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Tips To A Good Start In The Nursing Profession
My name is Diane and I have been in the nursing profession for 12 years. In
those years I have seen very many changes with this profession. One of the
first changes was in DRG's. This for those of you who do not know what they
are is diagnosis related groups.
This is where the hospitals are allocated a set number of days for each
illness. The patient's insurance company would not pay for the patient's
stay in the hospital past that set number of days without a physician
justifying the additional time.
This was one of the major reasons that home health boomed so well for a
while.
At that time there was a big nursing shortage and the colleges couldn't train
the nurses fast enough to satisfy the demand for them.
Well times have evolved since then. Now the graduates have a hard time
getting jobs, since they have no prior experience. There are still some
hospitals that will hire new graduates, you just have to find out where they
are in your area.
Today HMO'S are controlling the hospitals even more. They are telling the
hospitals, home health agencies, and the physicians which illnesses they are
going to pay for and how much they are going to pay to them.
If any one of these organizations happen to code the illness wrong , they run
a very high risk of not being paid at all. This makes it even harder for the
physicians to pay their staff well, and has caused the hospitals to downsize
their staff to help cut budgets. With this in mind, going into the nursing
profession needs to be something you have a dedication to.
My first suggestion to you is not to get discouraged by this. One thing that
you can do when you start in nursing school is to find out if any of the
local hospitals have what is called an extern program. This is a program
which is set up by the hospitals through the local nursing schools. This is
where the student in their third year of nursing school can work at their
hospital on a part time basis. You have a preceptor who tries to get you as
many learning experiences as possible in your last two years of the nursing
program. This can really benefit you in several ways. One, it gives you more
experience so you don't feel so nervous when you finally start on your on as
a graduate nurse. Number two it really helps when it's time to take boards
cause boards are sometimes geared to realistic situations and if you haven't
been there you may not know the answer. Last, but not least it can secure a
position with that hospital when it comes time for you to graduate. Since,
they have been literally training you for two years, they want to get the
most for the time and money they have spent on you. Also it can give you some
extra money while you are in school.
After getting through this process. There are still some obstacles for a new
nurse to over come.
1. Remember to be a nurse you have to be flexible and to change with the
times, cause believe me it's like a revolving door.
2. Find your niche whether it may be OB, med-surg, oncology, etc. This makes
you feel more confident about what you do and it will minimize burn-out.
3. Always when calling a physician: Have all of your facts, vital signs,
condition of the patient all the way down to when the patient had his last
BM. Believe me this will save you a lot of time and embarrassment.
4. Offer to help your peers. The best way to gain a place is to show your
peers you are part of this team and are willing to do your part.
5. Do not let the physicians overwhelm you. Some still think that there word
is God. Don't let them fool you. They need you, cause without you their
orders can't be carried out. Remember verbal or telephone orders are a
courtesy to the physician and he needs to respect the fact that at 3 o'clock
in the morning you are willing to write an order for him so he doesn't have
to get out of bed. Respect is a two way street.
6. And last but not least: you have the right to refuse any order given to
you if it compromises your nursing license or compromises your patient's
safety. This is your right.
In closing, nursing is very much a rewarding experience and I have enjoyed
it, though some times have been hectic. If you follow some of these
guidelines, you will find it can make your career a little easier to deal
with. Reward of caring for your patient and knowing you made them less
frightened and that you contributed in the process of making them well, can
sometimes be better than a paycheck!
In this section, you can hear from Registered Nurses, Licensed Practical Nurses, etc, new and old on why they would or would not recommend going into Nursing as a career. Our articles are frank, uncensored and brutally honest. We hope they'll help you make your decision if you're unsure about nursing being for you.
It is not our intent to "scare you off" from Nursing, some of our reviews are quite positive. It is our intention to help you go into Nursing with "open eyes" and aware of what you can reasonably expect as students and entry-level nurses.
Do you have questions or comments about our articles? Like to express an opinion? Visit our forums and make it known!
See also:
Licensed Practical Nurses,
http://www.nursefriendly.com/lpn
Registered Nurses, http://www.nursefriendly.com/rn/
To Stay In Nursing or Not:
http://www.nursingdiscussions.com/stay
Nursing, Not For Everyone, Not For Most People by Andrew Lopez, RN
Nurses are Licensed Professionals who's practice is regulated by Nurse Practice Acts, and the State Board of Nursing of each State. Nursing is a ...
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The Beauty of Nursing by Rebekah Hinton, BSN, RN, Virginia Nurses Views of The Nursing Profession:"I have been a caretaker for as long as I can remember. I am the oldest of four daughters and have always been a second Mother to my siblings. Going into nursing seemed to be a logical choice for me. As a student I was eager to learn and worked very hard to get the best education possible. I entered into a Bachelor of Science in nursing program without knowing the difference between a RN program and a BSN program."
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Nursing: How Do I Find Out If It's For Me? by Angela Eichenlaub, RN, BSN:"The face of nursing has changed" or "Nursing is not what it used to be" are phrases I often hear from seasoned staff. I wish I knew what nursing "used to be" so I could compare! My own personal advice to anyone considering a career in nursing is to take your reason for entering the profession into account. Some go into nursing for money, some because they have always wanted to and some people go into nursing because they don't know what else to do."
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To Be Or Not To Be, by Sharon Jones, RN, Ohio Nurses Views of The Nursing Profession:"To Be…Or Not To Be… was never the question for me. I had always been a caretaker of sorts even at a very young age. The decision to return to work was based more on a career that I could relate to and be employed at. To be it was… and I started school at a local college for a Registered Nurse program. Almost two years into school, all my pre- req. courses completed and a waiting list to get into the nursing classes (a very unbelievable thing looking back- too many students- many had to wait) forced me to change course of action that lead to LPN school."
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Twenty Years of Nursing by James E. Meekins, North Carolina Nursing Views:"Thirty years ago I walked into the Navy recruiters office; laid off, without a real skill and signed up to be a Navy Hospital Corpsman (medic). I learned basic patient care---and basic first aid; and learned to work under the direction of a physician or nurse. I enjoyed what I did, the pride of being part of a team; accomplishment of a common goal, first aid in the field with Marines, or care of a patient in the hospital. . . ."
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Nursing: Pros and Cons by Christy Picton, RN, BSN, Illinois Nurses' Views of The Nursing Profession:"I struggle when asked whether I would recommend the nursing profession as a career. In the end it comes to down to a weighing of the pros and cons. Let me begin by introducing you to some of my patients, my "pros" so to speak. . . . "
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"One of The Lucky Ones"
by Christine Cruz, Minnesota Nurses Views of The Nursing Profession:"My name is Chris. I have been an RN for ten-years. I have worked in a wide variety of nursing settings, from home care, long-term care to telephone triage, clinics and nursing management. Upon graduation from nursing school in, May, 1993, I had eagerly anticipated a new RN position at a local hospital, in one of its med-surgical units. . . ."
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You Want to Be a Nurse? -- Better Leave Your Heart Behind by Pennye Diane Morgan Shaw R.N., Texas Nurses Views of the Nursing Profession:"So you're thinking about being a nurse? You probably are a person who wants to make a difference, to help others, to be a compassionate healer. Are these are the same reasons I entered the nursing profession about 9 years ago. I had been through the emotional experience of watching my father being diagnosed with colon cancer. I had been by his side though radiation therapy, and though surgery and recovery. I watched as he struggled to cope with the drastic changes to his body as he tried to return to a normal life. . . . "
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My Advice for New and Potential Nurses, by Pam Lowry, Illinois Nurses Views of the Nursing Profession:"According to the American Association of Colleges of Nursing (AACN), "The United States is in the midst of a nursing shortage that is projected to intensify as baby boomers age and the need for health care grows." They also state enrollments in nursing colleges are at a six-year decline. According to JAMA there will be a shortage of 400,000 nurses in the U.S. by the year 2020. AACN goes on to state there are declines in nursing faculty leading to limitations on enrollment, the population of R.N.'s is the lowest it has been in 20 years, and vacancy rates at hospitals are high. . . "
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An Insight Into Nursing by Leah Stockdale, R.N., B.S.N. Maryland Nurses Views of the Nursing Profession:"Although I am extremely proud of being a nurse, I will have to say that I am not sure if I would choose the profession if I could go back. At the same time, I probably would not choose any career in the health care industry. In my opinion, as far as hospital nursing is concerned, the negatives outweigh the positives. That is why I am currently in the process of applying my nursing skills and education to another field. . . "
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A Letter To A Future Nurse by Kristina Rzanca, LPN, Michigan Nurses Views:"Being a Nurse is a career you can be spiritually, emotionally and financially satisfied with. In this day and age this is a unique opportunity, but it is not for everyone. A special person with qualities such as empathy, compassion, intelligence and above all patience should only apply. . . . "
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To Be A Nurse Takes A Special Kind Of Person
By Vicky Oliver, LPN:"As an LPN for the last ten years I believe I could give some insight on my experience as a nurse. I am the type of person who is always doing something for others instead of me. My experiences in nursing consist of Medical Surgical, Doctors' Office, Emergency Room, Surgery, GI Lab, Urology, Utilization Review, Recovery Room, and the Nursing Home. Anyone that goes into the nursing profession needs to be a very caring person, someone who wants to give to others and someone that is very dedicated. . . "
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After Fourteen Years As An RN, I Am Not Sorry For My Choice
By Lynn Kash, RN:"Would I recommend the nursing profession? That is a good question that requires a lot of thought. Nursing was not my first choice of careers. I studied accounting in college, and after working in the business world, decided it was not for me. I fell into a job as a nursing assistant and found patient care to my liking. I then started nursing school and the rest is history. . . .
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A New York BSN's Point of View, By Melina Begun, BSN, RN, Clinical Administrative Liaison Nurse:"Nursing is suffering. Thousands of caring people enter into this profession every year only to become disillusioned by its reality. When I first started to study nursing, I immediately felt a connection with its history and our potential to be leaders in the medical community. Excited by all of the knowledge and skills I acquired in my Ivy league nursing program, I was astonished by the harsh reality of nursing in today's hospitals when I started working as a staff nurse. . .
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Tips To A Good Start In The Nursing Profession by Diane Hartley:"My name is Diane and I have been in the nursing profession for 12 years. In
those years I have seen very many changes with this profession. One of the
first changes was in DRG's. This for those of you who do not know what they
are is diagnosis related groups. . . "
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See Also:
Certified Nursing Assistants, CNAs,
Certified Registered Nurse
Anesthetists,
Disabled Nurses,
Male Nurses, Men In Nursing,
Legal Nurse Consultants,
Licensed Practical/Vocational Nurses (LPNs/LVNs),
Registered Nurses
Please choose from the following (Links will open up a new window):
Nurses Views Recommending The Profession,
Nurses views Not Recommending The Profession.
Choose Nurses Views by State:
Alabama,
California,
Florida,
Indiana,
Louisiana,
Michigan,
Missouri,
New Jersey,
New York State,
North Carolina,
Pennsylvania
Tennessee,
Texas,
Virginia
Male Gender Bias - Entrance to No Mans Land by
Nurseman
Are you a male and thinking about entering the world of nursing? Have you ever wondered why they're so few men in nursing? If you are young, single ...
Gender Bias Against Male Nurses:
http://www.nursingdiscussions.com/gender
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Do I want My Daughter to be a Nurse by
Raye
I am not sure why I became a nurse. I enjoy the smile on the face of someone I have helped. I worked Emergency and got quick fixes and instant ...
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Is your life worth the BIG BUCKS?
by SurgRN911
Why are patients and families feeling they are getting less attention, and sometimes less than adequate care in a hospital setting? I wrote an ...
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It's not all bad!
by LauraRN
Wow.. a chance to give my opinion on nursing.. here goes.. :) When I was in college, I thought I wanted to be a math teacher. As I got higher in ...
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Requirement: Have an off-beat sense of humor
by clooneyfan
A review by of my favorite writers (SurgRN911) about the nursing profession prompted me to write my own review. You can read her original review at ...
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Nursing Is In My Blood!
by Dunkjam
When I was a little girl I always thought that I would be a singer and marry Paul Anka! I thought I would live a glamorous life and travel around the ...
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Where Are Our Leaders? by Moonflowerck
I have been an R.N. for 28 years. My range of experience encompasses nearly all aspects of critical care and pediatrics. I am a bedside nurse; that is my forte. I give quality nursing care; I am a good teacher; I am empathetic and intuitive. However, I am not a leader. My experiences in various leadership roles during my career were neither fulfilling nor very productive.
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Nursing: Is It A Career For You? by
Bobstein
When I was faced with choosing a career I wasn't clear exactly what I wanted to do with my life. I enjoyed the sciences and helping people, and with high unemployment rates in the mid-1970's I chose to enter the nursing profession.
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10 CONCEPTS TO CONSIDER WHEN DECIDING IF THE NURSING PROFESSION IS FOR YOU
by melissasrn
Pros: The opportunity to make a difference in someone's life; decent pay; flexible schedules.
Cons: Short staffing; floating requirements; little respect; dealing with bodily functions.
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An LPN's Story of Progress by:
NJNurse
The Decision to Become A Nurse. When I was starting to decide on a career after high school I wanted to cry.
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The Nursing Shortage: Reasons Nurses Are Leaving The Profession by Rebel5877
All across America, There are shortages of Registered Nurses (RN's) and Licensed Practical/Vocational Nurses (LPN's/LVN's), and Nurse's Aides entering ...
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Response to NJ's work in progress
by jt1013
There is a shortage of nurses. That is a given. I have a large amount of respect for LPN's. My sister is one in Kentucky. She has been one for 32 ...
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My Opinion of The Nursing Profession, by emsopinion
I have been a nurse for over twenty two years. In that time I have worked in many
different fields of medicine.
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Feast or Famine
by lovepepsi
Pros: the feeling you get when you helps someone
Cons: short staffing, not being able to save everyone
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See also:
"Burnout in my 5th year...another nursing statistic", Aboutmyjob.com:"I always knew I would end up in a helping profession. Nursing seemed like the perfect choice. It combined my natural curiosity about health and science with the giving, hands on, human interactions of bedside care. I also knew that nursing offers a great deal of flexability within the profession. You can change specialties, change shifts, and work in a variety of settings.
Before I decided to study nursing, I considered teaching,conservation and journalism. Prior to becoming an RN, I worked in recreation/parks, the foodservice industry, and held a factory/production type job.
I graduated a few years ago with my BS in Nursing. I certainly don't regret having gone that route, but to be honest I feel disenchanted with the health care environment and nursing in general.It certainly is nothing like what I thought it would be.The hospital setting is like a pressure cooker type of environment."
http://www.aboutmyjob.com/main.php3?action=displayarticle&artid=575
"I am getting out of nursing to become a teacher", Aboutmyjob.com:"Hi. I made the decision to get out of the nursing profession about two years ago. I have been an RN for three years. I have floated in ER, ICU, Med/Surg and Labor and Delivery. In the back of my mind I always thought, "working conditions will get better with the more experience I have". I finally have come to the conclusion that my working conditions are not changing, in fact, are getting worse.
I come home every night with knots in my shoulders from the stress that I go through. I too get physically and mentally strained from being a nurse. Families are so insultive and expect things to happen ASAP. Do they not realize that I am running around with my head cut off trying to keep up with all the requests, duties, and paper work?"
http://www.aboutmyjob.com/main.php3?action=displayarticle&artid=601
"Unhappy in nursing profession too....10 year RN", Aboutmyjob.com:"I have been an RN for nearly 10 years now and I must agree with many of the others who wrote their stories. I always wanted to be a nurse, because I like people and thought I would really want to work helping them. But, the reality of the job is utterly overwhelming. I've tried long-term care,home health, dialysis nursing, physician office and now in-hospital on a Rehab unit. I have yet to really find anything I loved. We are almost always short-staffed both nurses and aides. We are being pulled to other floors now due to the shortage of nurses. I was pulled to a MICU and I've never done that type of nursing ever!! I was a nervous wreck, these patients were very high aquity, on tele, multiple lines etc. I received no orientation, just here are your 8 patients...go to it. It was nerve-wracking."
http://www.aboutmyjob.com/main.php3?action=displayarticle&artid=554
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4nursinguniforms.com:"Choose from Top Nursing Uniform Companies. All sizes, styles and popular name brands available. Large selection of accessories as well: Accessories Blood Pressure Cuffs, Sphygnomanometers Nursing Tote Bags, Carry-Ons, Medical Bags Clinical, Medical Supplies, Nurses Discount Outlet: Angels, Books, Clothing , Equipment, Figurines, Holidays, Home Decor, Jewelry, Nurses, Office Decor, Scrubs, Shoes, T-Shirts Footwear, Shoes, Sandals, Discount, Bargains Gifts For Nurses (Nurses Week) Hosiery, Socks, Stockings Hats, Jackets, Jumpers Jewelry, Earrings, Necklaces, Watches Luxury Spas, Facials, Manicures, Pedicures Perfumes, Fragrances, Phermones Shoes, Boots, Sandals, Footwear, High Heels, Slippers Stethescopes, Nurse Kits, Replacement Parts Swimwear (Tan-Through) Women's Lingerie "
4nursinguniforms.com
Nurses' Station:"The idea for the Nurses' Station Catalog was conceived in 1989. After searching the marketplace in response to customer inquiries, it became obvious that there were no catalogs of this type serving the nursing profession. To be sure, there were several catalogs offering nurse's uniforms and a smattering of professional items. But there weren't any catalogs at the time offering a range of gifts, clothing, professional items, name badges, shoes and scrubs for nurses. It took two years of hard work to gather samples and put a together a catalog of the most unique and high-quality items for nurses."
Nurses Station
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Nursing In The Media, truthaboutnursing.org
- ER:"Media products under your influence, particularly the NBC/Warner drama "ER," are harming the profession of 2.7 million American nurses by giving the public an inaccurate and inadequate account of what nurses really do to save and improve lives. Research suggests that "ER" strongly and negatively influences the way children view nursing. These products contribute to the nursing shortage, a public health crisis that threatens millions worldwide."
http://www.truthaboutnursing.org/letters/er/
- House, MD:"The main patient in tonight's episode of Fox's House was a nurse who believed that a cat tended to sit with those who were about to die--including, recently, the nurse herself. That may not sound like a promising vehicle for House to improve its abysmal portrayal of nursing. But the show actually presents the nurse as someone with health knowledge. And her search for meaning in faith, for some reason in tragic events, is a real counterpoint to House's cold rationality. Indeed, despite the obvious potential for mockery in the cat angle, the mighty House treats the nurse with considerable respect--he seems to care what she thinks, or at least to find her views unnerving. Of course, the nurse plays no real clinical role in the episode, and no other nurses do either. So the episode suggests, as usual, that physicians provide all important care in hospital settings, including all meaningful psychosocial and physical care. Still, any suggestion that intelligent life resides in a nurse is a welcome departure for House (and for the episode's writer Peter Blake, who also penned a November 2005 House episode that was notable for its physician glorification and its casual contempt for other health professions). Tonight's episode, "Here Kitty," drew 13.1 million U.S. viewers. more... see the relevant film clips... and please join our letter writing campaign!"
http://www.truthaboutnursing.org/letters/house/
- Private Practice:"ABC's Private Practice, whose season ends tomorrow, April 30, may be the only broadcast network show with a major nurse character to return next season. In the February 5 episode (Mike Ostrowski's "Acceptance," 13 million U.S. viewers), lone nurse character Dell Parker, who is studying to be a midwife, shows some tentative clinical aptitude and knowledge to go with his boyish eagerness. Under the close supervision of OB/GYN Addison Montgomery, Dell ably performs a vacuum-assisted delivery. Later he haltingly guides the baby's parents toward breastfeeding. Dell also performs an assured solo ultrasound of pregnant psychiatrist Violet Turner, calming her panic attack and eliciting her agreement to his own suggestion that, though he's "not a doctor," he will likely become a "pretty good midwife." The show still condescends to Dell, who is also the office manager/receptionist at the LA clinic where the show is set. In the March 26 episode (Craig Turk's "Do the Right Thing," 10.1 million U.S. viewers),"
http://www.truthaboutnursing.org/letters/pp/
- "Scrubs" defines nursing:""Scrubs" defines nursing: it's all about shutting up and following physician "orders. " Tonight's episode of NBC's "Scrubs," which purports to teach nurse Carla Espinosa that nursing is all about doing what physicians tell you, is one of the most virulently anti-nurse prime time television episodes the Center has ever seen. more..."
http://www.truthaboutnursing.org/news/2009/may/06_scrubs.html
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Commonly (Frequently) Used Drugs Medication Indexes:
http://www.prescriptionforviagra.com
- Ace Inhibitors (Hypertension)
- AIDS/HIV Acquired Immune Deficiency Syndrome, Human Immunodficiency Virus, Antiviral Agents
- Anti Angiogenesis (Chemotherapy)
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- Antibiotics
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- Appetite Control, Obesity, Weight Loss, Diet Pills
- Appetite Supressants, Diet Pills, Weight Loss, Weight Control
- Barbiturates, Hypnotics, Sedatives
- Benzodiazepines
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- Blood Thinners, Anticoagulants, Drug Therapy
- Calcium channel blockers
- Chemo, Antineoplastics, Chemotherapy, Anticancer, Oncology, Prescription Drugs, Medications
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- Contraception, Birth Control Pills, Drug & Medication Indexes
- Controlled Substances, Narcotic Analgesics, Opiates, Opioids,
- Convulsions, Convulsants, Epilepsy, Epileptics, Seizures
- Diet Pills, Weight Loss, Obesity, Appetite Control
- Fluoroquinolones (Antibiotics)
- Gastrointestinal, GI, Ulcers, Heartburn, GERD, Indigestion Prevention Prescription Drugs, Medications
- Hair Loss, Mens Health, Impotence, Obesity, Smoking Cessation
- Hypnotics, Sedatives, Barbiturates
- Impotence, Hair Loss, Mens Health, Obesity, Smoking Cessation
- Laxatives, Physic, Cathartics
- Mens Health, Hair Loss, Impotence, Obesity, Smoking Cessation
- Muscle Relaxants, Centrally Acting
- Narcotic Analgesics, Controlled Substances, Opiates, Opioids,
- Nonsteroidal Anti-Inflammatories, NSAIDS
- Obesity, Weight Loss, Appetite Control, Diet Pills
- Opiates, Opioids, Controlled Substances, Narcotic Analgesics
- Over The Counter (OTC) Medications
- Pain Killers
- Sedatives, Hypnotics, Barbiturates
- Skeletal Muscle Relaxants, Centrally Acting
- Steroids, Anabolic, Corticosteroids, Prednisone
- Smoking Cessation, Impotence, Hair Loss, Mens Health, Obesity
- Respiratory (Asthma, COPD, Emphysema, Pulmonary)
- Weight Gain
- Weight Loss, Obesity, Appetite Control, Diet Pills
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