Quote from yvonnesariya11
Hello I am currently on the waitlist for the GCC weekend program. My stamp time is June/09. I am hoping that I will get placed Jan 2011. I wanted to find out if anyone can give me some advice on the weekend program. I have heard some horror stories and I am starting to get really nervous and question myself. I understand that it is going to be difficult, but I have no idea what to expect. I got A's in all my science classes, but found them to be very difficult. The A's in Bio 201,202,205 did not come easy to me. Since I have taken those classes I have forgotten most of what I have learned, and I am afraid this will hurt me in the nursing program. My weakness is in writing and I have heard that each careplan takes over 10hrs. Are they really difficult? do the instructors at GCC show you exactly how to do one? or do you fend for yourself? Also, I know this sounds so silly, but I am terrified to do oral presentations. Is it true that students in the nursing program do several presentations? Any advice is appreciated and will help ease my anxiety.
I'm just finishing block 1 (exam tomorrow!) @ Gateway, so I can give you just a little
insight into care plans. Keep in mind, they're controlled & reviewed by your clinical
instructor, and they have pretty wide leeway in what they can require. So far, we've had decent
instruction in preparing care plans, but you could always
use more. The first few care plans can take alot of time, simply because in LTC it isn't uncommon for a patient to have 20+ meds - and you can't give
a medicine you haven't researched
My instructor seemed to be primarily
concerned about your understanding
of the med's effects
and side effects
. If, for example - you are giving a med that is supposed to lower BP - you're checking
for signs and symptoms that BP is too high
... but also for signs that it's too low
... Often meds are flushed through the liver & kidneys, and if those functions are impaired (and they will be impaired), even a low
dose of HTN medicine can cause BP to plumment. So it becomes standard practice to check the patient's BP before
giving them a medicine that will lower it further... even though the've been diagnosed with high BP.
It carries over into planning
your nursing interventions - even though that patient has a diagnosis
of high blood pressure, they're likely to have low
BP when they stand up out of bed (because of the meds).. A typical nursing intervention is to have them "dangle" their feet over the edge of the bed for a little while before they actually try to stand up. Educating the patient and their family about those effects would be a second
See? I just gave you two
interventions... most of my care plans required 3-5 interventions... Your interventions get better
and more polished
and more detailed
as you learn more in class, and start to "connect the dots" between medications, the disease process and the skills/interventions you have available as a nurse. So far, for me - block one care plans haven't been too bad. It's all info you really want
to know - to do a good job of helping your patients.
As for presentations, we have had to do a couple of them - the best thing you can do if you're nervous about public speaking is prepare
& learn your topic well. Just like jumping into a pool - once you get started you're fine
. Public speaking is scary for everyone - but the rest of the class is just as scared as you are - and they'll support you when you show off your amazing
smarts with your presentation!