Doobyk

Hello all, I am a charge nurse in a SNF; primarily work in our facilities TCU which as many of you know is a whole other ball of wax from usually LT nursing but I am coming to you all for perspective regarding the heavy use of medication aides, or as we call them TMAs in place of nurses. To give you perspective my facility has 4 units of 20 residents; 3 of the units are LT care and 1 unit is a TCU. The TCU always has a RN as the patients are much more acute and require skilled nursing care. The other 3 units should have nurses on but over the last several years really shift after shift is being filled by these TMAs. The nurse on the neighboring unit should take over and do things like assessments, insulins etc but essentially these unlicensed aides are in charge of the care of 20 people. Over the last few months so many things have been missed on these wings like orders, treatments etc and these units sometimes go 16 hours without a licensed staff assessing the residents. I understand these residents are generally stable but still its alarming to me. I guess my question is how does your facility use TMAs? How do you assure nursing-specific tasks are being complete? Is this happening elsewhere due to a this nursing shortage?

My computer shut off at 77 questions. I thought very similar to you actually! Listen to extra pickles who kindly talked me down yesterday! I found out this.morning I passed!

I did am only about 75 questions the day before. I figured if I didn't know it then I won't know it. Ifor you want to review stuff I'd do the really basic foundation stuff like electrolytes and acid-base. Make sure you have that down pat and it'll make higher level questions more manageable. Good luck!

Passed!

I went to the 3 day live review, watched all the specialty videos then watched a few of the core content videos. To be honest, the website was pretty glitchy for me so I didn't waste too much time refreshing it and trying to get it to work. I spaced my Q Reviews out over the last week and a half before NCLEX. Did the last one yesterday. They recommend a 77/125- I had 3 above and 3 below. Honestly, I feel with Hurst it was a toss up how I did. In school we used ATI and my comp predictor said I had a 99% prob. of passing. I feel ATI was much easier questions than Hurst who I thought of all the quiz banks had the hardest. As for me passing, I hope so! I did the Pearson Vue trick and it gave me the good pop up. I hope this indicates I did indeed pass! Best of Luck!

I'm hoping for well! Either way I'll post my result here as soon as I know! I hate reading these threads and not knowing how things turned out.

Hmm well as someone who just took boards but don't have results I can tell you my questions on boards were 'easier' but not by much. I took Hurst and my scores ranged from 71/125 to 86/125. I felt like they helped but I definitely used other quiz banks. I dint know of what I've said helps but I wish you well!

Thank you! I needed that reality check :) I've just been thinking about this and it's really helped me. Also, I've been thinking how the algorithm decided at 77 questions it could determine if I passed or fsiled. I felt fairly confident on quite a few questions so I should take that as a good sign, right? Thank you again!

I took NCLEX this morning and it shut down at 77 questions. I did the Pearson Vue trick about 3 hours after I was done and it popped up as "good" but as everyone does Im having serious doubts! I know there were a number that I definitely knew, and no questions left me completely blank. Good/bad signs? This is more my anxiety speaking any anything else Has anyone heard of people failing with 77 questions?