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dsingson5 2,593 Views

Joined: Jun 14, '07; Posts: 38 (8% Liked) ; Likes: 4

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  • Sep 24 '15

    St. David's system uses Meditech. From what I recall, Seton uses Compass.

  • Sep 30 '13

    Don't worry so much about tasky stuff - that's not nursing anyway. Most of what students consider skills - Foleys, angiocaths, etc. - aren't skills at all; they're tasks that people do at home all the time. Review your assessments and pathophysiology and watch your preceptor closely. Assessment is truly what's important.

  • Sep 30 '13

    It's hard to believe you think you've forgotten skills in only 2 years. I think things will come back to memory pretty readily. That being said, spend time in this coming month getting your new home settled and do all the things the other people here have advised. Congratulations on finding this job and I wish you all the best.

  • Sep 30 '13

    And something else! Master your charting and meds dispensing early on, as the end of shift when you're already tired and frazzled. Clock in and out on time and be on the unit early, ready to go with all your gear (don't forget scissors!) Keep a granola bar, banana, or other ready snack tucked away for quick retrieval for all those meals and breaks you'll likely be missing.

    I want to say relax and have fun, but that's not likely to happen unless you make the time for it once a week on your day off! But you can take a deep breath, close your eyes for a second, and congratulate yourself on your efforts to become the best nurse you can be.

  • Sep 30 '13

    Do some CEUs that pertain to your specialty. As far as skills, agree with the poster who suggested youtube. What have you been doing all this time to keep your knowledge current. Even without a job, you can still read to keep your knowledge up to date.

  • Sep 29 '13

    NCLEX and hiring are just the first of many hurdles to your future as a nurse.

    Do you have any of your textbooks, school notes, etc? As one who was "let go" at end of orientation, I urge you to review, review, review. Figure out the most efficient way and just do it. I have a fundamentals of nursing text that comes with a DVD including videos of all the basic nursing skills (trach care, cath insertion, hanging IV's, etc, etc). The DVD also has pages to print out with all the steps of each procedure. It's Fundamentals of Nursing by Wilkinson and Van Leuven, but there must be many similar. Go to any online textbook dealers to find the best low prices on used texts, or scour the used bookstores. Also review your Med/Surg text. You can keep referring to these during your orientation. Also google searches for nursing skills videos and DVDs as mentioned above. Follow up on others' suggestions here, too. Then when you get on board at the unit, study the unit protocols and the policy and procedures you'll be given...These will tell you how your employer prefers things to be done. Once on the unit, review each day's learning when you get home after your shift. Look up anything you're not sure of. Take notes on what you need to ask for clarification. A pocket notebook to jot down a word or topic to look up later is helpful.

    Get ahold of NCLEX preparation texts like Saunders' or Kaplan. Saunders has a DVD with test banks to assess your learning needs and focus your study. These are designed to give a complete nursing review in 4 to 6 weeks or so and are good to have around for quick reference.

    Drill on your meds, lab values, math conversions, Fluids and Electrolytes, ABG analysis, and all the info you'll be expected to have at your fingertips and were supposed to have learned in nursing school. Find texts or continuing ed offerings (again look online) dealing with nursing time management,organization and delegation skills. Review assessment skills, general and focused.

    You will have so much NEW stuff to learn that you won't want to be grasping for what should already be fairly familiar.

    When you hit the floor, take your time. No matter the pressure, don't be tempted to rush and don't lose your professional cool. Try to appear calm and in control at all times. (Be sure your patients see you as skilled and competent!) Be respectful and bite your tongue before making that off-the-cuff comment. Trust me, you are being evaluated and scrutinized throughout your orientation and will be judged "in or out" by both colleagues and managers.

    You have a month to prepare for your "new life" and another two or three to prove yourself. It will go fast. Consider your daily priorities carefully, work and study hard, and GOOD LUCK!

  • Sep 28 '13

    Also will you be hanging IV antibiotics? Ask your preceptor what the most common ones that are administered in your unit then look up the administration methods and duration of administration for them and write them all down for quick reference while your new.

  • Sep 28 '13

    I am happy to report that after graduating in May with a BSN, passing NCLEX in early June, putting in over 100 applications since March, spending countless amounts of money and time on job hunting, traveling across the country from NM to TN for an interview I wasn't sure I did well on I was officially offered a full time RN position in Knoxville on the mother baby unit. I am probably more ecstatic than I was when I passed my NCLEX. It was an incredibly frustrating, tiring, feeling hopeless journey but I am being welcomed onto an amazing unit with amazing staff and management. I couldn't be happier and I just wanted to share in the good news with y'all!!!

  • Sep 28 '13

    Are you on good terms with the instructors at your school? You could ask if they would let you attend an open lab session so you could get some practice in before your first day.

    Congrats on your job by the way!

  • Sep 28 '13

    You could practice at home. Take a continue ed class for skills, simulation, or clinicals. My schools continuing ed school has these classes that we can take. Some nursing co's that give BLS,EKG classes may offer them. Let me know what you decide to do, I am going to refresh my skills also.

  • Sep 28 '13

    Quote from Bringonthenight

    To be honest there's probably not much you can review/ study..

    You'll learn so much, no one will expect you to know it all right away. How long is your orientation? Make sure you let people know it's been awhile since your last clinical.

    Good luck!

    You can also watch YouTube to look over procedures, etc.; as well as there are resources on line to look up rhythm strips, etc; if monitors are on the unit you are working in.

  • Sep 28 '13

    Quote from dsingson5
    Hi guys, I've been recently hired as an RN Med/Surg Intern for an observation unit. It's been a long time since I've had my clinicals. I graduated in 2011 and passed the nclex last year. I've forgotten most of my studies and skills. Although, I'm very excited to finally work in my dream job (as an RN! !) and I'd like to feel very confident but I'm afraid that I'm gonna be let go on my first few weeks. What can I do guys? What could I study or practice? I have 1 month before my life starts!
    To be honest there's probably not much you can review/ study..

    You'll learn so much, no one will expect you to know it all right away. How long is your orientation? Make sure you let people know it's been awhile since your last clinical.

    Good luck!

  • Dec 14 '12

    I am writing this post because I looked for this post a month ago when I was totally not confident and sad over my NCLEX failure in 75. But I did pass 45 days later in 75.

    Here are a few tips that really changed things for me:

    1) The Kaplan RN comprehensive review is very helpful. I didn't follow every guideline. I didn't even open my book, but I watched the videos and did most of the question trainers. The final two are the most like the NCLEX. The decision tree works a lot of the time. It takes a while to figure out how to use it correctly. You have to do those practice questions. A lot of time I would think, "I don't need the decision tree on this one." Then, after getting it wrong and reviewing, I'd realize I could've gotten to the right answer or at least eliminated a few options if I would've followed the decision tree. This is especially true for psych questions. I thought I was a psych genius until I did Kaplan's diagnostic test and found out I was getting those wrong as much as pharm and the other tough stuff.

    2) Don't underestimate how weird test day will be. I've had some moderate test anxiety in the past, but the NCLEX testing are an experience onto themselves. You are finger-printed and you have to stick all your stuff in a locker. You can't have a piece of gum. You have to get a palm-scan to go to the bathroom and show them your ID. It is hot, cramped and tense in there. My advice: The second time I took it, I sat there for 10 minutes after the test started up and wrote down every lab value and mnemonic I knew. By the time I started looking at questions, I felt more confident and knowledgeable.

    3) Fight, fight, fight to the death. You will be fatigued and nerves make it happen quicker. There's an impulse to go fast. Resist it! Go extremely slow. Don't write it off if you don't know it and don't think you know it and just move on. Use Kaplan's decision tree. Narrow it down. Every question is worth your best shot. If you get fatigued, GO TO THE BATHROOM. At least you can get some privacy and stretch and deep breath.

    4) If you're getting alternative question types like SATA, it's a good sign. I got none when I failed. I got loads when I passed. Remember on the NCLEX, everyoen gets a 50%. It's all about level of difficulty. So don't freak out if you're getting things wrong, you are and it doesn't mean you're going to fail.

    5) The mnemonic devices on all-nurses saved my life. Search for mnemonics. These memory tricks drastically reduce the difficulty of tough stuff like the difference between hyperglycemia and hypoglycemia symptoms. These are easy right answers if you've got a little song or saying.

    6) Don't believe the last question rule. I know for a fact I got the last question right on the test failed and the last question wrong on the test I passed. It doesn't matter. It's about level of difficulty.

    7) Really REALLY know your room assignments/delegation. There are mnemonics for these too. Trust me, they are pushing the hell out of the room assignment and delegation type questions. They may seem easy, but there are very specific rules. I got a long string of these when I passed in 75. They are considered "difficult" and you can get it down easily with a little practice.

    8) Finally, do the Pearson Vue Trick. You'll feel better getting the news good or bad not from the National Board. That way, if you fail, at least you know quick. Yes, it sucks. Give yourself ONE day to feel bad and GET OVER IT. It's a freaking test-not a kid with cancer. You passed nursing school. The knowledge is there. I don't like reading on all-nurses about major depression over a test. You've got to get it together and fight for yourself. Buy Kaplan, create a study plan, do whatever you need to do to feel like you have some control in the situation. All you can do is fail again. It's 45 days. You won't even remember them after you pass. Don't give others so much power over your self esteem.

    Look at me, I failed the NCLEX in 75. I didn't hit the threshold my school for the HESI 2 out of 3 times. I got my share of Cs in nursing school. You know what? It doesn't matter. You pass that test and you have the same license as anyone else. Hang in there. Fight for yourself.

  • Dec 4 '12

    Hi, I am trying my best to summarize all the common drugs that are usually seen on practice tests.
    for most of the meds, if u know the side effects, u may figure out what meds taken on empty stomach or with food

    -antacid: always taken after meal cuz stomach food produces acid. Antacid (anti-acid) help the body neutralize that excess acid in the stomach to reduce pain
    -Antibiotics:all must take on an empty stomach EXCEPT FOR C&S cephalosporins (prefix cep) and Sulfonamides ( prefix sul) Cephalosporins are recommended to be taken with milk or yogurt
    -Antidepressant :
    SSRI: taken AM cuz of insomnia side effect
    Tricyclics: taken HS cuz of sedation side effect
    -Antiemetics: Reglan: take before meal cuz it interferes with food, and at night to prevent heartburn
    -Antifungal: take with food to decrease GI upset (antiFungal - Food )
    -Antigout: take with meal
    -Antilipemic agents:
    Bile acid sequestrants: take 1h before or 4-6 h after other meds to avoid blocking absorption
    HMG-CoA Reductase Inhibitors (statins) : take with food and at night
    ACE inhibitors: empty stomach ( it? )
    Beta blockers: with meal
    Aldomet: take at hs to reduce daytime drowsiness
    Apresoline: with meal
    alpha 1 blockers (suffix zosin) take at hs to avoid fainting
    -Antithyroid: with meal
    -thyroid replacement med: Cytomel: take in AM cuz of nervousness side effect
    -TB drugs:
    INH: before meal
    Rifadin: with meal
    -ADHD drugs: the two common drugs are Ritalin and dexedrine ( i remember Ride )
    Ritalin: give 6h before hs cuz of insomnia side effect, give pc
    Dexedrine: give in AM to prevent insomnia
    -Diuretics :take with food or milk and of course in AM (yes! polyuria side effect)
    -Iron preparations: Feosol, Imferon (Fe Fe Fe...more fiber fiber....)
    -NSAIDs: with food or pc
    -Ulcers meds: mostly with meal except for Carafate: WITH EMPTY STOMACH cuz it will coat the surface of stomach (you don't want it to coat on surface of food ) to form a protective barrier

    Hope this helps, good luck!

  • Nov 28 '12

    Quote from DSkelton711
    I work FT, I am on 24/7 call and make far less than 70,000/yr. I am grateful for the job, however, as so many don't have one. I am struggling with burnout, but know it could be much worse.
    When I brought up the $70,000 figure in the article, I forgot to mention that's the average annual RN pay for nurses in the state of California. Some earn a whole lot more in that state, while masses of other nurses earn much less.

    I live and work in Texas. I earned an average of $40,000 per year as an LVN, and now that I'm an RN, I've seen a substantial bump in my pay. Since I'm single with no children, car payments, or compulsive spending patterns, I can live comfortably on the money that I earn.

    However, it is very possible for the nurses who are single parents with several young children to raise and no family support to be living a hand-to-mouth existence (read: flat broke), even when their lifestyles are frugal and not wasteful.