pmabraham, ADN, RN 39,030 Views
Joined Jan 27, '13.
pmabraham is a Registered Nurse.
He has '1' year(s) of experience.
Posts: 2,534 (41% Liked)
Stick it out. I 13 months in (10 months off orientation) on an extremely busy cardiac telemetry floor; it's a great experience even though it is often hard. When I talk to my psych RN friends, their ratios are almost double mine. Remember, the grass isn't often greener on the other side of the fence.
As part of your own homework, call up Capella to find out about their GPA requirements. I only had 11 classes to take (currently working on my 10th one), but that can vary based on what transfers. Yes, I like the program; I'm in FlexPath.
I'm sorry you had a disappointing experience. Not all nurse residencies are the same. At UPMC Pinnacle, for example, you are hired to a given area (i.e., I was employed as a cardiac telemetry RN on a busy, 44-bed, cardiac telemetry unit) where nurse residency "classes" start either towards the tail end of unit orientation or just shortly after that. There are no rotations between floors, units, etc. Just focusing on learning the policies, procedures, methodology, etc. of the unit/floor where you are hired and getting together with other new (less than 1 year experience) RN's to learn various topics in a small group (sometimes we split up into small groups) and large group (80 to 100 student) setting.
I recommend that you don't give up and that you avoid letting this one experience jade your passion for being a nurse. I would treat your first position as a job that didn't fit; pressed for details, in your shoes, I would focus on the present and future direction such as "I want a change where I would just work on one unit with a dedicated preceptor during orientation, learn, and grow on the floor until such a time I'm required and able to float."
Capella's RN to BSN program is only for those already with an RN degree. LVN, ADN, and BSN programs for those who are not a nurse will be onsite for the most part due to the clinical component.
Good day, CDGPatterson:
Capella's FlexPath option is 100% online with no group projects OR a requirement to go out into the community or any area regarding in-person, face-to-face events. If you are comfortable writing APA-based papers and are familiar with online research tools (the Capella online library is extremely extensive), the first two classes can each be completed in one to two weeks. After the first two classes, the assessments of learning to continue to increase in complexity, but still allowing classes to be completed within one to four weeks depending on your work/life balance requirements. As I shared, the first semester, I finished five classes; and it looks like in the second semester (still in progress), I should be able to complete four courses leaving just three classes remaining to graduation. WGU does have pros because the exam-based courses have the potential to be finished in a day or two (vs. a week or two), and there have been people who completed the RN to BSN program in six months where the shortest history I've been able to verify with Capella's FlexPath method is 7 to 9 months (I'm on track for the 7 to 9 month finish). For those able to finish WGU in six months, it is more economical than Capella's FlexPath, yet the moment you cross over into the second six month period at WGU, the distance economically starts to close.
I almost went with WGU (they do have a lot of good things going for them), but the following negatives helped me decide to go to Capella University:
* WGU is not 100% online.
* WGU is not 100% go-at-your-own-pace. There are scores and scores of students publishing in various Facebook WGU groups about mentors refusing to fast-track the student from one course to another.
* WGU pushes biochemistry which I've yet to find any value for those of us in bedside nursing; given how complicated they've made the course (scores of students posting trouble passing the new setup), why bother if there are other universities that don't push a class which appears to have absolutely zero value for bedside nurses (btw, I've talked to faculty at nursing schools, and hmmm... no value in biochemistry for them as teachers).
You can finish classes at Capella University through their FlexPath in a few days. I finished five classes in three months. It is truly go at your own pace. WGU is also a good option, but not 100% online, not 100% go at your own pace depending on mentors.
Have you shadowed an entire shift at the facility? If not, then please consider it.
Managements FIRST responsibility is to the patients.
Best in what way? Your question is very broad. Best economically would be between Western Governors University (WGU) and Capella University (via their FlexPath option). Best based on just writing ONLY papers with zero exams and zero discussion groups, that might be Capella University. Best, 100% online without a single requirement to do activities such as in-person interviews, in person site reviews, that might be Capella University. Best as in discussion groups ok, papers are ok, and you want a guaranteed fixed price that is affordable, Aspen University might be the best. You have to define what you mean by best to get the best responses.
On the 44-bed cardiac telemetry unit (CTU) where I work, day-shift (7a to 7:30p or 7a to 3:30p) is typically five patients to one nurse, and evening shift (11:00a to 11:30p or 3p to 11:30p) is typically five patients to one nurse. Night shift (7:00p to 7:30a or 11:00p to 7:30a) where I work, from what I hear vs. what I experience, is anywhere from five patients to eight patients to one nurse. If it matters, the CTU is part of a 628-bed, Magnet® designated, teaching hospital in south central PA.
There is always more to the story. Read "The Hard Truth Behind The Baltimore Patient Dumping Video" ZDoggMD
Hopefully, they are setting up the IV pump such that it goes into KVO mode at 10 mL/hr with just mainence fluids infusing once the primary infusion is complete. If yes, then the patient is getting 10 mL per hour of extra fluids which unless they are in fluid overload or close to fluid overload should cause no harm. Keep in mind sometimes an infusion runs between shifts, and the person who set up the infusion maybe giving report or otherwise off the unit when the infusion is complete. If the infusion completes during their shift, and you are not the patient's primary nurse, you could always let the primary nurse know the infusion is complete or show team work and cap off the line and turn off the pump (I do the call personally as I don't know if there are plans to run other infusions).
Try to last out 12-months post orientation (not 12-months from hire date), and 24-months if able. I'm told with one to two years solid medsurg experience, a lot of doors can be opened for you.
From my understanding, a pacemaker just paces the heart when certain lows or highs are hit; a combination pacemaker/ICD can be used if there's a chance for vfib. I've never seen a patient in Afib rvr given a pacemaker until their rates are controlled typically via medication management: amio, cardizen, ranolazine or otherwise converted to NSR. As you know, Warfarin doesn't deal with the rate or the rythm, and other options are eliquis, lovenox, etc.
I went for my first job after my ADN, and am completing my BSN online at Capella University via their FlexPath program; I hope to have my BSN done in 9 months or less for a combined cost (ADN + BSN) far less than the cost of a BSN at many schools. If it matters, I work on an intense cardiac telemetry unit at a major hospital in the area where my wife and I live.
Advertise With Us