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Joined Nov 25, '05 - from 'Texas'. EricJRN is a Nurse Educator. He has '10' year(s) of experience and specializes in 'NICU'. Posts: 8,741 (11% Liked) Likes: 1,683

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  • Aug 1

    I wish I could remember what I got on the self-assessment, but it was over a year ago. I'll tell you that I passed the exam without any faculty experience (now I am an adjunct but at the time I wasn't). I didn't think the exam was too bad, but I tend to do okay on tests.

    I remember looking at a detailed test blueprint on the website and then taking the self-assessment. After that, I knew there were some areas that I should go back and study. For example, I knew from the blueprint that there would be some item analysis questions and we had discussed that only briefly in my master's program. I still had access to a lot of my grad school textbooks, so that helped.

    As I understand it, there's no set minimum score on the actual exam because there are multiple versions of the exam in circulation at any one time, so it's a fancy psychometric calculation that determines the passing score for that test form.

    Good luck to you!

  • Jun 22

    It's a good question... for some people, A&O x 3 would indicate a completely normal orientation, while for some A&O x 3 means they aren't oriented to event. Sometimes have to rely on context or, ideally, stop and clarify.

  • Jun 1

    It's two names for the same thing. There are huge variations in acuity and capabilities among NICUs, but the names (NICU, ICN, etc) don't tell you anything about the acuity. I've also worked in a high-risk nursery (HRN), which was yet another name for a NICU. We have to make this stuff as confusing as possible.

    Good luck to you!

  • Apr 14

    Quote from elizabells
    Some combination of precious/unfortunate along with the appropriate pronoun WILL appear in the chart if this guy is on service.
    The neurologist that interprets our EEG's has kind of the same thing going with a couple of phrases: "severely abnormal EEG" is one of them. He's so known for this phrase that it's become something of a joke among the nurses.

    One day we got a progress note/EEG report on a 23 wkr with grade 4 IVH and constant seizing if the phenobarb level went <80. The charge nurse tells me, "Hey look! He doesn't have a 'severely abnormal EEG' after all!" "Really?! What the heck does he have then?"

    "Deeply disturbing EEG," the note said.

  • Mar 18

    I've seen it go both ways, depending on the individual. Some people (even if they are being treated for it) have to be really careful to choose a specialty or setting that doesn't create a lot of distractions. Multitasking can be a really difficult thing to do with ADHD and most jobs are going to require the nurse to keep several balls in the air at once, so to speak.

    On the other hand, plenty of people function well, whether through medication or other means. People with ADHD have definitely been known to seek out novelty, and in my experience, many of them end up in critical care settings.

    I feel like I have been on both sides of the coin here: As a new grad, I had a very hard time with organization, multitasking and prioritization. With time I learned some strategies to deal with those things. Now I think that my curiosity and openness to new experiences are actually benefits when it comes to working in a high-acuity setting.

  • Mar 18
    From nursel56 In ADHD

    I've seen it go both ways, depending on the individual. Some people (even if they are being treated for it) have to be really careful to choose a specialty or setting that doesn't create a lot of distractions. Multitasking can be a really difficult thing to do with ADHD and most jobs are going to require the nurse to keep several balls in the air at once, so to speak.

    On the other hand, plenty of people function well, whether through medication or other means. People with ADHD have definitely been known to seek out novelty, and in my experience, many of them end up in critical care settings.

    I feel like I have been on both sides of the coin here: As a new grad, I had a very hard time with organization, multitasking and prioritization. With time I learned some strategies to deal with those things. Now I think that my curiosity and openness to new experiences are actually benefits when it comes to working in a high-acuity setting.

  • Mar 14

    In the NICU, we use them for warming heels prior to capillary puncture for lab draws.

    In my EMS career (and once in the NICU), I've seen them used to try and make some veins pop up for a patient who is a really tough IV stick. Can't say I've ever seen it work too well...

    For first aid purposes, never used one.

  • Jan 17
  • Jan 17

    I would look at pedi, preferably at a hospital that also has a PICU. I know that in some nursing programs you'll get a lot of encouragement from faculty to only start in adult M/S, but I don't think that's always the best route for a person interested in a specialty area, particularly with how common nurse residency programs are these days to support new grads or specialty-changing nurses.

  • Jan 16

    Quote from Jules A
    Lol, 1st you freaked me out, I almost never use my credentials and couldn't remember so I checked a recent cover letter. Phew, yes I added the comma behind my last name and the few letters I care to use for my designation. 2nd I have the same visceral reaction to seeing all those letters without caring about the extra comma. It makes me think the person is either insecure or of the cluster B flavor if they need to add every initial going back to the badges on their Girl Scout sash.
    Sorry to scare you! For sure, the alphabet soup issue can be a problem in itself. Not sure why I focus on the comma part.

  • Jan 16
  • Jan 15

    Quote from Jules A
    Lol, 1st you freaked me out, I almost never use my credentials and couldn't remember so I checked a recent cover letter. Phew, yes I added the comma behind my last name and the few letters I care to use for my designation. 2nd I have the same visceral reaction to seeing all those letters without caring about the extra comma. It makes me think the person is either insecure or of the cluster B flavor if they need to add every initial going back to the badges on their Girl Scout sash.
    Sorry to scare you! For sure, the alphabet soup issue can be a problem in itself. Not sure why I focus on the comma part.

  • Jan 14

    Quote from Jules A
    Lol, 1st you freaked me out, I almost never use my credentials and couldn't remember so I checked a recent cover letter. Phew, yes I added the comma behind my last name and the few letters I care to use for my designation. 2nd I have the same visceral reaction to seeing all those letters without caring about the extra comma. It makes me think the person is either insecure or of the cluster B flavor if they need to add every initial going back to the badges on their Girl Scout sash.
    Sorry to scare you! For sure, the alphabet soup issue can be a problem in itself. Not sure why I focus on the comma part.

  • Jan 14

    It might be petty, but how about people who leave the "s" off of plural -st words? (Two psychiatrist, two dentist...)

    Oh... and on your email signature that says "John Doe RN, MSN, BSN, AAS, EMT-P, ACLS, PALS, PFCCS," please put a comma between your last name and your first credential. Don't know why that bothers me so much, but I almost can't focus on the actual email when I see that.

  • Jan 14

    I would think about the impression that you want to make - the few qualities that you want to highlight about yourself - and then build actual examples that back up those traits. Remember that anyone can add flattering adjectives to a personal statement, so the more you're able to back up your assertions with specifics or actual examples, the better.

    To me, the first part (about saying hi to everyone and things like that) isn't very focused. It goes between the idea of you staying happy, being optimistic and really just being nice to people, so it's not 100% clear what the take-away message is. I would pick one of those ideas and provide more detail. Don't focus too much on the idea of ensuring your own happiness. They do want happy, pleasant and well-rounded people in nursing school, but to be honest, nursing school is probably going to get in the way of your happiness on a regular basis if you are a good student.

    I agree with a previous poster who says not to focus on failing A&P at this point. That's actually your most detailed example, so that aspect might really stick in someone's mind - and not necessarily in a good way. If you decide to address it, I would rephrase it so that it doesn't look like you have difficulty with fast-paced learning. Nursing school is going to ask you to learn a large amount of unfamiliar material in a short time, so you don't want to cast yourself as someone who couldn't do that in a prerequisite course.

    Right now you still have typos (peoples' lives, Bachelors of Science), sentence fragments (Whether you are a random person...) and run-ons (I see the difficult road...) in your statement. People fluff up their personal statements a lot, so someone might naturally look for inconsistencies in what you are writing. If you say you are detail-oriented but you have these proofreading issues, you might not present yourself as credible. You may decide to rewrite some parts of this based on what people tell you here, so I would just make sure to read the final version over and over and get more opinions.

    Also think about the fact that there are endless ways to help people without going to nursing school. What makes nursing your perfect path? Every nursing school applicant since the beginning of time has written about wanting to help people, but what is it specifically about nursing that makes you want to help people as a nurse? That would be a good chance to stand out a little bit and show that your volunteer work really helped you to understand nursing and its challenges.

    These things are hard because you have limited space to present just the right side of yourself, but I think that with a little more focus you'll be on the right track. Good luck to you.


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