daisyfleur70 7,259 Views
Joined: Apr 10, '07;
Posts: 164 (10% Liked)
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Wow congratulations!!!!! i did check BON today and i passed!!!!!
NCLEX questions are quite specific with regards to drug calc. Verbiage will include...."round to nearest whole number," or "2 decimal places." Good luck, relax and stay positive!
Good call, I'm on my phone... I'll get in my laptop
Also - you need to look at the dosing of the opiates given for SC pts: most are very tolerant and need much bigger doses than someone who is opiate-naive.
With the higher doses of opiates, you have more histamine release so that is why it is routine to give benadryl with the opiates.
I take care of sickle cell pts on dialysis.
Opiates cause histamine release and benadryl relieves this.
A peripheral blood smear isn't going to show much except whether the pt has sickle cell disease or not. It does NOT indicate crisis.
SC pts get started on narcotics early in life, usually tylenol with codeine for pain. So...by the time they are adults, they are very narcotic-tolerant and may require high doses for adequate pain control.
Of course along with meds should come education:
1. Stay away from sick contacts.
2. Stay hydrated.
3. Try to reduce the amount of stress you are under.
4. Make sure you follow-up with your hematologist regularly.
5. Take meds as directed.
If you look and act the most professional you will probably get the job. Do some research on the hospital and ask some intelligent questions. Dress conservatively and show maturity and flexibility. Good luck.
Remember the interview panel's names and dress NICE but not ridiculous. dont wear too much makeup...
KNOW the mission, vision, values of the organization AND department.
Think of a situation where you had use critical thinking, talk about experience.
Know the answer to this question: "why do you want to work in the ED?"
They will ask you a specific medication and what it does/contraindications/what to do pre and post admin and outcomes...(think ER meds: nitro, pressors, pain meds, etc..
Know how to answer conflict resolution questions
They may ask "what would you do if you learned that a fellow RN was diverting narcotics
Think of a sick patient that you had - know their dx, what you did, what you should have done, what their outcome was (nursing process question.)
If they ask you how you're doing, be honest. Tell them you're nervous because you really want this job. On my interview they said "good, because I dont think we'd hire someone who said they weren't nervous in a stressful situation."
Bring a list of legit questions to ask them...and YES, bring the list with you, it's OK to look prepared. QUestions to ask have to be relative to the job. for example: when can i be trained in trauma, when can i get my CEN, what are the goals of the department, how long is residency, what are your expectations of me after residency... DONT ask questions like "what are benefits like"...thats HR stuff
Last but not least, CUSTOMER SERVICE IS HUGE. MAKE SURE YOU MENTION THE IMPORTANCE OF CUSTOMER SERVICE AND EXAMPLES OF HOW YOU DEMONSTRATED CUSTOMER SERVICE IN YOUR EXPERIENCE.
I appreciate what you are trying to say but it does get tiring hearing this. I graduate next semester. I'm not changing career paths. I go to a great school, am getting my BSN, I am lucky to have several personal contacts that have already told me to come see them as soon as I'm ready or about a month before I graduate, and yes I still am concerned but I have a lot of opportunities. I get the point you are trying to make but I just don't see the point. Anyone hear that is smart is going to have a plan and anyone dumb that doesn't have a plan are just going to look at this and say "well no not me." These may be students like the ones going to a local school by me. They have the largest intake of nursing students and graduate about 50% of them. They tell them they are teh best program in our state and gurantee them that they will have jobs and this and that and then surprise they arent getting hired. More hospitals by me are not hiring ASN's, I mean some are but the majority are moving towards BSN. But my point is these students aren't going to amke any changes after reading this either. Everybody is already too vested in where ever they are right now.
Also, if she has a history of miscarriage, high blood pressure (may or may not be an isolated incident) and complaints of dizziness (the reason for her fall) did you ask about vision disturbances? Did she have any prenatal records in her chart where you could trend her blood pressure from prenatal visits? I'd be wondering about pre-eclampsia/eclampsia.
Edit: Did her blood pressure improve after her anxiety subsided?
I think your progress note needs more info ab the fall. What caused her to fall? Did she land on her hands, her belly??
Any bleeding? Did you get fetal heart tones to see how the baby is doing? Blood work to see if mom is Rh negative and may need a Rhogam shot??
Is she reporting pain?
I'm in my last semester and still feel like an idiot most of the time....
I am an RN. I was a CNA before I was an RN. I appreciate every single CNA I work with, because I know how hard you work. The two roles really cannot be compared, though. When the **** hits the fan, it's the RN who is ultimately responsible for notifying the doctor, family, etc... and that is incredibly stressful. When it looks like we are sitting around not helping witht he 'physical work' you describe, we are usually studying the charts to learn more about the patients just in case something should happen. It really is all about teamwork and communication and doing what is necessary to care for the patients. Some days I miss being able to say "I will tell your RN", like I could when I was a CNA. Until you have experienced the role of an RN, please do not try to compare who works harder.
If you aren't any good at time management, be good at time management before you get there. Don't be afraid to ask questions. Become a sponge and absorb anything and everything and get your foot in the door of as many patients as you can. Volunteer yourself to do any procedure they'll let you do. Learn your drugs. Learn how to do a focused assessment. Know your cardiac rhythms.
That's a good start. Every day is a new learning experience, even when after you're an RN.
Hope this helps....this is what I used to learn the differnce and now I am a pro at it. Let me know if it helps
We're all used to straight As when we get in the program. Look at how many straight A students become straight B and C students! We've got more than 50 forums on allnurses for student nurses because having 1 general one wasn't enough.
Nursing school is hard. There is a reason why it has that reputation. It makes a straight A student feel good about getting Cs. I get your feeling of fear, I really do. My path is leading me to grad school as well. It's going to kill me to get grades lower than As because I have a touch of OCD and impossibly high standards for myself.
But, there is a learning curve. I know the first semester will be the hardest because it is the first time in these types of classes. There will be 3 more semesters after that. Life will go on. My school accepts its own alumni into their grad program with a 3.0 GPA. I've shot myself in the foot a bit by transferring in, so my 65ish credits at a 3.87 won't matter. The pressure is on.
But, I will forgive myself, especially with the first semester, because if there is anything admissions people like to see, it is that you have learned from your experiences. When you write you application letter, or essay, and you are honest about the first semester kicking your butt, and they can see you did better later, they'll know you have grown as a student and a person, and you are committed to excellence.
They'll forgive that C as much as you should. How do I know that? My first semester back in college I got a C in a&p 1. My school only considers GPA in pre-reqs, and I still had 2 left to go. I think that gave me only about a 3.5. I start my program in the fall.
Lighten up. Go have a beer
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