shoegalRN 15,962 Views
Joined: Dec 5, '06;
Posts: 1,379 (42% Liked)
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PLEASE be patient with yourself! This was so hard for me to do. You will not pick up everything on the first or even the second try. You have just graduated from nursing school and you are in the real world now. This means things are a lot DIFFERENT than what you have been told. Embrace this. Remember you are not super nurse and nobody is expecting you to be. Give your own self a learning curve.
Do NOT compare yourself to other nurses, especially experienced nurses. You are brand spanking new, do not worry about "why can't I get an IV on the first try like her", who has been doing IV's for years. Focus on your own journey. Comparing yourself to others will only make you more self conscious.
Do NOT participate in gossip sessions. You do not need to look down on another nurse to make yourself feel better about your nursing skills, or lack thereof.
When you go home at the end of the day, look things up just like you did in nursing school. If you had a procedure you had to do and never heard of it, let alone done it before, look it up. Same with meds. Look up diseases and their pathologies, as well as treatments. This will help out so much when you come across this again in the future.
Do NOT be afraid to ask questions. Keep a notebook with you to write down your questions and answers to them. This way you won't have to ask the same questions over and over. If you ask the same questions more than twice, your preceptor can use this against you and say "she is just not getting it, I've answer the exact same question for her 5 times already".
Act confident. Even if you are shaking inside, keep a poker face. This will help develop confidence along the way. However, don't confuse this for arrogance or being unteachable. If you do not know something, you still have to ask, but do it in a confident way.
Do sit down with your preceptor at the beginning and end of each shift and develop a list of short term goals that should be accomplished during the shift. This could be you handling two patients on your own, plus taking an admit, or you calling the doctor on your own. At the end of the shift, ask for feedback to see if those goals were accomplished. Keep the line of communication open between you and your preceptor.
Do NOT take things personally. If you get constructive feedback from your preceptor, do not take it personally. Instead, look at it like a learning opportunity to make you a better nurse.
Do keep a positive attitude. Be a team player. Use your resources. Relax and try to get the best learning experience you can get.
Do not get discouraged if your preceptor gets the hardest assignments on the unit. It's because they will be learning experiences for you. It's best to have the sickest pts while you have someone with you, then when you don't.
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??
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