2006RNCS 3,206 Views
Joined: Jun 14, '06;
Posts: 72 (39% Liked)
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I used Kaplan Pharmacology Flip-o-matic. I purchased it 2 1/2 yrs ago at Books-A-Million. I don't know if it is still available. If it is, please purchase it. I know without a doubt, that it really helped me. I made straight A's in Pharmacology, but I had a strange feeling about not studying medications for the NCLEX. I had 80 questions, and 6 were medication questions. I had heard to study the basics. Well, the questions went beyond basic. Maybe that is why the questions continued. I really knew my meds! You may be a pharmacy major, but I am an RN, and I sat for the NCLEX, and passed it the first time, and these cards were a big part in my doing so. I highly recommend them!! Good Luck!heartbeat:heartbeat
I have been following some of your posts, and I feel we are in the same boat in some ways. I have only been in nursing for 2 years. I have 2 kids, and worked on and off during their early years. When they became a little older, and after my dad passed away from cancer, I realized a life-long dream by going back to school and became a nurse. I am an RN now in a LTC facility, and I am night supervisor. I love the patients, but the facility works very understaffed. I fit right in, and had been promised a dream job on days coming up soon. Well, the job has turned into a nightmare, and no dream job has materialized.
I realized that I am being strung along. I am so upset that I thought I had this wonderful job, but now I feel at square one again. Now, I am off to search for yet another job. I have had several since graduation. I think the elderly is my niche.
My first job was in nursery and I did a little couplet care. PP is wonderful. I highly suggest it. It is where I precepted. There wasn't a job available there though. The openings are rare in my area because they are normally 8 hour shifts, and no one wants to let them go!
Just don't settle for any job. Make sure it really is YOUR "dream" job. I think they exist. I am still searching!
I agree with you completely. After you have seen so many people, both personally and professionally, experience phenomenal death bed phenomena, you are touched by this forever. It makes you a different person. I would like to think more empathetic, loving, and appreciative of life. :heartbeat
In Alabama, the first year nursing salary is quite low. About 33,000-40,000. However, with a 2-3 years experience, you can be making more like in the range of 40,000 to 60,000, depending on the area and specialty. For new RN's in Alabama, LTC may be the way to go for money, and to learn valuable time management skills. Plus, in a good LTC, many skills are practiced daily. I learn things in my LTC that I never did in the hospital.:heartbeat
I have seen it many times. Someone is getting ready to pass on, and they reach for someone they can see, but we can't. Or, the patient that couldn't communicate, suddenly does improve, can communicate, and becomes peaceful, and "ready." Family members have shown me this as well.
My grandfather and aunt both showed me this also! My grandfather, who had Alzheimer's Disease, and knew no one just before his death-on the night of his death, suddenly remembered all his family members names, and said a prayer out loud to God about each family member. He was a God-fearing man, and had read the bible 7 times through.
My aunt-I visited her the day of her passing. She passed later that night. I went through the door of her hospital room. Now, my aunt just earlier that day, could do nothing but mumble, and was a very sick lady. Well, after I entered the room, she sat up in bed, smiled like she was looking right through me, and said, "Look, daddy." My grandfather died the year before I was born, and my mom has always said that we would have dearly loved each other. I think my grandfather was surrounding me that day, and my aunt saw him, and was communicating with him.
I know there is something special and breathtaking waiting for us on the other side. I have seen too many tired, worn faces relax and years taken away from their faces with their final breath. I saw both my grandmother and my daddy lose 20 years from their faces at death. They went "ready" and peacefully. I have seen it, and I have felt it. Nothing is more precious than knowing a soul has gone in peace, other than witnessing the birth of a baby. heartbeat:heartbeat
Good luck on the job hunt. Did she give you any reason for the day job being on "hold"? Are you going to work Per Diem?
Hello all! The so-called "dream" daytime job that I was talking about has disappeared. Big surprise, huh? She most definitely was trying to keep me on nights. It is so amazing to me that people can be that cruel. She knows that I NEED a daytime job to protect my health. Well, now I am off to find that "dream" daytime job. I know one is out there for me somewhere. I just haven't found it yet. Thanks to everyone for your wonderful advice. I am listening!!:heartbeat
Hello all! I am an RN supervisor on third shift in a LTC facility with 179 beds. We normally never have 5 nurses at night, sometimes only 3. We have anywhere from 6-9 CNA's. We are currently working 3 nurses short, therefore, I may end up working a hall of 70 all by myself, which has happened a few times. We just had a nurse walk out Sunday night, abandoned her pts, because she was left to care for the 70 pts by herself. I don't blame her for her frustration, but now her license is in jeopardy with the state board of nursing. So, I am taking a cart every nights until a couple of nurses are hired. Our facility has a very bad reputation in town. I understand why no one would want to work for us.
I really love the autonomy of being a supervisor, but lately I feel like I am being forced to work doubly hard. I still have my supervisory responsibilities as well. My DON has told me that a day shift job that she thinks I will love will be coming open in a couple months, but she can't tell me now.
I am making really good money, but I don't think my health can survive much more of this. I am so down about this!
I am so confused as what to do. Should I wait it out for a day shift job, or start looking for a job elsewhere? All opinions are appreciated.
I would just go ahead and attend a community college, and get my RN. Some do the LVN/LPN route, and then continue their education, and some never do finish. I would just go ahead and get my RN. It is only a year's difference in education, and believe me, it goes by fast. The 2 yr. comm. college route is the route I chose. I am so glad that I did. Whatever route that you choose, enjoy it, and take time to breathe, and have a little fun, too!!
Hello. I recommend doing what your heart says. However, let me say, I did get a good critical care background first before going into LTC. I have only been an RN for 2 years, and a few months ago, I went into management. I am an RN supervisor on third shift in a LTC facility. I love it for the most part. Your heart has to really be into it. You need lots of patience, and you need a very caring heart.
Some LPN's and RN's go straight into LTC or a geriatric wing, but I do highly recommend getting some great assessment skills down first. You will definitely need them!
As for the people who think geriatrics is easy, they are so wrong. Most of these patients have multi-system diagnoses, and when they "crash," they do so in a heartbeat. You need to be really sharp in your assessments of the elderly, especially.
Maybe you could go into Med/Surg first or ICU to gain some valuable assessment skills. There are plenty elderly in both areas to learn a lot of skills from.
Whatever you decide, I wish you the best. Take care, and God bless!!:heartbeat
I live in Alabama, and the Alabama Board of Nursing website lists all the CEU's you have earned, if they have been reported. If not, there is a place on the website to enter the CEU's you have completed if they have not been entered by the provider. You may want to go to your board of nursing website to check and see if this service is offered by your state. Hope this helps!!:heartbeat
Our class consisted of both RN's and LPN's together in class the first year. We went over the material, and took tests in ATI newborn, children, and adolescents. I scored in the 99th percentile in the nation. Most of our students did really well. I believe the next years class used ATI testing more. We started with our graduating class using ERI testing. You had to pass the test to graduate. It was an excellent indicator of NCLEX preparation and passing. The ATI was a lot easier. I passed the ERI the first time. Good luck to you. Try not to worry too much about the testing. You'll do just fine.:heartbeat
I am an RN who graduated two years ago, too. I have experience in Cardiology and ICU. I decided in January of this year that I wanted to get out of the hospital setting, so I interviewed at a LTC facility. I am RN supervisor on night shift now I LOVE it. Sure, when I first started, I was amazed at the differences in LTC and the hospital. But now, I feel really comfortable doing my job. There are difficult people to deal with, but that is the case anywhere you work. For the most part, I am much happier in LTC.
I believe you need lots of patience, a caring attitude towards others, and the ability to confront others in a restrained, respectful way. I have learned valuable time management skills. The main problem that I have in LTC is the disorganization of it. Maybe all facilities aren't like the facility in which I work. At my facility, I find myself scrounging for supplies. It is frustrating to no end to start an IV with 16 or 18 gauge catheter. But, if that is all you have, well, that's what you do. That kills me.
LTC is completely opposite working in a hospital setting, but if you are burnt out, or just need a change, please really, really consider it as an option. I am so glad that I had the courage to accept the position. I was scared to no end, but now I feel so good about the job that I am doing, and I feel valued and respected. I did not have that in the hospital setting. I dreaded going into work at my last hospital job. I loved the patients, but hated the being short staffed, working extra hours, and the bad attitudes of coworkers. LTC pt to nurse ratio will blow your mind at first, but you quickly learn how to manage your time and pace yourself.
Good Luck at whatever you decide to do!!
1. CNA's, or anyone for that matter, who yell for you down the hall to help them in the middle of the night when it is just to position a pt.
2. Fellow employees who blow off steam in front of you because they come into work so "worked up." These employees are so negative, and if one thing doesn't go their way, they throw around comments to try to get to you. Go home if you can't handle the stress. Nursing is hard.
3. People not respecting each other. People, we are in the workforce to "work together." None of us are any better than the other person. This includes doctors. HEHE!!
4. Patients expecting nurses to jump at a call light to fluff their covers or position their pillow, when a person down the hall is coding. Then the patients get mad and report you for not answering the call light in a timely manner. It's the middle of the night, people, go to sleep, please!!! I will take great care of you, but I have priorities, and you should get a clue.
5. Employees who are assistive personnel demanding that you cater to their wishes, help them on command, balk at being pulled to another wing, but they are furious and talk about you if you don't jump when they bark. Or, better yet, they tell you how to do your job. Or, better yet still, in front of you and others make the comment that nurses don't do anything. Gripes me. I tell them to go to RN school and see how easy it is, and the real world of nursing is much harder than that.
6. Fellow employees whispering and looking down that hall at you and laughing. You know they are talking about you. Makes me want to confront them, and ask what is so funny, but that would give them too much satisfaction. RUDE people!
Now, I feel much better.
I have a question. What do your nursing supervisors do for you and your floors? Do they merely walk around looking cool,having the title,not wanting to be bothered? Or do they actually still do some nursing things? I was just wondering if they are all washed up has beens who can't handle the floor anymore or if any of them actually still do some nursing things to help the staff out in a pinch.
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