med surg

stressgal, RN · Dec 28, 2005

I would like to tell you it gets easier, but it doesn't. You just adapt.

What are you studying in med-surg? Ours are split into different topics. I would recommend a good NCLEX review book. This will help you focus your study.

Pharmacology is just a time consuming, hard course. Give yourself plenty of study time and stick with it.

Good luck!

smilin_gp · Dec 28, 2005

Ya know, there was definitely a lot to learn in Med-Surg/Pharmacology (my program blends the classes) but the nice thing was is that the information was very straightforward and relevent to what we were seeing and doing in clinical. The structure of the course actually made it easier for me than some of the others, namely community and mental health nursing. Who knows, maybe this will help you too? :Melody:

Tweety, BSN, RN · Dec 29, 2005

The material in med-surg is no more difficult than A&P. The difficulty comes with the test some instructors come up with. The tests are gearing you towards NCLEX, so sometimes the tests throw some people for a loop. You made it through the first semester and you can do this too.

Good luck.

MIA-RN1, RN · Dec 29, 2005

Med surg clinical was tough for me because I am just not good at the technical stuff and I didn't feel I got enough practice. (Still not sure what to do with a stopcock lol) Anyway, our first clinical was 9 hours in the lab as our instructor showed us all sorts of stuff--practice setting IV pumps, different caths/bladder irrigation stuff, little individual wrapped packages of things (stocpcocks? lol) we also practiced drawing up 'insulin' and 'heparin'. We also practiced with a doppler to take each others pedal pulses etc. The next week, was the same thing again with more stuff that I must have blocked out completely

When we finally hit the floor, we were assigned one patient for the night and most of them were post-op. many of the operations were colostomies, and some patients were not surgical. ( I had one hospitalized for VRE and another w/ cellulitis r/t diabetes) Basically we gave all meds when we were there, did full assessments, whatever patient care was necessary (ambulating, toileting, I&O, collect samples if indicated, drain foleys, change NG tube containers etc), hung IV's, and we also had to teach and come up with some diagnoses and interventions. I also flushed IV's, changed IV bags, vitals, and did something with a PICC line but I can't remember what.

We also each did one clinical in OR, one in outpatient oncology, and one in a peds office following the nurse around.

Lectures and learning were based around diseases--we did diabetes, GI, ortho, a little oncology, HIV, eyes, ears, and probably some others. It seemed that we focused most on diabetes and GI stuff.

It is a whole different ballgame than fundamentals but that is not a bad thing. You will be building on the skills you learned last semester.

onduty23 · Dec 29, 2005

meds surg is tough if you make it tough. just dont fall behind in your reading and you be fine. imho fundamentals was way harder than med surg. i was in the same boat with you and heard people saying how hard med surg was but i took it and pass piece of cake lol. but honestly if you keep up with your reading and do nclex type question you do just fine. stay away from those people who have med surg anxiety.

MIA-RN1, RN · Dec 29, 2005

yeah I bet if I had some review books or cd's during med-surg I would have learned it all a lot faster and easier.

LeesieBug · Dec 29, 2005

Ya know, there was definitely a lot to learn in Med-Surg/Pharmacology (my program blends the classes) but the nice thing was is that the information was very straightforward and relevent to what we were seeing and doing in clinical. The structure of the course actually made it easier for me than some of the others, namely community and mental health nursing. Who knows, maybe this will help you too? :Melody:

This was my experience, exactly. Adult med/surg was actually my easiest, most enjoyable rotation! I was surprised after all the horror stories I had heard. My class was MUCH more straightforward, as mentioned above...and I had many "AH-HA" moments where things I saw in clinical applied directly to what was covered in class.

One thing that was an advantage was having taken Patho prior to this class. It seems that those who took patho first thought the class was a breeze, and those who hadn't thought it was murder. I would highly reccomend Pathophys. for Nurses first, if possible.

TamaraG · Dec 29, 2005

yeah i know and that's what i am afraid of. those nclex question style test throws me way off (if you know what i mean lol) I have a nclex practice exam book and when i practice in it, it really scares me b/c when i think i have the correct answer it be wrong. oh well i guess i will just role with the program and keep my fingers crossed(lol)

p.s. hopefully this stuff will all come together one day

ejonesstudent · Dec 30, 2005

I am going into Med Surge 1 also. Does anyone have suggestions about supplemental books they used that helped?

caringchic · Dec 30, 2005

Med surg was no more difficult than fundamentals at my commuity college. I didnt feel I learned as much though. I am headed into my second term of my second year and we are back at it again, hopefully I will retain more the second time around. I used the Chicago Press Review Book and the Kaplan Review both for NCLEX review questions. I also really like the series called The Real World Survival Guide to..." There are several in the series; critical care, pathophys, med/surg and others. These give great little questions at the end to test your retention. GOOD LUCK!

caringchic · Dec 30, 2005

I wondered if anybody had a good suggestion about pathophysiology. I am struggling in this area every term. I can pass the test with recognition and recall but I lack depth about the disease processes. I think this is going to be a serious weak point when it comes to NCLEX which assumes you have a body of knowledge about all processes. Does anyone have any suggestions? Books, tricks, anything?