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bekind_andtrue's Latest Activity

  1. bekind_andtrue

    Nursing day time

    I live in FL so it may be different... but my sister-in-law got her first RN job as day shift in the ICU. She was probably somewhat lucky. However from what I've heard... nurses make an extra 6-7 per hour working night shift and it is generally more relaxed because the family is less likely to be around. I would imagine both of these are incentive for nurses to prefer night shift. Also I would say definitely no to them training you on night if you are to be set for days. They will not expect you to work both shifts... only the one you signed up for. 12 hour shifts are hard to shift between the the two. In my personal experience and opinion... you'll get what you expect! Don't worry so much about it. Have your heart set on getting what you want and need and believe that you'll get it!!! Sorry - I know I am cheesy. í ½í¸†
  2. Training at a nursing home/rehab… What questions to ask? So tomorrow is my third and final day of training at my new part-time job . I'll be working there every other weekend first shift starting this weekend. I've only worked in a nursing home for a few months and then switched to ALF so I'm a little nervous. what are some questions that you have learned to ask during your training? I know that once I'm on the floor I'll probably have 100 questions that I didn't think to ask during my training.
  3. bekind_andtrue

    Applying for nursing programs at 30?

    The LPN program I completed did not have any prerequisites. Our clinicals started the 2nd month of our program - we went to two different nursing homes and two different hospitals. While in the hospitals I was able to spend time in the ER, Neuro, Med-Surg and Labor/Delivery units. Every school will offer different experiences but in my area most of the RNs who were LPNs first say that they received much more clinical experience in the LPN program. The reality of being an LPN is that there are not too many positions available in the hospitals. Something rather odd that I've noticed is that the only Magnet hospital in my area is also the only one in the area who is still hiring LPNs... This is odd because Magnet hospitals usually gain that status by having a high number percentage of nurses who have a BSN. I actually know someone who has been working there as an LPN and just graduated from RN school last month - with her tuition paid by the hospital. I'm sure that she had to sign a contract with them to continue on for her BSN as well. LPNs have a "different scope" meaning that we do not have as wide of a scope. Most of the jobs available are in the nursing home, assisted living and doctor/clinic office setting. HOWEVER - it is my experience that getting a job as an LPN is VERY EASY. I live in Florida so perhaps its because of our large senior citizen population.... but I'd imagine that there are plenty of desperate nursing homes all over the country. By no means am I saying to become an LPN instead of an RN... RNs have much better work opportunities (not necessarily MORE but definitely better work options)... but if you are looking for steady work and decent pay - then the fastest and more convenient route for you might be to become an LPN first.
  4. bekind_andtrue

    Being called a baby nurse

    So technically you've been a nurse longer than her? I don't think you're reading too much into it. It sounds like she was definitely trying to take a jab at you for being an LPN first! What kind of work did you do as an LPN? If you worked in something like a doctor's office then I could see what she means but you still wouldn't deserve to be called a "baby nurse" after holding the title of LPN for so long. The fact that you didn't mind toileting your patient has nothing to do with how long you have been an RN or working in that unit. It's about your character. She was just coming up with an excuse for why she has less patience than you while simultaneously insulting you. I've only been an LPN for about a year and I was actually called "practically a fetus" during my first couple of weeks by another nurse. I found it funny and wouldn't mind still being called a baby nurse. But 5 years from now by another nurse who has been in the profession just as long as me??? No way. When I become an RN the only ones who should be calling me a baby are the ones who have been taking care of people 3x as long. When I worked in a LTC/rehab facility there was an RN I worked with who had been an ICU nurse for 40+ years and she said that work we were doing at the rehab was way harder. I would never let anyone try to disregard my LPN experience.
  5. bekind_andtrue

    Applying for nursing programs at 30?

    Maybe try becoming an LPN first? That way you save yourself the time in case you realize nursing isn't for you. It's great because you dive right into the career and get a LOT of clinical experience in the hospitals and SNFs. A man probably also around 30 that I worked with also had a bachelors in English and that's the path he took. He just graduated from RN school. A lot of people tried to tell me that I should've gone to RN school first but I don't regret my decision at all. Most RN programs take 2 years (after completing about 3 semesters worth of pre-reqs). LPN programs take about a year and then an LPN to RN program also takes about a year after the pre-reqs... So it equals out. If I hadn't become an LPN first I would still be a cashier. Plus it is so much easier to get accepted into an RN program if you are an LPN. Check out your local community colleges and see if they have any LPN to RN programs.
  6. bekind_andtrue

    PRN pay difference for LPNs?

    I have recently decided to quit my full time position and instead attempt to work a few jobs PRN so that I may create my own schedule. My question is -- how much should I be expecting to get paid? I have always heard that PRN positions are supposed to pay more because the work is not steady and you do not have any benefits and must get your own insurance. Here's a little details about the pay rate for LPNs in my area. My first job was at a rehab. They offered me $18 as base pay. Most of the nurses who asked me how much I was making told me that I was getting ripped off. That they were started at $19 when they were brand new nurses like me. My second job was a PRN position at an ALF. I was offered $19. When I became full-time my rate remained at $19!!!! One of my friends/classmates is paid $23 an hour for a PRN position at a rehab/SNF. A few days ago I had an interview at an SNF (with a small rehab unit) and was offered $19.50 base pay for a PRN position. I am too much of a chicken when it comes to asking for money so I just said "Yes" that it was okay. But I am now regretting my decision as I believe that they have low-balled me. I have heard bad things about this facility and it did seem somewhat ...rundown... but I figured that if I'm only there once or twice a week that it won't matter too much to me. (When I got to the interview I learned that the HR there is an old family friend -- I believe that also persuaded me towards taking the job) The ADON also made it clear that they will likely have a lot of work for me. Should I call and ask to renegotiate the pay? If so... what should I be asking for?
  7. bekind_andtrue

    Am I wrong for thinking that this APRN was wrong?...

    Just an update for anyone who may read this or commented on this post?! Reading this over again (comments included) was very interesting. I worked at that SNF for four more months. The charge nurse and some of the other nurses there were definitely NETY. The hall that I was on when I wrote this post was the absolute hardest assignment in the facility. It was on the rehab unit and the only assignment which had 100% rehab patients -- no long term residents. It was the hall with the most rotating patients (constantly new admits). Other nurses who worked the shift before me told me that they couldn't believe the charge nurse assigned me to that hall on my first week-- that they were not assigned to that hall until they had worked there for MONTHS. After a week or so - one nurse (who used to be charge nurse) had a meeting with some of the supervisors and said that it was outrageous that I was put on that assignment. They then put me on one of the easier assignments that the other nurses seemed to always be fighting for. I eventually left because they continued to bounce me around the halls and my PRN job was just too tempting. I definitely see the error of my ways and my ignorance in the mistakes that I made that day. I have certainly grown as a nurse. However I look back at this day and definitely see it as two nurses that were eating their young. I vow to never treat a new nurse the way those two treated me. I have been working at the ALF memory care unit for the last 7 months and I feel much more prepared to return to the rehab setting. At the time I was so overwhelmed by everything that I was just trying to make sure that I wasn't giving medications 4 hours late. I will need to brush up on my skills but I now have a better sense of care prioritization and patient needs.
  8. bekind_andtrue

    Am I wrong for thinking that this APRN was wrong?...

    YES!! I've said before that the saying "The more you know, the less you know" is so true for nursing.
  9. bekind_andtrue

    Am I wrong for thinking that this APRN was wrong?...

    I just want to say THANKYOU to everyone for all the input. Even those that think I'm dimwitted. I was on this website the entire time I was in nursing school.... even a couple months before I was even in nursing school. This was my first time posting or commenting. If anyone else has advice on how to be a COMPETENT nurse and survive as a brand new nurse in a LTC rehab facility please let me know!!! I know someone mentioned reading the Policy and Procedures book. Last week I asked somewhere where I could find that and I'm not sure that she gave me a definite answer. It might be online.... I'm gonna have to ask again and start studying that every night! I want to uphold the integrity of nursing and I know that means being COMPETENT. I want to be the best nurse I can be. I know that I have a LOT to learn. I'm not quite sure what I expected to get out of posting this but I sure am glad that I did. I think I got exactly what I needed. I am open to any more criticism and advice!!! Today I started my day off with an unexpected and nice little chat with my supervisor. We were just settling in, putting our bags down in the break room and she asked me how I was. I told her that I was trying to keep my head up. She was very reassuring and told me that I'm actually doing really well and that all nurses go through this. I mentioned my run in with the ARNP and she told me that she gave her a similar drill when she was new. I know that the ARNP meant well.... and even though at the time she only added to my stress and frustration and I definitely do appreciate her giving me that little wake up call. BTW... resident's Seroquel dose was decreased =)
  10. bekind_andtrue

    Am I wrong for thinking that this APRN was wrong?...

    I was speaking about two different nurses in this post. The one that I said "I didn't bother looking" was to my charge nurse because she didn't want to take the few minutes to pull my new admits meds from the electronic dispenser. She wanted me to borrow from other residents medications. I didn't bother looking because it was five different medications and its ILLEGAL... (wasn't quite sure of this but I am now from other nurses) I often lack tact and eloquence but I am not rude, especially not to my superiors.
  11. bekind_andtrue

    Am I wrong for thinking that this APRN was wrong?...

    Thank you all for the input. I knew I probably deserved the attitudes I was receiving. Both from my superiors and the nurses on here. Honestly I do not believe that I am prepared for this job. The nursing program that I graduated from is a joke. Everything that I learned was 100% self taught and I saud the whole time to my instructors and classmates that I felt like I wasmt learning admitting. Perhaps I will ask for more training. I was given a little over two weeks and everyone stayed asking when I was going on my own so I figured I would try it out. It has been very stressful. I have 20 different residents or 35 when I was on the long term side. I SHOULD be researching and refreshing up on meds and diseases but even with other nurses helping me with my assignments I am still behind on my medpass and TAR so I've been feeling overwhelmed and just trying to make it through the night. The earliest Ive gottem out is two hours and a half hours after my shift ends. I have a PRN job at an assisted living memory care unit which seems much more relaxed and not rush rush rush. I'm starting to feel like I should try to work there full-time instead =(
  12. bekind_andtrue

    Am I wrong for thinking that this APRN was wrong?...

    I did not explain mysrlf correctly. The resident did not have her own cards present because she is a new admit. I looked for meds with HER name on it. The charge nurse was telling me to look for the meds from OTHER residents cards. Isn't that wrong?
  13. Ok guys. I'm a new nurse. LPN. Just graduated in May. Got my license June 30th. Started working at a Nursing Home & Rehab center in August. Been on my own now for a total of 5 days. This little story is about my experience today with a charge nurse and an ARNP. I believe they are related. I apologize for all the details. The supervisor is a new nurse herself (an RN, not even one year) and I noticed that she's starting to give me a little bit of an attitude and treating me like I'm stupid when I ask for help. Today I came up to her for help with two different residents. One was a new admit and had no meds in the cart, so I asked her to pull them for me from the electronic med dispenser. She says "You don't have any of these in your cart?" I replied with "I don't know I didn't bother looking." Because first of all --- isn't it technically illegal to take meds from one resident and give them to another?? This resident had 5 different meds .... I figured it would be faster to pull it from the electronic medication dispenser. (I am too new -- don't have login access yet - so she would have to do it for me.) I ALSO mentioned to her that I needed help with scanning in some meds.... Two days ago she handed me meds and told me that I would need to scan them into the computer. I never scanned them in but the next nurse said that she would take care of it. Well today I noticed that it's been almost 3 days and the box of Fentanyl patches for one of my residents has been untouched. So I asked her about it and she said that it has been a few days and she has been starting to feel a lot of pain. So I go to check the date on it.... but can't find it. We strip her down to her bra and there is no Fentanyl patch to be found. So I go ahead and slap one on her. Partially because it just made the most sense to me and partially because I believed that she hadn't received one yet because I never scanned in the meds. After explaining all this she acted as if I made a huge mistake for placing the Fentanyl patch on without seeing an order in the computer. AGAIN... i thought the order wasn't in the computer because I hadn't scanned in the med... silly, I know... So the charge nurse does some digging.... turns out that resident had a patch placed less than 72 hours ago.... (around 60 lol). I didn't see an order for it because it wasn't going to pop up to be changed until the next day. Charge nurse is all giving me an attitude and telling me that I need to call the doctor to get a new order. Well the other nurses that I mentioned this too told me that the charge nurse was being a little bit ridiculous... one of my coworkers who has been there (and a nurse) a lot longer than the charge nurse, helped me to call the doctor, left him a message and he never called back... At the end of the night the next nurse who took over for me just D/Cd and rewrote the order for me... Saying that it really wasn't a big deal or something to bother calling the doctor for. Basically what I've gathered is that she made a big fuss over nothing. I did the right thing by giving the resident her pain medication. WELLLL...... just a few minutes after all this went down... I go into the little office where I was keeping my purse and water in the mini fridge and I see the charge nurse in there with a couple other people. One of them is an APRN whom I've never seen before. Twenty minutes later I'm back on my hall trying to pass out meds and the APRN marches up to me demanding "What can you tell me about Res Room ###??!" I told her honestly. I don't know anything other than what's on my report sheet. I only had for the first time yesterday. She replies with well "He's layingn in his room passed out." So I go to his room and I see him being stirred awake by the CNA. Obviously she exaggerated a little bit. Then she asks me what psych meds he's on. So I go back to my med cart. I read to her what I have for him on my report she and admit that I don't know what "CKD" is. She asks me when I graduated from school and then asks me why I'm caring for patients that I know nothing about. I pull up his MAR and attempt to pronounce what I now know is the generic name for Seroquel. She asks me what its for and I read it straight from the computer that it's for Dementia. She starts telling me that if she was State that I'd get a tag and that Seroquel is not for dementia.... that I'm supposed to question orders... bla bla bla. She asks me what I'm supposed to look for with antipsychotic meds? What is psychosis? ..... It was crazy.... And she kept trying to say that she's not trying to give me a hard time that she's advocating for me... I call bull. I'm sure that she BELIEVES that she is helping me (and in a way she did...a little...) but for the most part I feel like my supervisor came into that roo and started b****ng to her and whoever else about me being a new nurse, and so she decided to test me out and push me around to "teach me a lesson". What do you guys think? Are these two nurses being kind of ridiculous? Or is it just part of nursing to be made to feel stupid by your superiors? Challenge you into greatness or something? LOL. I mean seriously.. I've been on the floor for not even a month yet. On my own for just a few days. I need some input please.

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