shoegalRN 15,039 Views
Joined Dec 5, '06.
Posts: 1,379 (42% Liked)
I work the weekend alt plan. I work every Sat and Sun night (12 hour shifts) and get paid for 3 days. Full benefits too.
I'm off M-F. If I want, I'll pick up a couple of extra days during the week, but not often.
I love working Stepdown/Tele! I am an ER nurse but usually get floated to Stepdown or sometimes may pick up an extra shift to help out when short staffed.
Here's what I suggest:
-Know your rhythms like the back of your hand. Especially the deadly ones like Vtach/Vfib.
-Know how to read a 12 lead EKG
-Know where the EKG machine is kept and know how to take a STAT EKG because you will be doing plenty of those
-Know your cardiac drugs, like metropolol, Cardizem, Hydralazine, amiodarone, -prils.
-Know your diuretics and what to look for, example Lasix, look at K+ level
Last but not least, know where your crash cart is and what is in it!
Take an EKG class ASAP! Become ACLS certified ASAP!
Tele pts can CRASH on you really fast! You need to know how to react in case that happens.
Good luck! You will learn so much on Tele!
To the OP: You will be attending the same school where I am taking Patho now. I will send you a PM with some advice.
But for me, I have a B average in the class right now before any quizzes are factored into my grade. I study an average of 16 hours a week on Patho. This is what works for ME:
I do my study guide before class. I just skim over the material, fill out the study guide, do my pre-class quiz and then head off to class. I use a different color pen to add notes during lecture. I also do all the case studies the teacher provide with the lecture. After class, (maybe the next day or so), I'll go over the study guide again (with a fine tooth comb) and I'll reread the chapter again and highlight and underline things I need to grasp a concept on. I'll make up my note cards at this time. During this time, I'll also go to my dandy "Patho Made Incredibly Easy" book for a laymen's understanding. Now, after spending 6 hours or so doing this, I'll take my index cards I've made up to the gym with me and stay in the gym for about an hour just doing cardio. I spend 15 minutes at different machines and I just tune everything out (I also listen to my Ipod at this time) and I'll just keep going through my index cards until I've got it down pat. So, I knock out 2 birds with one stone, I work out and I study at the same time.
Then, the final step is I'll type my studyguide up and I'll type up what I had to fill out in different colors as well as highlight it. (I'm a very visual learner). I also add some things from the Made Easy book into my typed study guide. I'll print it and then take that to the gym with me and do cardio for an hour.
Finally, to make sure I really KNOW everything, I'll fill out a blank study guide from memory. If I can't recall something from memory, then I'll just focus on that concept alone. Again, back to the gym with index cards and/or study guide for an hour. This is just for ONE study guide. Normally, I'll spend about 2 days average on each study guide.
This has worked wonders for me.
You are doing fine!
I took Kaplan and took my boards today. I got 75 questions. According to the "trick", I passed. I am awaiting my quick results to make it official.
I got 62% on QT 6 and 50% on QT 7. I completed all of my Q bank and the overall average was 57%. I got anywhere from 34-74%.
On the readiness test, I got 62% with 15 questions to go. Ran out of time.
Kaplan wants you to get atleast a 60% on QT 6 & 7 because those two tests are very similar to NCLEX.
BTW, I found Kaplan to be harder than NCLEX. I felt it prepared me well because I got a couple of questions on NCLEX that was very similiar to what I've gotten on Kaplan.
lol...how many times week do you workout??
Well, I don't see anyone giving you the great part about night shift... Yes, as a new grad unless you really luck out you will be night shift after orientation. However, night shift has some great benefits - in no particular order:
1. Shift diff
2. Avoid administration :-) LOL
3. Night shift has a different attitude than day shift. See #2
4. Night shift tends to be more independent - nobody else wants to be up either...
5. Night shift nurses are much sweeter... :-)
6. You can sleep during the day...
7. Interesting things happen at 3am
Best of luck. You will find your place, and your time...
Well, my fellow ED colleagues, trauma season is officially upon us.
I've had a hard two weeks at work, mostly assigned to trauma and working triage, I've had the following:
-GSW to face, walked in with his family
-Same night, GSW to lower back, brought in by mother
-Stabbing with a sword to neck, abdomen and upper back, drugged in by friends
-Fall from 20 ft bridge, ETOH on board, broken bones everywhere, along with a broken neck, paralyzed, head bleed.
-Same night, assault with a 4X4 several times to the head
-Pulled someone out of the car that was unresponsive, thready pulse
While the family members of said GSW's were in waiting room, some fool comes up to triage desk demanding to see a doctor "right now" because "my stomach hurts" He was promptly advised to have a seat behind the 25 people that are waiting to be seen by a doctor and he will be seen as soon as we can get to him. He leaves after waiting ONE hour and goes home, calls 911, catches an ambulance to hospital and taken right back to triage. Needlessly to say, his acuity level was downgraded a couple of levels.
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