any nclex takers in NOVEMBER-share study tips

good luck to all november test takers!!! good luck scubadooii!

Im scheduled to take my exam on Nov 21 - for the second time. Im regularly doing questions from Saunders & following Suzanne's plan

Not sure if this has been posted, but I found it interesting for triage in the field...I had a bunch of questions on my first exam on triage in the field

http://www.cdc.gov/search.do?queryText=triage&searchButton.x=0&searchButton.y=0&action=search

click the first link on the page & it'll open a word file

Good Luck !

We are twins! I'm taking it about that time too. 2nd time, I failed the first time with 75 questions.

I am going to to Suzanne's plan and read Nclex made extremely easy.

Good luck to us, and everyone taking that dreadful exam. We will PASS! I just know it.

finally ive been waiting for this! im scheduled on nov 12.. however, its my first time so im stressing it out more than ever!

good luck to us!

thanks scubadoo for the link!

I am retaking mine on November 6th. I failed the first time with 265 questions and no strategy. This time around I have been using Kaplan and Saunders. I am more confident this time around, and trying to stay positive. Good luck to all of us who are retesting in Nov. I am ready for this to be over!!

i'm taking exam on nov 12 too its my 2nd time i failed w/265 questions 1st time. how r u studing for pharma?

Here are some very important facts. I got it from Random Facts thread. Very helpful for our review. Check the thread for other contents review. Good luck guys!!!

For contact precautions

diseases/conditions include: C. diff, E. coli, scabies

Room needs to be private unless room has another patient infected with the same organism

For droplet precautions

diseases/conditions include: meningitis, pneumonia, pertussis (whooping cough), rubella, mumps

Room needs to be private unless room has another patient infected with the same organism. Maintain spacial distance of 3 feet when near patient.

Also remember standard precautions apply to ALL PATIENTS regardless of diagnosis when in contact with any bodily fluid, blood, secretions/excretions, nonintact skin, and mucous membranes

1.

Varicella (chickenpox) requires use of airborne precautions and contact precautions as well.

2.If a patient is on contact precautions, have family members and other visitors wear a gown and gloves as outlined by your facility (hospital

1.When wearing gown and/or gloves, make sure to take them off and properly dispose of them, before leaving the patien'ts room.

#2. Pt's with herpes zooster (shingles) that is active should have the same precautions as a patient with chicken pox---airborne and contact

#3. Pt's on droplet precaution can have their room door left open.

#4. Instruct visitors for pt's with droplet precautions to try to keep a distance of three feet between them and the pt.

#5. Pt's with croup should be on contact precautions

Measles, chicken pox (varicella), disseminated varicella zoster, Tuberculosis

Barrrier Protection: single room maintained under negative pressure

door kept closed except when someone is entering

exiting the room

Negative airflow pressure used in room, (min of 6 - 12 air exchanges per hour depending on the facility

Ultraviolet germicide irradiation or high-efficiency

particulate air filter used in the room

Mask or personal respiratory protection device used

Mask placed on the client when client needs to

leave the room; client only leaves only if necessary!

RSV is contact precautions. So wear gloves and a gown. It is a respiratory infection that is transmited through contact with the secretions.

When you put your protective gear on start from top to bottom : mask-> gown-> and gloves. When you take them off start from bottom to top: gloves->gown->mask. (I tried to research this part just to make sure it is what I remember it to be, but found nothing so Im not 100% certain)

Wash hands between patients and whenever visibly soiled.

This is what I found on CDC web site (Guideline for Isolation

Precautions:Preventing Transmission of Infectious Agents in Healthcare Settings 2007 pdf doc) pp 129-130. There are even pictures showing the procedures

DONNING PPE (Personal Protective Equipment)

GOWN

Fully cover torso from neck to knees, arms to end of wrist, and wrap around the back

Fasten in back at neck and waist

MASK OR RESPIRATOR

Secure ties or elastic band at middle of head and neck

Fit flexible band to nose bridge

Fit snug to face and below chin

Fit-check respirator

GOGGLES/FACE SHIELD

Put on face and adjust to fit

GLOVES

Use non-sterile for isolation

Select according to hand size

Extend to cover wrist of isolation gown

SAFE WORK PRACTICES

Keep hands away from face

Work from clean to dirty

Limit surfaces touched

Change when torn or heavily contaminated

Perform hand hygiene

REMOVING PPE

Remove PPE at doorway before leaving patient room or in anteroom

GLOVES

Outside of gloves are contaminated!

Grasp outside of glove with opposite gloved hand; peel off

Hold removed glove in gloved hand

Slide fingers of ungloved hand under remaining glove at wrist

GOGGLES/FACE SHIELD

Outside of goggles or face shield are contaminated!

To remove, handle by "clean" head band or ear pieces

Place in designated receptacle for reprocessing or in waste container

GOWN

Gown front and sleeves are contaminated!

Unfasten neck, then waist ties

Remove gown using a peeling motion; pull gown from each shoulder toward the same hand

Gown will turn inside out

Hold removed gown away from body, roll into a bundle and discard into waste or linen receptacle

MASK OR RESPIRATOR

Front of mask/respirator is contaminated - DO NOT TOUCH!

Grasp ONLY bottom then top ties/elastics and remove

Discard in waste container

HAND HYGIENE

Perform hand hygiene immediately after removing all PPE!

Chicken pox(13-17 days)--prodromal, child have malaise, fever, anorexia.

Rash is pruritic, and starts out as a macule then papule then a vesicle.

Spread by direct contact, droplet and contaminated object.

ISOLATE till all vesicles are crusted; it can be spread from 2 days before the rash begins.

Avoid use of aspirin due to Reye's syndrome, use tylenol.

Airborn--door can be closed..measles (RUBEOLA), M. tuberculosis, disseminated zoster(shingles), varicella(chicken pox)--again can cohort and place in same room with the same infective organism.

Droplet--door may be open---Streptococcus pharyngitis, meningitis, pnemonia...private room or pt with same infection--involves contact with mucous membranes of nose or mouth...happens during talking, coughing, suctioning. MAINTAIN 3FEET between infected patients and visitors.

Tuberculosis, pt is on isolation for 2-4 weeks (until there are 3 negative sputum cultures.)

Syphilis--painless chancre that fades within 6 weeks...on palms and soles there is a copper colored rash...spread by contact with mucous membranes and also congenitally...tx with penicillin G IM

AIRBORNE

Anthrax

Chickenpox/ Shingles

Influenza

Measles

Rubeola

Smallpox

TB

PPE: N95/Mask; room is (-) pressure; pt must wear mask when transported

DROPLET

Bacterial Meningitis

Mumps

Pertussus

Pneumonia

Rubella

PPE: Mask; pt must wear mask when transported

CONTACT

Chickenpox

Croup

Cdif

Ecoli

RSV

Scabies

VRE

PPE: Gown, gloves

Transmission-based Precautions: ADC

A - Airborne

D - Droplet

C - Contact

AIRBORNE PRECAUTION (credit goes to the one who posted this on April thread, sorry can't remember your name)

My - Measles

Chicken - Chickenpox

Hez - Herpes Zoster (Disseminated)

TB - TB

Private room

Negative pressure with 6-12 air exchanges per hour

UV

Mask

N95 Mask for TB

DROPLET PRECAUTION

think of SPIDERMAN!

S - Sepsis

S - Scarlet fever

S - Streptococcal pharyngitis

P - Parvovirus B19

P - Pertussis

P - Pneumonia

I - Influenza

D - Diptheria (Pharyngeal)

E - Epiglottitis

R - Rubella

M - Mumps

M - Meningitis

M - Mycoplasma or meningeal pneumonia

An - Adenovirus

Private room

Mask

CONTACT PRECAUTION

MRS.WEE

M - Multidrug resistant organism

R - Respiratory infection - RSV

S - Skin infections

W - Wound infections

E - Enteric infections - clostridium defficile

E - Eye infections

Skin Infections:

V - Varicella zoster

C - Cutaneous diptheria

H - Herpes simplex

I - Impetigo

P - Pediculosis

S - Scabies, Staphylococcus

Private room

Gloves

Gown

Mumps is respiratory precautions.

Rubella is keep away from pregnant women.

Scarlet Fever is respiratory precautions till 24 hr after therapy is started.

German Measles ( Rubella ) requires standard precautions and droplet precautions

i'm taking exam on nov 12 too its my 2nd time i failed w/265 questions 1st time. how r u studing for pharma?

Sorry..I really can't give you a plan on how to study for pharm. I have been taking practice tests and if a med comes up that I don't know anything about, I look it up. I am trying to avoid too much more new information this close to the test, I do not want to get more overwhelmed than I already am. I am relying on the knowledge I have from pharm, and being realistic that I cannot know all meds.

Im not obsessing over meds either...hopefully it wont hurt me..But as Suzanne has said in the past, more than likely the meds we do see we'll have never seen before...

No one knows what kinds of meds will be given to them on the exam, so really you cannot study. I just focus on the ones that I know and if some come up that I have never heard of before, I will try and break them down by name and look at the answer choices for clues. I hope it doesn't hurt either one of us... Good luck scubadooII!!

Im scheduled to take my exam on Nov 21 - for the second time. Im regularly doing questions from Saunders & following Suzanne's plan

Not sure if this has been posted, but I found it interesting for triage in the field...I had a bunch of questions on my first exam on triage in the field

http://www.cdc.gov/search.do?queryText=triage&searchButton.x=0&searchButton.y=0&action=search

click the first link on the page & it'll open a word file

Good Luck !

I am taking my test on Nov 21 as well, but for the third time. I did the first part of Suzannes plan, but my test date was too soon to qualify for the second part. But I got some really good advise and am using Saunders cd answering no more than 100 questions a day. When I find a drug I don't know, I look it up. I am also learning suffixes of the drugs so that hopefully I can remember some of those and at least break it down a little to try to answer the drug questions. I am also studying labs really hard. I focused on infection control, prioritizing, and sata questions as well (that's what was on both of my other tests). The last week before the test I'm going over strategies. All I can do after that is pray and trust God that this is my time and I will finally walk out of that test center an RN. Third times the charm, right?!?!?! Don't know if this helps anyone, but good luck to all of us and my prayers go out to us all !!!