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klhmc729 1,511 Views

Joined: Sep 3, '08; Posts: 40 (38% Liked) ; Likes: 40

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  • May 11 '10

    I can't comment on GPA for Master's program, but I think the old adage of C equals RN is outdated. In this job market, grades DO matter no matter what people say. When my class applied for limited internship spots this spring, we had to include a copy of our unofficial transcript. If you are interviewing a dozen candidates who are equally matched in interviewing skills and recommendations, are you going to take the one with the 2.5 or the one with the 3.8? I'm graduating with a 3.5 after entering the nursing program with a 4.0.

  • May 5 '10

    @hotflashion Yes, it's not often I get to cite Poe and Dostoevsky in a nursing thread. And my father told me that English degree I pursued during my first round of college would never be useful in real life....

  • May 3 '10

    Quote from student_nurse24
    Wow you people sure are ******...Why are you so afride to state your true feelings to your classmates? I'm graduating this May (HESI, is coming!!!) & I enjoyed my class. Sure a few people get on your nerves sometimes but my class generally liked each other.

    We ALWAYS helped each other. There were a few really good students who emailed the teacher's powerpoints (with info from the book & lecture added in) to ALL students in the class. REALLY helped me pass Med-Surg.

    I'm glad I didn't go to class with any of y'all you all sound like stuck up-know it all *******!!

    This is just what your classmates are saying behind your back so they can be nice to you in person

    Ok seriously though, it's just venting. I have found some WONDERFUL friends in Nursing School. Friends that will be there beyond nursing school I have no doubt. Their are a small few that annoy the crap out of most of us actually. We do realize though, that it's OUR PROBLEM (well some of the things are rude and disruptive to the other class) but mostly it's personal annoyances, so we come here and vent. It's healthy to get things off your chest rather then let it build inside and risk going off on someone.

    <sarcasm>As far as your name calling, really, it's second grade, but in light of it I will add;
    Don't call me names just because I know it all </sarcasm>

  • May 3 '10

    "Are you crying? Are you crying? ARE YOU CRYING? There's no crying! THERE'S NO CRYING IN NURSING SCHOOL!"

  • May 3 '10

    um...unless humans are now capable of digesting microchips, wouldn't they all end up in the toilet in the end anyway...

    OH WAIT!! Stomach acid will obviously trigger an activation in the chip to indicate that it was taken, so it won't be confused with those crazy-non-pill-takers who flush em down the toilet.

    What about those old ladies who take 30 different meds...I predict an influx of bowel obstructions r/t microchip collection.


  • May 3 '10

    Once you’re out of school and the reality of your chosen profession hits you, it can be quite overwhelming, no matter how thorough your schooling was.
    So what can you do to survive (or better yet thrive) during your first year out there?

    Here are some tips to get you started:
    Be patient with yourself. You’re just starting out. Take time to learn and gain experience. Most seasoned nurses agree it takes a good year to become somewhat comfortable and two years to be able to handle most situations. Go easy on yourself and think about how far you’ve already come. Even the most competent nurse once started out exactly where you are now.

    Focus on the positive. While it’s human nature to dwell on the negative, if you focus on the positive, that will become your reality. At the end of each day, reflect on what you learned and on at least one good thing you did for someone. Write it down, look at it, and fall asleep with that thought in mind. Keep a positive journal of the times you made a difference or helped someone, including any nice things people say about you. Review it often.

    Help others. It’s never too soon to lend a helping hand to a coworker. You might even learn something in the process. Show your willingness to help, and others will do the same for you. Be sure to extend yourself to students and other new grads who follow you. Treat others as you wish to be treated.

    Align yourself with positive, competent people. Experienced and friendly people are all around. Buddy up with those after whom you’d like to model yourself. A person doesn’t have to have the same title as you for you to learn something from him or her. Many RNs have told me they learned everything they know from an experienced LPN.

    Show some initiative. Don’t wait for someone to tell you to do a procedure. Seek out opportunities to get the experience you need. If certain procedures aren’t done with any frequency on your unit, talk to your preceptor, unit educator, or nurse manager about getting that experience elsewhere. If a certain procedure is going to be done on your unit, see if you can participate (or at least observe). Show your willingness to learn.

    Build good relationships. Don’t wait for others to come up to you. Introduce yourself to coworkers on all three shifts, to physicians, and to others. Have lunch with someone you don’t know, and get to know him or her better. Learn others’ names, and use them. Say good morning and good night to everyone. Become part of the team.

    Keep learning. Use your drug reference guide, the Internet, policy and procedure manuals, and other resources. Ask questions, observe experienced people, and ask more questions. Remember — you have to do something for the first time only once. Then it starts to be old hat. Do your homework at the end of each day, and look up things that are new to you. Remember — this is phase two of your education.

    Join professional associations. Become a member of your state nurses association and specialty association. These affiliations help you stay on the cutting edge, provide sources of support and help, offer educational programs, and give you a forum to share ideas, and so on. Don’t stay isolated within your department and your facility. Become part of the greater whole, and develop close ties with your colleagues on state and national levels.

    Track your progress. We all have a tendency to look at where we are now and where we still want to go. We lose sight of the progress we’ve already made and keep making. Consider starting a log. Record your accomplishments periodically, including any new procedures you do. Start with what you’ve already done, including getting through school ready to take the boards, and keep adding to it. Review it on a regular basis to see how far you’ve really come.

    Manage your stress. Stress is not something to be tolerated; it should be managed. Everyone has stress in his or her life. As caregivers, we’re particularly susceptible. Make time to socialize, engage in leisure activities and hobbies, exercise, meditate, and so on. That way, you’ll have more to give your patients, your family, and yourself.

    Stay focused, and keep moving forward. With the passage of time, you’ll become more confident and comfortable in your new profession. You can do it! How do I know that? Because I was once right where you are now. Who knows? Maybe someday you’ll be giving advice to new grads or writing a career advice column for nurses. I’ve come a long way since I got out of school almost 23 years ago, and you will, too. Hang in there. It’s definitely worth it. You can do it. I know you can!

  • May 3 '10

    Quote from Katie5
    Why get upset?If a not-so-informed people tells you this, you can answer one of two ways.Either you take time out to school them on what nursing really is all about or you just plain ignore them

    Why get your feathers ruffled over something inconsequential as this?I believe some times, we do take delight in stirring up ruckus where there should be none.
    The incident itself is inconsequential. The prevailing attitude it betrays is not. Unfortunately, a significant portion of the population consciously or unconsciously undervalues the traditionally female-dominated nursing field and considers the (traditionally, not necessarily currently) male-dominated field of medicine more important. Even today, traditionally female-dominated fields like classroom teaching, nursing, and early childhood education are held in relatively low esteem (in terms of the intellectual capability required to perform the job) by the general public and have somewhat low wage rates. Those issues are troubling and problematic for a great many talented and well-educated women.

    So yes, it's a mosquito bite of an incident, but a West Nile Virus of an issue.

  • Apr 28 '10

    She knew what she wanted.

    She'd watched her husband of 52 years die on a vent, and followed his wishes to remain a full code. But she knew that was not what she wanted for herself.

    So, she wrote a Living Will, had it notarized, gave it to her personal physician, told all her friends and family what she did not want. She wasn't eligible for a DNR, as she was a healthy 89-year-old, but she knew what she wanted.

    "I do not wish my heart to be restarted through usage of any chemical, mechanical or physical intervention..."
    Of her 6 children, one fought against her mother's decision, and it was this child, this one desenting voice, who found her mother collapsed on the kitchen floor.
    "I do not want any external device to be used to maintain my respiration if my body is incapable of sustaining it on its own."
    The daughter told EMS her mother was a full code, and they intubated her on the floor of her kitchen. Once at the ER, her heart stopped, CPR was performed, and her heart was shocked back into a beat. Under the hands of those trying to follow the daughter's wishes, the woman's ribs cracked and broke.
    "I wish to die a peaceful, natural death."
    She was then sent to ICU, where her heart tried to stop 3 more times. Each time, the broken ribs jabbed and ripped into the fragile muscle and skin as CPR was performed. Electricity coursed across her body and her frail heart was restarted a 4th time. By this time, the other children were there, but the act had been done, over and over. No DNR was written, and the Living Will fluttered impotently at the front of the chart.
    "I do not wish artificial means of nutrition to be used, such as nasogastric tubes or a PEG tube."
    Her swallowing ability was lost in the storm in her brain that had left her with no voice, no sight, no movement. A scan showed she still had brain activity; she was aware of what was being done to her. Including the PEG tube sank down into her stomach, and the trach in her throat.
    "I wish nature to take its course, with only medication to prevent pain and suffering."
    The daughter who wanted the mother to remain a full code also refused to allow narcotics to be given, stating she did not want her mother sedated, since she would "wake up" when the correct medical procedures were performed. Her nurses begged the doctor to write a DNR, and he said, "the family can't get it together, and I'm not getting into the middle of it."
    "Allow me the dignity we give to beloved pets. Let me die in peace."
    I met her one Tuesday night, and spent that night pouring Jevity into her tube, only to suction it back out. Her legs were cool and mottled, her bowel sounds were non-existent, and her blue eyes stared blindly at a ceiling she could no longer see. The MD refused to terminate feedings, but I held them since there was no digestion taking place. The woman was turned and repositioned every 2 hours, and each time, she moaned and gurgled as her lungs slowly filled with fluid. I whispered my apologies as I did the very things to her she tried so hard to prevent.

    Suctioning improved her lung function, but would make her body tremble. Over the next 2 nights, she slowly died, all while the daughter demanded more interventions, and maintained that her mother wanted to be a full code. We had read the Living Will. We knew better.
    "Thank you in advance for helping me in the last moments of my life to have a gentle, peaceful passing."
    She had another stroke, and went back to the ICU, where she was coded until there was not enough surviving heart tissue to maintain a beat. Finally her heart was broken.

    And so was mine.

  • Apr 14 '10

    Micro said it all in one sentence.

    "The caring side of it....comes from a small % from nursing school, and a large % from experience, and just in who I am...."

    Who was first, the chicken or the egg?

    Was Clara Barton first or caring first?

    Maybe being a male I see this as someone trying to solve a problem or make a problem that just isn't there, to me anyway.
    There is no reason to make a big ceremony about it. Write books and sell them and someone gets rich trying to analyze and theorize what an individual has to have to be a caring, compassionate nurse. I wonder how anyone can even think about being a nurse unless they had a predispostion to care to begin with. Those that don't get weeded out. Those that do care too much get burned out.

    If nursing wants to make inroads and become more recognized, nursing schools need to come out of the rose garden and teach skills, in depth patho, chemistry, nutrition, pharmacology, statistics, epidemiology, and much better anatomy and physiology.

    I am sorry if I offended anyone, but I cannot buy into all that grablebrook. You either have it or you don't.

  • Mar 16 '10

    Mind you, this was 1969: Pink dresses with white bib & cuffs. Girdles were mandatory, and underwear had to be all pink or all white. Can you believe it?