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MissAnthropic
Jul 28, 2002
As I understand it, it's pretty easy, you wouldn't even get your license in Florida. Ask one of your professors, most of them seem to be answering those questions a lot in my school. God knows you're not the only Florida new grad bailing on this miserable state.

I'm graduating with my BSN and would just like to say, no, it's not a whole lot easier for BSNs versus ADNs. We're all in the same situation here, and I'm pretty butthurt that I started one of the most 'in demand' degrees only to get to graduation and find out I have to live in bumfuck Idaho if I want to work. I can't stress enough the importance of working in a hospital as a tech or something while you're in school--it's about the only in you're going to have. I speak as someone who didn't do this and instead kept their far better paying office job. I'm now pretty much totally screwed.

Right now everyone's berserking over the exit exam and the NCLEX. Frankly I think the job situation we're all coasting into is a lot more to worry about. There are kids hanging out in the lab that graduated a year ago and still don't have work.

I visited New Orleans over the summer and I actually really loved it there. It's not bumfuck Idaho. I was wondering...shot in the dark really, but does anyone know about the hiring situation over there? I should think there'd be a pretty large demand for health care folks over there even now, since they seem to be recruiting people in general to move there still. I just...really, really don't want to live in the middle of nowhere. :(

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Hughmoris
Apr 21, 2007
Let's go to the abyss!

MissAnthropic posted:

As I understand it, it's pretty easy, you wouldn't even get your license in Florida. Ask one of your professors, most of them seem to be answering those questions a lot in my school. God knows you're not the only Florida new grad bailing on this miserable state.

I'm graduating with my BSN and would just like to say, no, it's not a whole lot easier for BSNs versus ADNs. We're all in the same situation here, and I'm pretty butthurt that I started one of the most 'in demand' degrees only to get to graduation and find out I have to live in bumfuck Idaho if I want to work. I can't stress enough the importance of working in a hospital as a tech or something while you're in school--it's about the only in you're going to have. I speak as someone who didn't do this and instead kept their far better paying office job. I'm now pretty much totally screwed.

Right now everyone's berserking over the exit exam and the NCLEX. Frankly I think the job situation we're all coasting into is a lot more to worry about. There are kids hanging out in the lab that graduated a year ago and still don't have work.

I visited New Orleans over the summer and I actually really loved it there. It's not bumfuck Idaho. I was wondering...shot in the dark really, but does anyone know about the hiring situation over there? I should think there'd be a pretty large demand for health care folks over there even now, since they seem to be recruiting people in general to move there still. I just...really, really don't want to live in the middle of nowhere. :(

I'm a bit worried about the job market myself even though I won't be graduating for a few more semesters. The only upside I have is that I have nothing to tie me down at the moment, so I'm willing to move anywhere in the country to get that magical first year of experience. Hopefully with that first year of experience, things will open up.

Mr Tweeze
Jun 17, 2005
Yeah if anyone still has a few semesters left in school and you can manage it I would really recommend working as an aide/tech before you graduate, getting a foot in the door really helps things especially if you're a hard worker. I know for me personally I worked for an aide for 2 years before graduating and my manager just kept a position open for me once I said I wanted to stay. As for the job market its not to bad in my area, I know the hospital I work at had their largest hiring group in a long time just last year, they hired like 50 new nurses. A bigger problem here is nurse retention, there are 4 area schools with nursing programs so a lot of people graduate and stick around for a year before moving on. But yeah, if you don't mind relocating look at NW PA area hospitals, there are always a few openings.

Iron Squid
Nov 23, 2005

by Ozmaugh
Fuuuuuck.

The LVN group I'm assigned to is doing clinicals in a nursing home that's actually quite nice. Everyone there is frail, but fairly healthy: no bedsores, catheters or tubes coming out of people.

The downside is that I want to see and get experience with bedsores, catheters and putting tubes into people. So far its mostly been nasty CNA-type stuff.

Giant Wallet
Jan 1, 2010
Alright, so I tried to remember all of your advice (feel for straight squishy vein, don't dig, death grip) and it went...ok. My partner had terrible veins in her forearm, but I tried her hand and it went well. And then I tried her forearm and it went downhill.

I think I overthought and pulled out the needle before occluding the cannula. Oops. Well, at least I know what it looks like and to avoid thinking OH GOD BLOOD EVERYWHERE BLOOD EVERYWHERE

We all got a few sticks, so I'm bruising up nicely now on my left side.

Battered Cankles
May 7, 2008

We're engaged!

Iron Squid posted:

Fuuuuuck.

The LVN group I'm assigned to is doing clinicals in a nursing home that's actually quite nice. Everyone there is frail, but fairly healthy: no bedsores, catheters or tubes coming out of people.

The downside is that I want to see and get experience with bedsores, catheters and putting tubes into people. So far its mostly been nasty CNA-type stuff.

If you really want to take care (for the experience) of people in worse shape, look for a place that caters to people with worse insurance, and/or has a ward devoted to patients with dementia.

Risky
May 18, 2003

Iron Squid posted:

Fuuuuuck.

The LVN group I'm assigned to is doing clinicals in a nursing home that's actually quite nice. Everyone there is frail, but fairly healthy: no bedsores, catheters or tubes coming out of people.


Real-life nursing = This is what we want. Less poo poo to go wrong and less poo poo to chart.

My nursing home is kind of like that depending on the hall of course. I've always had at least two residents with foleys per shift.

CadavericSpasm
Nov 5, 2009
What a great thread! Any nurses from Canada here?

Oh, and about job availability in Canada -- I live in Ontario and my mother's a nurse, and she's always telling me that they need more nurses. She works in nursing homes though so it may be different for those looking to work in hospitals and clinics.

I'm 22, cooking in a fancy restaurant and I hate it. I'm eager to get into the nursing program at my local college. I'd like to get my ASN and work in the field while earning my BSN so I'm working on getting my prerequisites in order.

Quick question, what is required to become a nurse-practitioner? I recently started seeing one instead of my regular physician and I'm intrigued.

Iron Squid
Nov 23, 2005

by Ozmaugh

Risky posted:

Real-life nursing = This is what we want. Less poo poo to go wrong and less poo poo to chart.

My nursing home is kind of like that depending on the hall of course. I've always had at least two residents with foleys per shift.

Don't get me wrong. I would love to work at this facility. But to learn from, its kinda boring.

And, oh God, the piles of poo poo.

Battered Cankles
May 7, 2008

We're engaged!

CadavericSpasm posted:

...snip...

Quick question, what is required to become a nurse-practitioner? I recently started seeing one instead of my regular physician and I'm intrigued.

A BSN and a few years of experience. And 30 to 80 thousand dollars.

Ohthehugemanatee
Oct 18, 2005

mason likes onions posted:

A BSN and a few years of experience. And 30 to 80 thousand dollars.

That's one way to describe grad school, yes. NPs are BSN nurses who go on to graduate programs where they take what is essentially 75% of med school. They graduate as nurses who are almost-but-not-quite physicians. They are limited in that they're all specialists, cannot do surgery and, depending on the state, require varying degrees of physician oversight.

The requirements vary vastly from program to program, but there are enough schools out there right now that getting into some sort of program is not necessarily that difficult. Getting a job, however, is. We're closer to the law school model of "gently caress it lets train anyone who can pay" than we are to the med school model of "keep a death grip on the number of admissions to prevent flooding the market."

Iron Squid
Nov 23, 2005

by Ozmaugh
What exactly does a NP or physicians assistant do, generally speaking (and in California, specifically speaking.)

Ohthehugemanatee
Oct 18, 2005

Iron Squid posted:

What exactly does a NP or physicians assistant do, generally speaking (and in California, specifically speaking.)

That's an amazingly difficult question to answer. In theory, they do all the things a physician can do but they boot the complex cases to the physicians. In practice, physicians boot the complex cases to specialists. Those physicians employ specialist NPs who in turn see the complex cases while the specialists look for the really weird poo poo since they long ago got bored with all their patients having the same three loving illnesses.

Things vary from that model based on your practice and your level of competency and trust. A PA or NP who demonstrates competence and reliability will be given an incredible amount of autonomy. A lovely one will be fired or be kept on a tight leash. There are practices where NPs function as glorified nurses.

One NP I know was hired by a neurosurgery ICU team. When she was hired they asked her to write her job description because she was the first NP they'd ever hired. She wrote out her dream job and that's what she does now.

A PA I know was hired by a neurosurgeon who absolutely hated doing his job. The PA was tasked with preventing the neurosurgeon from getting called at all costs. Everything went through him. Every complication, every choice about whether to take a patient to surgery, it all went through this PA. He could do whatever the hell he wanted as long as the surgeon could sleep in. Functionally speaking, he was our neurosurgeon for two years.

A new neurosurgeon took over for the old one. That same PA was fired within two weeks for overstepping his authority. The new neurosurgeon was loving furious that his PA was deflecting calls and not relaying information to him. The remaining PA on that service now does basic assessments, simple procedures and is terrified of doing anything on her own volition.

There are ICU NPs and PAs here on the East Coast that essentially run the ICUs. They do the procedures and they see all the patients regardless of complexity. It's not only what they're trained to do, they're great at it because it's the expectation and it's what they have experience doing. Were I to go back to the midwest and pull that, people would go ape poo poo.

So I guess the short version is that it really depends. It depends on your region. The coasts are sweet. The midwest is alright. gently caress the south. Great place but their medical associations are obstructionist asses determined to fight tooth and nail against anything remotely resembling progress. It depends a lot on your personality. It depends on the personality of the physicians in your practice. A midlevel can be anything from completely autonomous to a permanent med student.

I told you it was a difficult question to answer. I wish I could be more specific to California but my guess is that even there you'll find a huge variation between the autonomy of midlevels at metro hospitals, research hospitals and rural centers.

Ohthehugemanatee fucked around with this message at 03:09 on Oct 6, 2010

Totally Normal
Mar 29, 2003

WELLNESS!
Given the autonomy that I see here (california) with NPs, it's not surprising that some of them tell me that they don't even have to answer to physicians or are not even supervised by physicians (kind of like the poster above me outlined).

This makes me wonder: can a patient sue a nurse practitioner? if they're given complete autonomy, I would think this is the case, but I've never heard of it happening. Anybody have any information on this?

Second question: I am seeing a girl who is interested in becoming an NP and she tells me there are these three year programs that will take somebody from a BS (not in nursing) to full-fledged NP. Has anybody heard of these programs and can tell me a little about them? Here in california I believe there are only two: Oakland and UCSF.

For my own knowledge, what are the different paths to becoming a nurse practitioner? I know quite a few people who got a BSN, and are now in a 2 year masters program, but it seems like there's many other options for those who didn't get a BSN.

Apkallu
May 8, 2007

Totally Negro posted:

I am seeing a girl who is interested in becoming an NP and she tells me there are these three year programs that will take somebody from a BS (not in nursing) to full-fledged NP. Has anybody heard of these programs and can tell me a little about them?

I'm in the one at Yale, in my first year. It's called 'GEPN' - graduate entry, pre-nursing. My BA is in a wildly unrelated field; I also have a MA in it, but only a few of us have anything over a BA/BS. I'm from CT and honestly, I didn't apply anywhere else since I'm already pretty settled in (I'm a bit older than most of the other people in the class - it seems like everyone's taken one year off from school, where they were Bio majors.) The only science I've taken since high school was geology and soil stuff, and one summer chemistry class when I was considering PA school instead. It's a three-year program; first year goes through most of the summer. I think I get August off.

The most succinct descriptions I can find regarding APRN scope of practice in CT is here: http://www.cga.ct.gov/2009/rpt/2009-R-0301.htm
Technically, 'collaboration' is required, but personal experience doesn't seem to bear that out all the time. Since I'm planning on being in the hospital anyway, I'm not really fussed with it for now. Every state has different opinions as to the scope of practice; I've heard from another student that Illinois is the worst since the AMA is headquartered there.

As for the program itself: It's very accelerated. There's no room for error. I have clinical 12 hours a week and I'm a month into the program. I get Sundays and part of Wednesdays or Tuesdays off right now, but my clinical hours will change in November. I'm taking Pharmacy, Pathophys, Med-Surg, and Anatomy; there are a lot of random lectures that just show up on our schedule that eat into the theoretical free time one has to do work in. The first year you're in with the other ~80 first-year students, and after that they break you up into your specialty groups. Either FNP or Midwifery is the largest; Acute and Onco are cohorted because they're tiny and both primarily deal with inpatients vs outpatients.

You can pass out of Anatomy, but I think that's it for the first year; you can pass out of statistics, I think, too. Anatomy lab is fun, though; I got to hold a lung the other day. The PA students get to actually do the dissections and we get to show up later in the day to just look and poke. I am taking a break from writing my care plans, which I already hate. I basically shut down my social life (and Halloween :( ) and I really, really wish I'd taken a biology course sometime since AP Bio in high school. Pathophysiology is kicking my rear end and I already miss sleep.

However, with the changes that are going to require a DNP for clinicians, I don't know how that will affect the accelerated programs. I know my class and next year's class are going to be grandfathered in, but I'm not sure what will happen after that. Finally, there's a list of programs here: http://www.aacn.nche.edu/media/factsheets/acceleratedprog.htm

Apkallu fucked around with this message at 03:30 on Oct 7, 2010

Wirth1000
May 12, 2010

#essereFerrari
I'm curious, but did any nurses in here or know of anyone has or had a fear of needles going into a nursing program? If so, how did you/they overcome it?

Space Harrier
Apr 19, 2007
GET READY!!!!

XausF1 posted:

I'm curious, but did any nurses in here or know of anyone has or had a fear of needles going into a nursing program? If so, how did you/they overcome it?

I hated needles. For me, the program I was entering required several vaccinations I didn't have or had to get updated. Just getting a bunch of shots all at once helped me get over it. I still prefer sticking needles into other people to getting them stuck into myself, but I no longer dread them.

I think the best thing is to just face your fear. Go donate some blood and get a flu shot. Make yourself do it.

Chillmatic
Jul 25, 2003

always seeking to survive and flourish
Any colorblind nurses or students in here? I got a job a year ago as a tech in a large teaching hospital, but failed the color vision screening during the occupational health exam etc. They kind of balked at it, but let me work there when I showed that I could, in fact, see color.

Now I just got an internship there as a new grad RN and I'm going to have to take the same drat test which I'll fail again. Does anyone have any experience with this? I'm hoping it will be fine since I already work there and they know that I don't see in black and white or whatever, but I'm still nervous about it. :smith:

Iron Squid
Nov 23, 2005

by Ozmaugh
Our LVN instructor is color blind (and dyslexic, too!) He's finishing up his RN degree and has said he's always been able to work around being color blind. He didn't give any specifics, though.

Giant Wallet
Jan 1, 2010

XausF1 posted:

I'm curious, but did any nurses in here or know of anyone has or had a fear of needles going into a nursing program? If so, how did you/they overcome it?

Yeah, this would be me. I would hype myself up before then get lightheaded, sweaty and nauseous right after I realized there was metal in my skin a second ago. The poor MA would freak out and I'd have to tell her this was normal for me and I needed a second.

Before you even start school you get so many shots anyway (Hep B, flu, TB, Tdap...are there more?) that you just get used to the drat things, to be honest. They always hurt, but you figure out your way of coping. I used to read a magazine INTENTLY while they were preparing the shot so I'd be distracted when they came, now I can get away with just not looking. I also know people who absolutely must look or they freak out. You just have to go and do it.

Mangue
Aug 3, 2007

Giant Wallet posted:

Alright, so I tried to remember all of your advice (feel for straight squishy vein, don't dig, death grip) and it went...ok. My partner had terrible veins in her forearm, but I tried her hand and it went well. And then I tried her forearm and it went downhill.

I think I overthought and pulled out the needle before occluding the cannula. Oops. Well, at least I know what it looks like and to avoid thinking OH GOD BLOOD EVERYWHERE BLOOD EVERYWHERE

We all got a few sticks, so I'm bruising up nicely now on my left side.

Ahh so jealous you guys get to do them on each other! Unfortunately, we are not allowed to and instead just practiced on fake arms when we were taught how to do them. It's totally lame and our Student Nurses Association is working on changing the policy for future students. It's completely terrifying to walk into a hospital with the prospect of starting an IV on a real patient with no real experience at all and if they ask if you've done it before you essentially have to lie and say "yes".

On another note, I did finally get my first IV the other day...on my instructor. My patient refused to let me start it simply because I was the student so I think my instructor felt so bad that she let me do it on her. She had wonderfully big straight veins in her arm so I was able to get it easy the first try. Said she didn't even feel it :) (Yay lidocaine!). Just getting that first one done is a huge sense of accomplishment and relief.

Anonymous Pie
May 9, 2010
I'll be job shadowing a labor and delivery nurse in a couple of days (for a high school project).

Going into the job shadow, I'm not sure what to expect. I want to stay respectful and try not to be a nuisance. What should I know beforehand?

Battered Cankles
May 7, 2008

We're engaged!

Anonymous Pie posted:

I'll be job shadowing a labor and delivery nurse in a couple of days (for a high school project).

Going into the job shadow, I'm not sure what to expect. I want to stay respectful and try not to be a nuisance. What should I know beforehand?

To begin, the "...stay respectful and try not to be a nuisance" sounds like you are going in with the right attitude. By no means a complete list, but to start:

Wash your hands (or use the facility's hand scrub; do not bring your own hand scrub) often; likely 3x as often as you think is necessary.

Wear comfortable shoes/clothes. Be prepared to spend hours standing on an unforgiving floor surface.

Keep up with the nurse's pace of movement.

Stay out of everyone's way. Make certain that none of the staff (even the housekeeper) have to move out of your way, unless you are escorting a patient.

Be aware of how much noise you are making; don't be "the loud one."

Eat a moderate meal beforehand. Try to rest well the night before.

Optional: keep a barf bag in your pocket.

You're going into a facility where some people experience their life's pinnacle of joy, and some experience their life's pinnacle of misery. You are likely to encounter sights, smells, and sounds that will challenge your ability to remain upright, let alone remain focused on a task. If you've never held or taken care of an infant, don't try to fake it. Expect to see/smell/wear lots of blood and poop.

Enjoy yourself!

MissAnthropic
Jul 28, 2002

XausF1 posted:

I'm curious, but did any nurses in here or know of anyone has or had a fear of needles going into a nursing program? If so, how did you/they overcome it?

As said in the thread, exposure exposure. I found actually that exposure didn't do it for me nearly as much as, well..having it done. I got a lot of surgery done and by the time I was finished with blood tests and IV starts, I was pretty desensitized. But give blood or something. Having to feel it and face it seemed to me to do a lot more than seeing even a thousand sticks on other people.

Edit: To prep for L&D, just youtube a bunch of deliveries. Yes it can be gross, yes you're going to see poop crowning as well as baby, but I remember a lot of the students who swore they'd die when they saw it were so busy in the moment, experiencing it with the family, that they didn't get to gross out.

MissAnthropic fucked around with this message at 04:38 on Oct 9, 2010

smushroomed
May 24, 2009
So it's been a few months since I started working as an RN in a nursing home, and the money is nice, the experience is okay, and my co-workers are supportive.

But I'm still desperately trying to find a job as a new grad RN in an acute setting. Anyone know of hospitals starting new grad programs soon?

Epic Doctor Fetus
Jul 23, 2003

I'm a male in my mid-30s in a dead end job in a dead end industry and I'm seriously considering a career change. I've read this entire thread and it's been a bit of a rollercoaster in terms of convincing me to both pursue nursing and run away screaming. I've got the interest and stomach for it, plus in a previous job it wasn't unheard of for me to work 20+ days in a row of 12 hour manual labor shifts, so I'm accustomed to ridiculous hours as well.

What gives me hesitation is the apparent "Can't get a job without experience/Can't get experience without a job" loop that seems to be popping up all over in hospital job postings and the "DO NOT DO IT!" that a burned out nurse yelled at me. The latter can be waved away with "Not all jobs are for everybody," but the former can definitely pose a problem for someone who can't afford to go to school for 2 or 3 years and then be unemployed for 2 or 3 more. Does it look like it's going to get any better? If not, how easy is to get a "foot in the door" job and transfer to a hospital a year later?

Ideally, ED seems like it would be the most interesting place for me. Would spending a year at, say, a dialysis clinic or nursing home give the 1 year experience I'd need to transfer or do these places want 1 year of ED experience. Also, is ED one of the desperate-for-"murses" departments? Psych ward, correctional and any other "get punched in the face while you attend patients" are the no brainers for murse-friendly departments, but I figured ED would have some overlap with that.

I have a ton of questions, so I'm going to make some appointments at some of the local schools that offer nursing programs, but I expect most answers from them to be sugar-coated. I guess the big one I can ask you guys, though, is knowing what you know about the current state of healthcare, would you still get into nursing if you had it all to do over again? Minor follow up question: Is NCLEX pronounced en-clecks or En-See-El-Ee-Ex? Thanks!

Edit: Also, I live in Western Colorado if anyone has any specific insight in that market.

Space Harrier
Apr 19, 2007
GET READY!!!!
^^^
It's usually pronounced "En-klecks"

Right now I am in a BSN program that has us travel to a regional hospital for clinicals. I'm pretty optimistic that I could land a job working there, as the nursing director seems to like our group a lot and says he will be holding positions for our graduates. This hospital has lots of positions open, and there is a good reason for it: it's located in a total shithole town that nobody would move to willingly.

A lot of people I know who are jobless right now haven't been applying outside of major cities. It seems that if you're willing to move to a less desirable location to gain experience, there are still opportunities for new grads.

Athirat
Feb 15, 2005
The Cat is Dead
Manque - Don't lie to patients about your experience. Go in there like you know what you're doing and get the job done. Even experienced nurses have days when they couldn't hit the side of a barn so get your line in or get your 2 tries in and pass it off to another nurse. What the patient doesn't know won't freak them out and make it even harder for you.

Mboger - You get punched in the ED too.

In General: Nursing is the best and hardest job I have ever had.

My best advice for Nursing School/Clinicals/New Nurses is Fake it till you Make it. If you know how, then do it. If you don't know, ask - then do it yourself. You won't learn anything without your hands on a patient. Also Trendelenburg is awesome for putting in Foley's.

I graduated this May with my ADN and passed my NCLEX in July. With no experience in the health care field I secured a position in the ER at a Level 1 Trauma Center. There are jobs out there. You may have to move or you may have to drive but it's worth it. I don't get paid as much as some of the salaries I've been hearing in this thread but I live in the middle of nowhere and my pay compared to the cost of living is very generous. So try to take that into consideration as you look for jobs.

Also, the hospitals in my area won't even hire LPN's anymore. I'm not sure how viable that certification is in some areas but in Southwest Virginia/Northeast Tennessee it's pretty useless.

tinkan
Jan 29, 2005

*sigh*
Hey guys - I have sort of a general question so I apologize if it's a topic already covered in the thread. My girlfriend has a B.S. in Biology and wants to become a Nurse. I want to help her throughout the process of applying and getting into Nursing school. She seems overwhelmed and unsure where to start since it's been a year since she graduated and seems out-of-touch regarding academic advising. Other than the obvious step of identifying schools to apply to, what important things should I know to help support her?

Thank you for the help - I'm a pharmacy school student planning on moving into hospital pharmacy. Maybe one day we'll work together. :)

leb388
Nov 25, 2005

My home planet is far away and long since gone.
The nurse outlook is getting pretty grim in my area. My performance review came up at work (CNA in a nursing home), and it was all positive, so I risked asking if they hire new grad RNs. My boss said they prefer to hire nurses with experience. :(

tinkan posted:

Hey guys - I have sort of a general question so I apologize if it's a topic already covered in the thread. My girlfriend has a B.S. in Biology and wants to become a Nurse. I want to help her throughout the process of applying and getting into Nursing school. She seems overwhelmed and unsure where to start since it's been a year since she graduated and seems out-of-touch regarding academic advising. Other than the obvious step of identifying schools to apply to, what important things should I know to help support her?

Thank you for the help - I'm a pharmacy school student planning on moving into hospital pharmacy. Maybe one day we'll work together. :)

Not sure what you're asking. Is she confused about what classes to take or how to apply? Tell her to look up the web sites of nursing schools in your area and find out if they have information on their sites or info sessions regarding their programs. All of their requirements are different, but as a biology major she will probably have a lot of them already.

tinkan
Jan 29, 2005

*sigh*
Well first off, it seems that there are multiple nursing degrees. So, in short I suppose a much better question would be.. For somebody with a BS in Biology, what degree is the best choice?

Senor Panda
Oct 4, 2010

Abortions for some, miniature bamboo maracas for others

tinkan posted:

Well first off, it seems that there are multiple nursing degrees. So, in short I suppose a much better question would be.. For somebody with a BS in Biology, what degree is the best choice?

A BSN would be my recommendation. That is if she sees herself advancing her education further as any advanced nursing degree requires a BSN. Even is she doesn't it's a good idea with most hospitals pressuring their ASN nurses to get their BSN (and yes I'm aware that this has been going on forever). I'm currently in my third semester of nursing school for regular prelicensure and there are students who have a BS in biology so she wouldn't be that out of place. If she feels she can handle the load, she can take an accelerated program, but they are very tough and I can tell you, taking the program at normal speed is brutal enough.

sewersider
Jun 12, 2008

Damned near Freudian slipped on my arse
Just finished up 6 months working at a prison hospital it was one part eye opener and one part boring as hell. Aged Care nursing lifers was certainly interesting though.
I managed to score a critical care nursing mentorship program at a major teaching hospital in Sydney, anyone got some tips for ICU?

Ohthehugemanatee
Oct 18, 2005

sewersider posted:

Just finished up 6 months working at a prison hospital it was one part eye opener and one part boring as hell. Aged Care nursing lifers was certainly interesting though.
I managed to score a critical care nursing mentorship program at a major teaching hospital in Sydney, anyone got some tips for ICU?

ICU is wonderful. It's also very aggravating at first because the alarms take some getting used to. There will be horrific shrieks coming out of equipment and no one will care and then an IV pump will beep in just the right way and people will sprint into the room. Similarly the vents have graded alarms from "The patient is coughing" to "The patient just self extubated and is about to choke to death." At first it all sounds the same and then some part of your reptilian brain figures out the difference and you'll be capable of casually ignoring the 99% of noises that don't really matter while catching the 1% that mean you have at most a few minutes before the patient dies.

Until that time though you're pretty much always in a state of shell-shock.

Also, the best place to be in a code is to be the dude doing CPR. Why? 'cause it's loving easy. Having a simple repetitive task to do in a high-stress situation allows you to sit back and watch the more complex things going on around you. You're also doing something helpful instead of being one of the wallflowers that get in the way.

Get involved though and ask questions. And don't be surprised to find that ICU nurses aren't too welcoming to new folk. New ICU nurses are loving dangerous. It's easy to make a small mistake and kill someone. Even those that are aware of the potential for mistakes waste hours combing over meaningless issues while they miss the major problems. I wouldn't call any ICU nurse remotely competent until after they've worked a year full time. Give them two years and they'll be acceptable. Get used to being a newbie, and remember you'll spend a longer time as a newbie because you have so much more responsibility.

It really is fun though. I'm in school now and I miss it. They kept calling codes during my clinicals today and part of me jumps each time and wonders what exciting sort of patient I'll be picking up shortly. But no, I'm doing an HPI on some perfectly healthy dude. Sigh...

HollowYears
Aug 18, 2009
I'm taking A&P as a pre-req to get into nursing school. I'm really really hating the first few units and I think I just bombed my first quiz.

Do I REALLY need to know stuff like the Kreb's cycle or the phospholipid bilayer of the cell membrane or how many ATP is formed during cellular respiration? How much of this stuff is actually applicable to nursing? I'm hoping the actual learning the actual structure of the body is less dry than anything we've learned so far. I'm just not strong at the cellular side of things, I love the genetics side.

Space Harrier
Apr 19, 2007
GET READY!!!!

HollowYears posted:

I'm taking A&P as a pre-req to get into nursing school. I'm really really hating the first few units and I think I just bombed my first quiz.

Do I REALLY need to know stuff like the Kreb's cycle or the phospholipid bilayer of the cell membrane or how many ATP is formed during cellular respiration? How much of this stuff is actually applicable to nursing? I'm hoping the actual learning the actual structure of the body is less dry than anything we've learned so far. I'm just not strong at the cellular side of things, I love the genetics side.

This stuff may not present itself too often in your day to day work, but nursing school is going to get much, much harder. Prepare accordingly.

sewersider
Jun 12, 2008

Damned near Freudian slipped on my arse

Ohthehugemanatee posted:

Useful Words Of Wisdom

Yeah I'm certainly one part making GBS threads myself and one part absolutely excited. The program includes an 8 week supernumerary period where I'll be buddied up with another RN so that I can sort of get gradually eased into it, along with a whole heap of L&D packages. I've got some ED experience from my new graduate year so I've got some rudimentary airway management and ventilation skills. But of course having worked in a prison hospital for the last 6 months the last time I used those skills was just one guedels insertion on a patient.



HollowYears posted:

I'm taking A&P as a pre-req to get into nursing school. I'm really really hating the first few units and I think I just bombed my first quiz.

Do I REALLY need to know stuff like the Kreb's cycle or the phospholipid bilayer of the cell membrane or how many ATP is formed during cellular respiration? How much of this stuff is actually applicable to nursing? I'm hoping the actual learning the actual structure of the body is less dry than anything we've learned so far. I'm just not strong at the cellular side of things, I love the genetics side.

Not really day to day but its definitely helps to understand the pathophysiology of the diseases you'll encounter. Its not expected that on your 2-3rd year out in the ward that you'll be able to recite all the different organelles and their function but its certainly helps to have a basic understand lurking in the background.

HollowYears
Aug 18, 2009

Space Harrier posted:

This stuff may not present itself too often in your day to day work, but nursing school is going to get much, much harder. Prepare accordingly.



sewersider posted:

Not really day to day but its definitely helps to understand the pathophysiology of the diseases you'll encounter. Its not expected that on your 2-3rd year out in the ward that you'll be able to recite all the different organelles and their function but its certainly helps to have a basic understand lurking in the background.

I'm splitting up the prereqs between this and next year, and if worse comes to worse I'll retake the anatomy side as the school I'm going to next year splits this course into 2 3 credit hour courses as opposed to one 6 credit hour course. I just find this type of biology seriously uninteresting. I'm just hoping this doesn't translate into the actual nursing courses.

Iron Squid
Nov 23, 2005

by Ozmaugh
The community college I was attending pretty much required you to get an "A" in your anatomy class to go on to their RN program.

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Space Harrier
Apr 19, 2007
GET READY!!!!

Iron Squid posted:

The community college I was attending pretty much required you to get an "A" in your anatomy class to go on to their RN program.

This, too. What kind of program are you trying to get into HollowYears? Many community colleges don't factor in grades at all as long as you pass your pre-reqs with at least a C, but other schools can be very competitive.

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