konp 1,922 Views
Joined Dec 16, '07.
Posts: 16 (6% Liked)
I am confused and don't know what decision to make right now, so any advise is welcome. I started an ADN program in Fall 2011 and dropped out of the program due to the stress and family problems in Fall 2012. I was in the middle of the maternity/newborn rotation. In addition, I was doing horribly in clinical to the point that I was on the verge of getting kicked out of the program. I was attending a very tough ADN program where clinical instructors were harsh and demanding during the eight hour shifts at the hospital and many students dropped out of the program due to how rigorous it is.
After dropping out, I started working full-time. I am currently working in an office job and though I have no patient contact, it taught me people skills how to be responsible for my own work and how to work with other people. I went straight from my undergraduate study to the ADN program so I have no people skill and work experience as many working adults have in my program; I am not saying that it is necessary to have work experience but my point is the lack of the life outside of school experience prevented me from succeeding in the ADN program. My current job allows me to interact with clients and staffs on a daily basis and I learned how to communicate and how to work with other people whom I know little about (I was raised in a very sheltered environment where I did not have the opportunity to meet different people).
I took many classes to help me be a better person and to fill up my free time outside of work. I retook the Interpersonal skill class to learn how to relate to other and be a better communicator. And currently, I am taking a medical terminology class. We went thought the terminologies for the different body systems. Next semester, I will take the second part of the medical terminology class which will cover other systems of the body. In addition, I will take the Medical Assistant Back Office class; the class will teach students how to get ready for a sterile field, injection, do urinary testing, and etc. I have been out of school for a year so the class will help me to remember the different skills that I learned during my first year in the ADN program. Plus, I want to get the medical assistant license so I can find a job at a clinic or a hospital.
I have been volunteering in a local hospital for almost a year. It is teaching hospital so it treats the volunteers very much like students. I was on the Med-Surge floor for six months observing what RNs do and recently I was in the ICU for three months. It is in the ICU that I finally understand the role of an RN. The ICU floor was small compared to the other floor, but I had the chance to work closely with multiple RNs and watched resident & attending physicians, respiratory therapists, lab technician, x-ray technicians, and etc working together as a unit to take care of the patients. I have a better understanding of an RN role now and for the first time in my life, I actually like the profession despite how hard and physically demanding the RNs work on the ICU. I had a chance to see the different procedures in medicine and the RN's role in them. For instance, I had the chance to observe a Central line, A-line, hemodialysis, PICC line insertion, CT scan procedure, heart ultrasound. Best of all, I had the chance to see RNS performed nursing skill such as putting in an IV line, put in and take out a foley catheter, giving medication, and etc. And I have to admit, for the first time, nursing did not seem as bad and hard as how the ADN program presented it.
I am ready to go back to nursing. My problem is I don't know if I should go back to the ADN program or start fresh at a BSN program. At where I live, employers are hiring BSN graduates over the ADN graduates due to the higher education they have. I am filling out the re-entry form for the ADN program and I don't know if I should go back; if I go back, I only have one year to complete it. The BSN program that I am looking at is a private school so the cost much higher than the ADN.
My concern is what if graduate schools or BSN programs don't like that I took a year off. My question is should I go back to the ADN program or get my BSN. I am still young and single and I have no dependents so I have the freedom to do whatever I want. Any advice is welcome! Thank you.
what is your plan? are you in a nursing school? Do you plan to get into the OT career path?
I have a friend who finished her first semester of an ADN program and she realized that she preferred being an Occupational therapist over an RN. She is qualified to take the CNA test since she finished her Fundamental of Nursing class. Her plan is to get some rehab experience before applying for an OT program from working as a rehab nurse tech. My question is is a CNA the same as a rehab nurse tech? Or is rehab nurse tech a whole different field from being a CNA?
Feel free to share any smart phone apps that you find it very helpful for you as a nursing student or a working RN.
Particularly, I am looking for a good pathophysiology phone app and lab diagnostic test app. Thank you!
I have a difficult time remembering all my patients information during clinical. During the medical-surgical rotation, I had to go to the hospital and pick patients and I generally have all the important information regarding how the patients came to the hospital and what were the physicians' plans for them. I had three patients in my last med-surgical rotation and I found myself to have a difficult time remembering the pts' info and I fumbled with my SBAR and lab sheets many times to look for their info when I gave a report to my instructor for each patient. A classmate of mine said that she read off the pts' info from the SBAR page and the instructor seemed to be fine with that. However, another classmate of mine seemed to have all the pts' info memorize by heart and she gave her reports to the instructors without fumbling; I mean she referred back to the lab sheet now and then since she could not memorize the lab values for her patients at time. But when I tried to imitate her, it was close to impossible.
My question is do I have to memorize all the patients' information when I give report to my instructors? OR is that optional?
For working nurses out there, do you generally remember all of your pts' report? if yes, how do you remember the pts' information.
Whenever I give a blood pressure medications such as ACE inhibitors or a lasix, the nurse always would tell me to take my patients' blood pressure before hand. At times, some patients' BP would be 110/90 which is something that I consider as normal. I understand that I still give the medications since these medications are helping the patients to manage their BP. My problem is that the nurse would ask me what is the patients's baseline BP and I have know idea how to find that out. How do I know a pt's baseline? do I look at the pt's BP and calculate the average; it's ridiculous to me that I have to calculate the average since I don't have time to do that during clinical.
Same goes for the other VS as well. How do I know what is the baseline for the temp, pulse, respiratory rate, and pain.
I am planning to apply to nursing schools. Do you know any legit websites that have a list of all the nursing schools in the US? I don't mind if the website has ADN, BSN, and MSN. I just need a complete list so I can see what are my options out there.
In my ADN nursing program, we discussed what is a secondary IV bag (or what my instructors called IV Piggy Bag), but how my instructor is making us calculating an IV drip medication. What is exactly an IV drip medication? is it the same thing as IV piggy bag?
I need some input and comments/ advice about my situation in clinical right now. I am in an ADN program and I am in my first semester of the program; to be exact, I am in my seventh week of fall 2011 semester. I am having a problem with my clinical professor right now. He is a nice guy, but it seems like he likes and has good attitude toward everyone in my clinical group except for me. He is nice to me but it seems like he does not trust me when I am doing my job at our clinical site.
On the first day of clinical, he paired the students in my clinical group while the other clinical instructors of my class cohort did not. He said that he wanted to "help" the group out by pairing us up since this is our first day of clinical. I was glad that he paired my clinical group since I was nervous on my first day. However, when he was pairing us up on the first day, he paired me up with one of my classmate who is very outspoken and is not shy at all. My clinical instructor said that he paired me up because I am the shy one in the group and needs to "work on my communication skill." First of all, I agree with him that I am somewhat shy and I do need to work on my communication skill since English was my second language. BUT what I didn't like was how he commented that to everyone in my clinical group and it embarrassed me so much that I was frustrating the whole entire day to the point where I didn't remember the lab skill that I learned in lab skill. Plus, my partner is one of the top students in the class and he and I are very different in many ways; we are different in our personality (he is very loud and outspoken while I am more quiet and calm). So my first day of clinical turned out to be a horrible day when I expected it to be otherwise . From that day on, I get really intimidated with meeting him and dread to go to clinical because of him. I really like going to clinical but the thought of meeting the instructor make me nervous. He obviously doesn't have any confidence in me and I see that in his eyes whenever we talk to each other.
Today, he gave me a progress note(it's a note that said that I did something wrong in clinical and if I get more of this, I get kicked out of the program) and I accepted it since I did violate some HIPAA violation. For this nursing course, it is only required that the students take care of one patient during the clinical site but my instructor gave two patients to my clinical group today; therefore, as a newbie I was nervous so I couldn't manage it.
What I didn't like was our talk after the clinical time today. He pulled me aside and asked me a bunch of questions that made me feel so uncomfortable and bad about myself. He asked me if I had any anxiety disorder and I was like no; I get nervous but otherwise it's not too serious. Then he asked me about my family and asked if I have any family problems and I shared how I do have some family problems and how my parents expected me to make my own money and not to depend on them financially. Then he asked me if my family has any history of mental disorder and that shocked me right there. He was basically asking me if I have any mental disorder in an indirect way. After the conversation, I thought about what we were talking and I realized how my clinical professor thinks that I might have a mental disorder I am so angry at the fact that he even made me to question about my sanity. This clinical experience is so new to me and I am getting use to it but having a clinical instructor who doesn't believe in me is NOT helping me to get any better.
Also, I know one reason on why I am nervous in clinical. The students in my clinical groups are some of the top students in the class. They are getting As, are much older than me (I'm 24 and they are in their 40s and 30s), and worked in a medical setting before while I never have any hands-on experience in the medical field. Some of the students in the clinical group volunteered in hospital, worked as an EMT, and even worked as a secretary in the hospital. They obviously have confidence when they provide the care for their patient. When we are at the clinical site, I feel like I am the lost sheep in the bunch while the rest of the other students seem to know exactly what to do. Here is something about me, I get intimidated when I surround myself with people who has more expertise than me in a specific area. I feel like my clinical instructor is comparing myself to these students in my group and I know that I can provide the same care as these students but maybe at a slower rate than them. I talked to my friends in the other clinical group and they said that the other students are just afraid and anxious as me and that I was unlucky to be put in the clinical group with the top students in the class.
To sum up, I guess my question is how do I deal with a clinical instructor who has no confidence or trust in me?
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