. As an adult student, take the opportunity to listen, do rounds with the nurses when the doctors are on the floor, ask questions, review charts, medications, labs. I tell my students that there is always something to do. If the patient population is low, my clinical instructors may decide to have longer post conferences with the students, do NCLEX questions, discuss scenarios, review questions that students have about tests they have taken. It sounds to me that your school has either limited the autonomy of the CI or your CI has limited herself. I think you should request a meeting with your director. But before you meet, have questions written down and offer suggestions for the problems. Do not go in with complaints and no resolutions. Most want to hear students opinions for improvement of programs. They may not be able to change during your time do to state board and HLC constraints. Also, when you are given your end of semester surveys fill them out honestly and give constructive criticism, the school and state board looks closely at these for accreditation.
  11. cinlou

    Denied R.N. License after NCLEX

    All state boards will look you up in the states you have lived and by your LPN license it will state what ever you did, and what the status of your license is. you can go on the site yourself and see what it says about you. Employers will do the same and they will also do background checks on you. I am a director of LPN program and I look this information up for CNA's entering my program. If they had an issue as a CNA and lost their certification or were not able to get it, they will have the same problem getting their LPN or RN. I always advise these students to speak directly with their board and clear up the issue, or they may be denied their licenses as they try to move up the ladder.
  12. cinlou

    New grads in specialties without the basics

    OR was one place that never seemed to appeal to me, I used to go to the OR with my burn patients and some EP patients and that was fun, but I watched the nurses standing in one spot for long periods of time, and didn't think my back would like that much, but I did enjoy going for cases I was involved with.
  13. cinlou

    A Public Thank You

    hahaha probably true "this is in relation to the response I'm too soft"
  14. cinlou

    I Hate People (my rant)

    The Nightingale Pledge: Nursing Ethics Oath | NurseGroups One Instructor's Updated Nightingale Pledge | Off the Charts Here are a couple of links that have upgraded the pledge, one still holds God the other does not. I am happy to hear you are going to see someone to help you with self reflection. Perhaps you are an introvert, and just have limited social skills from being home schooled. Hate may be harsher than you truly feel, maybe it is more of an uncertainty of how to communicate with others. I am an introvert, and I am totally exhausted when I get home and do not want any interaction even music can be too much for me. I have often said to myself maybe I should have worked in a morgue, but you still have to deal and communicate with people during very difficult times in their lives. There are many jobs in nursing where you can work that can have more limited contact with family and people.It can be difficult for others to hear the word hate and nursing placed in the same sentence. In our eyes they just don't seem to fit together. I hope your counseling will help you see inside yourself as to the reasons you feel the way you do. To me you sound like you have limited social skills, insecurity within yourself, and because of this, you have limited coping skills. Good luck. If you find nursing is not your fit, do not feel like a failure, find the career that will fit and make you happy. Do not force yourself into a future that you will be miserable in. It will only cause you more heartache as well as those who are around you. Good Luck
  15. cinlou

    Suck It Up, Buttercup! Nursing When You Want to Cry

    Beautiful piece. Some of the responses are a good example of to much PC in our lives. When I am teaching I often tell my students that we are like actors, we leave one sad room and put on our happy faces for the next, then we leave work and hopefully let our feelings out, so we do not become bitter. I have said often that I used to have so much more fun at work, when we didn't have to worry about offending someone by something we said that may be our culture or upbringing. Yes respect, but also we should be able to support one another through issues.
  16. cinlou

    A Public Thank You

    I want to be part of all you COB's I have been doing this gig for about 37 years. I drive a F150 so I can get out of my home and to work, sometimes have to do a little 4 wheelin. I think shedding tears is healthy, and if I see a newborn baby I still get goose bumps and tear up. When I am with someone during end of life I can do the same with family. But I can still let some water run and be functional. Can't get to the bathroom so have to let the water out some way. I think your gift is awesome.