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Autor: anton 14 April 2011
Words: 1244 | Pages: 5
Making the journey from LPN to BSN.
The journey will be long and difficult, yet we all know this is the pathway into the future of nursing. The Licensed practical nurse has slowly faded into the background; the duties once performed now removed from the scope of practice. The LPN's are being forced to either return to school to obtain an ADN, BSN, or MSN in order to continue working in the nursing field or remain stagnant and have no hope of career advancement has created a rise in the LPN to RN-BSN programs now offered. This paper will allow you to see this journey through the eyes of the LPN.
As a Licensed practical nurse on the team, we more often than not receive the short straw. We have sometimes been working in the nursing field for longer than some have been out of school yet we do not receive the recognition that we most often deserve. Due to the constraints and restrictions that have continued to increase on the scope of practice, the duties of the LPN have dwindled over time to very closely resemble those of a certified nursing assistant or Medical assistant.
The LPN that makes the difficult decision to return to school will benefit from gaining the ability to work with autonomy while also having the accountability that he/she is unaccustomed to possessing. They will suddenly be the primary nurse, the nurse responsible for all aspects of care pertaining to nursing whereas before they always had the RN to fall back on. As an RN, will be their responsibility to make accurate clinical decisions and judgments while maintaining a professional rapport with, staff, patients and families.
We play an active role in promoting and maintaining the health and well-being of our community, and it takes a great deal of patience, commitment and sacrifice to balance home life, school, and the job, but as nurses, we find this rewarding and we are proud to be in the wonderful profession of nursing.
In the field of emergency nursing, the staff will experience many different challenges during a shift, one minute they may be taking care of a child that is having a febrile seizure and then have a patient that has suffered a gunshot wound. The emergency department nurse must wear many different hats; he/she is a nurse, counselor, housekeeper, and dietician just to name a few. The fact that the nurse possesses the ability to be what some may call a chameleon is what makes them such unique persons.
Nursing is one of the few professions where one can say that their job gives them great satisfaction in knowing that they are truly helping someone regain their full potential and bringing them back to a healthy state of being. Being a nurse is not just an occupation; it is more like a commitment to the profession of nursing. It is a very hard yet fulfilling job and success or failure in the profession is entirely up to the nurse. There is a tremendous amount of stress and many great challenges that nurse faces each day, yet somehow they are able to somehow cross these hurdles and continue.
The changes in medicine are dramatic and will continually remain so. There is no more exciting a career to be found in life. The basics never change, and the human touch is necessary for good health. Bedside nursing provides the daily interactions with patients and their families that provide the nurse with a feeling of satisfaction and completeness in knowing that the care delivered provided the patient with the care and understanding they needed to help them cope with their medical condition. Nursing is not only taking care of the medical needs of the patients, when a nurse makes a terminally ill patient smile, comfort a lonely elderly patient, alleviate a child's fears, or feed a hungry disabled person then they have fulfilled the credo of what a nurse truly is.
After being an LPN for 22 years, the paradox of nursing has long since formed and the reality is that each person who is going into nursing needs to be informed about the many trials and tribulations they will face. The nitty-gritty dirty things that nurses do along with the paperwork and the time they will spend at the bedside just listening to how the day is going for someone. It is not only a job but also a way of life. This why so many nurses are able to walk into a patient's room and smile, hold a hand, explain a procedure, give a drink, change a bedpan, or wipe up a mess.
Yet, the paradox of nursing is this. You will walk into a patient's room with a smile on your face even if you are having the worst day of your life, and you will be able to male that person believe it is the best day in the world. You will help a patient to the bathroom twenty times in a shift and not take one minute to use the restroom yourself. You will administer pain medications for four patients and make sure they have a pillow and blanket, a magazine to read, or a telephone to call family, and yet you will not take fifteen minutes to eat supper yourself some days.
You will provide Tylenol for headaches and backrubs for backaches, yet you will not take time to go find Tylenol for yourself because Mary in room 2 has climbed over the bedrails and fallen, and then you have to check Lonnie's pulse ox in room 3, and then John in room 4 needs his blood sugar checked. Not only that, but Dr. Beck just ordered an enema for Jo to be given ASAP because she has not had a bowel movement for four days and suddenly it is an emergency.
We as professional nurses will be responsible for interacting with a wide variety of people from the patient to the technician that comes into your department to fix the copy machine. With each of these interactions, it should always be in the back of our minds that we are the professional nurse that is representing the hospital, clinic, long-term care facility, school or home health agency and we must always try to conduct ourselves as such.
This is nursing. It is chaos, confusion, and total commitment to the job while you are there, or else you are going to forget to check the labs, the doctor's orders, or the medication record. Sometimes you will fight the urge to think that a patient is a bother because you have been running all day and have not done any charting, but then you put a smile on your face and say, Ð’â€˜What can I do for you?' because you remember that you are here to help them, not to do your charting. You will cry on the best of days and laugh on the worst of days because that is nursing. It is love, peace, heartache, tears, sweat, and taking care of someone who just learned they would not live over six months. In addition, the smile that shows in your eyes will make your patient believe that you truly are happy that their blood sugar is normal, or they can have their IV discontinued, or that they can go home finally after six hours in your department.
Nursing at its best is not a profession or a job; it is you at your best.