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RegularNurse's Latest Activity

  1. RegularNurse

    Raising minimum wage ..RN Salaries increase?

    You are being paid market value for your work. Compensation isn't about being nice or fair. Employers want to pay the least amount possible in the form of raw wages and benefits for labor. As a staff nurse, you have little bargaining power. Do you actively generate revenue for the organization? Is nursing an exclusive field requiring tremendous knowledge to be minimally qualified for? At best, nursing limits billing losses from things like central line infections, falls etc. There are 3.5 million nurses, hardly an exclusive club to be in. Nursing has commoditized itself. You can go from BS in psych to an NP in 3 years or less now. These are just the realities of the free market. I'm sure many accountants don't feel great about people paying their taxes by taking a picture of their W2.
  2. RegularNurse

    Why are nurses disrespected so much?

    I see OP's point, but if you are working with the general public, be prepared to be disrespected.
  3. RegularNurse

    Do you feel more people are entering nursing only to become APRN's?

    Well Said.
  4. RegularNurse

    Do you feel more people are entering nursing only to become APRN's?

    Obviously this is happening. New nurses know that all you need is some experience and few years of grad school to get a comfortable 9-5 job with no nights, holidays, and weekends. Most pay even better than bedside care. Only in nursing is there a culture that decries people for wanted to improve themselves professionally. Accept the reality that there will be a huge decrease in the number of experienced bedside nurses. Young people don't want to deal with the nonsense of being a shift worker.
  5. RegularNurse

    I'm having doubts about nursing... :(

    This is your time in the trenches. Bedside nursing is about getting work done. Its not about musing on the pathophysiology, or the right drug regimen. Bedside nurses need to be smart and hard working. Aides and RNs do the medical labor, they physically take care of sick people. Nursing school is designed to make you minimally qualified for entry level employment. Whatever goals you have in nursing beyond this level are aspirational. You need to learn how to follow orders before you give them.
  6. RegularNurse

    RN-BSN...Drexel or Millersville?

    It doesn't matter where you get your BSN. Graduate nursing school remains wide open. You will probably get accepted into every NP program you apply to. Best of Luck!
  7. RegularNurse

    Time to remove the "nurse" in APN?

    This post captures the problem perfectly. Nursing school behavior will only be policed by market forces. If employers refuse to hire inexperienced NP graduates, they will tighten up their admission standards. Regarding vernacular, why bother dropping the nurse title? NPs are overseen by the BON...
  8. RegularNurse

    Refusing assignment/abandonment

    You don't have to do anything. Just tell your employer that you won't work unless they have additional staff present.
  9. RegularNurse

    New to med/surg

    Insulin and pressure ulcer staging
  10. RegularNurse

    MSW to ARNP

    A nurse practitioner is a clinical degree. Healthcare administrators typically have advanced degrees in business or healthcare administration, in addition to years of clinical experience. If you are not already a nurse, you will need to do a BSN then get your MSN, and pass the NP boards. Then you may need to have experience as a nurse prior to getting administrative responsibilities. If you stay in your current specialty. You could work up the SW ladder. Otherwise, the typical career path in healthcare administration is having a BSN and working as a staff nurse, then working as a charge nurse, then getting a grad degree (MSN, MBA, MHA) and becoming a nurse manager. From nurse manager things open depending on the position you are seeking. There are DONs and VPs. At large academic institutions, its not uncommon for senior nursing leadership to have DNP degrees. Depending on what state you live in, an NP may be able to manage a clinic or multiple clinics. This is also an option. I don't know much about policy advocacy. It sounds like public health, which sometimes requires doctoral level training to implement large scale projects. For example, many research grants etc. require a PhD for primary investigator. You have options, options are a good thing. Best of luck!
  11. RegularNurse

    Night Shift Nurses Help!

    Try to only work nightshift or dayshift; work multiple shifts in a row; accept that the first shift will be brutal
  12. RegularNurse

    How does Informatics look right now? Master's vs experience?

    Opportunities for in-house nurse informaticists are lacking. A hospital doesn't need many informatics nurses to run. There are a lot of opportunities to work for consulting and on-boarding firms as EHR systems are implemented. However, these jobs typically require travel etc. I would only recommend nursing informatics for people who want to work with data or want to code/build EHR systems. The nursing workforce is polarizing. There are a lot of young and old nurses. If you are early in your career, the days of simply training people in a new EHR are gonna end, if only because young people intuitively know how to use systems. I can't speak for the florida market.
  13. RegularNurse

    Nursing to Medical School

    You have a goal and stick with it! Do not become a nurse. Every nurse I know who has ever wanted to become a doctor was miserable in the nursing role. Just keep on trucking. Honestly, consider paramedic school as a way to make cash on your journey.
  14. RegularNurse

    Too Many Nurse Practitioners?

    I think you raise a good point here. As APRNs expand their scope of practice and attain full autonomy in primary care nationwide, do similar outcomes between physicians and APRNs mean doctors are overqualified for the job? I think everyone can agree that there is no real comparison in body of knowledge between MD and NP. Is all that training really necessary to be a PCP? What are your thoughts?
  15. RegularNurse

    Too Many Nurse Practitioners?

    I think a lot of what you wrote is right on the money. However, I think nursing schools raised admission standards due to increased demand for nursing education. Schools must thin the herd of applicants to stay within their enrollment capabilities. I'm not sure its a bad thing that smart people are becoming nurses. After all, the smarter the people becoming nurses, the smarter the NPs will be. I think good non-clinical opportunities for nurses with graduate degrees are overstated. Administrative staff are being cut nationwide (loosening the grip of administrative control measures in healthcare is one of the key selling points of all healthcare reform policies). The healthcare crisis in America is not due to staffing, but the result of sick people (mostly from lifestyle decisions) using significant costly healthcare resources. In short, healthcare ineffectiveness is not a provider problem, but a system and public health problem. Most NPs I've met are regular people. They just want to go to work and go home, they do not want to solve the nations healthcare disparities. I tend to agree that care will shift more peripherally, but I'm not sure many NPs want to work in telehealth or make home visits. In my experience, people put forth the effort in grad school etc. to get a nice comfortable 9-5 with solid compensation. Many of those roles are a departure from that. Thanks for your post, you brought up some nice angles on healthcare that I hadn't considered.
  16. RegularNurse

    Too Many Nurse Practitioners?

    Well said and "liked" One of the overarching issues in nursing is the simple fact that nurses don't want to be bedside nurses anymore, and there is nothing wrong with that. This is the root cause of the impending surplus of APRN providers. Why is there so much demand (right now) for APRNs? They are cheap compared to doctors. Bottom line. They are only cheap due to reimbursement restrictions outside of primary care- and also in primary care in some states. If public and private payers reimbursed for NP care the same as doctors, then the payroll convenience of having them is nullified. Although, the abbreviated training would still keep supply up, and control wages. Yes, there is still tremendous APRN opportunity for those who want it. The problem going forward will be that everyone wants it because nursing schools cherry pick students because the field was oversold. It is unreasonable for anyone to expect the best of the best students to settle for staff nursing. Nursing is in a weird place right now in the US. As a field, there was a huge push for all this education etc. Now that everyone actually got it, institutions are saying, "now what." I think nursing will have to re-evaluate the scope of undergraduate education. It's not good that so many nurses report nursing school to be some sort of helpless drudgery that does little to prepare them for actual practice. And its not good that graduate level nursing education does little to prepare people to hit the ground running- especially in the absence of residency programs. I think a lot of it comes down to nursing's weakness in expertise. There is no shortcut in becoming an expert at anything. Nursing has tried to dance around this reality in both education, practice, and high level administration. Unfortunately, these issues are beginning to manifest themselves in small ways with labor surpluses. Nursing has been marketed as a field of convenience and exposed for the pitfalls of that very approach. There is nothing "convenient" about becoming truly competent in the workforce. Until nursing changes this culture, the glass ceiling, clinical and otherwise, will remain.