JBMmom, MSN, RN 9,503 Views
Joined: Jun 24, '09;
Posts: 525 (45% Liked)
; Likes: 1,049
5 year(s) of experience in Long term care; med-surg
I understand your frustration, but while nursing is a science there is some room for subjectivity. I don't really understand your statement that you would have passed the day prior. How so? If it was because a different instructor was doing the grading, unfortunately, that's one of those things about nursing school that just happens. I can't think of why a day would make a difference other than that. Not saying it's fair, just that it's how it is. And I didn't find many of the tests in nursing school to be at all objective. When three of the four answers are mostly right and only one is the best *most* right, it's frustrating. Good luck.
I have sleep mask, best $6.99 or so I've spent at Amazon. Add my sound machine set to the beach and I'm all set. (For four hours or so.) Good luck!
I had a little trouble following the sequence of events in your post. I understand that you did not pass a first test due to some family issues, but then the second one was another simulation? Where was there a static vital sign display that looked like a monitor? And unfortunately, even if there are things going on, sometimes you have to go to work no matter what you're dealing with outside of work.
Even though I asked, I think those details are a little beside the point. Nursing school isn't all about the black and white, there are moving pieces to everything. Maybe their expectations could be expressed more clearly, but unfortunately, as a student, in many cases you have to accept what is there as the criteria and work with it. Can you ask someone how you didn't pass the six rights portion if you're sure that you performed them? The world of nursing doesn't have clearly defined parameters either. When a patient comes in you have to assess everything, with unclear goals in many cases.
If the underlying issue is an anxiety that affects your work, you should try to find some help to address that. Sometimes schools make accommodations for students to assist with similar things. As the student it's your job to be as proactive as you can. Do you have someone that runs the simulation lab? Can you get extra time there to run scenarios? Can you find youtube videos of similar assessments to watch successful ones?
I also have a BS and MS in Molecular and Cell Biology. However, I think you're comparing apples and oranges with the two degree programs. I found my Biology based degrees more challenging in an academic way- memorizing pathways, reactions and developing an indepth knowledge of cellular function took more hours of studying than the nursing courses I took for my ADN. However, I found nursing school challenging in a different way, learning to answer test questions where many of the answers are "mostly right", putting together care plans and learning to deal with people where there is far less black and white than there was in the academic world of right or wrong answers. I think that being successful in my science degree programs required me to learn how to learn, so I had that going for me already in nursing school. I got through most of nursing school by studying from 4-6am on Saturdays. Learning efficiency was key for me, with a full time job and a family to juggle along with nursing school.
I'm pretty sure the OP is not concerned about being complimented. I think he/she is concerned that his/her recognition of the problem was perceived as "good nursing" instead of the situation being perceived as a big wake up call for nurses to look out for this type of problem. The OP is saying: "This is basic nursing, folks."
Maybe the doctor has a better bedside manner with the patients than the nurses, but I'm not sure he was wrong. If the family really was anxious already, insinuating that there were additional problems could have been a mistake on the part of the nurse. If I'm in the room when a doctor comes in to talk, I usually wait until I'm asked a questions, because I don't know what that doctor looked up before coming into the room. I'm not one to back down when I know I'm right, but sometimes I have to remember that providing information just for the sake of information isn't always productive.
I don't know anyone at any phase of life, high schooler through retirement, that talks about having so much free time. (younger than high school they don't seem to care) It all gets filled up with different things depending on your phase of life. My kids were 1,3 and 5 when I started classes and then nursing school. Life at that phase was filled with care activities at home, and keeping three kids alive and fed- sometimes entertained. Ten years later I'm juggling two jobs and they can feed, dress and entertain themselves for the most part, and now they have activities all nights of the week that require chauffeur service and involvement on a different level. I've constantly been in school for those 10 years going through ADN, MSN and now NP programs. You do what you have to do, because otherwise you have to settle for where you are now. So, you'll get through it, and I can't promise you'll find more time anywhere along the way, but that's life. Good luck!
Depending upon who gave the compliment, I would think it was intended as a "good catch" sentiment, and yes, that's part of being a good nurse. We had a patient admitted from the psych unit into our med/surg unit and unfortunately, it's considered a discharge and readmission. None of the patient's medications were reordered upon admission. He got his 8am meds, and when I was covering for the nurse on break at 3am, he asked when he'd get his medicine and I realized he had no medications in the past 19 hours. Things happen, stuff falls through the cracks, somehow the first, second and third shift nurses all provided care and didn't realize he wasn't getting any psych meds. Fortunately, it clicked for me right away. The IV meds clicked for you. Are we awesome? No. Someday it will surely be us that missed something that next shift will pick up on. No one expects poor quality care, but mistakes happen and it's good that someone, in this case you, picked up on it. Just take the compliment, I don't think it brought the whole profession of nursing down a notch. :-)
I think most facilities have policies regarding dressings for most commonly encountered situations, although if you have a wound nurse to consult with that's ideal. Most often I see Xeroform or vaseline gauze under kerlix.
The pressing issues of nursing today are staffing, or lack thereof, and educational preparation.
Get rid of the nursing theory at all levels and give us some meat.
Wish I had some advice, just want to wish you luck. It's not a mistake if it's what you really want, I hope it all works out.
I've seen some people that had pre-nursing experience that landed them a job and others that post wondering why their pre-nursing degree experience DIDN'T land them a job. You already have a job in the hospital, and you probably see plenty of things as an EKG tech. I think that if the work schedule is ideal for you, you may not gain much from switching to the clerk position. However, as others have mentioned you can see many things. (although the person working as a clerk that helped with boosting and patient care could potentially have huge trouble if something bad ever happens because that's beyond the scope of their job and training) Good luck figuring out what will work best for you.
Well, we've shopped at Tar-jhay for years. It's quite fancy and upscale. :-)
I don't know the actual cost of Chamberlain, but I know a nurse that just finished at $54K RN program and she's making about $27/hr now. That's going to be really hard to pay off at that rate if she has ANY other expenses- like food and housing.
Are there community colleges in your area? I see so many posts from people that want to start NOW, but in the grand scheme of things, delaying your schooling by a couple years to save tens of thousands of dollars in debt means you'll be making much more money when you do start working as a nurse. It's like giving yourself a raise before you even start.
I was not a CNA before becoming a RN, but I think that it's beneficial to have that experience before starting nursing school. I know that in my first semester of school, I had to get comfortable with doing vital signs and helping with patient care, which was a big change for me. My classmates that were already CNAs had a much easier transition in that aspect. As far as the schedule/pay/etc, you're going to find that's very specific to where you end up working. Generally the hours are pretty set 7am-3:30pm, 3pm-11:30pm or 11pm-7:30am. There are usually 24, 32 and 40 hour positions for those shifts. As for the stress, there's stress in almost anything, but if it's what you've got to do, you find a way. Good luck to you.
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