brownsc2 2,487 Views
Joined Apr 22, '12.
Posts: 33 (18% Liked)
Considering med-surg nursing or new to the specialty...what are some questions are concerns you may have?
I'm gathering topics for a preceptor program.
They do not have to be a medical topic. I'm open to topics such as the daily routine, time management, anxiety relief etc.
I began my career as an RN on a med-surg floor, not quite a year ago, because I wanted to get a "good" foundation. And I can truly say, there are many days I rethink my decision. I work on a med-surg unit that also care for oncology and hospice patients. The majority of our patients are elderly and sometimes it seems like I'm working in a LTC facility. Actually, many of our patient come from or are discharged to an LTC. I say this to say, that there are nights when every patient is a fall-risk, so you're constantly running for bed alarms. Many of our patients are incontinent/totals and preventing skin breakdown is a priority. We have blocked schedules and my shift is constantly short. Soon as we train a nurse on nights, 4-6 weeks later there back on days. Recently, I went to work and there were literally 3 nurses to schedule to work and that included the charge. Just about every night we have 25+ patients with two CNAs. And the populations of patients with the two CNA has had 5-10 totals (patient's who can't do anything for themselves) and a handful of dementia and altered mental status. Management has been approved for up to 6 nurses at night, so that each nurse can have 5 patients with the charge nurse without patient so that she can help, but that rarely happens. The few times we have been scheduled to have 6 nurses at night, someone is called out or floated to another floor. The last night I worked, I felt like I spent all night taking my patients snacks. I am overwhelmed because the situation isn't getting better. Management continues to add things to do, but never subtracts....on top of being short staffed. I love what I do. I'm learning a lot, but this job makes me feel inadequate. And the pay isn't great. I would make more working at an LTC. I want to feel like I conquered this job and it didn't conquer me. When I first started, a CNA introduced herself to me on the elevator. She told me she started working on my floor but transferred to PCU. She told me, "if you can make it there, you can make it anywhere." I believe it. The times that I have floated, it was to another med-surg floor, but it's like a vacation from my job. LOL. It is total opposite.
I know this post is all over the place, but that's how I feel. I just need some advice. What should I do?
I forgot to mention, on the block scheduling that we're on, there is a charge assigned to each night with one that fills in. My rotation does not have a charge. There was one, but she left unexpectedly and when we got another she left a few weeks ago. I believe the lack of leadership in contributing to the "chaos."
It has recently come to my attention that RNs can open a nursing assistant training program. After doing some research, I've seen a few posts on the idea. Does anyone know or could give me an estimate of how much a nursing assistant school/program profits?
Any home health nurses in the Charlotte area out there?? If so, for what company, what's it like, and what's the pay?
How do I begin the process of organizing a nurse labor union in my state?
I too am a new grad. I began working on a med-surg unit in April and let's just say we have a love/hate relationship.
Like me, I know many new grads experience anxiety and have many questions that go unanswered. I'm hoping to shed some light on some of those questions and address those concerns. With that being said, what are some questions and concerns you have, or may have had as a new grad? In what areas do you need clarification?
Looking forward to hearing from you all.
Oops, I forgot. I work on a med-surg unit. Thanks!
What are some projects that your unit based council has initiated or thought about initiating?
Also, I am trying to come up with some ideas for the bulletin board in the break room...help please!!!
I'm a new grad working on a med-surg floor and am looking for good reference books. Books for new nurses, med-surg disease/conditions, procedures, and lab values. Any suggestions.
I'm just trying to connect the dots.
I am sorry that you didn't have success with your first go around with NCLEX, but use this to your advantage. You are now familiar with the test and the complexity of its questions. I graduated in December 2014, and instead of hurrying to take my test like fellow classmates, I decided to wait until I felt relaxed. Also, I was not an all A's and B's student in school, and I couldn't afford to purchase Hurst or Kaplan, so my nerves were extra frazzled. I took my test on March 12 and found out on March 14 that I passed. The computer shut off at 105 questions, and I feel I could have left sooner if I was stronger in SATA.
The ONLY study materials I used were the Saunder's Comprehensive Review for the NCLEX-RN and NCSBN 3 week review ( I recommend the 5 week review). The Saunder's book is loaded with content and it is a great review, but you have to make sure you don't allow yourself to get buried in content. There is also an online component that offers review questions. I practiced these questions and read the rationales. I went on to purchase NCSBN review because I felt I needed more complex practice questions. Let me just say, the NCSBN review questions are the bees' knees. The questions were complex and provided great rationales. I did about 1000 questions from the NCSBN site. I completed 50 too 100 questions everyday, sometimes 150, and I looked up what I didn't know. I did not have a set calendar or schedule, I studied when I felt most alert and driven. The NCSBN also provides an outline and study material from each body system, as well as Fundamentals, Pharmacology, Maternal Complications, Pediatrics, and Mental Health. I didn't review theses sections. I only completed the practice questions.
When "studying" for NCLEX, you have to remember the goal is not to memorize as much information as possible, but to learn how to think critically and answer questions. You don't know what type of questions you are going to encounter on NCLEX, so it would be virtually impossible to try to memorize content. I focused my studying on answering questions versus content review, and it was the best decision I could have ever made. It saved time and helped to develop my critical thinking skills. I already knew the anatomy and physiology of the body and the cause of disorders/diseases, so I was able to think my way to signs & symptoms and priority nursing interventions....and that is what is most important...being able to think your way to the correct answer.
-NCSBN NCLEX-RN Review is the gold standard for questions
-Complete as many NCLEX style questions as possible
-Read every rationale
-Write down what you don't know- review
-Look up what you don't know
-Most importantly, do what works best for you!!
-And if you have to cry, pray and cry. To God be the Glory!
I hope this is helpful. Good Luck!
I tested on March 12 at 10 am.
This is what helped me to prepare.
I used NCSBN and Saunders Comprehensive Review for NCLEX. I studied off and on for about 5 weeks. In the beginning, I read through Saunders and highlighted the important content and answered some of the questions from the online question bank.
After reading a few discussions on here, I decided to purchase the NCSBN 3-week NCLEX review course. I didn't read through the content but, instead I dove straight into the question bank. (However, I will say the NCSBN review content appeared to be very organized and concise. I didn't use it because I need a book, and find it a little difficult to follow along when reading a large amount of content online.) I answered 1000 of the 1200 questions. In regards to NCLEX style questions, this review is the bees knees. I highly recommend it.
I didn't have a study calendar set in stone. I used what worked best for me. I answered 50-100 questions a day, sometimes 150 questions. I read each rationale, and when I didn't understand, I wrote down the rationale and looked it up in the Saunders book. I didn't purchase Kaplan or Hurst because it's too expensive. Also, I can't sit in a classroom for 6-8 hours for 3 days and listen to someone lecture. My attention span wouldn't allow it. Most importantly, I know I have to read some thing to get an understanding. When it comes to learning, for me, it's all about connecting the dots.
Studying the for the NCLEX isn't all about memorizing as much content as possible. The test is designed to see if you can think critically and keep your patients safe. To pass the NCLEX you need to know basic anatomy & physiology, nursing skills, and the cause/patho of an illness. When you know the proper function of the body system and the cause of an illness, then you know how it presents. Most importantly, you know how to thinking your way to nursing interventions, nursing priorities, and the correct answer.
I hope my rambling made sense, and I hope it helps.
Your prayers and encouragement are kindly appreciated.
I'm dong NCSBN 3 week RN review and I'm scoring poorly on the practice questions. I didn't review the modules, but divided straight into the practice question banks. My scores has been ranging from 40%-100%. Has anyone else experienced anything similar? What has been your experience with NCSBN? I'm trying not to freak out, but I can feel myself becoming a little jittery.
Does anyone know the starting pay for a new grad rn at Beaufort Memorial? Shift differential? How's the work environment?
Does anyone know the starting pay for HHI Hospital?
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