niko1999 RN BSN 4,567 Views
Joined Aug 4, '06.
Posts: 170 (8% Liked)
THANK YOU! I wish all these posters who "never" speed luck if they ever come to our great state and attempt to drive 55mph on I-93... especially if it's during rush hour when people are doing 80 in the breakdown lane.
Those are breakdown lanes? I always thought they were right side high speed lanes!!!
I got pulled over going 80 in a 55 mph zone. State Police office did a u-turn to pull me over. He asked me where I was going insuch a hurry. I told him I was a nurse and was heading for work. I got a written warning....it indicated I was going 60. Apparently you can't get just a warning for going 25mph over the limit.
Another time I was driving home after a week from hell at work. I got pulled over. The officer asked me if I knew how fast I was going...no I told him...and promptly burst into tears going on about just wanting to get home...horrible week at work...favorite patient died....the poor officer didn't know what to do. So he told me to slow down and let me go.
No one drives 55 in Massachusetts except really old people. If you drive 55 you are a hazard.
And, if nurses and cops are the same, may I please have a pistol?
Gary Johnson 2012
Other than CC numbers, address and birthdate.................I don't tell them a thing. It's none of their business.
That would be a massive turd to weigh a kg.
P.S....was "corn-laden" one of the options?
So I haven't been on this board for a while. I have been an R.N. for 1 1/2 years now, where I started as a brand spanking new grad in Interventional Cardiology/CCU Stepdown/Critical Care..woohoo although I would have not said woohoo about 6 months ago...I have been reading alot of the recent posts and I feel like that was and still is me.
This board for 1st year nurses saved me from quitting my job numerous times. I came here and still come here to rant, whine, complain, tell how great/horrible my shift was, and mostly for advice from others like me.
I was on here every morning when I got home from work just posting, finding others that posted that I could relate to and for support. I found comfort on this site b/c I could talk about work and problems and know that other nurses were going through the same crap/learning exp. if you want to call them that, that I was and still am going through.
I had a horrible first year as a new RN. If anyone had time one day you can read all my posts about how miserable I was and sometimes still am. But I know one thing I love being a nurse.
I endured all the abuse and nurse eating their young in the worst way, I was chewed up and spit out then rechewed and spit out a few times, like how a cow had 2 stomachs and regurgates their food only to be redigested...haha I don't know if that's true but it's the best one I could come up with.
I had never worked night's EVER in my life and when I went from day shift orientation which was 8 weeks to night shift orientation which was 4 weeks then to permanent night shift last year I hated my life. I hated it up until ... well I still hate it from time to time. It was had to break through with my night shift crew. It was AWFUL...I had no support, I would ask questions and have no one answer me, I was new so I was talked down to from my fellow nurses and MD's, unit clerks and staff. I was CONSTANTLY running in circles, I had no friends or just one person i could talk to. I was laughed at when calling for RRT's or CODES b/c everyone thought I was overreacting. I was also the only white American nurse coming onto the night shift crew in the last 10 years. I was working with a mostly Filipino/Indian staff. I didn't understand their language or why no one wanted to talk to me. I am a very out going person that usually gets along with everyone. I see people for who they are, PEOPLE, hence the reason I became a Nurse.
I was given the MOTHER of all pt. assignments every night. Never had 5 min. to think and had a ton of questions b/c I was a NEW NURSE. When I asked the questions, it was always the same reaction, like I should know the answer, DUH?? Well if I knew the answer I wouldn't be asking in the first place...UGGGGG....and at night I never knew who to call, what MD, resident..I wasn't pushy yet with the MD's to eval. the pt's so I would just say ok when they would not come and then ask what do I do now...what a headache.
I never stood up for my self when it came to assignments or admissions. Like I have had the first admission for the last 2 nights in a row and this is my 3rd night, and I am the only one who had been here for 3 nights in a row, and why am I getting the first admission agian on my 3rd night when this is the first night working for the rest of the RN's I am working with? Why don't they have 1st admission?
I was abused by the day shift RN's in the AM when I would give report. It would take me forever to give report in the AM. I would be grilled with 1000 questions and would not leave until well past 10am...yea 15 hour shifts were common for me...and when I got report at night at the start of my shift the day shift RN's would half A$$ report to me b/c they knew they could get away with it,leaving me with unfinished orders or phone calls that should have been made during their shift and I mean EARLY in their shift, and they would leave me floundering in the AM even though I checked the chart multiple times, for answers and explanations that I felt like an idiot b/c I didn't know.
I was left with blood transfusions that could have been done during the day, on top of pt's coming from the cath lab back to back with arterial femoral sheaths that, ME, the RN had to pull. Which I didn't even know what a femoral arterial sheath was until I started working on my unit AS A NEW GRAD.
I was told my first night off orientation I had to pull a sheath..ok at that point I knew what it was but had not pulled one on orientation. WELL TOO BAD...I PULLED A SHEATH....with supervision of course and having a major anxiety attack...well from that point on I had ALL the pt.'s with sheaths. I was pulling all the time.
NOW there is this night shift understanding that b/c we are 1/2 the staff of days we pull sheaths no matter what. It was about March this year I was about 6 months into my frist year of nursing and I was telling the day shift RN I pulled the sheath on her pt. The nursing educator overheard me say this and said, "Ang YOU DID WHAT????" I said "I pulled the sheath"....like I had done about 30 times before but didn't say that...the educator said to me, " ANGIE you are not supposed to be pulling sheaths until 6 months off orientation." HAHA little did I KNOW THAT, they had me pulling them my first night off orientation4 months ago..I didn't tell her that...She gave me some lecture and a bunch of paper work and then said, "WELL It's you're license if something happens". Then she banned me from pulling sheaths....HAHAHAHAHA This is the main procedure on my floor for night shift RN's post PTCA/RHC/LHC. Well that bann lasted all of 1 week b/c my night shift manager told the educator and the unit director how good I was at sheath pulling...and my night shift manager said to me, "Ang at night we do things differently as you can tell." With in 3 weeks of that conversation I had my sheath pulling certification, the fastest any new grad has ever had...
Well as of last night I pulled my 100th sheath. The most ever for a new nurse in a year and a half on my floor. I even teach the RN's how to pull and have MD's ask if I can help them..
Anyway...recently I had some day shift RN's whine about how I made them put an IV in a pt before they left at night, had she the nerve to say to me, "Ang you need to learn how to put IV's in a pt blah blah blah." This was a month ago. I flipped out on the RN who said this and said, "Every pt. you give me at night has a blown or expired IV that I have to restart, I replace about 5 IV's a night, so don't tell me how I have to LEARN to start an IV, b/c I restart all of yours."
IV's were a thing that I could not get to save my life. I sucked at starting IV's. I MEAN HORRIBLE!!! I tried and tried but I sucked. I finally got it one night, and from that night on I can put a line in anyone. I ,*excited* ,have become one of the RN's that if another RN can't start a line they come to for IV placement, so when that Day shift RN said that to me I was ready to flip.
I have been charge nurse a few times, which is not worth the extra $1 an hour but looks good on a resume. I have become a resource nurse for new night shift RN's. I have also become the night shift cardiac resource RN. I have my senior night shift RN's, who ignored me when I first started, asking me questions. I have learned to stick up for my self when it comes to pt. assignments and admissions. I am no longer passive to MD's bullying, b/c I know the MD's and they know me. I have gotten into numerous arguments with MD's and not felt bad about it. If I have a problem I make SURE someone listens to me, and if I call a resident I make SURE their butt is on my floor to eval the pt. and if not I call until they come eval. the pt, and I don't care if they don't cover the attending taking care of the pt. they are a TELE resident for a reason. I call the MD's at 3am if the residents are being restarted. I call the House MD all the time b/c I am not friends with all of them. Even if they don't cover the MD they still come anyway.
I no longer put up with the BS from my fellow nurses that I did for so long. It was like something clicked a few months ago. I just got fed up and like my one unit clerk who abused the heck out of me, literally I hated her I mean hated her, but now she is one of my dear friends said, "Angie, when did you become a real RN, and grew a pair of you know what? Honey you have arrived. Don't let anyone give you crap, your true nurse emerged and you are damn good at it and don't let anyone tell you otherwise. It took a while for you to come into your own but your patients love you, you give the night shift a different attitude, you laugh, you don't tolerate crap from anyone and you are one of the best nurses I have ever seen."
I also learned the cultures from the Indian and Filipino nurses and what they did in their hospitals in their countries.
My nursing assistants gave me an appreciation award plaque that is engraved with my name that hangs on my wall in my guest room under my College Diplomas..Both my B.S. and my A.S.N. and my dual state licenses in PA and NJ to remind me why I became a nurse.I have been named in the Press Ganey for patient satisfaction, and have been sent cards and the best feeling is when you see a pt. and they recognize you from a previous hosp. stay and remember your name and give you a hug it's the best feeling. My Night Shift Nurse manager has told me numerous times, "Ang if there is a Junior Registered Nurse of the Year Award, I would give it to you." She has also told my director of nursing for my floor about this. She has told me, "Ang you are a good nurse, and you grew and over came the transition of being a new nurse on a critical care floor as your first job, and also the cultural bounds that you faced being the first white American nurse on nights in 10 years working with nurses from different cultures, you did not discriminate or judge, you are one of us, a Nurse. I know it was hard for you moving away from home to an area you are unfamiliar with, no friends and as a new nurse. But you are one of us now"...she told me this last night.
As much as I hated my first year and it sucked ALOT..i have made friends for life..IT TOOK TIME, and I never thought I would say I REALLY DO LOVE MY FLOOR. I will always give my all as a Nurse and people respect that. YEA it sucks at first, I KNOW..and it still sucks most nights but I built a home...
AS NEW NURSES YOU HAVE TO GIVE IT TIME..YOU WILL HAVE THAT EPIPHANY..YOU WILL BREAK THROUGH....I can honestly say some of the people I hated the most..are the best thing that ever happened to me..it has made who I am today ...
hope this inspires some of you!!!:heartbeat
Sorry so long I just wanted to say IT DOES GET BETTER
first off...i had 75 questions & passed the first time out. i got one of those 'check all that apply', four of the med cal where your 'fill-in' the answers, & loads of delegation/prioritization/therapeutic communication. i had none of the 'putting the answer choices in numerical order' or 'clicking on the graphical picture' questions either...that god!!!
i've purchased a few testing tools...mosby's online cat & their nclex-rn review book/cd...but didn't like it. i found their website not so user friendly & their nclex-rn book to have the same old comprehensive questions that i got in school. it had none of the so called 'new integrative' questions. so i did take the kaplan review course at the advice an professor because they did offer the new style question in their review...& i'm glad that i did. i'd learned in their course that many lpns & graduate nurses who work prior to taking the exam fail the nclex-rn the first time out. said individuals fail due to answering question based on 'the real world' instead that of the "perfect nclex-rn world!'
i went with kaplan's nclex-rn online review & q-bank where i worked at my own pace...it was expensive as hell ($418.00 plus s&h)...but well worth it...considering the amount of money put-out for my nursing education in order to further my career!!! they had literally thousands of exam practice questions...both in the book, online, & on cd. they also review these questions after you've taken their practice tests. they also have video seminars that also go over these exam questions with rationales. sometimes...it helps to have the rationales verbalized & not just written when you go to review each exam. and then they also have video review on such topics as assistive devices, chest tubes, ng tubes, etc.
at the risk of 'giving away' some *secrets*, kaplan mainly stress how to read the questions properly & how to answer & how *not* to answer them. they suggest that you read the question once, don't predict or look for the answer before giving all of the choices a review. don't answer questions on a hunch or feeling...but have confidence in what you do know as a graduate nurse! they stress that recall or recognition & comprehension questions are *not* the minimum competency question required to pass. they stress that assess & analyses questions are of the *critical thinking* & therefore considered above the competency passing level. no matter how many questions you answer, 50% of the questions you do answer have to be above that minimum competency level. once you've done that, the machine will cut off on you. mind you, 15 questions will be *experimental* questions & you can literally pass the exam having answered 50% above competency level with 60 out of 75 questions overall.
the test is designed to start-out at a medium level questions....question right at the minimum competency level. keep in mind...the more questions you've answered correctly, the more difficult the exam questions are suppose to become!!! you'll notice they'll go from comprehensive/recollect to the assessive/analyses types. so you'd really want to walk away from the nclex-rn feeling like that was the hardest exam ever!!! that *is* a good sign!!! there are several ways of passing & failing the test.
answer 50% question above competency minimum by the 75th question & the machine will cut off & you've passed .answer 50% question below competency minimum by the 75th question & the machine will cut off & you've failed .answer strings of correct answers at or slightly above the starting medium level question...then start answering string below that level. this will cause the machine to continue to give you more questions in order to give a chance to redeem or prove yourself...if that's the case, then you've passed...but if you don't, then it's a fail. this can take you through to question 265. again, if you answered 50% above or below the minimum, the machine will cut off... it doesn't matter whether you've got the last question right or wrong either.should you run out of time before you complete the exam, the machine is program to look at how many you've answered correctly towards the end. the only way of passing the exam is to have the last 60 question answered correctly in a row...which is every hard to do.
kaplan then teaches you to decide if the question has enough info in the stem to warrant implementation...if not...you'll have to assess further. stick with the nursing process model...assess prior to planning, implementing, & evaluating. should the stem of the question give you enough info...then the answer will be an implementation. if the stem of the question is vague, then your answer will be an assessment. also, you have to remember maslow's hierarchy of needs & where the physical needs supercede the psychosocial. for the purpose of the nclex-rn, pain is considered a psychosocial rather than physical need.
that said, some questions will have all assessment or all implementation as answers. in this case, you'll have to go with the *best* answer. how to come-up with that is by process of elimination. read each answer & ask yourself...."what will the outcome be?" "is this a true statement?" if it is...then consider that answer response...but if it's false...then throw it out. "does it follow the abcs?" when following the abcs... "will the answer choices make sense?" i.e....if the question is based on a circulation problem & you see a resp & a circulation choice among the four answers...then by all means pick the circulatory answer because it fits with the stem of the question/situation (use your common sense or *critical thinking* skills here). ask yourself..."would a prudent nurse do this or not?" oh & when you see a question that suggests "further teaching is necessary" or a senrio where you the rn know an uap or a lpn is performing something inappropriately, then you'll be looking for an answer with a "negative" or "wrong" statement. read each answer & ask yourself..."is this a true statement?" & if it is...then throw that statement out.
as far as delegation, kaplan stresses that the rn is ultimately responsible for all tasks delegated. now i know from experience, lpns can be given a lot of tasks that require assessment/gathering, planning, & evaluating loads of information...but in terms of the nclex-rn...they can't do any assessing, planning, evaluation, or initial teaching. that is entirely the role of the rn on that exam! also, lpns can only be given patients that are hemodynamically *stable*. they can't be given any patients that require constant monitoring for evaluation purposes. lpns are only allowed to implement written orders from mds/apns & follow instructions given to them by the rns in charge to cover their patients. as far as the uaps (unlicensed assistive personnel)...they can only be given the most basic of psychomotor nsg tasks like taking vital signs on stable patients...assisting with adls & ambulating patients for therapy & again...no assessing, planning, & evaluation...etc.
another thing....mds/apns/nsg mgt/other interdisciplinary dept/personnel such as msw/chaplins/resp/occup/physical therapists are *always* available to the nclex-rn staff nsg! these people are multiple & fruitful...but remember this.... *do not pass the buck to them* !!! you have to assume that there are standing....if not written orders for your patients...remember...this is a *perfect world*. if you see in your answer choice where "call the physician", "contact a supervisor from another dept", "refer grieving families to the chaplin", for example, before you've exhausted everything that you as the rn can do for the patient...don't pick those answers. if though, you read that everything was done for the patient, i.e. o2 was started, the patient was repositioned, high vent alarms & you've disconnect the patient & started bagging...then & only then do you contact the physician, supervisor, resp therapist...etc. you may be asked questions on what to do for a patient based on their abgs or common labs...you'll have to know the normals & what's expected when they're abnormal & know where to go from there. the only other time that you will "pass the buck" is when an uap or a lpn observed something wrong with another rn's patient. you are not suppose to assess that patient since you don't know that patient's base vitals & situation. only then would you inform either that rn or contact your supervisor (staying within your chain of command)...or both. i've seen questions that suggest an uap of 12 years or a lpn of 20 years observes a new grad rn do something that they know (or feel) isn't right. what do you do? confront said nurse, observed said nurse in their duties, or ask the reporting personnel to elaborate on how they come to feel this way. unless what the uap/lpn seen is unsafe...then you as the rn would ask that reporting personnel to explain their concerns further.
well, i hope this has been some help to ya...good luck !!!
Religious Reasons. I/we don't believe in blood or blood products. Llike how many catholics have a problem with abortion.
We have evolved into an image-based society over the years, so many people get their information from the images they regularly see (House, Grey's Anatomy, Scrubs, ER, HawthoRNe, Nurse Jackie, etc.). Since television programs usually portray nurses in subservient helper roles, the numerous people who watch TV assume that this is how real-life nurses are.
I take this as a venting thread and nothing more.
Lets just keep it civil and realize that we all have difficult jobs.
And...we all have bad days.
I think the problem is that schools are focusing not on clinical training, but rather on NCLEX pass rates. And you can be a dreadful practicing nurse and still do well on the NCLEX...such is the case with standardized exams.
In general, schools are turning more to a business model. For example, at my school (an ADN program) our entire curriculum is determined by a publishing company (Elsevier). This means that our exams, lectures, etc. are mostly determined by Elsevier. I imagine they did this so that they could have a numbers-based way of supporting their program and reporting their pass rates to the board of nursing -- and they could boast high NCLEX pass rates to get more students. In doing so, they have eliminated things like any sort of grade for clinical performance (which in a way causes students to just "get through" clinicals and labs and skills evaluations, because they aren't rewarded for doing those things well like they are rewarded for doing well on a multiple choice Elsevier test).
So I think it isn't just that the training is shorter. It is also that clinical performance is completely swept under the rug in favor of NCLEX pass rates and HESI preparation. I think back to my "Fundamentals" of nursing class...it was all about legal theory, communications techniques, and test taking strategies. As someone whose background was a BA in a non-medical field, I was baffled...3rd semester I asked my friend who had been an LPN "Um...are they going to teach us how to wrap a wound? Or when to start CPR on someone?" Surely, I could answer multiple choice questions where the right answer was "start CPR" and I think Elsevier/HESI considers that an "application" type question (ha!) but could most students actually feel comfortable *really* applying that? Probably not.
The emphasis is on theory and answering test questions right -- I fear that long-practicing nurses would be APPALLED if they saw what they didn't teach us in nursing school in terms of basics. I remember writing in my first semester evaluation that all I learned in fundamentals of nursing was how to answer NCLEX-style questions, and I really wish my teacher would have been able to teach us "actual" nursing. I gave up on arguing that point now that I'm about to graduate...our school has bought into this whole canned curriculum thing, and it's really unfortunate and scary to me that a person can be licensed based on what one publishing company finds pertinent.
I think the boards of nursing should stop accrediting schools that downplay real-time clinicals and skills in favor of NCLEX predictors and test-taking strategies.
Edit: I also wish the NCLEX had a skills/clinical component so that the schools would begin to value that and teach it. The trouble is you can't really measure clinical competence, so they measure it in terms of minimum hours spent in a clinical experience...it's easy to send 12 students to a hospital unit for 8 hours, but more difficult to assess how well they are doing there. And a note to practicing RNs: as students, we learn as much (if not more) from you than we do from our teachers. Be nice to us. Call us when you're doing something interesting, or something we should learn how to do. Don't use us to do things that UAPs are paid to do, because that's time we could spend learning how to do RN tasks. And THANK YOU to all the RNs who do make a special effort to include us students, no matter how annoying/green we may seem.
Patient was a teen who had enough vodka in his system to require intubation initially. By the time I get him he's extubated, and being a jerk. I was polite and firm all night. No, you can't have any food or drink. No, you really need that NG we won't remove it. Well, the next time I walk in the room, he's waving his freshly removed NG at me with a smirk on his face. MD says just leave it, even though I BEGGED for an order to replace it. So, for the rest of the night, this kid whines about the foley. All night. CONSTANTLY. By 4am I was over it. And I said:
"You know what, you want to pull out that foley, you go right ahead. But let me tell you about the balloon holding it in place, the one that will split your penis down the middle as you yank it out, leaving it look like a microwaved hot dog. Oh, and BTW, when you wake up from anesthesia after urology has to put you back together in surgery, YOU WILL HAVE ANOTHER FOLEY IN PLACE, so perhaps you should just suck it up, son!"
And he starts to cry. Like a toddler. And his mother jumps up in his face and says "AND ANOTHER THING..."
I left the room. He was quiet for the rest of the night.
If you search human resources in the search bar it will come up as career center and will have a number. Good luck!
If you could let me know what they say that would be great! Thanks so much. Maybe we will be able to work with each other there
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