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cinlou

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  1. So there are many different situations that may have caused the pregnancy, and the answer to those can not be provided by we as nurses, because it isn't our choice it is the persons going through it. No question is meaningless. I know of men who were capable of being single fathers and if they had of known that their significant other was pregnant they would have chosen to have the baby. But the abortion was done without their knowledge of the pregnancy and without any input. Now I know this is another different issue and it becomes the personal responsibility of the relationship. But I wanted to put out the question and I see the majority of the responses here appear to be against the father and more supportive of the mother obtaining an abortion.
  2. each state is a little different, so I suggest you call your state BON and ask them. You could look at it as collecting data not assessing so I would think you could do it but I defer to your state BON.
  3. C4-5 Fusion L2-5. Transitioned from ER and hands on after about 48 years to education, now I tutor and do NCLEX review
  4. I started out with only 2 males in my class and then I worked specialty areas, critical care, EP, ED and always worked with many males so when I hear nurse I think of both along with first responders.
  5. I have a question to add to this already complex issue. Does anyone think that the father of the baby, within a consensual sexual relationship, should also have a say within the outcome of the baby he has helped create?
  6. Patients refuse care by nurses for many reasons, I had a patient that told me they didn't want me to care for them because I was fat and therefore must be lazy. We as nurses were taught to be non judgmental and I hope the majority of us are. We have to protect ourselves and our license because this seems to be the time of suing in order to obtain financial security instead of working. I usually told the patient that I was their nurse and would provide them the best care I would give any of my patients, then I would kill them with kindness, even though on the inside my heart may be hurting. Nursing care is supposed to be about the client not the nurse, that being said we also have to protect ourselves.
  7. Every time you try something new there will be jitters. It is normal to be nervous about new things, that is what can keep you a safe care giver. It sounds like you know what you want and need to do to get yourself back to school, now all you need to do, is do it. Good Luck
  8. We have slid backwards in nursing, and because of this I think we need to go back to basics in nursing schools. We cannot continue to teach more management than basic skills. The new nurse needs the skills first. Once out of school the opportunity for advanced knowledge is available within the facilities through advanced training towards certifications etc. We cannot look at our generation and the changes we have went through to help this generation. We came out of school with the expectation of a 15 to 30 patient load on a general med/surg unit and a charge nurse roll right out of school. We had high acuity patients but we had them longer so we could balance the assignments out instead of having all high acuity patients. We were gradually provided new technology from DOS charting in computers and having to put each piece of a swan together manually instead of picking up a package that has all the tubing put together, we had to mix all of our own medications, now we have unit dose, we did not have respiratory therapists to do treatments, because we did them. We now have pharmacists available even at codes at the bedside. We had to calculate all of our cardiac measurements and learn all the formulas, now the monitors do it all for you. But the changes were somewhat gradual, so we learned as it came to fruition. The present students are thrown out there with management skills they haven't had a chance to practice, and skill levels that have had minimal opportunities to be put to the test. All of this also depends on the state and the type of nursing school and clinical sites that may or may not have even been available for students to get into to even practice the skills. Also, the skill of the educator, were the facilities set up with appropriate mentors. Many of the skilled practitioners have left nursing early. We already knew we were going to be down nurses when the BB generation retired, but now we are even more short due to all the covid rhetoric that caused a great deal of anxiety along with missed clinical, more remote teaching, and questionable learning, along with the change to the NGN (a plus, I might say), but they were all changes that required a rapid change in the education. Ultimately, I say back to basics and do a restart/rebuild of all curricula, back off the push to the BSN, I know that is going to get me some negative responses, but, sometimes pushing through something that isn't working, and is just burning all the new nurses out, isn't the answer either. Times and old ideas need to be adapted too. Bring nursing back to the caring profession, and the rest will fall into place.
  9. Honesty is always the best policy when dealing with state boards of nurses. Having a letter of recommendation by your therapist/Dr. could potentially go a long way. I would anticipate that you would need to follow up with drug screens through the board, but I am not totally familiar with Pa's rules and regulations. Most boards that I have delt with really want to support nurses and those who want to improve themselves. Be up front and speak with the board to find out what they require from you. Good Luck and congratulations.
  10. So, let me get this right? Presently you are working as a CNA, but you want to get your RN, and you are wondering if going back to phlebotomy would help you more than your CNA? If I have your question correct, this is my thought process, and from my experience as an educator. Yes, as stated earlier phlebotomy is different from starting an IV, but the process builds confidence in doing invasive procedures to a client. That said, working as a CNA provides the opportunity to be involved in patient care for an all-around process. If you are able to become more involved in what the nurses roll is for your clients by asking questions and learning the why's as to what is being done for and to your client, this could better prepare you for nursing school. You could, if possible, split the 2 rolls and work part time for each, then once you get into a program decide which one fits your schedule better. The CNA will keep you in closer contact to complete patient care for learning while in school, but you need to look at the pros and cons for you such as financial, schedule, responsibilities, and learning potentials.
  11. If I look back to when I was precepting on a unit, I wanted my new grads to be able to go into a patient room and provide basic care and comfort, such as a full assessment and be able to do the skills needed, foley, IV, NG, etc. Then when there was time we talked about the why. I think too much time is spent on upper-level knowledge ie. management and not enough on basic nursing skills, they will learn the higher level once out there, that is if we still have halfway decent mentors left at the bedside to provide it.
  12. Does your physicians come in early for their rounding? One of the ways I worked around this when they dropped that on us, was to go through patient report with the physicians at the nursing station so off going and oncoming nurses knew what was going on, then round with the physician and go over the rest of the specifics at the bedside, neuro, lines etc.
  13. Option full time at home and pick up a part time bedside position to keep your hands in the activity so when you are ready to go back to hospital you will have the ability to get hired back having maintained your skills. Are three 12 hour shift available on weekend? I did night shift 12hr straight weekends when mine were young, Dad was home, then I was home during week. It really comes down to what will work with your schedule and not necessarily what you would like to do, but what you need to do to be able to be at home with your children as you want.
  14. As stated earlier there are many reasons why hiring you into an RN position on your unit may not be able to happen. As a previous manager I can also offer an opinion. Sometimes staying on the same unit when moving up can be more difficult because peers may still see you as a CNA and call on you often for that roll instead of allowing you and supporting you in your new roll. Definitely speak directly to your manager to find out what the situation is, and then go to HR to apply and look into other options that can afford you the opportunity for growth. You may find yourself to be happy you tried something new even if it may be a bit more frightening.
  15. sounds like you took on your responsibility to the best you could to prevent that from happening. Unfortunately there is lack of education at home and in schools for prevention methods other than abortion. Don't get me wrong, I am not against abortion as a last resort method.

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