Tell me about nursing

Ms. Malienation had an operation last year, and I had to take care of her (change dressings, give shots, look stern when she wanted to do something she wasn’t supposed to yet, etc.). I sorta liked it. Her doctor liked the way I did her dressings. Some people would get weirded out by the experience (especially the shot-giving part), but not me. I am not the squeamish type when it comes to bodily processes. I am sensitive to the pain others may feel, but understand that sometimes that must be ignored to truly help them (I can maintain distance). She half-jokingly said that I should become a nurse. I did entertain the idea (I am a Technical Consultant), but found a way to talk myself out of it. I still thought about it, though. My consulting money is drying up, and the work is…work. Although I don’t hate it, it rarely thrills me. I wouldn’t mind challenging myself with something different, but too many companies are uninterested in a jack-of-all-trades, which is what I am. Besides, too much technical stuff is being outsourced.

My dad died last Tuesday. He had been in declining health for some time, and had had half a leg amputated only a few days before. This was done because of circulatory problems (he had diabetes) in a foot that had been served by a vein removed for a bypass operation. Although he seemed okay immediately after the operation, a couple of days later he collapsed and could not be revived. His death shocked us all; we expected to have him for at least a year or two. His funeral was on Friday. I grieve, but I came to the conclusion when my Grandmother died 2 years ago that some people deal with death well, some don’t. I do. I loved my dad and my grandmother, but I understand: it was their time.

At the funeral was a cousin escorting my dad’s brother. I hadn’t seen her in over 30 years. She is a nurse, like my aunt. I told her about my experience taking care of my gf and she was enthusiastic about the idea of me becoming a nurse. Suddenly, the idea doesn’t seem so stupid. I figure I am smart enough, and am strong on analytical skills. I see nursing as a “suck it up” occupation, and I don’t panic or scare easily. In a jolt of inspiration, I even came up with an cynically dark idea for an intense nursing tattoo. Maybe a complete change is in order.

Tell me about nursing. What sort of education is involved? What kind of money is involved? She said it was good, but I am wary; I have been hearing about a nursing shortage for years and years. If the money is good, why would there be a perpetual shortage for so long? She said nurses get burned out after a while and drop out. True? And why? Money’s not the top issue, but I can’t say it’s irrelevant. Can one become an RN in stages, i.e., first an LPN, then an RN (while working as an LPN)? If so, is that the way to go, or should one shoot for the RN all at once? Seems like the “all at once” approach would be faster, but the LPN -> RN would give me a better feel for how far I want to go (if I find out nursing’s not my thing, I would waste less time and money on education). I already have a BA (Psych), AAS (Electrical Technology), and didn’t quite get a BS in Electrical Engineering (ran out of money and interest). How likely is it that someone used to solving technical problems (electrical circuitry, some programming, etc.) can use their analytical mind to good effect in the nursing field? And how long will it take, and where (live in Germantown, MD)? Then there’s the issue of career length. How long can I do it for? My health is generally good; I am 46 and a little heavy, but exercise regularly (I figure that’s important for an “on your feet” occupation).

I’m no nurse, but I spent a lot of my childhood and teens caring for my mother and I can give you some hints there.

Mom would have loved me to become a nurse “to take care of me better.” The idea made me want to run away screaming. Cleaning my mother’s urine, feces and vomit was bad enough; doing it for a bunch of strangers? Hell no. Specially not for a bunch of strangers who too often are doped out of their mind, either by drugs or pain itself. Hand-feeding mom was bad enough, being called names when I left her side to feed my brothers was horrible - I don’t need to get that kind of shit from someone else (and I’ve seen patients who deserve being hit with a sledgehammer for the way they treat hospital personnel). Plus it would have had to be at the nearest Hospital School, which is owned by the Opus Dei… I would have needed daily doses of Der Trihs to survive that place, and I didn’t know you guys back then.

I don’t see nurses as saints, but they definitely do some work of which I’d rather do as little as possible.

ETA: my later experience has shown me fields like the lab where patient contact is minimal. Still, I’d rather work in a factory lab than a hospital lab, but in any case the image of nursing I had when I was considering careers didn’t include “Xray room nurse” or “lab tech nurse,” both of which exist in Spain.

My first wife was an RN and another was an LPN. The course of study is pretty demanding and most nurses work damned hard. Remember, a lot of nursing is shift work and it’s not limited to mon. thru fri. Lots of responsiblity and an emotionally demanding job. The pay, and job availability, is good for RN’s, not sure about LPN’s. I see it as very rewarding, but I can also see why people can get burned out early.

I’ve been a nurse for about 15 years and I love it! It is very, very satisfying. I would recommend the 2 year ADN to you.

I’ve been an RN for a little over a year.

You sound like you have good reasons to want to go into the profession. That’s one of the things I want to know about people when they ask me about nursing.

Lots of responsibility. Lots of opportunities. It’s fascinating and rewarding but almost equally as stressful on some days. They do say, though, that if you’re not happy with your current nursing job, you just haven’t found the right niche yet.

My observation regarding the nursing shortage is that it only exists in facilities where working conditions are poor for the staff. There are enough opportunities that a nurse who does not wish to stay in a particular position doesn’t have to. There isn’t much of a shortage in the good hospitals. There are good hospitals in almost every major metropolitan area. Crappy ones, too. Just gotta put some feelers out. If you do go to nursing school, you’ll get an idea of which ones are which very quickly.

I would also recommend the 2-year ADN program, but be aware that depending on your current college credit, that 2-year degree could easily take up to four years once prerequisite and core classes get thrown in. I spent 3.5 years on my associate’s.

I had the same reservation about spending so much time in school before I knew if I really wanted to become a nurse. I went for the ADN, graduated, worked for a year, and now I am working toward my BSN while working full-time. It’s working for me so far.

There are many different ways to be a nurse; the amount of variety available in the profession is huge, with many different specialties and certifications available.

It is no longer true that two years of basic hospital nursing is ‘entry level’, though it’s still strongly encouraged. There are other things available, including things like school nursing, working as a nurse educator in places like diabetes treatment centers or for health insurance companies, community health jobs, home visits, tons of other things.

Hospital nursing…it’s worth doing, but recognize that it’s a physically demanding, mentally challenging, dirty job. Prepared to work weekends, nights, and holidays? Prepared to come into close contact with every body substance you can think of? Prepared to deal with and provide comfort to people in every mental state imaginable, including your coworkers? The rewards are huge, and it is worth it. Folks who can organize and prioritize to fit a rapidly-changing environment as they go along do rather well. If you need an unchanging routine, it’s not for you.

Start with the RN, whether you get it as a two-year (ADN) or four-year (BSN) degree. RNs get the decent pay and responsibilities. By law, there are certain things LPNs are not allowed to do (varies by State) and if you start with the LPN you’ll just get frustrated that you can’t do them. You’ll work just as hard as an RN for less pay. BSN RNs tend to earn slightly more than ADNs, but the difference is not huge. Some hospitals and other companies that hire nurses no longer hire LPNs; you’ll have a bigger selection of jobs with an RN.

Is it worth it? Yes, absolutely. If you’re at all interested, go for it. The profession needs everyone who has the interest and ability.

RE: the question of career length, which I see no one else has got to…

Seriously? It can be a long as you are mentally capable. I know nurses in the 70s still working.

The trick is finding the right position. If you become no longer capable of doing on-your-feet hospital nursing, there are other types of things to do. I switched from hospital to call-center (disease management/diabetes education) when my arthritis got bad. I now have a nice, sitting-down desk job that still gives me patient contact and lets me do ‘the good stuff’ - helping people stay well. There are other types of desk-style nursing jobs that are less physically demanding - case management, utilization review, teaching, management, MD offices, telephone triage, etc etc etc. Some of these even have work-from-home options available.

As long as your brain is still working, you can still find a way to be a nurse. The flexibility in the profession is one of the best things about it.

What if I don’t want to be an RN but would like to be a medical assistant instead?
Where does one apply for such training? I hear there is quite a demand for people in that field. I am curious as to the pay, also.

You could take a medical assisting program at a local community college, if that’s something you want to do. Then you’d take a licensing exam.
Info here:
http://www.bls.gov/oco/ocos164.htm

I’m in home health (finance side of the house) and I can tell you that we are always in need of RNs/LVNs/LPNs. It seems like the acutes (i.e. hospitals) have traditionally taken advantage of the nurses. Come to the light and experience home health where you have a lot of flexibility.

RN (3 year diploma) here.

I am not super crazy about my current job, but I know I could do something else if I wanted. Right now, I don’t feel a huge impetus to change, but maybe in a few years, I will want to. So, understand that although Im feeling a wee bit jaded in my current position, I am not discussing NURSING as a profession or a whole.

Think what you want in life, and if you are a leader or a follower. That might shore up the LPH vs RN thing. I can’t speak for the way it is in the states, but if you are going to do an RN then get your degree. (BN, or BScN) because at least here, Bachelors degree is entry to practice now. Im grandfathered (mothered?) in, because of my graduation date, but Im in a weird postion I dont have 20 years experience as a diploma nurse, I have 8, but the next level up jobs all require a degree. I am chipping away at that one course at a time, but right now I would rather spend my free time (ha!) with my four year old, and my boyfriend. Next year my son will be in school full time and I can consider things then.

Even as “just a diploma nurse” I have a quality standard of living that many would envy. I went from being on welfare (for two months, after my mat leave ran out and before I got a new nursing job) to purchasing my own home in 18 months. Not that I am rich mind you, but by being disciplined with my spending I was able do do this based on a full time job and the min 5% down payment.

The work itself … well if you can laugh when a patient craps on you after you finish cleaning them up, if you can debride a gooey oozy necrotic ulcer and then go eat your lunch, and talk about same ulcer with co workers, if you live for huge cups of coffee, odd work hours, patients who love you, hate you, treat you like a god(dess) treat you like a servent, throwing in a mix of family, doctors, administrators…

Nursing becomes a way of life and a way of thinking. You begin to see people somewhat holistically, but also see links between things. You see people at their best and worst, and sometimes you know more about people than you want to. I love it and I hate it and even if I never took a shift again as a nurse, I couldnt stop being one if I tried.

my email is in my profile. email me if you want further information…

I wouldn’t mind home health. Shoot, I’ve done home health care with no training for several family members already. (Not to make light of it, though. I know it’s a lot of work.)

Massage therapy doesn’t sound so bad either.

Well if you live in the United States (lol) you can get a job anywhere. I’ve got friends from coast to coast that would hire you in a sec - providing you keep breathing.

In Out In Out In Out In Out- oh boy a promotion.

I was bottle fed so you got me.

What to say?

Over 20 years as one here. I started in med/surg, moved to ICU after a year. Did that for many, many years. Did some home health, and then back to step-down. Now I’m in same day surgery-where old nurses go to die. I enjoy it. I like to deal with essentially healthy people (for a change) and I enjoy the teaching aspects it provides. I do NOT recommend it for new nurses–it does not use your newly acquired skills to the extent that other areas do.

I hated home health. I will never do it again. For a simple dressing change, the paperwork is unbelievable. The damned Oasis (intake) form in IL is something like 30 pages long–handwritten, by YOU. The money is not all that good, either, IMO. I didn’t get reimbursed for mileage or gas and made LESS than I did working ICU (or the floor aka med/surg).
There are lots of opportunities in nursing, but every one has some sort of glitch. (not that that isn’t true of every profession). I strongly recommend a BSN program. Why put 4 years of work into an AD, when 4-5 years will get you a BSN? Competition to get in is tough. (if you do end up going AD, do a bridge program and get your BSN). It’s the BSN that opens up a lot of doors to the more “cush” jobs in nursing. That and acute care experience. Even if you never want to work in a hospital, I would do it, even if only for one year–you will see a huge variety in terms of pts and pathologies and learn many more skills that will help you, no matter what part of the industry you finally end up in.

If you are male (I think you are?), be aware that in some people’s minds there exists a prejudice against male nurses. Also, nursing is not a profession kind to it’s newer members(or its older members). Staff can be vicious and malicious toward one another–depending on where you work. Staff can also be wonderful, kind and caring, but it pays to reserve your judgement and not depend on the kindness of strangers (aka coworkers), at least at first. I have found that most women I work with welcome male nurses (as do I)–but I know of only one successful sexual harassment suit at my work and it was a male complaining about a female. (and rightly so-she depants him at the nurses station, all in “good fun”. As if).

Hope I didn’t scare you away. Pay is good, but tends to flatten out quickly, no matter what degree you have. Me, with 20+ years of clinical skills and judgement make about $4/hr more than Ms BrandNewNurse just out of school. That ain’t all that much, considering my expertise and her lack of it.

Well we have everyone on lap tops with a wireless interface to our network so there is no paperwork. I will say that it is a very thankless job - overworked and underpaid. I have a passion for it,however, because the alternatives are so grim. YMMV

Welp, here it is 10 years later. I thought about becoming a nurse, and like a lot of things I do I put off taking action for too long…like returning here for a SD fix (I got out of the habit, and, well, other parts of the internet beckoned). In any case, take action I did. Eventually.

In a week, I’ll be entering my fourth semester at nursing school. Doing the ADN thing, then I figure on working for maybe a year to sharpen skills, then back for a BN.

Not sure what else to say. It’s great to be back (the beckoning of the rest of the internet kinda got old).

I’ve been a nurse for almost 30 years now. I love it and can’t imagine doing anything else. That doesn’t mean there aren’t bad days, bad weeks, or even bad months (such as a nurse shortage we experienced a couple of years ago that had us working ourselves far too much).
You could consider a one year LVN program (not recommended), a two year RN (Associate Degree, or AD-N) program, a four year RN (Bachelor Degree, or BSN) program, or a ‘step ladder’ plan that has you starting with one degree and adding to it as you work in the field. Of course, add some time to any program if you will need to complete any “core” requirements to enter into a nursing program (history, composition, math- stuff like that).
I would not recommend the LVN approach at this time. LVN’s are now considered a ‘less desired’ level of preparation and are beginning to experience reduced employment opportunities. But an LVN program could also be a good choice depending on where you live and what kind of nursing you think you might be interested in (ex: clinic, office, nursing home, etc.). If you do consider an LVN program so that you can get to work quickly, just be sure to plan to return to school so you don’t get ‘stuck’ there.
The two year ADN was never meant to be a ‘complete’ nursing education. It was created in the 1950’s as a way to get nurses who were more educated than at the LVN level to the bedside quickly during a national shortage. These nurses were always expected to return to school to complete their educations (although many never got that message).
The industry talk for many, many years was that, one day, a bachelor degree would be considered the minimum level of preparation required of a registered nurse. Things are definitely moving in that direction now. My facility, a large, nation-wide company, no longer hires LVNs. They do hire ADN’s, but prefer BSN’s.
This trend can be used to your great advantage by ‘step laddering’ your education. You would do this by obtaining the two year ADN and then getting to work. Most, especially larger, companies offer a tuition reimbursement plan once you have met whatever requirements they may have (typically one to two years of continued employment). This is the most cost effective way, but not the fastest way, to advance your education.
There are other programs, such as “diploma” programs (similar to the LVN level of preparation, but they are rare now), Nurse Practitioner (NP) programs, Physicians Assistant (PA) programs which compete for nursing students, and direct to Masters-degree nursing programs, but of course most of those plans (except the diploma ones) will take longer and cost more, but they are also something to consider. I think most Masters and Doctorate level (both PhD and clinical degree) programs are still step-laddered and not ‘direct-entry’. Not entirely sure, though.
Anyway, I would recommend looking at your local community college’s website or meeting with a counselor there. Ask about what they see for future trends in the field. I hear nursing schools are very competitive and also very full right now. I’m also wondering if there will be a glut of nurses in the next 5-10 years due to the push for more and more advance-degreed nurses.

OH, wow- I totally missed the date on the OP- and my own previous comment! LOL!

Congrats on (almost) surviving nursing school, and welcome to the cult!

And welcome back to the Sdope. :slight_smile: