devondk16

if i am reading this all correctly, i believe what this "new grad" is trying to tell students is to 1). not take it personally if something like this ever happens to you and 2). don't worry and move on you will survive. Nursing school is hard. It tests not only your book knowledge and skills but your character. But this is what you signed up for. RIGHT? While i understand the multitude of posts from others pointing out how this one individual does seem to be a bit focused on herself and playing a bit of the victim, AND it is legitimate to help ALL future nurses understand that as a licensed nurse you will have to protect yourself, your time but more importantly your patients, but geez, let's give her a break. She's just trying to share some of her experiences so that the next student who encounters this type of scenario will not panic knowing she is not the first to go through this. FAIR?

#1 What is your question? Your posting title says: "Career choice after 1.5 yrs. of MS". Technically this is not even a question; it doesn't even have the appropriate punctuation to indicate the sentence is a question: a question mark (?). #2 Then your actual posting says "So I have other discussions submitted under the right categories, I don't understand why people don't answer them, but answer other ones???Maybe someone will respond" WHAT DOES ANY OF THIS MEAN? WHAT ARE YOU ASKING ABOUT? BE CLEAR. SPEAK AND/OR WRITE ENGLISH WITH PROPER PUNCTUATION AND MAYBE PEOPLE WILL BE MORE APT TO RESPOND TO YOUR POSTS AND QUESTIONS.

Hello, I read your original post and was very interested in hearing the response when I saw that the "thread moved to LTAC.” I looked but can't find any response. I am a licensed CNA, in my second year of an accelerated MSN program and currently working as the Director of Services at a 153 bed Sub-Acute Rehab facility. 50% of our beds are LTC (76 beds) and the other are Sub-Acute and Rehab. The reason I am working as the Services Director is that it pays better while I am in school. Most of my actual nursing floor experience is in Assisted Living facilities. All of my Clinicals as a CNA were in a Sub-Acute Rehab facility and I've done my first year nursing school clinicals in this facility. Yes it's complicated, but I am a second career nursing student with a 15 year career in corporate so I bring a lot of "other skills" to the table as a prospective nurse. ANYWAY, I was, just today thinking about all the small things that I consider to be "so wrong" about the way things are handled here. As the DORS, I round on all the patients pretty much every day so I hear all the complaints good, bad, and ugly. I have a detailed picture of what is really going on in this facility. When I started, I was so motivated and wanted to change the world and fix all the "problems.” Now after 10 months, I am somewhat discouraged by the lack of response from our Management especially when I have come to them with solutions for the problems. I'm wondering if things are like this at all Sub-Acute Care and LTC facilities or if it is just this one. So many of the points you made in your post happen here on a daily basis. As I read I felt like you had been working here alongside me: 1).Charting--- how often does each patient get charted on and to what extent. Do I write a nurses note on every patient every shift? 2). Assessments-- How often are you doing a full assessment? It doesn't really seem like there's much assessing going on in my facility---it just seems like med pass, treatments, call bells. In my facility, if you're day shift , you'll chart vitals on the odd numbered rooms but it doesn't seem like the patients get their breath, heart, sounds checked regularly. It just seems like "the patient is breathing-good". I asked 3. Doctors- so of course you call the doc if there is a major problem, to verify meds for a new admission. But, say a doctor put a new order in a patients chart. I've seen the nurses sign off and fax it back to the doctor. Then what? So what about if I were to get an order over the phone from a doctor? Do I write it down and fax it to him so he can sign off on it? How soon would it go into effect? I want to know if this is exclusive to this facility or is it industry wide? I am in the process of choosing my specialty for my Masters and really want to make the right choice. Did you ever get a response to your original post? Thanks so much! So curious.DKSF16

I started following this thread because I, too, am considering following psychiatric nursing as a specialty in my post graduate nursing education. Yes, I was interested in what the salaries for PMHNP might be but I was really quite surprised at the length of the discussion about who would make more an FNP or PMHNP and in what state. Literally it became almost an argument about money. I certainly would hate to believe that money is what is driving you to consider nursing to begin with over another in this field. you really must have the "calling" as it were because psychiatry is not for everyone. and certainly you know that there are plenty of other fields where it is a heck of a lot easier to make $100k. Please tell me that all this wasted breath is exactly that...wasted breath. DKSF PMHNP candidate 2018