Im sorry to hear about your experience and I hope you find another job soon. All home health agencies are very similar to each other, and there is usually quite a few of them around, depending on where you live....
From my own experience -- my collegue, a good nurse was fired in front of me. I couldn't believe it, as I thought this person was very competent. I asked pretty much everyone, including the medical director and the main supervisor, and spoke at length with this fired nurse, trying to figure out what happened.
1. Somehow this nurse was perceived as someone making a lot of mistakes - "too many mistakes", definitely more than one or two, including the ones which were very costly money-wise and liability-wise to the company. This was technically true -- however since she was still in training I thought it was unfair to judge her as incompetent. The supervisors had been talking about this person and her mistakes for a few weeks prior to firing he, after one particulat mistake that they felt was "the last straw". So if your situation is similar, I would say, there is probably more to the story, including possibly many more complaints against you that you don't know about.
2. This nurse was reporting to / closely working with a particular ***** who just happened to dislike her for a personal reason I can't mention here. In addition this particular ***** was a favorite of one of the higher-ups in the company so if she said she wants this person out, they sort of listened.
The combination of these two dynamics eventually got this nurse fired. She got a better job pretty soon after that, by the way...
I would look at it this way -- if they treated you unfairly, then this place is not your dream job anyway.
*You shouldn't discuss this subject with your instructor. This won't change anything. All of the exams you will take in nursing school will consist of questions like this.
*You should expect you exams to contain such questions, so the only productive thing you can do is to learn how to answer them.
*So how do you answer them?
I know the correct answers not because they make sense in the context of the question, but because I know what they're asking (and no, test-taking strategy, identifying the stem etc is not what i mean). These questions are written in such a way that they work retrograte from the correct answer. "Referred pain" is the correct answer, and from there the test writer needs to create a question and other choices, and he/she does depending on his/her level of creativity and intellect. Precision or clarity of expression is not important to them. You need to know what they want from you.
You willl often see indiscrepancies about "teaching", but this is simply a way of writing a question. You need to know that the quality of sleep decreases with age, and they want to test your knowledge, so how can they frame it into a situational type of question? There could be options like what you got or like this:
"A 75 y.o. patient discusses sleep with the nurse. Which statement, made by the patient, indicates understading of the effect of aging on sleep?"
Or:
"A new nurse is giving a presentation to a group of seniors. Which statement, made by the nurse, indicate correct understanding of an aging process?"
The correct answer is the same.
*Go through as many NCLEX style questions (from ATI, NCLEX reviewers, your study guides etc) as you can, the correct answers and rationales and memorize them. A lot of times, the rationales won't make sense, but you can't argue with them, just memorize. You will soon start to notice that they are concerned with a specific body of skills and knowledge that a nurse must possess. This body of knowledge is different from and more narrow than the content of your textbooks and lectures. If you are able to intuitively isolate it, you will be able to ace the exams, if not -- you just have to go through as many NCLEX style questions as you can and will start seeing the same content, so you will know how to answer them.
*There is no other way around it, and it's pointless to argue, or get angry. I was in your shoes last year, trust me. They won't be changing or adjusting the questions, even if your logic is brilliant; you have to adjust to them to finish nursing school.
it's hard, because you can't figure out the right answer based on critical thinking. Your thinking over the questions is not going to lead you to the right answer, because your nursing school and texbooks haven't taught you what information to focus on when you study nursing. NCLEX is designed in such a way that you have to KNOW, not logically deduce, not guess what the right answer is. A lot of times the rationales don't make sense, so using your "rationality" also is not going to help you select the right answer. Another reason is -- if we assume that NCLEX uses similar guidelines as nursing schools for pass or fail, which is 77% on average -- this is a very high threshold. Think about it -- answering 75% of NCLEX correctly is actually a big number -- it shows that you know a lot, yet it's not eough to pass the exam, and you fail.
The only way to study for NCLEX is to see as many NCLEX style questions, their correct answers and rationales as you can. You will soon notice that you get a lot of similar questions. They might be worded differently, but the correct answer is always the same.
Don't bother with content review, don't bother with test taking strategies. Get as many NCLEX books from the library for free as you can, and only go through the questions and answers, and memorize them, memorize rationales for the correct answer.
Have you done that? How did you study for the exams?
There are some valid points here in the above posts. That the number of active licenses is not equal to the actual number of RNs working -that's helpful to know.
I have another question.
Is nursing experience the only factor necessary to get a job?
What about things like professional demeanor and behavior, physical shape, eloquence, attitude, making a good impression? Is a nurse who posseses the highest qualities more likely to get a job, or to the contrary ? If she/he is perceived as someone who is likely to succeed, can professional jelousy on the part of the hiring person play a role?
If this is a problem on a national scale, the government must hear about it. What is this crap -- accepting your life circumstances? Well, who led you into this mess? The government who told us that there's a shortage, when there's none. Somebody needs to be responsible for this.
i'm a nursing student. i've been alerted by a few articles, blogs, and forums from which it appears that new grads rns have trouble finding jobs. since i only want to trust reliable sources
i've been doing research all night, and here is information (shocking, unless i'm counting wrong) i've found.
this is from ncsbn satistics, which can be found on their website: https://www.ncsbn.org/1236.htm
statistics by year:
2000
there were 3,103,981 active rn licences in the us
there were 151,982 total new rns(this includes rns getting a license by endorsement,
so let's say about half are new grads)
2005
3,338,888 active licenses in the us
87,864 by nclex (new grads)
77,011 by endorsement
and in 2008 (the most recent year posted):
there were 3,733,299 active licenses
94,321by nclex (new grads)
81,834 by endorsement
now, the bureau of labor statistics at http://www.bls.gov/oco/ocos083.htm newest 2010-11 edition states that
"registered nurses (rns) constitute the largest healthcare occupation, with 2.6 million jobs".
with active license being active for 2 years in most states, we can safely assume that an active license means a person who intends to get a job as a nurse. let's do some math here.
there were 3,733,299 active rn licenses in the us in 2008, and 2,618,700 jobs.
so, there were 1,114,599 nurses without jobs.
this number will be higher in 2018, since about 90,000 persons pass nclex each year.
so in 8 years years there will be 4.5 million licensed rns, and how many jobs, according to bls projections? --
3,200,200
now, i'm a nursing student, i've pretty much put my life on the line to get this degree,
so obviously i don't want to scare myself, or anybody else.
am i reading these numbers incorrectly? are they suggesting that over 1 million people got or renewed their licenses and then
within two years married some rich guys and decided not to work, or that over 1 million people were not looking for work?
or have we been duped? into thinking that there's shortage and high demand, and we are guaranteed to find jobs?
who's going to be responsible for this if this is true and there is a shortage of nursing jobs, not nurses? and if this is true,
what are we going to do about it? demonstrations, protests? or quietly complaining on online forums?
please, share your opinions. i'm extremely concerned about this. i hope that i just don't know how these things are calculated
and my suspicions are all wrong. thank you
Previous poster gave you one way of solving this problem. It's probbaly easier that way. You don't need to use dimentional analysis for this, but you could if you want to. Here's how.
We need to find the amount of water you give to your patient after his 240 ml of ensure.
"y" is what we need to find, it's the unknown.
Pt needs 40 ml of water for 100 ml of urine. Pt needs y ml of water for 300 ml urine. You mirror these two parts in the formula:
40/100 = y/300
(40ml of water is the same to 100 ml of urine as y ml of water to 300 ml of urine. it's actullay easier to see if you write it down with numbers on top and bottom instead of slashes, but I don't have that function on my keyboard)
You place the same values in the same positions and mirror them. For instance, you would write 40/300 =x/100 if the quesiton would have been "give patient 40 ml of water for every 300 ml of urine , how much water you need to give for every 100 ml of urine?)
So
40/100=y/300
(it's simply a=y/b
y=a X b)
y = 4/100 X 300
y=4/100 X 300/1
y= 12000/100
y=120
You need to give 120 ml of water to your patient with his 240 ml of ensure.
If you need to calculate total volume you give him, you just add 120 to 240 =360 ml
Hi there,
Im sorry to hear about your experience and I hope you find another job soon. All home health agencies are very similar to each other, and there is usually quite a few of them around, depending on where you live....
From my own experience -- my collegue, a good nurse was fired in front of me. I couldn't believe it, as I thought this person was very competent. I asked pretty much everyone, including the medical director and the main supervisor, and spoke at length with this fired nurse, trying to figure out what happened.
1. Somehow this nurse was perceived as someone making a lot of mistakes - "too many mistakes", definitely more than one or two, including the ones which were very costly money-wise and liability-wise to the company. This was technically true -- however since she was still in training I thought it was unfair to judge her as incompetent. The supervisors had been talking about this person and her mistakes for a few weeks prior to firing he, after one particulat mistake that they felt was "the last straw". So if your situation is similar, I would say, there is probably more to the story, including possibly many more complaints against you that you don't know about.
2. This nurse was reporting to / closely working with a particular ***** who just happened to dislike her for a personal reason I can't mention here. In addition this particular ***** was a favorite of one of the higher-ups in the company so if she said she wants this person out, they sort of listened.
The combination of these two dynamics eventually got this nurse fired. She got a better job pretty soon after that, by the way...
I would look at it this way -- if they treated you unfairly, then this place is not your dream job anyway.
A question to the OP -- how do you guys apply? Do you e-mail your resume? Do you walk in? The problem might be in the way you apply...
Wow...Why is this bothering you so much that you can't sleep?
There is only one answer to your question -- regardless of what your school's "code" says -- it would be ethically WRONG to report your classmate.
I can only answer your first question -- no, there is no program in the US that allows you to go straight to CRNA master's without nursing experience.
pH of 7.31, paCO2 of 39, PO2 of 92 and HCO3 of 18
pH is low -- acidocis
PCO2 is normal (35-45 mm normal)
PO2 is normal (80-100 mm normal)
HCO3 is low (22-26 mEq normal)
This is metabolic acidocis
Absence of wisdom teeth
Imbalanced nutrition: less than body requirements r/t patient's low food intake AEB patient's BMI x%, weight 80 lbs .
Body image is a psycho thing, and physiological (nutrition) should come first.
Your second diagnosis could be "Disturbed body image r/t psychological disorder AEB pt. stating "I'm too fat" while his BMI is x%
To answer your questions:
*You shouldn't discuss this subject with your instructor. This won't change anything. All of the exams you will take in nursing school will consist of questions like this.
*You should expect you exams to contain such questions, so the only productive thing you can do is to learn how to answer them.
*So how do you answer them?
I know the correct answers not because they make sense in the context of the question, but because I know what they're asking (and no, test-taking strategy, identifying the stem etc is not what i mean). These questions are written in such a way that they work retrograte from the correct answer. "Referred pain" is the correct answer, and from there the test writer needs to create a question and other choices, and he/she does depending on his/her level of creativity and intellect. Precision or clarity of expression is not important to them. You need to know what they want from you.
You willl often see indiscrepancies about "teaching", but this is simply a way of writing a question. You need to know that the quality of sleep decreases with age, and they want to test your knowledge, so how can they frame it into a situational type of question? There could be options like what you got or like this:
"A 75 y.o. patient discusses sleep with the nurse. Which statement, made by the patient, indicates understading of the effect of aging on sleep?"
Or:
"A new nurse is giving a presentation to a group of seniors. Which statement, made by the nurse, indicate correct understanding of an aging process?"
The correct answer is the same.
*Go through as many NCLEX style questions (from ATI, NCLEX reviewers, your study guides etc) as you can, the correct answers and rationales and memorize them. A lot of times, the rationales won't make sense, but you can't argue with them, just memorize. You will soon start to notice that they are concerned with a specific body of skills and knowledge that a nurse must possess. This body of knowledge is different from and more narrow than the content of your textbooks and lectures. If you are able to intuitively isolate it, you will be able to ace the exams, if not -- you just have to go through as many NCLEX style questions as you can and will start seeing the same content, so you will know how to answer them.
*There is no other way around it, and it's pointless to argue, or get angry. I was in your shoes last year, trust me. They won't be changing or adjusting the questions, even if your logic is brilliant; you have to adjust to them to finish nursing school.
it's hard, because you can't figure out the right answer based on critical thinking. Your thinking over the questions is not going to lead you to the right answer, because your nursing school and texbooks haven't taught you what information to focus on when you study nursing. NCLEX is designed in such a way that you have to KNOW, not logically deduce, not guess what the right answer is. A lot of times the rationales don't make sense, so using your "rationality" also is not going to help you select the right answer. Another reason is -- if we assume that NCLEX uses similar guidelines as nursing schools for pass or fail, which is 77% on average -- this is a very high threshold. Think about it -- answering 75% of NCLEX correctly is actually a big number -- it shows that you know a lot, yet it's not eough to pass the exam, and you fail.
The only way to study for NCLEX is to see as many NCLEX style questions, their correct answers and rationales as you can. You will soon notice that you get a lot of similar questions. They might be worded differently, but the correct answer is always the same.
Don't bother with content review, don't bother with test taking strategies. Get as many NCLEX books from the library for free as you can, and only go through the questions and answers, and memorize them, memorize rationales for the correct answer.
Have you done that? How did you study for the exams?
There are some valid points here in the above posts. That the number of active licenses is not equal to the actual number of RNs working -that's helpful to know.
I have another question.
Is nursing experience the only factor necessary to get a job?
What about things like professional demeanor and behavior, physical shape, eloquence, attitude, making a good impression? Is a nurse who posseses the highest qualities more likely to get a job, or to the contrary ? If she/he is perceived as someone who is likely to succeed, can professional jelousy on the part of the hiring person play a role?
If this is a problem on a national scale, the government must hear about it. What is this crap -- accepting your life circumstances? Well, who led you into this mess? The government who told us that there's a shortage, when there's none. Somebody needs to be responsible for this.
hello all,
i'm a nursing student. i've been alerted by a few articles, blogs, and forums from which it appears that new grads rns have trouble finding jobs. since i only want to trust reliable sources
i've been doing research all night, and here is information (shocking, unless i'm counting wrong) i've found.
this is from ncsbn satistics, which can be found on their website: https://www.ncsbn.org/1236.htm
statistics by year:
2000
there were 3,103,981 active rn licences in the us
there were 151,982 total new rns(this includes rns getting a license by endorsement,
so let's say about half are new grads)
2005
3,338,888 active licenses in the us
87,864 by nclex (new grads)
77,011 by endorsement
and in 2008 (the most recent year posted):
there were 3,733,299 active licenses
94,321by nclex (new grads)
81,834 by endorsement
now, the bureau of labor statistics at http://www.bls.gov/oco/ocos083.htm newest 2010-11 edition states that
"registered nurses (rns) constitute the largest healthcare occupation, with 2.6 million jobs".
with active license being active for 2 years in most states, we can safely assume that an active license means a person who intends to get a job as a nurse. let's do some math here.
there were 3,733,299 active rn licenses in the us in 2008, and 2,618,700 jobs.
so, there were 1,114,599 nurses without jobs.
this number will be higher in 2018, since about 90,000 persons pass nclex each year.
so in 8 years years there will be 4.5 million licensed rns, and how many jobs, according to bls projections? --
3,200,200
now, i'm a nursing student, i've pretty much put my life on the line to get this degree,
so obviously i don't want to scare myself, or anybody else.
am i reading these numbers incorrectly? are they suggesting that over 1 million people got or renewed their licenses and then
within two years married some rich guys and decided not to work, or that over 1 million people were not looking for work?
or have we been duped? into thinking that there's shortage and high demand, and we are guaranteed to find jobs?
who's going to be responsible for this if this is true and there is a shortage of nursing jobs, not nurses? and if this is true,
what are we going to do about it? demonstrations, protests? or quietly complaining on online forums?
please, share your opinions. i'm extremely concerned about this. i hope that i just don't know how these things are calculated
and my suspicions are all wrong. thank you
How do you close a thread?
Previous poster gave you one way of solving this problem. It's probbaly easier that way. You don't need to use dimentional analysis for this, but you could if you want to. Here's how.
We need to find the amount of water you give to your patient after his 240 ml of ensure.
"y" is what we need to find, it's the unknown.
Pt needs 40 ml of water for 100 ml of urine. Pt needs y ml of water for 300 ml urine. You mirror these two parts in the formula:
40/100 = y/300
(40ml of water is the same to 100 ml of urine as y ml of water to 300 ml of urine. it's actullay easier to see if you write it down with numbers on top and bottom instead of slashes, but I don't have that function on my keyboard)
You place the same values in the same positions and mirror them. For instance, you would write 40/300 =x/100 if the quesiton would have been "give patient 40 ml of water for every 300 ml of urine , how much water you need to give for every 100 ml of urine?)
So
40/100=y/300
(it's simply a=y/b
y=a X b)
y = 4/100 X 300
y=4/100 X 300/1
y= 12000/100
y=120
You need to give 120 ml of water to your patient with his 240 ml of ensure.
If you need to calculate total volume you give him, you just add 120 to 240 =360 ml
OK, here's an example. It's not verbatim, but pretty close -- how do you promote deep breathing in a post op patient?