The Dog Ate My Care Plan…

Just a mom/wife/nursing student extraordinaire trying to make it in the big bad city…

Archive for the ‘Nursing’ Category

Sorry, You’re Overqualified

Posted by isntshelovlei on August 26, 2010

I know the sucky job market is probably a sore topic at this point, but I figured I might as well add my own sucky experience to the heap…

I’ve decided that I want a tech job—like yesterday. Some people think I’m nuts—I get a lot of “You’re lucky to even HAVE a job” or “You work at a top health care facility—people would KILL to get a job there.” And they may be right. Though it may fall under the colorful umbrella of a facility that many SNs (including myself) would kill to work at as a nurse, right now I have a boring desk job. I sit in a dark corner of a very tall building and push papers all day (and I have the paper cuts to prove it). This is not to say that I am ungrateful for having this job. I do appreciate that said job allows me to pay the mortgage, bills, daycare, among other things. It’s just not what I want to do. I am, as Iyanla Vanzant would say, “in the meantime.” In my heart, I am a nurse. Though I still have four semesters to finish and boards to pass to make it official, those are just mere technicalities. I am nurse—hear me roar. 😉

I am so craving patient care at this point it is driving me nuts. Clinical rotations are a tease—wham bam thank you ma’am and they’re over. And since I can’t legally work as a nurse yet, I figure that a tech position will satiate me “in the meantime.” But just like everyone else out there looking for a job right now—I can’t find one either.

My biggest obstacle and the somewhat of a Catch-22 of it all is that I’m in nursing school. The very thing that makes me more qualified (or at least so I think), and gives me more experience (I also have a Medical Assistant background) also makes me seen as a risk. The first thing they gravitate to on my resume is when I finish school.”December 2011 eh? So that means you would be here what—a year and a half or so?…” They’re already thinking that I’m going to have my way with them and then leave the money (or the position rather) on the nightstand. And then they’ll be right back where they started—interviewing again. But I don’t look at it that way. I always apply for positions where theoretically there’d be an opportunity for me to stay on as a nurse after I complete my BSN. What would be better than hiring this awesome student nurse as a tech and then when she’s finished school hiring her as one of your nurses? By then she’ll have almost 2 years in at your department/unit, and will know the people, the policies, and the politics. It’s a win-win situation right? Apparently they don’t seem to think so…

So I’ve been on a couple interviews. During the last one, I had the opportunity to interview with the departments’ NP. The NP and I really clicked (at least I thought so anyway) and I could tell that I would love working with her and would learn a lot. So I had a good feeling about this one. She looked me in the eye and said she wanted to give it to me straight—”I looked at your resume and I thought ‘WOW, she’d be great!!’ But honestly, I think you’re overqualified—I think you’d be bored.”

*crickets chirping*

Huh—what?? Overqualified?!? 

Well alrighty then…

So after a brief episode of apnea, I pulled my palsied mouth shut.

FML.

Posted in Nursing, Odds and Ends | Tagged: , , , , , | 6 Comments »

My First Podcast!!

Posted by isntshelovlei on July 30, 2010

Check me out on Insights in Nursing hosted by Jamie Davis as we discuss nursing school, the nursing shortage *enter scary music*, and the job outlook for soon-to-be grad nurses.

And back to the books it is for me…finals and a HESI next week and then I can officially call myself a SENIOR nursing student!! The countdown to the end of nursing school is on—503 days, 16 hours, 23 minutes, and 10, 9, 8, 7…

Posted in Current Events, Nursing | Tagged: , , , , , , | 2 Comments »

What Nursing Shortage???

Posted by isntshelovlei on July 13, 2010

I came across an article today about how even in this “nationwide shortage of nurses,” one of our local nursing schools’ grads can’t find jobs. So let’s have at this so-called nursing shortage thing.

Many people think it’s the economy. The hiring freezes. That nurses are working to later ages—even past retirement. Among other things. And all of those things probably do contribute to the problem. But this is my spin on the situation. I live in the Delaware Valley / Greater Philadelphia area. IMHO (and what do I know anyway?), I don’t believe there is a nursing shortage here. Why? Because this area is just too saturated with nursing schools. Diploma programs, and ADN programs, and BSN programs oh my! There are day programs and there are evening/weekend programs. There are even various accelerated programs (such as Villanova’s BSNExpress, Jefferson’s FACT, and Drexel’s ACE) that are pumping out new nurses as fast as every 11 months!

Now what surprises me most about not a single one of the AMH Dixon SON grads being able to secure a job yet is that the school is part of a hospital. A lot of their students do in fact think that gives them an edge as far as securing a job after graduation—which evidently is not the case. I have noticed job postings on AMH’s website for “Clinical Associates” (tech-type positions) which are only open to their own nursing students—why not initiate something similar for their graduates? One would think they’d be able to hire at least some of their own grad nurses.

Secondly, Abington is a diploma program. Though they have recently partnered with Jefferson to offer an RN-BSN or RN-BSN/MSN option after you’ve completed their program, that really doesn’t help the new grads right now, with their fresh diplomas in hand. And depending on where/what type of setting (hospital, etc.) you’d like to work at as an RN, know that many of the major players (at least in this area) are now moving from a “BSN-preferred” to a “BSN-required” model. Just food for thought.

Before anyone gets their panties in a twist, please know I am in no way bashing Abington or any of the other diploma or ADN programs—in fact, I almost went to Abington. It’s a great school, the faculty that I’d dealt with were great, and they have stellar NCLEX pass rates—though if it’s anything like my program the bad test-takers and flat-out slackers are weeded out of the program way before you get anywhere near the NCLEX (which is why I never really considered NCLEX pass rates as a determinant of how good a program was). But in the end I decided that it would be best for me to pursue the BSN. Besides the fact that I just couldn’t wrap my head around going to school for 2 years and just getting a diploma when I could go for an extra semester and get a BSN, again, where and what type of position I plan to pursue after graduation requires the latter. That’s just the way the cookie crumbles.

So is there really a nursing shortage? Maybe—in Texas, California, or the Midwest—but not so much here in the city of Brotherly Love…

Posted in Current Events, Nursing, Nursing school | Tagged: , , , , , , , , , | 27 Comments »

An Ounce of Prevention…

Posted by isntshelovlei on April 7, 2010

Things are pretty much status quo around these parts…Temple nurses are still on strike…I’m still like six chapters behind in my reading (and yet I have time to blog)…still cranky and sleep-deprived…and still downing venti lattes from Starbucks (aka “iced caramel jet fuel”) like there’s no tomorrow.

In other more exciting nursing news, HR 4601 The National Nurse Act of 2010 has arrived. One of the functions of this Congress-appointed nurse (hey, the Office of the Surgeon General already has their MD…), will be to help promote a national culture shift towards disease prevention—in other words, “Health Care NOT Sick Care.” If you take a look around you’ll see that many of the diseases we are now seeing in almost epidemic proportions are actually preventable ones—obesity, cardiovascular disease, type II diabetes and so on. Part of the reason we are experiencing this health care crisis is because we are spending billions of dollars treating the consequences of our country’s no-exercising, cigarette-smoking, fast-food-eating lifestyles. And according to this report, if the rate of obesity continues to rise as it has been it will add almost $344 billion in health care costs by the year 2018. Well no wonder there’s no financial aid money to be had…  And this is just obesity alone! This doesn’t take into account all of our other vices such as heart disease, hypertension, even some cancers …hell tooth decay is preventable if people would brush and floss and step away from the Sugar Daddys…

Of course some people don’t think HR 4601 is such a great idea (and I mean what would the world be like without our beloved naysayers?). They want to know why the government should have to fund such a position. And why can’t nurses just band together and form this initiative themselves (with their own funding) if it is so necessary? If we can bail out the automotive industry and the banks and so on, then I don’t see why we can’t invest in something that can potentially improve the health and wellness of our nation—with the added “side effect” of actually saving some money.  A mere eight days after the earthquake in Haiti hit, over $300 million dollars had already been raised. Don’t get me wrong—to see everyone pull together to help Haiti in their time of need was and continues to be a beautiful thing. But I don’t understand why we often hesitate to lend “our own” that same helping hand. When the rate of childhood obesity has more than tripled in the past 30 years, when a 9-year-old has to learn how to self-administer insulin… personally I think that warrants some type of action—just a little food for thought…

The bottom line is that we are spending entirely too much money on treating preventable illnesses and diseases instead of trying to head them off at the pass. I thought everyone knew that an ounce of prevention is worth a pound of cure…

Posted in Current Events, Nursing | Tagged: , , , , , , , , , , , , , , , , | 4 Comments »

A Gag Order? Shame on You Temple

Posted by isntshelovlei on March 30, 2010

If you live or work in the tri-state area then you’ve probably heard about the drama brewing around Temple University Hospital and their intention to essentially gag their nursing and allied health staff.

Just this past year, two Texas nurses were prosecuted for voicing their concerns via a so-called anonymous complaint about one docs’ practices. The charges were dropped against one of the nurses; the other nurse was later found not guilty.

And now, Temple President Ann Weaver Hart wants to include a provision in their nursing contracts that basically says that if you do your job, you lose your job. Has the familiar saying “snitches get stitches” now crept into the healthcare system?!? Needless to say—the staff aren’t having it (thankfully and rightfully so).

This is not a joke—and it’s really not about money or nurses and other health care professionals on a power-trip either. This is also bigger than freedom of speech—this is about PATIENT SAFETY. Peoples’ lives are hanging in the balance here. Now I may be a wet-behind-the-ears student nurse but what I do know is that one of the very tenets of nursing practice is patient advocacy. And for some patients, their nurses are their only voices. Nurses are at the front line caring for their patients day in and day out, monitoring them closely. Nurses are more likely than other health care professionals to catch a medication error, notice an unsafe practice, or know when something is just not quite right. If there is something amiss, it is their duty to speak up.  

Hart’s proposition is truly ridiculous. Next thing you know they’ll have patients signing statements upon admission that they can only be treated if the patient promises not to sue…

With that said, Temple nurses plan to strike tomorrow, Wednesday, March 31, 2010 at 7am. For updates on this situation, check out Temple Watch.

Posted in Current Events, Nursing | Tagged: , , , , , , , , , , , , , , , , , , , , , , , , , , , | 1 Comment »