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strawberryluv, BSN, RN 6,030 Views

Joined Oct 8, '09 - from 'New Jersey'. Posts: 694 (32% Liked) Likes: 394

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  • Aug 19

    This reminds me of something that happened to me during my shift on Sunday as a CNA. One of the nurses made
    a very rude comment to me when all I did was repeat back to her what the patient had said about her bowels. I guess
    the nurse thought it was stupid of me to bring it up. Instead of replying back in a very aggressively hostile way and making an
    awkward work environment, I chose to chat with her. I quietly relayed with her that I was not aware of the patient's status since I worked very little hours at the facility nor was I aware that this patient was not in her right mind. In other news, I continued to talk to her more so that we can somehow lose the hostility and to help myself "make up" for the hurt feelings I felt by her comment.
    In the end, she taught me a thing or two and even suggested a very interesting medical television documentary for me to check out. I don't think we're friends but I feel like my approach made her an ally rather than an enemy in my book. Hopefully, she will treat me better since I've spent some time talking to her.

    Social skills really do matter.

  • Aug 13

    I think the "putting my license at risk" is so overdone. If you go to work and do your job right, you should have no fear of losing your license. If you go to work and you get the supervisor involved in any issue you have at work, you should be okay. I always bring the attention up the chain of command and make sure I document anything that goes on and leave many FYI to doctors on their answering service. I try to cover my butt always. LTC is not perfect and it can't always be a good ratio for nurses since most patients are stable and just confused. Have confidence in yourself and do your best or start looking but most nursing home are run the same way

  • Aug 6

    It's actually pretty normal for 11-7a nurse to work 1:60 patients in LTC facilities in NJ. At my second job that is the ratio for me. I don't do any direct patient care though. I think your DON wanting no aides for such high amount of patients is just wrong and unsafe! Most of patients need incontinent care and or assistance to toilet at night. With no aide, they will work that nurse to death. People are not going to be toile ting in time or not at all! At my job, at night I have at least 3 nurse aides for a floor of 60 patients which is okay. I can't imagine not having an aide at all for my assignment. I would just resign...

  • Aug 2

    It's actually pretty normal for 11-7a nurse to work 1:60 patients in LTC facilities in NJ. At my second job that is the ratio for me. I don't do any direct patient care though. I think your DON wanting no aides for such high amount of patients is just wrong and unsafe! Most of patients need incontinent care and or assistance to toilet at night. With no aide, they will work that nurse to death. People are not going to be toile ting in time or not at all! At my job, at night I have at least 3 nurse aides for a floor of 60 patients which is okay. I can't imagine not having an aide at all for my assignment. I would just resign...

  • Aug 1

    I think the "putting my license at risk" is so overdone. If you go to work and do your job right, you should have no fear of losing your license. If you go to work and you get the supervisor involved in any issue you have at work, you should be okay. I always bring the attention up the chain of command and make sure I document anything that goes on and leave many FYI to doctors on their answering service. I try to cover my butt always. LTC is not perfect and it can't always be a good ratio for nurses since most patients are stable and just confused. Have confidence in yourself and do your best or start looking but most nursing home are run the same way

  • Jul 31

    A big congratulations on passing this road block on your journey to be a caring nurse. Give yourself a pat on the back and maybe a glass of wine because now your journey begins!

  • Jul 30

    I think the "putting my license at risk" is so overdone. If you go to work and do your job right, you should have no fear of losing your license. If you go to work and you get the supervisor involved in any issue you have at work, you should be okay. I always bring the attention up the chain of command and make sure I document anything that goes on and leave many FYI to doctors on their answering service. I try to cover my butt always. LTC is not perfect and it can't always be a good ratio for nurses since most patients are stable and just confused. Have confidence in yourself and do your best or start looking but most nursing home are run the same way

  • Jul 28

    Okay that is terrible! I can't believe that is the practice at your facility. Quickly, apply to other places while staying at your job so you can be paid. Try your best for the patients and by the way, if supervisor tells you to do something and you think it's against your judgment as a prudent nurse, don't be afraid to go right over her head! It's your license at risk! One trick I use is when the supervisor Advise me to do something I don't think is right I tell the family what is going on with their family member and get the family riled up to demand to bring their family to hospital and then connect the phone line to supervisor to speak to them. After the supervisor speak to family member they have no choice but to be okay to sending patient out of facility. Of course after that you call the doctor to get the real order for the hospital evaluation but that's how it works. The supervisor would never go against family wishes because they know their butt is on the line in a lawsuit if they go against family wishes

  • Jul 19

    Don't feel bad. You are not obligated to work for the, just because they trained you. You didn't sign a contract. You should be selfish for yourself and value your time and mental health by working in an environment that suits you. If you are miserable at work it is reflected in your care. Focus on you.

  • Jul 8

    I started a BSN program right out of high school in 2010. I had to withdraw out of two classes the second to last semester of my senior year due to threats from my clinical instructor of failing me because she felt I "wasn't ready to be a senior." I took one year off because had to wait one year because the classes were offered once a year in the fall of 2014. In that one year, I took and passed the CNA exam in Pennsylvania. I worked in a nursing home to figure out what it was like to work in healthcare and also experience more hands on patient care. I learned so much in that one year of working as a nurse aide. I came back to school in Fall 2014, I excelled in clinical and helped my classmates in clinical. I graduated in May 2015 with my BSN and now work as a nurse in a nursing home. I was able to get back on my feet after threat of failing from clinical instructor if I didn't withdraw and excelled. Don't give up! Btw, if I didn't pass clinical the second time I knew a school nearby that would accept transfer nursing students so it could be done that one can transfer and start again. Check local colleges in your area. Good luck.

  • Jul 7

    Don't give up. I had a second chance in my nursing program and graduated in 2015. You can do it. Now that you have failed, this is your opportunity to really take your time and study the material you weren't able to grasp. Take a break from the rigors of being a student and work while slowly studying on own to understand what you didn't get the first time. Things will fall into place. Be patient. Look within yourself to see what went wrong and take steps to correct it. For me, I was weak in clinical so I took a job as a nurse aide and worked with patients to get the hands on care while observing and understanding the patients clinical appearance like in my lectures at school. It helped me a lot with patient care and also calming my nerves during clinical. I passed clinical and went on to graduate. You can do it too. Keep positive.

  • Jul 6
  • Jul 6

    I started a BSN program right out of high school in 2010. I had to withdraw out of two classes the second to last semester of my senior year due to threats from my clinical instructor of failing me because she felt I "wasn't ready to be a senior." I took one year off because had to wait one year because the classes were offered once a year in the fall of 2014. In that one year, I took and passed the CNA exam in Pennsylvania. I worked in a nursing home to figure out what it was like to work in healthcare and also experience more hands on patient care. I learned so much in that one year of working as a nurse aide. I came back to school in Fall 2014, I excelled in clinical and helped my classmates in clinical. I graduated in May 2015 with my BSN and now work as a nurse in a nursing home. I was able to get back on my feet after threat of failing from clinical instructor if I didn't withdraw and excelled. Don't give up! Btw, if I didn't pass clinical the second time I knew a school nearby that would accept transfer nursing students so it could be done that one can transfer and start again. Check local colleges in your area. Good luck.

  • Jul 5

    Congrats, the good pop up worked for me and I passed. Good luck

  • Apr 15

    Omg, I am ecstatic. I passed the NCLEX-RN with 76 questions on the first try! I took the exam on July 14th and just got the quick results. The test ended for me about 1 hour and thirty minutes later. The 48 hours to wait for quick results was so long!

    I had 20+ SATA, 3-5 exhibits, no audio, no hotspots, no medcalc, 10-20 priority, 3-4 pharm questions, and the rest were a lot of multiple choice on situations surrounding certain procedures and common diseases/conditions. I didn't see any topic that was unfamiliar to me, I didn't see any diseases that I didn't know which was strange. I expected as it got harder, I would start seeing diseases or medications that I didn't know. However, every medication I came across I was familiar with. Then again, I really focused the last two weeks on medications so maybe I was prepared.

    Since, I spent a good amount of those 9 or 10 weeks from graduating and taking the NCLEX on this site seeing what people did to pass, I will pay it forward.

    Background: I graduated from a local university with my BSN in May 2015, cum laude. I am an astute student. I studied extensively throughout the nursing program. Whenever there was a test or quiz, I was the type to read the material, find the essential points, go over multiple resources to find how the information could be asked in a question. So, I am not someone that just absorbs things easily. I work hard to understand concepts. My program is rigorous and I felt like it prepared me well. The passing rate for my program is 88% last year.

    February of this year is when I started to bust my butt. My school paid for a woman from Hesi to lecture to us for 3 days as a live review. My school provided us with
    The HESI/Saunders Online Review for the NCLEX-RN Examination, here is the link:
    https://evolve.elsevier.com/cs/produ...1?role=student. I did the pre-test for the Online Review which generated a 12 week study plan which I followed diligently throughout my last semester. I did every single module and lesson it told me to do and Rest on the weekends as the study plan said.

    Next, I checked out a book from my university's library. I need a book to study from during my senior year that was NOT Saunders Comprehensive Review for NCLEX-RN 5th edition. I used the yellow Saunders book throughout nursing school and was sick of it. I needed a change of pace and I wanted something more fluid with lengthy explanations. Saunders was just the bare facts listed. That's when I checked out Mosby's Comprehensive Review of Nursing for NCLEX-RN®, 18e: 9780323039017: Medicine & Health Science Books @ Amazon.com

    Mosby's Comprehensive Review of Nursing for NCLEX-RN 18th edition.
    I know its the 18th edition so its older than the 20th. I didn't care. It didn't affect me as much. I liked how this book was very good with explaining things. It didn't just list a symptom of a disease, it would tell you why the symptom occurs on a short patho level in parentheses. So, this review book outline was way more specific to why a symptom occurs than in Saunders. I love Saunders but this review outline is way better. Even in the nursing interventions, it tells you WHY you want to do this action in accordance to the disease as a nurse, not just that you would do it like Saunders does. The book has tons of questions, something like 2,000+ questions in the book and 1,000+ questions in the CD. I did the CD as well throughout the last semester. I returned the book in the end of the semester which was first week of May. After this, I went back to Saunders. The change in books was much needed on my part.


    NCLEX 4000: I answered questions on this software on days I didn't feel like cracking open a book. This software has over 4000+ questions and has topics on all areas of nursing. You can even choose from client needs category. The unfortunate thing with this software is that it doesn't have memory of where you left off with if you start. So, if you choose a topic and do questions, you have to leave your computer on to get back where you left off. Also, if you do a random test and try to do another one next day, it won't remember that you had answered the question yesterday for last random test. I just selected the topic I wanted, like "GI disorders" and did all the questions in one day then moved onto next topic. That's how I dealt with the software not having a memory. I answered maybe more than half of the question bank. I remediated any questions I got wrong by going to the yellow Saunders book to read up on it.

    [COLOR=#000000]Kaplan NCLEX-RN Strategies, Practice, and Review
    Practice Test 2012-2013
    Kaplan NCLEX-RN 2012-2013 Strategies, Practice, and Review WITH CD-ROM (Kaplan Nclex-Rn Exam): 9781609785659: Medicine & Health Science Books @ Amazon.com

    [/COLOR]I read this book in its entirety. I wanted to understand what were the Kaplan strategies that people were talking about. I really enjoyed reading about the strategies, I used some of the strategies on my own practice questions. The decision tree is fascinating. There is a comprehensive review in the back and I did it. It said if you score 70%+ then you have strong content knowledge. The questions from this Kaplan were pretty hard. This was my first sample of Kaplan's question format. I am impressed, its very good. I scored a 76% on the practice test.

    NCLEX RN Mastery App: I bought this app after reading how good it was from others on here. This app has 1,800+ questions. I really liked it because it had all types of mnemonics and the questions were very good. The select all the apply here are excellent! I used this app whenever I had a spare moment at work or on the go. I always have my phone on me so this is very useful for people like me.

    Hurst Review: Hurst Review Services - NCLEX Review Course By the time of graduation, I was starting to feel panicky. Although I felt I knew a lot, I was just nervous and felt I needed to take something like a review course. I looked at the introduction video and did a one week trial. I really liked how the people lectured on the topic. It was very interesting to watch and follow along with the worksheets. I signed up for the online review and got a 10% discount from a website, I forgot what it was. The core content review from Hurst was important for setting the foundation and understanding WHY something is happening in a disease or condition. The southern accents from the lecturers were very entertaining to watch as I am from NJ. I loved this review so much. The Q-Review exams prepared me well for what to expect on NCLEX. It comes with a money-back guarantee so I wasn't afraid to pay for the review because if I failed, I would have just asked for my money back.

    My Q-Review scores: Hurst says the average score for people who pass NCLEX using their review is 84/125

    Q1: 87/125
    Q2: 84/125
    Q3: 81/125
    Q4: 93/125
    Q5: 86/125
    Q6: 90/125

    Prioritization, Delegation, and Assignment: Practice Exercises for the NCLEX Examination, 2e
    Prioritization, Delegation, and Assignment: Practice Exercises for the NCLEX Examination, 2e: 9780323065702: Medicine & Health Science Books @ Amazon.com

    I practiced prioritization questions using this book. It helped me a lot! I did all 18 chapters and none of the case studies.

    Kaplan Question Trainers 1-7: These were super helpful! I did the q-trainers towards the last 3 weeks leading up to the exam to see whether or not I'm ready to take the exam. I've heard Kaplan questions were tough so I wanted to expose myself to them. I didn't pay for the qbanks or the course, I just searched the Q-Trainers online and took them for free. The Q-trainer 6 and 7 are all analysis and application, they are the most indicative or success on NCLEX because they really test your critical thinking. I struggled narrowing down the two answers on most of the questions on these q-trainers. It was hard!

    My Q-Trainer scores:
    1:76%
    2:77%
    3:67%
    4:77%
    5:73%
    6:67%
    7:66%

    http://www.amazon.com/Saunders-Compr...tion+edition+5 : Of course, I studied extensively in this book as well. I reviewed the Pediatrics chapter five weeks into my study session because I hadn't reviewed the book for a while (the whole senior semester) or peds. I felt like Peds was my weak subject. I highly recommend this version, it is definitely enough for content review alone since its so massive. Don't pay the extra money for the new edition.

    Allnurses 39-page study guide: I read this study guide a week before my exam. It was very helpful! Know INFECTION CONTROL for certain DISEASES. SPIDERMAN! I will attach the study guide.


    On test day, I was familiar with most topics on there. Actually, some of the questions were lectured on in Hurst Review extensively. I was so shocked. Hurst Review is amazing!!! I was definitely nervous walking into the exam but when I started answering the questions, the topics were familiar because of the core content review from Hurst. I wasn't shocked at the questions presented to me since I studied over 8000+ questions for this exam. Yes, I answered that much questions from February to July.

    Overall, I think to master this exam, one must have a strong core content knowledge combined with an extensive question bank. Answer as much questions as you can get your hands on after learning the content. Aim for maybe 3000+ questions for your entire study plan for NCLEX.

    I hoped this helped someone! I'm so glad this exam is behind me Now onwards to job searching!

    I've attached the study guide and a 150 NCLEX question exam I used. Stay positive and study! You can do this!


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