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Joined Feb 3, '12. Posts: 236 (27% Liked) Likes: 110

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  • Sep 24

    Im blessed to have awesome parents for my private duty case. They are totally involved and usually by the time I get there they have all the cares done except meds. Lol I think they like to give me something. They always ask if I need help and know how to do and actually do everything im able to do. So maybe you can just find another case? Not all parents are disinterested. Dont lose faith!

  • Aug 5

    i did not work as a CNA before i went to NS. i found the first clinical rotation hard. my first patient was a complete cares geriatric who went hospice halfway through my shift. talk about an awakening! it was my first bed bath but i recruited some of my classmates who had been a CNA and now i can do bed baths in my sleep! i agree that you will get a chance to do skills as you go through. i got hired as a CNA when i was in my LPN year at a place for traumatic brain injuries. it was a small facility and the staff was small and super understanding and i had many nurses show me how trachs were not as intimidating as school made them seem. again another skill i can do in my sleep now.

    in nice to your nurse no matter how rude they are to you. offer to do anything, i mean anything! our last semester we were on one floor for the whole semester and got to know the floor staff very well. they all talk. i would also talk to them about their nursing school experience. we had mutual friends and a lot had gone to my school and had my instructors. i was soon paired up with the charge nurse every time she was on duty. never be above any job. my clinical instructors had us clean rooms like dust until we gained their trust. then when we were on the computers they would understand we were looking something up. if a patient is discharged on a busy floor and you are not busy off to take out the linens or clean up what you can to help housecleaning. take patients to the bathroom and always walk them if they are ambulatory! if you don't know a med during prelab look it up BEFORE you approach your instructor to administer it. know your labs and buy a nursing diagnosis book. you will soon know them all but until you do look up diagnoses in the book. i asked to go to rounds and asked my nurses a lot of questions. when i went to the ER and OR i always offered to do skills and procedures. i was very go-getter about my clinical rotation (i'm such an introvert!) but no one is going to hand feed you information. if you don't seem interested your floor nurse will not find you to do procedures. stay busy. unless your census is less than or equal to the amount of students on the floor there are things to do. offer to call dr.'s and pharmacy for your nurse. we had a few days that census was less than the number of students and then you learn charting better.

    in the is true that the squeaky wheel will get the oil but do not try to be the know it all or challenge your instructor repetitively without good reason to. those students quickly dropped out or got the bad clinical assignments. if you have a serious problem with an instructor (i did with one who accused me of plagiarizing but never checked my sources which i found out when i approached her) talk to them in private after class hours. know that you do NOT know more than your instructor. yes, there is a difference between real world nursing and nclex nursing. your instructor is trying to help you pass nclex. yes they are aware of, and probably use, the real world nursing in their bedside nursing but at school accept that they know what they are doing and talking about. be prepared for discussions in class about the material being covered. it is not supposed to be the first time you see the info. i will admit i was not good at this. i am an auditory learner and if i heard it it stuck with me forever but i lose my attention when i read a textbook so i would not read much. i advise against this. we had a lot of pop quizzes. do not be afraid to meet with instructors after class hours to review info you do not understand. take notes. lots of notes. find a study group and go out once a week and study material. i did not do this but a lot of my classmates did this and LOVED it.

    stick through it for the time you are in it. it gets better. i went through my LPN year, got a LPN job and started the RN program a semester after i finished the LPN program (i grad in Dec 10 and started Jun 11). I just grad in May 12 and will start my BSN program in a week. one student who graduated a year ahead of me said it best....these two years are like boot camp, you play by their rules and put up with the no notice change of schedules and you will survive....there is an end in sight. my stepdad told me of his college days also. he went to a college where they were known for being very tough (one of the military colleges). one day there was a picture on the blackboard (drawn by a fellow student) of the president on the college with a nose that was in the form of male genitalia with the sentence under it saying, "you can make it harder but you can't make it longer (in reference to the program and graduation)!" that is true. keep that in mind when you feel like you can't deal with the stress anymore.

  • Dec 1 '16

    Quote from RCBR
    Are you for real??? Universities award bachelor degrees. Community colleges award associate degrees. They are not the same degree. Please approach reality. I cannot believe you think that 2 and 4 year educational institutions award the same degree. Are you even a nurse?

    Yes I can. The content is not the same. BSN graduates have 120-130 credit hours of education versus 60-70. Sorry, but twice the credit hours IS A BETTER EDUCATION. Now, if you think all that extra education makes no practical difference, look at the research done by Aiken et al. showing that the higher the education of nurses the lower the mortality of patients.
    I went through an ADN program and went on to an RN-BSN program that I am currently enrolled in. The difference in the two programs was literally only 7 nursing classes and a total of 24 credits. The rest of the degree was the normal filler gen ed classes that every bachelor candidate must take regardless what they are getting their degree in. There are no true clinicals in this program. It is not from a for profit school. I don't see much difference in the knowledge base of a new grad BSN and an ADN. The classes I have to take are about health policies and laws, pathophys (which some schools require for their ADN programs....mine did not), assessment (which most people test out dropping the credits earned to 20), 2 management classes, community health, and evidence-based nursing. But add in the extra english, stats, fine arts, foreign language, and humanities and you fill up your degree but is it really practically used in nursing? I had these classes completed before I went for my RN degree and I feel the only class that had helped was my research methods class in the psych dept that taught me APA.

    In my area new grad BSN's are actually less clinically prepared than new grad ADN's. They have gone through more studies but ADN programs still focus more on clinical skills much like the old hospital programs. That does count for something. I came out of school in my last semester taking total patient care of 4 patients and having a lot of practice with IVs, catheters, drains, drips, telemetry...
    I am going for my BSN since all the hospitals in my area are magnet status but I'm not sure that by saying twice the credits means a better education is exactly on target. It's a lot of filler classes in any program.

    You also say that the NCLEX is not a fair tool. I agree. All you have to be is a good guesser. Doctors and dental hygienists have a clinical aspect of boards and maybe nursing needs to go to that but with the amount of nurses out there that would be a lengthy process to get into be tested. I have seen nurses, both BSN and ADN prepared, on the floor that didn't know up from down and couldn't even set up and IV pump that passed NCLEX.

    Maybe the licenses need to be re-evaluated. I'm not sure what the right answer is to this problem but the girl I knew from a private 4 year university had the same knowledge base on disease processes as I did myself and we would compare our programs and honestly didn't find anything but clinical that was different.