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Joined: Sep 22, '05; Posts: 9,302 (39% Liked) ; Likes: 8,217

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  • Apr 3

    Graduating from ANY nursing program takes commitment and sacrifice. This is your first semester after many years of being away from school. It is natural to be overwhelmed and feeling pulled in several directions. I think time management is the key, here. Get a calender where you can write (in PENCIL; I suggest because things change) what assignments are due and what to study and do your best to stick to it. If you see that you have 9 days before a certain test, then, you may break down what you will study and when, always leaving space where you can go back to the more difficult portions that challenged you. Start by studying the hardest, but try not to stay must move on to other key points. Also, I purchased Saunders Comprehensive Guide to NCLEX-PN. Personally, I found that book to be a bit overwhelming for studying for the boards, but was great for school, because it summarized the material in a short page or two and has pyramids next to MAIN points that both, NCLEX and school may be trying to get across to you. Best of luck!

  • Dec 6 '17

    If you are passing, then, try and stick with it. And, if none of the professors are specifically targeting you, then, even better.

    I hated nursing school, also. For me, it was a nightmare that I have no intention of visiting again. But, I played their game, stayed to myself and got the heck out of there.

  • Sep 20 '17

    Most schools are vocational schools, where they don't offer college credits, but a certificate. If a vocational school graduate wants to become an RN, she would have to start from scratch, taking college level english, psychology and anatomy classes, which, are on a deeper level than the anatomy learned in vocational schools.

    My school is trying to create a bridge program so, we had to take RN pre-requisites before applying for candidacy, so that once a student graduates from there, they will have most of the pre-requisites needed to enter into an RN program. I still graduated with a certificate, but I have transferable credits if I choose to enter into an RN program (or actually, I can transfer them to many other programs, such as physical and occupational therapy, or to a science major). It all depends on your school.

  • Sep 12 '17

    I found NCLEX-PN to have been difficult, once I got to question #60 and beyond. The computer shut down at 85, and I wasn't sure that I passed. I still remember a great deal of the questions to this day, and I tested in 2006. In retrospect, I was more prepared than I thought I was, and I was able to think through the questions that were difficult. Had only one math question (the first one). I did have several pick all that apply in a row, and that flipped me out.

    Hindsight is 20/20. I remember reading a post 6 months later where a person said to look at the select all that apply as true/false questions, and not to look at all of the selections as a whole. Look at each choice and say to yourself "Is this true in relation to the question or is it false?" If it is true, select it, if not, do not choose that one. I passed, anyway, but it would have made my life easier had I actually saw it that way, then. I wish I remembered who posted that, this person gave pearls of wisdom, and I would have thanked that person perfusely. Good luck and as someone else said "study smart".

  • Sep 7 '17

    Quote from tnrose
    wow, you remember "everything" you learned in 06! I would like to figure out how to do that!
    If you are referring to me, well, I can't say that I remember everything, but because I work in a clinic, therefore, because I have to do a great deal of teaching, I have to continue to update myself often. As others mentioned, it may become easier because of the application of what you learned. I don't believe that all of what is learned in the textbook has applied to real world nursing, but what makes me remember much is that I see more of what people are NOT doing. Sometimes, you understand why, other times, you don't.

    People (employees, mostly) laugh at me, but recently, I ordered Dummies/Complete Idiot's books on Diabetes, HTN, Heart Disease, Menopause, Nutrition and even Prescription drugs. At this point in my life, I don't need the intimate details, but these books give a wonderful overview (at least in my opinion) on what is important in a reader friendly format with excellent bibliographies for further reading. I use these things as references for my teaching. I deal with a population that is not savvy or educated, and I want to be able to teach them about the disease processes, treatments and outlooks in a simple way without losing it's meaning. I remember so many of the snipets mentioned in these books that I easily incorporate this information into my teaching and many of the patients look for me when they come because they know I will explain in a way that they will understand. And, in many cases, I recommend these same books to them and even tell them that this is where I got my information from. Many have listened! I also make copies of easy to read pamplets to give out. All of these things help me to remember because each time I teach it, or read it again, I am reinforcing my own understanding of the material.

    In addition, most hospitals have computers that have Micromedix, or other resources that can be referred to in a pinch. I have the time to look up information (especially medications), that I am not familiar with, and before I call a patient in, I review the chart and if I see a disorder, med, lab or treatment don't remember or know, I quickly review it before I call the person in. If it is that bad, I have the information up on a screen before me (the patient doesn't see it) and read from that. I may sound like a college professor sometimes, but it can very well be the first time I actually came across this information. Because of this, I gained confidence that in most cases, I can access the information I need. There are modernized things available that have not been before, such as PDAs, pocket drug digests and computer downloads that are better accessed than before, right at our fingertips. What school does do is teach you (although you don't realize it until later) that what you don't know, you are taught to look up. This is why they teach you the importance of obtaining information from reputable sites ending in .org, .edu rather than .com. Nursing on any level is a working progress, and the reason I believe it is called a 'practice' is just that...we are literally practicing as we go.

  • Sep 6 '17

    Another consideration is to purchase "The Complete Idiot's Guide to Prescription Drugs". I discovered this book the other day while surfing The Complete Idiot series does explain things in layman terms for the novice to comprehend, and I swear by these books for basic knowledge from astronomy to religion (I love studying things independently). I also had a horrible pharmacology instructor. This witch was also the program director of my LPN program. Basically, she taught NOTHING. I had to take a seperate review class specifically geared in pharmacology just to pass the boards. Since then, pharmacology has become an obsession for me (maybe that was a blessing in disguise), and I have spent money on buying used pharm books for $1 to get a basic understanding.

    My husband laughed, because he said "On, ANOTHER book on drugs..."..but I don't care. Amazon has it where you can search and read a few of the pages to see if that particular book suits your needs. At this point, I want it because I like the tidbits they share to help remember things. I do a great deal of patient teaching in my clinic and (while I do carry a PDA with a nursing drug guide), I really like to comprehend what the drug does in my own words, so that I can better explain to the patient WHY they are getting that prescription. Of course, everything won't be in there, but just enough to get you started.

    Also, the Nursing Made Incredibly Easy series has a nursing pharmacology book. They may have the tidbits that you need, also. It takes time, you will not know everything, and there is nothing wrong with carrying a pocket drug guide with you to look up while speaking to the patient. I will usually start out with the common reasons for the drug, and if they have more questions that I can't remember, I pull out my PDA, or pocket guide to read off what they want to know.

  • Jul 30 '17

    I was a member of IANDS, not because I had an NDE, but because I had two out of body experiences, and did actually encounter my mother twice after she died. I met about 15 people who meet monthly to share their experiences. I met them by investigating IANDS and saw there is a group that meets not too far from where I live. They are really fascinating folks. By the time they shared their stories with me, I was so overcome with emotion, crying my eyes out. Most of them experienced trauma; one was an ectopic pregnancy, another gentleman was working on his roof and was struck by lightening, a young girl (around 20 years old) was in a car wreck are a few. Most of them were not only aware of what was happening in front of them, but also other areas, such as a friend's house across town, another room and such.

    They are a strange lot; many do not worry about wearing coats in the cold or rainy days, they adhere to traffic, but will not run like crazy to get away from a fast, oncoming car. These people were not afraid of dying. Funny, they are not suicidal, but just not afraid. They were not spaced out people, in fact, some of them are very cynical, critical people, because they feel that this plane has nothing, we will all die anyhow and don't take what we take to heart in the same manner. They still have vicious arguments and can be petty, those aspects did not change. But, they are basically not afraid anylonger, and are totally honest with their feelings. I am honored to have met them. In fact, the only reason I don't meet with them any longer is because once I started nursing school, I was sadly too busy. But, I believe in all that they shared with my heart and soul.

  • Jun 1 '17

    Most people seem to make this decision based on how quickly they can be accepted into a specific program. I hear that many of the RN programs have as long as a 5 year waiting list, and some say that the LPN programs are a bit quicker (then, there are others that are saying the same...a long waiting list). If you want to become an RN, and have good grades in the pre-requisites, then, place in for candidacy to see what happens. If not, then, try an LPN program while you are waiting. It is really up to you. Best of luck!

  • May 12 '17

    What I have noticed is that while my facility does have a preceptorship program, few apply because they only get an additional three dollars a day to do this. Because there are so few of them, the facility usually winds up 'dumping' (sorry to use this word for you, as a new nurse) the new grad on those whether they agreed or not, and are not even being compensated the three dollars that a preceptor should be paid. Also, in my facility, LPNs cannot enter the preceptorship programs, but, I have trained many RNs (even BSNs), because no one wanted to do it, and I am getting paid less than all of them.

    I am not defending their behavior, because I do believe that if you leave a new employee (particularly a new grad) in the dark, you are not obtaining the help so desperately needed. Sometimes, nurses shoot themselves in the foot behind their behaviors. I am just trying to introduce another perspective.

    A preceptor should be a willing person who is patient, fosters learning and is observant of the talents and weaknesses of their charges and should also be creative, because each individual has their own working style. The preceptor should also be realistic, by allowing the newbie to see what is really involved in nursing (such as telling them they can obtain as many as 10 really sick patients with various important needs), how to balance their time and politely remind the person of habits that may hinder them from good prioritizing and time management.

    I'm sorry to hear you are not pleased and also sorry to say that more people than I care to read about or admit experience these things you mentioned. Maybe going to the new unit will allow you to be able to create your own style because you will all be new to it and can each put in a contribution to make things easier while giving patient care.

  • May 5 '17

    While I do not support these types of nurses, I have conversated with some of them, and learned that even their laziness is a reaction to depression and stress. There was one in particular that raises holy he!! in our clinic. Many of the nurses had legitimate complaints about her, and one day, while we were alone, I came out and asked her "What is up with you? The rumors of such and such...and I can say that I can see why people are aggreviated with you. Tell me YOUR side". It opened a door of communication for us, because basically, I was a bit intimidated by her, based on what the other nurses said as well as what I witnessed. She had to work the late clinic with me, and I basically initiated this conversation because I was going to make a point to let her know that I wasn't going to take the crap. After hearing her story (she told me that she was extremely overwhelmed and felt blackballed), I realized that both sides had points and I told her. Now, we work so well together in that late clinic. We split the responsibilities, we even sing to each other sometimes. I told her that as long as I see that she will work with me, I would not abandon her. Now, the other nurses are wondering why we are always smiling and hugging when we see each other.

    As I said, I do not support the behavior at all. It takes away from patient care and it places the burden on the unsafe and can lead to mistakes. But, I felt like I accomplished something with this woman that was priceless. At least, she won't mess with me.

  • May 5 '17

    Quote from happyloser
    I do not think its the careless attitude but rather the copious amounts of paperwork and charting, etc. Think of it like this, you come in and autmatically get report and have to get your meds ready, and surprise some meds are not in the pyxis, time to call pharmacy. Then you find out patient in room 9 needs blood. Now you have to type and cross and send it to lab and wait for it. Now your confused patient fell and that means writing an incident report and waiting for the resident. Now patient needs a CT of the head.

    These are all possible scenarios and you can see as to why nurses are busy, not that they do not care but rather are swamped with patients and protocol.
    I tend to agree with you. Too many nonsense details and insane paperwork leading to more document care than patient care. But, if there is no document care, the nurse can lose her license and be on, many are discouraged and just plain tired.