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Allergy/ENT, Occ Health, LTC/Skilled
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LPNtoRNin2016OH has 5 years experience as a LPN and specializes in Allergy/ENT, Occ Health, LTC/Skilled.

LPNtoRNin2016OH's Latest Activity

  1. LPNtoRNin2016OH

    Schools misrepresenting clinical site locations

    Thank you!! I am in an associates program but its designed to be 1+1. We (as in LPN-RN students) do all of our bachelor pre-reqs while completing the associates program. Once we graduate with our associates we then have 9 months left online for our BSN. So while its not technically a BSN program its designed so that you end up with one quickly after graduating with your associates. Hospitals in my area do still hire associate grads w/ the condition you obtain BSN in 5 years. We have a lot of hospitals in my area for a medium sized city so it works in our benefit at times but we also have a lot of nursing programs which is obviously impacting the clinical issue. I just want the same experience that other students in our school are getting and the experience I paid to have because I did specifically ask the question will our clinical be in hospitals and I got a resounding yes but the hospital sites will vary, not the setting. And yes (and this is not directed at any one person) again, I know nurses do not just work in hospitals. I have been a LPN for 8 years and have worked in occ health, LTC, family practice, etc etc. But I wanted exposure to the hospital IN school so I could get an idea if I want to work in one or not. Plus many nurses in my area are leaving the bedside to become an NP or something of that nature so many of the jobs open for new grads are staff floor nurses so it's likely that's where I end up if I do not stay in the field I am in now.
  2. LPNtoRNin2016OH

    Schools misrepresenting clinical site locations

    I think your misunderstanding my post. I am in an accelerated program, its three semesters. this is my ONE and only med-surg clinical/hospital experience. I did a peds rotation/psych rotation, this is our big all encompassing med-sure/acute care rotation. I currently work in a transitional care unit so yes I am aware that nurses work in all kinds of enviroments. But generally, LPNs go back for the RN to gain access to a hospital so I think its logical to assume your one acute care exposure would be, well, in a hospital. And yes, I was told you needed to be flexible about clinical sites, which I am, but I do feel its misrepresentation to have every single site listed you go to but then happen to leave out a nursing home site and then use it as your big clinical experience.
  3. Wondering if this a common occurrence. I go to a fully accredited, nonprofit, respected, and traditional nursing program but I go for LPN-RN completion which is a class of 30, they also have a traditional program that runs along the same lines that is a class of 90. I thoroughly vetted this school because I didn't want to have a repeat experience of my vocational schooling days for my LPN. I was provided a list of the clinical sites they use, all hospitals. So of course, I expected all my clinical settings to be one of the sites listed on the sheet. We recently found out last clinical and our transitional role (I think for traditional students they call this capstone or preceptorship) could be at a skilled rehab (well now they are calling it a Transitional care unit”) in a nursing home if we are placed there. Our other two sites are a hospital and VA center. All of the traditional program students are going to the best hospitals in the area. This nursing home was never listed on the paper, had I known this was even a possibility, I would not even have attended this school. Quite frankly, its embarrassing and a slap in the face to the 3 yearsof hard work I put into my education to get into this program. Is this common? And could this affect my hiring potential after graduation? I was assured I would have excellent clinical sites from every person at this school I talked to, as it's accredited and attached to a major University, I felt comfortable trusting that. Now I feel like I made a huge financial mistake and could have just gone to a Fortis type school and could have been done in 18 months instead of the 4 years its taken me because Ihad to take every single pre-requisite as I had no post HS schooling other than my LPN schooling where of course credits do not transfer. I feel taken advantage of and it does not feel good.
  4. LPNtoRNin2016OH

    Going back to school at 30

    I went to LPN school at 21 but no other college after thattill I started my pre-reqs for my LPN-RN bridge program at 26. I will graduatethis April shortly before turning 30 so I think I can give you a good view ofwhat it may be like. I do have three kids and a husband which does make things abit harder. I am actually 1000x glad that I waited till I was 26 to goto an actual college (LPN school was vocational) because I took it moreseriously than I would have at an younger age, I am more organized/motivated,and I realize this is debt I have to pay back no matter what so I need to dowell to graduate and get a job. I did terribly in public school, I graduated HSwith a 2.3. My pre-req and nursing class GPA is 3.96 – I am no genius but as anolder student I am great at time management and have the discipline to sit downand study. They also utilize online classes more (Well school dependent obviously),my program's lecture portion is 70% online. I love this because lecture doesnot benefit me in any way shape or form and I can study when I want to and howI want to. Hopefully you will not have to repeat all of your pre-reqsthat you did when you were younger. But I do think you will find that at 30 youwill not get as overwhelmed as easily as you did at 20, and you will have the confidenceto go for it and not let anything stand in your way.
  5. LPNtoRNin2016OH

    Flu shot/husband-looking for advice, not to debate

    [COLOR=#000000]Oh man, this sounds exactly like the situation I had with myhusband before our third was born. I had not pushed it with him for the firsttwo but after the previous season when our older 2, who were vaccinated, butstill got the flu at the same time, I was adamant. He had never had it either.I printed him off a bunch of stories of parents who lost their newborn babiesfrom the flu, a bit cruel yes, but it worked. The third baby got RSV when hewas 4 months old, obviously nothing to prevent that, but after seeing the babyhooked up to O2 and being suctioned because he couldn't breathe, he nevercomplained about it getting it after that. [/COLOR]
  6. LPNtoRNin2016OH

    Dr. complaint

    [COLOR=#000000]From all of the details you have provided, it would have beena questionable nursing judgement call if you did not send her. I wouldseriously blow this ER doctor's complaint” off, it's not like you can bepunished if you accurately documented everything, for being on the safe side.The only step I could see adding is calling the patient's POA if they areunable to make decision for themselves. But to me, DNR does NOT mean let themdie screaming in pain. If your on call does not answer, there is nothing elseyou could have done.[/COLOR] [COLOR=#000000]That stuff REALLY irritates me but we have that problem withour town's ambulance company. I had a similar situation, different symptoms, butone of my DNR patients. If it were me, I would have kept him at the facility,but the wife, his POA, wanted him to go to the hospital. So per our facilitypolicy, I have to send him since he was no longer able voice his ownconcerns/opinions on the matter. The paramedics were literally complainingabout it in front of this patient's wife, who was crying, that he didn't needto go to the hospital. Because, ya know, sometimes doing your job means its notalways going to be a super exciting accident. We had words once the patient wasloaded and wife was out of ear shot and I called their superior. It's not up tothe ER or to the paramedics to judge the reasons they are there, they need to zipit, and do their job. [/COLOR]
  7. LPNtoRNin2016OH

    Lowest stress (still great pay) nursing specialties?

    Yes!!! I was about to say the same thing. I did it for 3 years as an LPN, had to resign because I am finishing up RN, but I worked M-F, 8-5:30 pm, no weekends or holidays, and made $20/hr which is bank around here for an LPN in a clinic. It is a undiscovered gem and there is so few of us with the certs and experience, you can essentially name your price for hire. I am going to go to the hospital for a few years after graduation in April but will most definitely returning to occ health after that, love the patient population, and it was just a great job. And not to mention they paid for literally thousands of dollars of occ health training for me to attend and get certified in certain things.
  8. LPNtoRNin2016OH

    What do you consider a heavy patient assignment?

    I appreciate all of the advice! I plan to go over some time saving strategies with a senior nurse to see where I can improve, even if there was no room for improvement in that particular shift, I can at least explore strategies to prevent myself from feeling so underwater that I hit a mental wall. Sad to hear the situation is about the same in every LTC, wish there were ways to change it, I do feel our senior citizens deserve better care. I leave each shift feeling like crap because I know I did not get everything done that needs to be done (like skin prepping heels, actual preventative measures to keep them from developing any new problems) but that's the reason I left the first time so I need to suck it up for my remaining time there and learn from these experiences, giving the best care I can.
  9. Last year I returned to LTC PRN after 5 years of working in clinics,, we are a billed as a low acuity LTC w/ 8 beds dedicated to rehab patients. When I first started working, the rehab patients were stable, mainly hip fractures needing PT/OT, and stroke patients that were needing a little extra time before they went home. The types of rehab patients they have been taken in lately are more sick than they ever been. Because we are supposed to be low acuity, we don't really have the capability in terms of time to take on more critical patients since all 25 of my patients are separated into 3 different halls. My last shift was a double, I had 17 LTC patients, 6 rehab patients, and two empty beds. My 6 rehab patients consisted of a PICC line w/ ATB for sepsis (he was pretty stable though), patient w/ multiple wounds(one on the coccyx so constantly needed changed because he had many BM in a shift) and patient had c-diff. 3rd patient was pretty much self reliable, 4th was hip fracture w/ low hemoglobin who I was constantly monitoring due to pain and possibility of hemorrhage (she was like 2 days post op and hemoglobin was trending down), 5th patient walkie/talkie but very agitated with no orders for any type of anti anxiety due to family request, and my 6th patient on IV fluids, with hypokalemia/CHF who I was also constantly monitoring to make sure she wasn't filling up with fluid plus I was very concerned about the fluids + already hypokalemic situation so I was in contact w/ on call often. Plus my 17 other LTC patients. I never took a break (which lets get real, who does in LTC) nor never sat down besides to chart for 16 hours. My boss happened to come in for the other side because no one over was scheduled to work. I ended up calling her at 2100 because one of my aides called to inform me one of my LTC patients was bleeding from the rectum which is the first time this has happened for this patient. I couldn't leave my rehab patient because she was starting to fill up with fluid, I stopped infusion per MD, and was in the middle of getting all of the other orders for her together when this happened. My boss acted like I was incompetent. Now, I am no LTC expert so I am wondering if from your all's perspective if I may need to change my time management habits or if this is an actual heavy assignment. I am due to graduate with my RN in April and I want to make sure if I am not being efficient enough with my LTC patients to complete all of my tasks that I start figuring out why that's happening before I work in a hospital and have more critical patients than what I have now....
  10. LPNtoRNin2016OH

    Worried about testing positive (drug test)

    It would be highly unlikely if a traceable amount would even appear in your urine due to accidental exposure to your hands because it's really not even being absorbed by your body and being stored at all. I wouldn't worry.
  11. LPNtoRNin2016OH

    Argumentative essay

    I recently did a paper on how prescribed opiates over the last 20 years and how it's impacted the current heroin epidemic. It was actually interesting to read about and there are many peer to peer reviewed scholarly articles on the subject.
  12. LPNtoRNin2016OH

    racist patients

    I feel for you OP because as someone who is white, when I see this behavior by patients towards non-white co-workers, it pisses me off to no end so I cant fathom how it feels when its actually directed at you. My co student and I were in a room with a patient and their family during clinical, it was clear the husband of the patient did not like black people (the student I was with is black) by the remarks he made and facial expressions. I sincerely wanted to punch him in his racist face but obviously we kindly excused ourselves from the room instead. I don't understand it and I find it so, so ignorant and gross. But its something I am working on because I have to take care of ignorant people the same as I would anyone else. I hope you often do not have to deal with that but I am guessing that's unrealistic.
  13. LPNtoRNin2016OH

    Kicked off unit when Joint Commission arrives

    I just finished my pediatric clinical rotation at what is considered to be one of the best Children's hospital in the nation. It was BORING as all get out. Understandably, many parents do not want students. We were on a transplant floor so most of these patients, the nurses have had forever, so they are super protective over them and we were allowed to do very little. We essentially did vitals and played with the kids. I am not interested in pediatrics so I wasn't super bummed and I know from LPN school (now in RN school) that you essentially learn everything once you are hired, clinicals are just so you are exposed to the different environments. Your experience sounds familiar to mine and I go to a well regarded nursing school.
  14. LPNtoRNin2016OH

    How much do you make 2016

    I work two PRN positions right now: One in LTC where I make $19.60/hour and one in a occupational health clinic where I make $20.80/hour. Have 6 years overall experience, 3 of that in occ health. Live in the Midwest.
  15. LPNtoRNin2016OH

    LPN or Ultrasound tech?

    Look at the need for each profession in your state. The state I live in, sonographers have a harder time finding jobs than LPNs just because its a very competitive market.
  16. LPNtoRNin2016OH

    Schizophrenia and nursing

    The best thing to do would be to call your state's board of nursing for the most accurate information. GL!