Tag Archive for 'licensed practical nurse'

What To Do If You Don’t Pass the NCLEX

i_nursing_student_2As a nursing school graduate, one of the most important tests you’ll ever take is the NCLEX exam. This test, which is the national standard for getting a nursing license, takes all the knowledge (both clinical and textbook) you have acquired and ensures that you are ready to handle nursing in a real-world, professional capacity.

Ideally, you’ll pass the NCLEX with flying colors and move on to the next step in your nursing career without a hitch. However, a passing score isn’t guaranteed, even if you attend the best nursing school in the country and spend weeks studying for it. If you do fail the NCLEX, you can take it again. And again. And again—as many times as it takes to get your license and start working.

If you don’t pass the NCLEX, you will be required to wait three months before you can take it again. Use this time to brush up on your studying and take test preparation classes so that you are even more ready next time around.

According to estimates, roughly 15 percent of nursing students in the United States and 48 percent of RN candidates who were educated internationally fail the NCLEX the first time. Although no one likes to talk about these numbers, they can and do happen. The best thing you can do is chalk it up to experience and try again.

Like any test, the NCLEX gauges not only how well you know the material, but how good you are at taking tests. Some people get flustered when faced with a series of multiple choice questions, and it has nothing to do with their intelligence or knowledge base. Fortunately, the more you take the test, the more comfortable with it you’ll be. Oftentimes, simply knowing what to expect can help you direct your studying and to feel less flustered the next time around.

Consider your circumstances, as well your educational shortcomings. Life often gets in the way of our professional goals, and that’s okay. Whether you waited too long after graduation to take the test, or if a family emergency made it difficult for you to concentrate, your circumstances will be different the second time you take the test. Try to schedule ut for a time when you know you’ll be able to study and rest up before the big day.

Realize that failing the NCLEX isn’t the end of your career. Chances are, your future employer isn’t going to care how many times you took the NCLEX—in fact, they probably won’t even think to ask. As long as you earned your degree from an accredited program and you’re dedicated to always learning and growing as a nursing professional, you can succeed in this field. Play up your strengths (maybe you have a great bedside manner or you think fast on your feet) and remember that the test is only a small portion of your skills and dedication as a nurse.

You will have to pay for your NCLEX test each additional time you take it, and adhere to the same rules regarding location and test time. For more information, please visit the National Council of State Boards of Nursing at https://www.ncsbn.org/nclex.htm.

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What Factors Influence Nursing Salary?

i_nurse_pediatricsOne of the common themes of any discussion of the nursing career is that the field is one of the most stable and fastest-growing in the entire country. Job outlooks over the next ten years will only continue to increase, and nursing salaries are expected to increase right alongside them.

However, that doesn’t mean that what one nurse earns working as an RN in New York is going to be the same as a BSN in Ohio. There are many different factors that influence nursing salaries, and your annual pay will be dependent on all of them.

Level of Education: LPNs make less than RNs, and NPs make even more than them both. An RN with a Bachelor’s degree can typically command higher rates than an RN with an Associate degree. Depending on your degree and your license, the amount of money offered to you will vary.

Experience: Most health care settings work on a seniority-type scale. The longer you work for the organization, and the more experience you have, the higher rate of pay you can command. This is especially true if you move into a managerial or supervisory role.

Unionization: In many states and hospitals, nurses cannot work unless they join the local nurses union. In most cases, being part of a union means higher rates of pay (though you will have to pay annual or monthly union dues in return). In a union setting, you can also command much higher rates of pay for work done overtime.

Your Shift: In a hospital setting, nurses who work graveyard shifts (11pm to 7am) tend to make more than those who work swing shifts (3pm to 11pm), who, in turn, make more than those who work day shifts (7am to 3pm).  Although this isn’t written in stone, most employers change the rate of pay depending on the desirability of the hours worked.

Employer: Nurses in a hospital setting tend to earn the most money, followed by those who work in doctors’ offices. Nursing home and home health care tend to provide the lowest salaries of all. Other opportunities, like working for a government entity or as a travel nurse, can also provide different pay rates.

Types of Nursing: Specialized work typically commands a higher rate of pay. For example, if you work in an emergency room or operating room, the high stress and increased skills mean you can earn more each year. Advanced specialties in fields like orthopedics or pediatrics can also help you move up the ranks.

Location: Perhaps nothing influences nursing salary so much as where you live—and for good reason. Cost-of-living expenses in larger metropolitan centers are much higher than what you would expect in smaller cities. For example, an RN in New York can expect between $54,000 and $76,000 per year, while the same professional will get between $45,000 and $65,000 in Atlanta, Georgia.

Getting a nursing degree is a great career move—regardless of where you live or what your specialty. However, if increasing your pay is a priority, there are plenty of advancements and opportunities you can take advantage of.

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Texas Nursing Schools

i_student_3If you’re looking for a vibrant mix of cultures with southern hospitality, then you’re in luck. A large economic hub of the United States, Texas has a thriving health care community with many opportunities for recent nursing graduates or those looking for a change of scenery. If you’re currently living in Texas, planning on relocating there in the future or are considering your options, I hope this post will give you some wanted insight into the state’s nursing industry and what’s available for you.

Why You Might Want to go to School in Texas

The motto “everything is bigger in Texas,” is not just a saying. Texas is the largest state on the mainland and is also home to some of the largest cities in the country. The fourth largest city in the U.S. is Houston; the seventh largest is San Antonio, while Dallas- Fort Worth and Greater Houston are the fourth and sixth largest metropolitan areas in the U.S. Additionally, Texas’ variety of geological terrains, such as grasslands, forests, mountains, deserts, coasts and cities provide limitless opportunities for adventure.

A leader in the medical field, The Texas Medical Center in Houston is the world’s largest center of healthcare and research institutions. This makes Houston and the state of Texas not only a great place to study nursing, but maybe an opportunity for post-graduate employment. The state is also home to the American Heart Association, numerous medical centers, many medical schools, dental schools and of course, nursing schools.

Texas’ medical advancements may be attributed to its highly developed technology industries. The Silicon Prairie and Silicon Hills are nicknamed areas of Texas that have high concentrations of technological advancement. Between medical and technological breakthroughs, Texas is the perfect place to call home while attending nursing school.

Besides attending school, there is so much to appreciate in Texas. The state’s melting pot of culture means that there is a lot going on in Texas. Not to mention, Texas’ high immigration rate adds to this diversity. From Houston’s thriving performing arts scene, to Dallas-Fort Worth’s art museums and Austin’s live music scene, there is so much to value in Texas. Austin, nicknamed “The Live Music Capitol of the World,” is home to the world famous South by Southwest music festival and the Austin City Limits Music Festival, providing a great break from the rigors of nursing school.

Nursing Salary Statistics

The mean annual salary for all occupations in the state of Texas in 2009 was $41,100. The mean annual salaries in Texas in 2009 for the following occupations were:

  • Registered Nurses: $64,670.
  • Licensed Practical and Vocational Nurses: $40,710.
  • Nursing Aides, Orderlies and Attendants: $21,610.
  • Post-secondary Nursing Instructors: $63,930.

The state of Texas is home to many colleges and universities, most notably The University of Texas, Texas A&M, University of Houston, University of North Texas, Texas State, Texas Tech, Baylor University, Southwestern University, Rice University, Trinity University, Texas Christian University and Southern Methodist University. In addition to these fine institutions, Texas has many top nursing schools and programs.

Nursing Industry Outlook

Between 2008 and 2018, there is a 22 percent growth expected for Registered Nurses, creating close to 600,000 new jobs. The expected job growth for Licensed Practical and Vocational Nurses is around the same, at 21 percent, creating almost 156,000 new jobs. Nursing Aides, Orderlies and Attendants can expect a 19% job growth in this time period, creating 276,000 new jobs. Postsecondary Instructors can expect a 15% job growth during this time period, creating close to 257,000 new jobs, many of which will be made up of nursing instructors.

Nursing Schools in Texas

Arlington:

Concorde Career Institute

Brownsville:

South Texas Vocational Technical Institute

Corpus Christi:

Kaplan College

El Paso:

Vista College

Houston:

MedVance Institute

McAllen:

South Texas Vocational Technical Institute

San Antonio:

Career Point College

Weslaco:

South Texas Vocational Technical Institute

Information gathered from the Texas Medical Center and the Bureau of Labor Statistics, bls.gov.

What You Learn in a Certified Nursing Assistant Training Program

i_nurse_female_11A certified nursing assistant program (CNA program) prepares graduates to work as a nursing assistant in a hospital, nursing home, long-term care facility, or other health care center. When you choose a program from an accredited school, you can sit for the national CNA exam to get licensed in the field, enjoying great job stability and pay of up to $20/hour.

Types of CNA Programs

Most certified nursing assistant programs take place in an education institution or a nursing school. Although there are online CNA programs, there is a hands-on component that may require you to do a local internship in order to graduate and be eligible to sit for the exam. Additionally, some nursing homes or other large organizations might pay you or reimburse you for going through CNA training, provided you sign a contract to remain with their company for a few years following graduation.

The length of the program varies depending on where you go to school, but you can expect anywhere from six to twelve weeks (100 to 120 hours) of training in all. Your coursework will most likely include a mixture of lecture-based and lab skills development in:

  • Anatomy and physiology
  • Patient hygiene
  • Nutrition
  • Disease control
  • Rehabilitative therapy
  • Mental health nursing
  • Psychosocial care skills
  • Medical ethics
  • Taking vital signs
  • General patient care
  • Stress management
  • Communication

With these skills firmly in place, you will be qualified to assist nurses and doctors in a team-like capacity to provide everyday, routine care to those in the health care setting. In many cases, this training can be complimented by a phlebotomy course, which will qualify you to draw and process blood from your patients. You may also continue on in your education to eventually receive your LPN (licensed practical nurse) or even your RN (registered nurse) degrees.

Getting Certified as a CNA

Licensure as a CNA isn’t required for all jobs in the field, but it provides a great way to increase your pay and advancement opportunities. The National Nurse Aide Assessment Program is the most common certifying body, but you’ll need to check with your state and potential employers to determine for certain what qualifications you need to practice as a certified nursing assistant in your city.

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Is it Time to Upgrade Your Nursing Degree?

i_nurses_2In most professions, continuing your education is part of the process of advancement—and a nursing career is no different. Although many nurses only go as high as an Associate degree and an RN license and are perfectly happy at that level for decades, you might have more growth in mind. Maybe you want to specialize in geriatrics or you’re hoping to become a nurse practitioner and open your own office. Whatever your personal and professional goals, the way to get there could be through another round of nursing school.

The Nursing Degree Basics

If you’re like the majority of nurses, you have either an LPN or RN license. Depending on where you went to school and what kind of degree you attained, this means you have either a certification or an Associate or Bachelor’s degree. In the hierarchy of the nursing field, the progression through education looks like this:

  • CNA (Certified Nursing Assistant), a certification earned in as little as a few weeks
  • LPN (Licensed Practical Nurse), a certification or diploma earned in less than a year
  • LPN-to-RN (Licensed Practical Nurse to Registered Nurse), a one-year advancement program
  • ADN (Associate Degree in Nursing, also a Registered Nurse), a two-year degree
  • LPN-to-BSN (Licensed Practical Nurse to Bachelor’s of Science in Nursing), a program that can take between three and four years, depending on your situation
  • RN-to-BSN (Registered Nurse to Bachelor’s of Science in Nursing), a two-year course that builds on an existing Associate degree in nursing
  • BSN (Bachelor’s of Science in Nursing, also a Registered Nurse), a four-year degree
  • BSN-to-MSN (Bachelor’s of Science of Nursing to Master’s of Science in Nursing), an eighteen- to twenty-four-month Master’s level program
  • MSN (Master’s of Science in Nursing, often interchanged with Nurse Practitioner), a total of six years of training
  • DNP, PhD (Doctorate), which builds on a Master’s degree and can take anywhere from a year to up to five years, depending on your area of study

Advancing Your Nursing Education

As you can see, there are many different programs, and even more nursing schools that offer them. From local community college programs to online nursing courses, there are many opportunities to advance your education and reach your educational goals.

Of course, all of these programs take time, money, and might even require you to move to a new location, so going back to school is never a decision to take lightly. However, with higher salaries, more managerial roles, the potential to teach nursing, and the chance to compete for the best nursing jobs in the country, nurses with advanced degrees have so many more opportunities to succeed.

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What is an Accelerated Nursing Program?

i_student_2Accelerated nursing programs are designed to produce graduates at a faster-than-average rate in an effort to combat the growing nursing shortage. Although there are over 135,000 nursing openings currently in the United States, there simply aren’t enough nursing schools and instructors to meet the demand. By allowing students with the time and dedication needed to graduate faster (but with the same level of education), the nation hopes to avoid giant lapses in the quality of care.

Accelerated Nursing Program Requirements

Most accelerated nursing programs are designed to accommodate students who have some background in the medical field. Whether you have a CNA designation or have been working as an LPN for years, you probably have the basic nursing experience necessary to qualify for the accelerated program. In fact, if you have most of the core nursing courses already completed and out of the way, you can have a BSN in as little as 11 months or a Master’s degree in 3 years. And if you are an RN with an Associate degree, there are some nursing programs out there that will get you your BSN is as little as 3 months.

The top nursing schools also want to ensure that you’ll be able to handle the heavy course load without getting overwhelmed or falling behind in your grades (accelerated programs can have dropout rates of up to 75 percent). That’s why most of them require that you have a 3.0 GPA or higher in order to qualify for the accelerated program…and you may be expected to maintain that in order to remain in the program.

Why Choose an Accelerated Nursing Program?

It might seem daunting to undertake a program that has such stringent requirements and such a high dropout rate, but it is a great choice for many individuals. One of the perks of accelerated programs is that there are nursing scholarships and federal grant money dedicated solely to the faster-paced courses.

Accelerated programs are also great for professionals who don’t want to take on basic nursing classes that are below their current skill level. For example, traditional BSN programs start at the beginning and work you up to the Bachelor’s level. But if you’ve already been working as an LPN or RN for years, it’s a waste of both your time and your money to start all over again.

Getting Started

Nursing programs in the accelerated format aren’t available everywhere, and many of them take advantage of the online learning platform in order to reach a wider audience and to allow students to learn at their own pace. If you’re interested in learning more, look at online nursing schools and schools in your area with non-traditional class times and options to see if they have a program you qualify for.

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LPN-to-RN and RN-to-BSN Programs

i_nursing_jobsTransitional nursing degrees allow working nurses to boost their education while still continuing on in their current nursing jobs. Whether you are an LPN considering a step up to RN status, or an RN with an Associate degree hoping to get a BSN, there are many options both online and on campus to get the education you need.

LPN-to-RN Programs

The LPN designation (Licensed Practical Nurse) is a regular step on the way to becoming an RN; in fact, most RNs get their LPN qualification about halfway through the nursing program. This makes it easy to jump right back into school to finish up a degree that’s almost already completed.

In most cases, you can opt for either online or on campus LPN-to-RN classes. Online coursework allows you to work at your own pace, doing your schoolwork from home in your own time. Campus-based learning is equally flexible, and most schools offer night and weekend classes for nurses who must juggle their full-time jobs and education.

The courses you’ll take vary, but typically deal with more chemistry, biology, and clinicals, with a focus on advanced patient care. You’ll also take more specific classes related to your desired field; for example, you can focus on geriatric nursing or pediatric nursing to better further your existing career.

RN-to-BSN Programs

RN-to-BSN nursing courses are some of the most popular choices in today’s educational climate. Registered nurses with a Bachelor’s degree tend to make more money and get greater advancement opportunities than their Associate degree counterparts, with additional chances to become nursing instructors or even researchers in a high-ranking medical facility. This is also a great degree if you plan on someday pursuing a Master’s (or even Doctorate) in nursing, where it is possible to open your own practice or become the head of your department.

Like the LPN-to-RN option, this program is typically offered as both online and on campus learning. You can expect to cover courses in:

  • Patient and Time Management
  • Ethical, Legal, and Moral Issues
  • Problem Solving and Critical Thinking Skills
  • Communication
  • Taking on a Supervisory Role
  • Research and Analytical Skills
  • Advanced Critical Care Techniques
  • Community Health Initiatives

The costs associated with both LPN-to-RN and RN-to-BSN programs vary with the school you choose, with higher costs for private schools and online learning than you’ll find for most community college or university programs. However, because of the unique learning environment private schools provide (online or in the evening), they might be the best platform for you and your future.

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Pros and Cons of Online Nursing Schools


i_nursing_studentThanks to the prevalence of online learning platforms and a growing demand for nurses, online nursing programs are growing in popularity. Like traditional nursing courses, many of these online courses are accredited and can provide the core classes you need in order to get your degree in nursing. However, because so much of nursing is hands-on clinical care, you will need to attend some of your courses in person. In fact, if you’re pursuing your RN (registered nurse) or LPN (licensed practical nurse) degree, even the best online nursing programs can’t offer the full package.

Pros of Online Nursing School

If you have a restricted schedule (due to work, family obligations, or travel considerations), online courses can be the ideal way to get your core curriculum out of the way. Many of these classes are textbook and lecture-based, so if you learn well on your own, you can save both time and money by skipping those trips to campus.

Many nursing programs are highly competitive, and there simply aren’t enough instructors to meet the current nursing demand. Online courses allow more students to access the program at one time, and because everyone works at their own pace, the instructor should be available whenever you need him or her.

Cons of Online Nursing School

Online nursing school only works as hard as you do. Because you are doing so much of the work at home and on your own time, you have to have a high level of self-discipline and drive. Even though the course is more flexible, there are still deadlines and tests.

Online school is also very textbook-based. If you learn best by listening to others speak, asking questions, and seeing demonstrations first-hand, you might not benefit from taking courses this way. Everyone learns differently, and online courses aren’t for everyone.

You also have to do extra homework before you even start classes. The nature of online learning means that it’s all too easy for scam artists and non-accredited schools to make promises they fail to keep. For example, you might spend two years getting your core classes done only to find that the clinical nursing school you want to attend doesn’t recognize that program at all. It’s also vital that you take courses from a school that will make you eligible to sit for the NCLEX exam, since you can’t be a nurse in the United States without a passing score.

Location Matters

In addition to accreditation and NCLEX considerations, there are some states that will not recognize an online nursing program. It’s always best to talk with nurses in your city as well as employers and the potential school to ensure that your education doesn’t go to waste.

Although you can’t get your whole nursing degree online, you can get a lot of the legwork done and out of the way. If done correctly, you can save time, money, and still get a quality education that places you on the front line of the health care industry.

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Different Nursing Degree Options

i_nurse_female_6Becoming a nurse is a wise career move in this economic climate. New and replacement jobs are opening up all around the country, and demand is greatest in big cities and rural locations. High rates of job satisfaction and salaries of up to $80,000 a year also contribute to making being a nurse a very attractive career choice.

One of the best things about earning a nursing degree is that students have a variety of options. Whether you want to go to school for just a few years and get started working in the field right away, or if you’d prefer to get a six-year Master’s Degree and move up through nursing management, there are many different options offered at technical training institutions, community colleges, and both public and private universities.

  • Licensed Practical Nurses (LPNs) are also known as vocational nurses. These degrees take about a year to earn, and allow you access to entry-level nursing jobs. Some of the hallmarks of this career include providing routine patient care and working under the supervision of a Registered Nurse (RN).
  • Registered Nurses (RNs) come in two different types: those who have completed a two-year Associate Degree (ADN) and those who have a four-year Bachelor’s Degree (BSN). Although many of the tasks learned and expected of both types of RNs are the same, those with the more advanced degree tend to get higher pay and more consideration when it comes time for professional advancement opportunities. RN-to-BSN programs also exist for those who want to earn a Bachelor’s Degree after acquiring an RN license at the Associate level.
  • At the Master’s Degree level, nurses can study to become Nurse Practitioners. This degree builds on existing RN skills to teach greater autonomy and supervisory skills – typically in a two-year program that supplements an existing four-year nursing degree. Nurse Practitioners often go on to open their own nursing practices, and can work directly with physicians, diagnosing conditions, ordering tests, and even prescribing certain types of medication.
  • The DNP is one of the highest nursing options there is. This post-Master’s program offers a Doctorate in Nursing Practice. This is typically sought only by those who want to pursue nursing in an academic capacity, doing research, clinical trials, or teaching.

In almost all nursing degree options, students can expect to take a well-rounded curriculum that includes anatomy and physiology, biology, pharmacology, patient care, ethics, communication, and hands-on clinical work. The further you go in the field, the more specialized the classes become.

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Preparing for the NCLEX-RN Exam

i_student_3The National Council of State Boards of Nursing (NCSBN) is the national governing body that provides testing to nursing school graduates. There are two tests, the NCLEX-RN and NCLEX-PN (for registered nurses and licensed practical nurses, respectively), both of which require a passing score in order for a nurse to be licensed to practice in the field. Although the test is nationally-governed, each state has different restrictions regarding how and when this test is required.

For many nursing students, the NCLEX-RN, or National Council Licensure EXamination) represents a major stepping stone in the process of becoming a nurse. It is a highly regulated test, much like the Bar Exam for lawyers, and the amount of studying required can be quite a hefty undertaking.

Studying for the NCLEX-RN

Accredited nursing programs are designed with the NCLEX-RN exam in mind. Although the curriculum certainly varies depending on where you go to school, what degree you’re hoping to attain, and what your specialty is, basic competencies in the NCLEX-RN areas are included. The test is designed to examine your knowledge base and nursing skills to ensure that you are ready for entry-level nursing work.

The exam covers a wide range of topics, with a focus on both providing care and taking a leadership role in the healthcare field. Graduates can expect questions on:

  • Safe Effective Care Environment
  • Management of Care
  • Safety and Infection Control
  • Health Promotion and Maintenance
  • Psychosocial Integrity
  • Physiological Integrity
  • Basic Care and Comfort
  • Pharmacological and Parenteral Therapies
  • Reduction of Risk Potential
  • Physiological Adaptation

The format of the test is primarily multiple choice, and it is almost always done on a computerized system. Additional questions might ask candidates to identify body segments, calculate mathematical equations relevant to nursing and medication, and answer a few fill-in-the-blank questions.

Setting Up a NCLEX-RN Test Time

Most nursing graduates take the NCLEX-RN test within two months of graduation. Waiting too long might require a bigger study time, since so much of the information is directly related to what you learn in school. Your nursing program should be able to direct you through the steps of setting up a test time.

As a basic overview, you can expect to apply for licensure within the state in which you’d like to be licensed. The state will then determine your eligibility based on your education, degree, and work history. You are then free to register for the NCLEX-RN exam, and you will most likely be assigned a test location and time. The test costs $200 to take, and is strictly overseen by test officials.

For more information on preparing for and taking the NCLEX-RN exam, you can visit the National Council of State Board of Nurses at their testing page.

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