Similar to nurses working in other settings,
RNs provide clinical expertise and perform roles in which they have the education, experience and legislative authority to perform (Canadian Nurses Association, 2015).
Kovner and colleagues (2014) cited "anecdotal reports that hospitals are preferentially hiring
RNs with a BSN and that if they do hire associate's degree graduates, they are requiring those nurses to get a BSN within a specified period" (p.
We rely on the
RNs for medication administration, wound dressings, assessments of mobility and feeding and infection control As an RN student I also learn a lot from the
RNs for my own practice, which I use on placement.
RNs can no longer assume they will get their first-choice job immediately upon graduating, unless they want to work in a geographic area that has a deep shortage of
RNs.
During that same time period, only three of Oklahoma's 77 counties experienced a net decline in
RNs: Oklahoma, Pontotoc, and Texas counties.
As for diversity gains, the percentage of minority
RNs (Asian, Black/African-American, American Indian/Alaska Native, and/or Hispanic) grew to 16.8 percent in 2008 from 12.2 percent in 2004.
Recommendation: To improve the ability of VAMCs to determine RN staffing levels needed for inpatient units and to recruit and retain inpatient
RNs, the Secretary of Veterans Affairs should direct the Under Secretary for Health to develop a detailed action plan that includes a timetable for building, testing, and implementing the new nurse staffing system.
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In a 200-bed hospital with six to eight
RNs, the process may well require 18 to 24 months to complete the cross-training.
It outlines a two-phased approach to expanding the role of primary care
RNs and recommends RN prescribing.
For example, in some states the number of younger-aged
RNs as a proportion of the state's total RN workforce was considerably larger relative to other states.
Half of
RNs indicated they are the primary wage earner in their family with 57 percent earning $50,000 or more per year.