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  1. tonyl1234

    Dismissal from Nursing program; options?

    The more you tell us, the more it either: Becomes extremely shady between your school and the clinical or Pushes us towards you're lying about not vaping Remember, the burden of proof is on who accuses you. Don't listen to them about the video not being viable. That's something strong to defend yourself with. Even if it's low quality, there's ways to see if you did or didn't. Also, don't forget about whatever camera saw the people who saw you. And don't be surprised when you get an answer back that they're not going to release the video to you. A lot of times it takes getting a lawyer involved.
  2. tonyl1234

    I Hope This is Not the Latest Trend

    Before coming to nursing school, I was in a field that had risks of losing my license, it had risks of prison if I got in an accident that caused ANY injury if I had to act illegally for my job. Know what I did? I didn't act illegally. A new job in my old field and definitely in nursing can be as easy as a phone call away. If you're willing to travel, there's always a high paying job for pretty much anyone in this country. Maybe you'll have to travel for a few months, it's not the end of the world. Travel jobs WILL hire you, because most people do not want to travel. It's horrible. But it's a job. You have the law on your side. You can only be in one place at a time. Can't check over a patient to look for wounds? It happens. Don't say that you did. But don't make it a habit of not being able to at least do a quick half-assed check of a patient to check for anything majorly wrong, especially if you're in a hospital where checking their skin takes maybe 20 seconds to glance over it and see if anything stands out thanks to them being in gowns. Or in a nursing home, maybe a minute. 30 minutes of your day spread across 8 to 12 hours, I'm sure you can find time. You've been looking at skin analytically for years, after spending your entire life having skin. It's not hard to notice a gaping hole and think "that's not right." And if you're in a situation where you're dangerously understaffed, demand that they make calls to get coverage. If your state only allows 15 patients to one nurse in a LTC, you usually have a legal right to refuse to accept more than 15. Know your state's staffing laws. It's illegal to force you to do something illegal (though there's occasionally exceptions for declared emergencies, but that gets a little more complex. But staffing is rarely an exception). Read your laws, know what you can do about being expected to take on more patients than what's safe, know what you can do about being expected to sign off in work you never did. The law is the most useful tool you have for protecting your job, your license, and your freedom. That said, the nurses in the example, I have no sympathy for them. Forging the signatures, that's painfully obviously wrong. And you're allowed to refuse to, even if it means that a patient dies because of not getting a vital medication, you're covered because there was no signed order. Never forge a signature, because if there's ANY mistake, "that's not what the doctor said." Lying on the records, again, just don't do it. If you didn't do it, don't say you did. Here's what the law sees: They assessed everything, found something wrong, but chose to pretend they didn't. If you couldn't do it, note that you couldn't and why. If you don't have time to assess a patient, tell your charge nurse, or your director, or an administrator, all the way up to the doctor. Get SOMEONE to do it, and note that you did. If you find a wound and either don't have time to address it or have no clue what you're doing, do the same exact thing. If you're really in bind, if you're working in a hospital, call the wound team. If you're working in a LTC, call for transport to an ER. Literally as long as you do more than nothing, you're covered. If you get fired, you get fired. You're in demand, you'll find a new job fast. You'll have unemployment. Most states are awesome about any PTO that it's considered unpaid pay, so you should get a check for everything you had saved. You'll be fine for a couple weeks. And then you'll be back to normal. It's way better than prison.
  3. Then refuse to take students. Seriously, what do you do when a nurse on your floor has to be late? Do you refuse to take report until they get there because "You can be doing something else?" It's amazing how there's time to hand off to other nurses, but absolutely none to give an more limited handoff to a student. All it comes down to is the principle of they're late. There's time to tell them what they need to know, you just don't want it. Life happens, sometimes people are late, get over it.
  4. tonyl1234

    Preparing for nursing school

    Get a job as a CNA, and save money to invest in a nice computer, and maybe a vacation during the summer. The more positive your mind is when you start, the easier it'll be.
  5. tonyl1234

    Can I work during an ABSN program?

    Here's why working isn't advisable: If you miss clinical, you have to go to one of the already planned and approved days to make it up. If you can't make it on a Wednesday, you can't make it up on a Thursday. If your teachers has to miss a clinical, you're at the mercy of the school. If the teacher had to miss a clinical on Wednesday, you might have to go in on Thursday or it counts as an absence. If you're going to a good school (who doesn't pull any of what I wrote above), you can work.
  6. So you've NEVER been late, ever. There's never been a single time where another nurse had to take report for you before you could get there? That's never happened once in your entire career? Also these are students. What's it take to give them the basics, 5 minutes? You can't find that time ANYWHERE? Ego.
  7. tonyl1234

    I Hope This is Not the Latest Trend

    I know amazing nurses from for profit schools, and I know complete morons from state schools. The school being for-profit has nothing to do with it. There's tons of very reputable for-profit nursing schools. Some of our best in the country are for-profit
  8. tonyl1234

    Pros and Cons of Direct Entry NP Programs?

    OK, but scribes are present for the entire time. They get the opportunity to listen to the doctor explaining the diagnosis. They're listening to the doctor explain the treatment plan. They're listening to the doctor explain the symptoms. Are you seriously going to try to claim that they're not going to be learning a lot in that environment? They're not just copying notes, they're present the entire time. Again, there's absolutely no reason that being a scribe and present in hundreds of doctor visits every month can't give you an advantage over an RN.
  9. tonyl1234

    I Hope This is Not the Latest Trend

    Being driven by profit has nothing to do with it. Every one us, no matter what our job is, we're driven by profit. We work because we have to live and pay bills. You pick a career because it's a reality that you have to spend your life working... So you pick something that you have an interest in. Unfortunately, not everyone has the common sense to at least ask someone else to take care of work for them if they're too backed up to get to it. Some of the least compassionate people can be the best care providers, while some of the most compassionate people can be so dumb that they're a danger to the patient.
  10. tonyl1234

    I Hope This is Not the Latest Trend

    At the very minimum, chart what you see and tell their doctor. Literally anything but ignore it
  11. People are more likely to complain about negative experiences than they are to brag about great experiences. Nursing school seems so hard because the people struggling through it are more likely to reach out and vent than someone who's breezing through. It's not that it's hard or easy, you're just seeing a natural bias on how the information is reaching you. For every person who thinks it's the hardest thing they've ever done, there's someone who thinks it was easy. Nursing school is just college. There's nothing profoundly unique about it. The test style, the learning style, that's just a science major. You think this is hard? Try physics, where they have to look at a white dot in the sky and tell you what it's made of and how big it is. But there is also some level of people doing it to themselves. The more you stress, the more you're going to force yourself to study, or overcomplicate notetaking. Nursing school is exactly as hard as you make it. If you have to spend your entire free life studying, is it because nursing school is really that hard, or is it just that nobody ever taught you how to study efficiently?
  12. tonyl1234


    10th amendment. Here's what's going on with weed, again. FEDERAL law says that it's illegal. Colorado law acknowledges that it's illegal, but makes prosecuting people for recreational use illegal. The reason for this is specifically because of the 10th amendment which limits the government's power in relation to the states. Since the states are responsible for prosecution of recreational use of drugs, the states are who declares law based on use. This allows states to create laws that allow recreational use, not by legalizing weed, but by making the prosecution of recreational use illegal. The state laws take priority because the states are the ones bound by that law. Federal law only applies to federal agencies, as long as state law doesn't oppose federal law. Legalizing weed in Colorado doesn't oppose federal law, because again, it's only targeting the enforcement of law, which the 10th amendment gives complete freedom to the state about, and since the state, not the federal government is what's going to be prosecuting normal use, as long as that weed stays in Colorado, and follows their laws, you won't be prosecuted. The federal agencies technically CAN start enforcing the law within the states, but it's limited to ONLY federal agencies. They absolutely CANNOT require Colorado to prosecute people for any drug use. Then when applied to jobs, there is no federal law that you can't work if you fail a drug test. Colorado is 100% free to require businesses to overlook a positive for that drug. TLDR: Weed is illegal, supremacy clause makes it illegal in Colorado. BUT the 10th amendment limits both state and federal powers to the state and federal government. So while weed is still technically illegal in Colorado, Colorado refuses to allow people to be prosecuted for weed within the state. The only people who can enforce the laws against it now are the federal government, who isn't going around Colorado stopping people for swerving in their lane and catching people with weed. This same concept applies to jobs and hiring and nursing. City > State > Federal once balance of power is established
  13. That's some big ego on those teachers. Unfortunately, a reality of life is that life happens. The world doesn't go on pause because we're in nursing school. That student better not have just let that go. That happened because as students, we have no backbone. We feel like we owe the school something for letting us pay them thousands of dollars to get to go to a class. Remember who is paying who. You have a right to be in class and in clinical. What happens if the teacher is in a wreck? You have to reschedule your entire life to make up that clinical, probably, right? An attendance policy that absolute just doesn't work in the real world. Things happen. Being forced into an absence if you were late by a reasonable amount of time for the situation... seriously, why would you let your teachers do that when it can mean that you completely fail out of school? You know you have to pay those loans back regardless of if you finish, right? Oh, but this is to prepare us for the real world... where people are occasionally late because stuff happens.
  14. tonyl1234

    Failed for Clinical-but no proof

    Phones are way too expensive to do that. That can cause serious damage to your battery and other internal components of your phone, thanks to the sun turning your car into an oven when it's closer to the summer months. Leaving your phone in your car on a hot day can literally turn it into a paperweight. Just keep it out of sight.