CrimsonAlchemist 2,850 Views
Joined Jun 2, '11.
Posts: 91 (27% Liked)
I landed a job in an acute inpatient geropsych unit and I'm a new grad. It' very possible! I love it. I rarely enjoyed my medsurg rotations. Loved the psychosocial aspect. Just wanted to say that it is possible.
Definitely double and triple check yourself and don't be afraid to ask for help/longer orientation. I'm a new grad in a geropsych unit and at 4 weeks in, I'm just now off of orientation. My patient load is 4-5 right now until I'm comfortable taking more. Document your butt off and good luck! <3
Physical assessment, definitely, but in all honestly, as long as you study during school, a good program will teach you what you need to know. If you really want a jump start, though, I would find possible problem areas and brush up on those. Math was hard for me so I should have focused more on that. And fluid and electrolyte balance is really important because that effects everything and everything effects it.
Rather than memorizing, remember to stay with the patient, don't do harm, don't ask why
I guess my clinical experience was phenomenal, then. My nurses were, for the most part, willing to let us ask questions, very helpful, etc etc. Our equipment worked and, although we had to share it on the unit, as long as you didn't hog it, there wasn't a problem. The hospital also loved having my school's students, though. There was only one nurse that I remember, that didn't do well with students. I had her once, though, and as long as you showed enthusiasm and that you weren't an idiot, she loved you. I learned A LOT that day.
Gait belts should always be used to transfer at-risk patients. It's basic safety. That's something I learned in my CNA class and it's not difficult to learn. We got in big trouble if we didn't use one. That included the nurses as well. Hospital policy.
Bottom line, the equipment you need to do your job safely should be provided by the facility. Talk to your advisors and see if anything can be done to fix it. Not having proper equipment can put patients at risk and we all should be working to prevent that.
I've been lucky to have a wonderful fiancee that understands how important nursing school is to me. I find time to study while I'm spending time with him. It's hard, but it works. I graduate in December and we're planning a wedding for next June. Most of the planning will happen after graduation! <3
Not so much for studying, but a few quick references that I like:
Micromedex Drug: Drug book that includes patient teaching. Free(might have paid version, but I just use the free one)
MD ezLabs(Lab value reference for men, women, peds, causes of increases and decreases in labs. Free)
Clinicalc(Clinical calculations for a whole host of different things. Free.)
Flashcard app to make flashcards
A translator may be useful for quick reference(Instead of getting the phone every time. For nonemergent things of course, such as asking if they need the bathroom or a snack)
Most of my apps are oriented to clinicals, but they could also be useful in the classroom.
Brush up on your critical thinking skills, especially if you're going straight to RN. Assessment is the main part of the RN's job. My program reviewed the A&P, Microbiology and Pharmacology as we went. Even in this third semester, we had a quick GI overview before starting GI disorders. We're still students. We aren't expected to know everything inside any out just yet.
I'm almost finished with my third semester. It is hard. It is probably the hardest thing I've ever undertaken. Hours of studying in hopes of getting a 76C. That being said, it is absolutely fulfilling and I would do it all over again, given the chance.
We also learned "Right Reason"
You terrify me.
Yes! Thank you! =)
I'm in an ADN program and we also have a wide range of ages, from 18 all the way to 50s. I'm part of the accelerated group, meaning we started last August with just our pre-reqs. This semester, we joined the LPN group, and in December we'll be ready to challenge the NCLEX.
ANYWAYS, my group is 30 students. We have our "groups" but we are generally all very friendly and inclusive. I someone wants to join a study group or needs some help, we all help out. It's great. We've got 4 guys. Of course there are some clashing personalities, but that'll happen anywhere.
We actually use A&OX4 for Alert and Oriented to person, place, time, and situation
GrnTea, that was amazing! I wish you were my instructor! Your explanation was much better than the handout my instructors use.
BUT, could you please explain in a bit more detail what you meant by "Saline is not sodium and water"...It doesn't really mesh with "saline stays, water travels". I get that water follows the sodium(where ever to goes), but saline stays in the intravascular system to increase blood volume and therefore B/P, right?
Fluids and Electrolytes are one of my weak spots...Thanks
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