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1.5 years CNA, 1 year hospital PCT, 0.5 years LPN

moretonel's Latest Activity

  1. moretonel

    3 States Won't License Excelsior's ADN Grads

    Achieve Test Prep and The College Network are TEST PREP PROVIDERS (NOT A COLLEGE OR UNIVERSITY) and PUBLISHING COMPANIES, selling test preparation guides and materials for CLEP, DSST, and UExcel exams. You STILL have to be accepted and enrolled in a school that ACCEPTS transfer credits from these exams. You STILL have to be accepted and enrolled in an Associate's or Bachelor's degree nursing program. Achieve Test Prep do have UExcel nursing exams. This is where the scam comes in. ABSOLUTELY GUARANTEED NO NURSING PROGRAM ACCEPTS NURSING CREDITS FROM ANOTHER NURSING PROGRAM, MUCH MUCH LESS WILL A NURSING PROGRAM ACCEPT CREDITS FROM A CREDIT-BY-EXAM TEST. Achieve Test Prep own website says (under the "What Is Credit-By-Examination" heading - https://www.achievetestprep.com/healthcare-degrees): "Our Credit-by-Examination Test-Out Program is a test-prep curriculum for college students interested in fast-tracking their general education courses". Not even EC will accept UExcel nursing credits, though they do accept many of the UExcel general requirements credits. In fact, you can prepare for UExcel exams directly THROUGH Excelsior. Excelsior College IS a college. The nursing program is nationally accredited, and is recognized by the National League of Nursing as a Center of Excellence. I'm not trying to sell you on EC, but since you were "looking at EC and also Achieve", I'm trying to give an unbiased assessment. EC does have drawbacks, the biggest being that EC nursing graduates of all levels, and EC nursing graduates who later earn higher degrees from other programs, will not be eligible to hold licenses in California, Maryland, and Georgia, ever. I'm just starting the ASN program, taking my last pre-requirement (Microbiology) starting in about 2 weeks, online. No lab component - one of the issues CA, MA, and GA have with issuing RN licenses to EC grads. Since I'm close to 50 years old, and not planning to move to any of those states, it's not an issue with me. You, being from California, it's NOT an option for you either. Western Governor's University (WGU) would be for you, if trying to the online LPN-to-RN route. The take-away - Achieve and College Network ARE SCAMS. It's better to get an associate's from a local community college, maybe in Health Careers or Medical Assistant to get your pre-requirements (Chemistry, Biology, A&P I, A&P II, Microbiology) and most of your general requirements. It will take you 2 years to fulfill your pre-requirements, might as well get a degree with them.
  2. moretonel

    Peds home health: dealing with trach and vent

    I have a much different take on this matter. First, OP said was new to vent and trach, not a new nurse. Isn't everybody new to vent and trach initially, with no experience? How is OP to get experience unless OP is assigned a patient. How did anybody get experience until assigned a patient on a trach and vent. I'm sure OP will be orientated in the office on a mannequin, and in the home with the client - changing trach, suctioning trach, attaching ventilator, going over different scenarios several times. Is that enough preparation? I would argue yes, IF not a new grad. I am an LPN with 2 years experience working in LTC/Rehab, and 6 months experience in a medical group home with intellectually and developmentally disabled residents. I've done IVs, wound vacs, dressing changes, external fixator care, etc. I remember my first code and using the AED, my first fall with fracture, my first anaphylactic reaction, etc. The more emergencies I handled, the better I got handling emergencies, even those I never specifically experienced before. I'm soon starting part-time shift care with trach and vent clients. I've had a little trach experience, no vent experience. I've gone through the 2 day office orientation on trachs and vents. I feel confident. I was drilled over and over and over on different scenarios. I know, I know, it's not exactly the same on real people. Again, I ask, didn't everybody have to have their first? Everyday I go over the material they gave me. I'm good in emergency situations. I know how to access for respiratory distress, cardiac distress, diabetic distress. I have experience intervening in respiratory, cardiac, and diabetic distress situations. I've given the nitroglycerin, the glucagon, the nebulizer, increased O2 and monitor O2 saturation with pulse ox. I have inserted Foley catheters, securing them by inflating the balloon (exact same procedure inflating cuff on a trach, and inflating balloon on MIC-key tube). No, I don't specifically have vent and trach experience, but I have 2 years nursing experience with similar skill sets that are transferable to trach and vent care and maintenance; and, 2 years experience intervening in emergencies. OP, you did not say if you are a new grad or what nursing experience you have. If a new grad, then I would agree with other posters, you're not ready. You need the nursing village to help grow you up (and no, it's not a perfect village - some nurses eat their own, etc). You need other nurses around you to learn from, to ask questions, to be mentored; preferably, in a LTC/rehab or hospital, where you will gain a huge skill set. If OP has 1 or 2 years experience dealing with emergencies, and having the skill set gained from working LTC/rehab or hospital, then you should be qualified and competent. I have no hesitation accepting responsibility of caring for trach and vent client, knowing that my experience has more than adequately prepared me.
  3. moretonel

    I'm a nurse, not a babysitter!!!

    I'm starting shift care (private duty, extended care home health - functionally all the same, one on one skilled nursing care for up to 12 hours per shift) for the first time, soon. I'm reading AN discussions to get a feel for the issues pertaining to shift care. It seems there is a lot of down time. Curious, if not interacting with the client, what else would you be doing during the shift? Just trying to get a heads-up.
  4. moretonel

    Families Saying "No" To Male Nurses?

    I do currently work full-time at LTC as LPN. I will be adding part-time employment as LPN doing extended-care-home-health/shift-care/private-duty, whatever you want to call it, doing skilled nursing care - vents, trachs, G-tubes, wounds, etc. The same skills I do at LTC (except for vents) but one-on-one on a 4 to 6 hour shift. Answers will be like: "I've never known any male nurses to be refused." "I've seen 3 male nurses refused." "I've been working home health for 5 years and only seen 1 refuse a male nurse."
  5. moretonel

    Families Saying "No" To Male Nurses?

    I completely understand that a patient can refuse care from any caregiver for any reason, I'm not arguing against it. I've been a CNA and Patient Care Tech, and came across several no-male-aid patients, no offense taken. As an LPN of 2 years at 2 LTC/rehab, only one resident no male nurse, no offense taken. I'm about to start part-time home health shift care. I was just trying to get a sense of how often an assignment will not be given me because client does not want male care, no offense taken, because I was already taken off an assignment before I even started (at another agency) once the family found out I was male. Again, I'm not arguing against it, not offended by it, just trying to get a feel for how steady a clientele I'll have.
  6. In addition to being an LPN, I am nationally certified as an EMT-B. I took the EMT-B class in the time between graduating from LPN school and taking the NCLEX-PN (it was a 3 month class - yes, I waited 3 months to take the NCLEX). My thinking was that it was another option if it took a while to get that first LPN job - I could volunteer as EMT-B to keep up assessment, wound care and treatment skills. I never worked as an EMT-B, but I still keep it active. You never know. As my mom always told me, "It's best to have and not need, than to need and not have". I didn't list it on my resume when applied for LPN jobs, but I might in the future want to do disaster relief or emergency management roles.
  7. moretonel

    Families Saying "No" To Male Nurses?

    I appreciate the response, but you did not address what I was asking. I asked if a potential client would not even ACCEPT CARE FROM A MALE NURSE. You do not fit in that category, you DID accept from a male nurse.
  8. Is it difficult for a male LPN to be given a regularly scheduled assignment. How many families in your agency have said "no" to male nurses?
  9. moretonel

    How much do you make?

    I'm in CT. $24/hr
  10. How many nursing jobs do you have? Half the nurses (RN and LPN) I work with in a LTC have 1 or 2 other part-time/per-diem jobs. My wife works at a medical office, the LPN there also works hospice and another per-diem job. I also work per-diem on a regular basis at a group home and pick up here and there at another LTC. How common is this? How many places do you work, and how often, and why?
  11. Cowboy, I have a question that I hope you honestly answer. Say you personally have a 7 year old daughter, and you need a babysitter, would you allow a teenage boy to be alone with your theoretical 7 year old daughter alone for hours? I think it's safe to say 99.999% of mothers would NOT. I know it's not an exact comparison, but you may get the point. Please, post your answer.
  12. moretonel

    Hello, EC students and nurses

    I'm about to start EC. I haven't contacted them yet, I'm scheduling to take the TEAS first. If you don't mind, since you're about to finish, could you answer a few questions? If you haven't failed any exams, why is it not going great? I'm thinking about the exam route. How difficult is it. I prefer learning on my own, but how much information will they test you on? I'm a little hesitant because I'm thinking I have one shot at taking a "cumulative" test of a class that, if taking a traditional course, would be a semester worth of material - that's a big gamble. What is your experience taking the exams? How long did you study before taking the exams?
  13. moretonel

    3 States Won't License Excelsior's ADN Grads

    Wow, I don't understand the AL, CA, MD BONs for not granting licensures. Yeah EC has no clinicals, but EC is for working LPNs, LPNs who took clinicals in LPN school, and LPNs working doing nursing skills everyday, some with several years experience. I'm sure EC argued these and other point before the DONs, unsuccessfully unfortunately. The only state that may have had a possible "ah, c'mon man!" reaction from me is MD. I have family in DC-MD-VA area. When the wife and I move, obviously MD is not an option, but DC and VA would allow us to be close to family.
  14. moretonel

    3 States Won't License Excelsior's ADN Grads

    I think it's only for ADN RN. I'm stopping at ADN RN because I'll be 50 or 51 years old when I pass CPNE (notice the confidence), and I'm tired of taking classess. But, ir you continue on to earn BSN RN from a different school, you should be able to practice nursing in those 3 states.
  15. I'm an LPN with 1.5 years experience. I've researched Excelsior and know the pros and cons, and for me the pros outweigh the cons (over a year to wait for CPNE, oh well). I don't plan on going any further than ADN, I'm turning 49 y.o. this year. It's interesting to note that when I move with the wife within the next 2 to 3 years, I won't be moving to Alabama, California, or Maryland. Those states flat out will not extend an Excelsior ADN RN licensure by endorsement or examination (https://www.excelsior.edu/state-board-requirements). Has this had a negative impact on any Excelsior ADN RN grad?