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Nurse BB

Nurse BB BSN

Cardiac Telemetry, Neuro, Personal Trainer

I'm a cardiac telemetry/neuro nurse with a passion for encouraging health and wellness in others!

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Nurse BB is a BSN and specializes in Cardiac Telemetry, Neuro, Personal Trainer.

After a heart surgery at the tender age of 7, I knew I wanted to be a nurse when I grew up. I graduated in 2017 with my BSN and have been working at my dream hospital ever since on the cardiac telemetry/neuro unit. I have a passion for health and wellness, and obtained my Certified Personal Trainer Certification after becoming a nurse so I could take on clients at the small family run gym my husband owns. When I'm not being a nurse, I'm a wife, a nature-lover, a photographer, and a piano player. I love writing with all my heart and hope to be published one day!

Nurse BB's Latest Activity

  1. Nurse BB

    Weight Loss for Nurses

    Hi there, @EmxoRenee! I myself have experienced this dilemma just like you! When I hit the ten pound difference I not only could feel it but I could see it too, so I knew something had to change. I work 8's instead of 12's which has made adjusting easier in some regards. But here are some tips that helped me. Maybe you'll find some nuggets in these ideas that will work for you that you can find a way to inject into your schedule. I have yet to find a fitness/nutrition regimen out there specifically for nurses! I'm a personal trainer and married to a gym owner - so I've watched our clients over the years struggle and either find success or not find success with weight loss. The ones who have found success have one thing in common: they've found something that they can make a lifestyle. It's not a diet adjustment that you do for 30 days, eliminating x y and z. It's not restrictive so they tell themselves for six months they won't eat any dessert. It's not workout regimen they do every day for a month. It's something that they can build in their daily lives forever and ever and ever. In my own personal journey, this has been true for me too. Nutrition: -Focus on what nourishes you. Does reaching for the cake and pie and cupcakes and cookies in the break room nourish you? I finally restricted myself in one regard and made a rule that I wouldn't eat food at work. I would never buy the food I eat there for myself or my family, so why am I eating it at work? Convenience. Once I realized this, I knew I needed to make more nourishing foods convenient for me. That requires some planning. I pack snacks now that are quick and easy to reach for when I am hiding in the break room in a busy shift just trying to combat the blood sugar drop that's occurring after not eating for the last seven hours. I buy natural power bars, have a tupperware in the fridge with plant-based yogurt with berries and flax, I keep a banana on hand, a piece of whole wheat bread with a nut butter on it in a ziplock, etc. If it doesn't nourish me, I don't eat it. I just hold the line with that one. It's tough, but it's the "easiest" way to manage the weight gain that can occur with being a nurse. -I started eating more plant-based. I'm on my journey with this, so I'm not fully plant-based at this time (nor do I know that I will ever be because then I start wandering into that restriction land that I was just talking about), but making meals emphasize whole, plant-based foods more often than not has truly helped me become the healthiest version of myself. You have to find something that works for you. -Eat meals that leave you feeling full longer. One of my favorite go-to's for work is curried lentils. Those little guys leave me feeling satisfied for hours on end! Quinoa with veggies is another meal that leaves me feeling great for hours. It's the great protein/fiber combination. -Meal Plan and Prep. It doesn't need to be intense instagram-worthy meal-prepping. It could be the equivalent of a giant pot of homemade soup that you made for your family one night that you dish out into your single dinner serving Tupperware that you throw into your lunch bag before each shift. It does require you to sit down on your day off (I do this one to two days before I return back to work for a run of shifts) and pick out 2 recipes you'd like to make to eat on for the next few days. I try to do one for lunch and one for dinner. If I'm lazy, I do one for dinner and make sandwiches or salads for lunch. But regardless, I find the recipe, add ingredients I don't have for that recipe to my weekly grocery shopping list, and purchase them. Usually I'm tired from the shopping trip on my first day off, so on the next day is usually when I make the food. That works for my schedule, you'll have to find what works for yours. But the fact of the matter is, if nobody makes you the good food you need to eat, it's not going to exist, so you're not going to eat it. You'll reach for frozen dinners, drive-thru meals, or break room snacks instead. If you want to be your best, most nourished self, give yourself the gift and plan ahead. Like I said, you don't need to impress anyone, Just find a few staple recipes and get good at them and rotate them around. For me, I have a curried lentil recipe I love that's fast and easy to make, I have a quinoa and veggie dish I love, and I have an eggplant/rice noodle/tofu dish I serve alongside green beans. When I get sick of those, I'll find new ones! For breakfasts, I have "slow day" breakfast options when I have time to cook myself something good and "busy day" breakfast options. For a slow day, I might make myself some scrambled eggs and hashbrowns. I might make a fruit smoothie with plant-based protein powder and power greens in it. I might make steel-cut oatmeal with flax. But when I'm in a hurry, I need healthy, convenient options just like I do in the break room on a busy, stressful night. I have instant oatmeal available, bananas, and power bars with basic ingredients in it like dates, egg whites, or nuts. Maybe I'll wash that down with a quick swig of almond milk. -Muti-vitamin -Pick out a treat: Each week, I allow myself to pick one, reasonably healthy treat for dessert that I have to make last all week. Sometimes that's a bar of dark chocolate that I eat with raspberries, and sometimes it's more indulgent and it's a personal-sized bin of plant-based milk ice cream. -Hydration. Holy cow is this one overlooked and SO important. We often mix up hunger signals and hydration signals. I probably should have put this one at the top of the list just because it's SO IMPORTANT. Think about a 12 hour shift at work and how much you typically drink. For me, more often than not, I've got a raging headache and am EXHAUSTED when my shift is over and it's got nothing to do with poor diet, or the fact that I just spent endless hours answering call bells and putting out fires without sitting down once. It has so much to do with the fact that the last time I drank water was a cup with my breakfast before work and nothing since! We need regular hydration to keep our energy levels up, our mood lifted, and our headaches away! I have to make drinking water convenient and give myself a "whiz goal" each shift. If I haven't stopped by the bathroom twice in my eight hour shift, I'm not reaching my "whiz goal." My unit has two nurse's stations - a front and a back. I have started drinking an entire bottle of water on my drive to and from work, keep water in both nurse's stations to sip on while I chart, and each lunch break, I make myself chug a WHOLE LITER. WHAAAAAT you ask! A liter??? I don't have time to pee at work! But that fact is, you do. It takes me 1.5 minutes to take a whiz at work. Don't be an angry dehydrated exhausted nurse. You might be surprised by how much better your first day off of work feels if you spent the last run of shifts staying hydrated. Maybe, just maybe, you'll have the energy to leave the couch! Physical Activity: -Planned rest: I plan rest into my first day off after a run of shifts. I plan the couch time we just talked about above. I plan a half a day of it, to be precise. That would have been laughable to me in the past. I needed at least two days to recover after my five day stretch for example. And there are times when maybe a week at work was particularly emotionally draining and a half a day doesn't feel like enough. But sitting on the couch for an entire day is just as damaging to my body as not resting at all. So I finally made a compromise - I allow a PJ morning that first day off. I wake up without an alarm, I have my tea and my "slow breakfast," I catch up on my shows and watch an episode or two of The Crown. But then, I make myself hop into the shower, get myself dressed, and face the facts: I have grocery shopping to do, scrubs to wash, and a cat litter box that needs changing. I schedule a group fitness class into that evening. With my money on the line and my name signed up, I know I'll feel obliged to go. And I do! I adjust this if I know the week was rough. I give myself a "stay at home day." I don't do the fitness class or the shopping. I stay home, and after my couch time, I putter about the house doing things that need to get done in the quiet of my home. It's like "active recovery." It's important for our bodies to have movement throughout our days - not to sit in one place for prolonged amounts of time and then rushing off to the gym for an hour a day. We should try to always be somewhat "active" and have those sedentary moments be more like our "dessert." -Find the exercise that "lights you up." For me, it's group fitness classes. It's kickboxing classes. It's walking -sometimes with friends, sometimes alone. It's hiking. On my introverted days, it's going to our empty gym when it's closed and doing a guided workout with an app I use called Aaptive. I have friends that love swimming or pole dancing. I have friends who ride horses or do at home workouts on the regular. Find what you love (or what you dislike the least) and choose that. Commit to it. Just like you have to plan for that trip to the grocery store or that meal preparation time, plan those workouts into your routine. I have a "Minimum" rule. It's three days. I have to plan three moderate to intense workouts into my week each week no matter what, rain or shine (unless I'm sick). If I do more than that, then WOOHOO PARTAYYYY. But I also have a "max" rule: No more than 5-6 workouts per week. Again, plan the rest and recovery into the schedule. If you don't you're going to wipe yourself out and be less than your best for your patients. Two of my group classes are at my husband's gym each week. But once a week, I gym cheat and I go to Orange Theory with a group of coworkers at noon before our evening shift. This ends up being a time where we can bond outside of work, better ourselves together, and laugh when we're hobbling at work, taking the elevator instead of the stairs. It helps build accountability into our routines. -Hold the "something is better than nothing attitude": If you can't go your 45 minute workout you had planned because you're wiped out or you are just too busy because something came up, do SOMETHING rather than nothing and praise yourself for that. This happened me this last week. So I told myself, I'm going to walk around the block for ten minutes. Then I'm going to go home, and I'm going to do ten squats, ten pushups, and stretch for two minutes. That's not a lot. It took me about 15 minutes in total. But if I had said, "It's not worth 15 minutes, that's not going to make me any stronger," I would have done that much less exercise. I'm that much stronger because I did it and found a way to work it in. Do something even if you can't go all out. - Sneak the activity in: Just like sometimes we have to sneak our greens in when the idea of a salad just makes you want to vomit, sometimes, we have to sneak our activity in: Park your car toward the back of the lot at the grocery store. Take the elevator instead of the stairs at work. Walk a lap on your lunch break instead of sitting on your phone watching netflix the whole time. Stretch in the shower before bed and work out all those kinks from your shift. -Love on your body: love that it carries you through these shifts. Even if you're bigger now than you usually are, love yourself just how you are right now. Find the things you like about your body in this moment. Praise yourself for the physical accomplishments you're able to do right now, even if it's one lap around the block or just three pushups full-plank. Love the way your legs look or your curves are or how you can feel that firm bicep muscle start to appear after a few weeks of working with some weights. Praise yourself for the little wins along the journey and don't compare yourself to others. -SLEEP. Just like hydration, this one should have been at the top of the physical activity section. This is the most important physical inactivity you can accomplish LOL. Protect your sleep and prioritize your sleep. You know how at work, when there are five things you have to do at once, you are forced to choose an order in which they get done, and sometimes you have to pass something off to the next shift? You have to do that with everything else and sleep has to be the equivalent of choosing "airway" in your nursing ABC's of prioritizing. If it comes to picking sleep over exercising, pick sleep. Some people might not like that. But everything in your body - all your organ systems, the efficiency of your brain, your mood, your ability to make great decisions and be safe, all of that depends on sleep. If you are making that your number one concern, lots of these other pieces will fall into place. Good luck on your journey!
  2. Nurse BB

    Night shift and healthy eating

    Hey there @Felicia Saclolo! The same thing happened to me when I worked the night shift. I asked several loved ones who worked the night shift and they also expressed similar sentiments. Consistency. That's what I determined worked for me, and no night-shifter, especially one with a family, wants to hear that because it means a lifestyle overhaul or else it's unattainable. For me, I had to be consistent with my sleep schedule, even on my nights off, going to bed and waking up at the same time every day no matter what...Then my appetite returned. It meant that I had scheduled "breakfast, lunch, and dinner" like other people which ultimately, tended to be smaller and "snackier." I found I still had aversions to things I previously loved (like salads), but I was drawn toward sweeter, simpler things, especially fruits. Don't eat the junk in the break room. It always made me feel worse because it was frequently loaded with carbs and sugars and sitting out for hours on end (cupcakes leftover from day shift, donuts students had brought in, etc.) Here are some ideas that worked for me: -Oatmeal with fruit and nuts -Plant-based yogurt with berries and flax and chia seeds -Fruit smoothies with a plant-based protein mixed and greens such as as spinach and kale blended in (hide the salad! Yeah!) -Bowls of veggies and rice, lightly seasoned -Mashed potatoes with pinto beans -Lentil soup with a small slice of toasted wheat bread and vegan "butter" -Hard boiled eggs (instant pot makes ones that peel super easy) -Bananas with peanut butter -Avocado toast -Apple slices with cinnamon sprinkled on top -Hot tea -Grilled cheese and tomato soup I hope you find something that works for you! It can be tricky - be patient with your body as you go through the adjustment. I noticed that every time I changed shifts from days to nights then to eves, I've always gone through about a three month adjustment where I feel kind of "off" for that time. It does get better! Stick with it!
  3. Nurse BB

    Night Shifters - Hobbies?

    Hey, @yesrun! You are asking the question that plagued me for the entire first year of my career when I was first hired at my hospital on the night shift. To protect my circadian rhythm, I rarely "flipped" my sleep cycle (there are lots of studies out there demonstrating a correlation between night shift workers and chronic disease development), so I found myself in the same predicament as you with many hours on my hands with nothing to do. After lamenting and wallowing in self-pity for the first couple of months, I finally decided to take action. My first task was to become a good cook. I began learning recipes that I would practice making. My second task was to "Mari Kondo" my living space. This meant yanking EVERYTHING out of every shelf and closet and sorting through what brought me joy and what had served its use and would be better given away or tossed. My third task was to learn to paint, something I'd always wanted to do. I purchased art supplies and set up an art corner. I'd put on music and YouTube "paint-along" tutorials and work on painting. My fourth task was to catch up on shows I'd missed. I binged many a night. I broke up all these sedentary activities with late night walks or jogs, at home workouts (I purchased an app called Aptiv that has guided workouts with excellent personal trainers), or trips to the gym. I found a 24 hour diner near my house and sometimes I would go there for a treat in the middle of the night. I located friends who stayed up until 12-2 am and I had movie nights for dinner dates with some of them. I checked out late showings at the local movie theater. Ultimately, I decided night shift was too lonely and isolated for me if I wasn't going to flip my sleep cycle, so I opted to take an evening shift position when it became available. Toward the end of that year, I began planning my schedule (I was per diem), so I worked many nights in a row and then had a bulk of days off so it made "flipping" worth it...during which time I'd soak up all the sunshine I could get out hiking or kayaking or walking around with friends. I also purchased a "sun lamp" to mimic the rising sun at the beginning of my "day" to keep my circadian rhythm as normal as possible, trying to fake out my body. It worked - I never gained weight, I stayed fit, and I stayed fairly content. To connect with my significant other, we planned nights where I'd wake up earlier and he'd stay up later so we could have some dates together. I hope you find something that works for you! For me, I knew it wasn't forever, that it was just a chapter, so I focused on doing things I wouldn't have time to do if I worked a day schedule filled with the normal distractions that accompany that. Good luck, and you're not alone! You can do this!
  4. Nurse BB

    New Grad RN Med-Surg: Is this right for me?

    Hi there @nursejo, I'm going to tell you what I tell the new graduate I'm currently precepting: BREATHE. Pause for a moment. Let's just focus for a moment on the fact that you are SO brave to step onto a Med-Surg floor to gain experience that you'd like to have under your belt later on! Let's think about this: You're four weeks in. Count how many shifts that is. 12-15? This is your first time working in Med-Surg in your career? It sounds to me that you're in the toughest part: the beginning. As adults, I think we sometimes forget how difficult and uncomfortable learning something new is! We do it NON-STOP as children. We learn how to walk, how to talk, how to jump, how to ride bikes, how to share and play with others, how to read and write, etc. The list goes on. By now, as adults, we have our fair share of knowledge under our belts and hopefully we're functioning on the daily without that steep learning curve. But now, you're taking on Med-Surg nursing. That is SO vast. You're thrusting yourself full force into a very steep learning curve that occurs in a very fast, sometimes chaotic environment! You have your new coworkers whose faces you're trying to put names to, you're trying to identify who your resources are, you're learning everybody's unique personalities that you're working alongside, you're trying to locate where supplies are kept, you're developing a med-surg work flow for the first time, being faced with challenges and obstacles (such as all the patients requiring help at once, encountering diseases or conditions you're unfamiliar with, practicing skill sets you haven't touched since nursing school), the list goes on. Your brain's wheels are turning FAST, you're working overtime mentally to keep track of all these little nuggets of knowledge and attempting to connect them all together so that you can work with ease. Nothing right now probably feels easy, and that's okay. It likely won't for some time. My best advice for that is to be patient, continue to learn each and every shift, and allow time and practice to connect all those data points together. That is learning. It's making neural connections - and building those is WORK. So don't panic when you feel like it's not natural yet. It's because it's probably not. But if you quit now, you'll never get to cherish the feeling when one day, you make it through a shift and realize you didn't panic when four patients needed something from you at once while your phone was ringing and you were a little behind in your charting. You'll miss out on being able to appreciate the journey you've walked and the growth you've accomplished. You're at the beginning of the story right now, so allow it to play out. Keep doing your best in the meantime! You also talked about the racing mind. Calming that is a skill that is learned with conscious practice. It's not there right now and that's ok, but be reassured that it CAN be there. When I first was hired on a cardiac telemetry floor, my palms were sweating, my eyes were filling with tears, and my heart was thudding in my chest. It was sheer panic that took over during my first crisis where a patient was struggling. One of my coworkers saw the panic and said to me, "Breathe. One thing at a time. That's all you can do." She was right. The way you get through a nursing shift on a med-surg floor with lots of demands is one thing at a time. Empty your bladder. Drink a sip of water. Then take inventory of what needs to be done, and start. As you go, check it off. More things will get added to your list - that is normal. That's ok. Just continue to work and check things off. Eventually the hours of the shift come to an end and somebody else takes over where you leave off. It's a 24 hour business. Tortoise and the hare (just don't be a complete tortoise LOL. Move at a fast but steady pace haha). Regarding that speed - that will come with time and practice too. Nothing is fast in the beginning. I sent my students and new grads off to find a blanket and they come back 5-10 minutes later. That's how lots of folks begin. It won't always be this way. So let's talk about before your shift - Kind of like how we know it's a good idea for healthy sleep hygiene to have a bedtime routine, use trial and error and find out what is a great pre-work routine for you. I work 8 hour shifts, so mine might look very different from yours. But I do things I love before work: I walk, I run, I have coffee with a family member or friend, I clean the house, I go to a piano lesson - but then, 1.5 hours before I need to leave for work, I begin my routine. I shower. I pick out my scrubs. I get myself dressed and looking shift-ready. I pack my lunch. I fill my water bottle. I pet my cat and dog and kiss my husband goodbye. I listen to something that lifts my spirits and sip on a cup of Chai as I drive. I tell myself that whatever happens this day is meant to happen. I tell myself that it will all somehow work itself out. As I ride the elevator to my floor, I tell myself to be brave, I slap on my smile, and walk out with confidence. Sometimes, I pray. But no matter what, before that 1.5 hour routine begins, I leave work at work. I am just me that morning. I don't sit around and allow myself to worry and stress about what's going to happen that day because it robs me of the joy I have elsewhere in my life. Harness those thoughts and control them, then get into the zone as you begin your routine. You've got this! You also mentioned your fears - you're terrified of x y and z. I'm going to encourage you to do a drill I had a nurse coach once do with me after an incident at work that caused me to have many of the fears you named. On a piece of paper, answer each of these: What will actually happen if I lose my license? What will actually happen if I let down my preceptor? What will happen if I disappoint myself? What will actually happen if I bring harm to a patient? For me, my worst fear was losing my license. The drill caused me to write down and name all the possible outcomes of that - the guilt, the job loss, the identity loss - but ultimately, the nurse coach pointed out to me: "You lived life before you were a nurse, before you had a license. You could live life again without it. You'd face each crisis at it came, deal with it, and then life would go on. That's the reality. Losing your license is terrible and I hope it never happens. But face that fear on paper and realize that you're capable of handling that fear if it were to be realized. Don't let fear paralyze you." She was right. I stopped letting those fears dictate me at work or before my shifts. I told myself I would do everything in my power to be safe: I set my bed alarms, double checked my orders, carefully gave my meds, and stopped fearing the what-ifs. Deal with those fears if they are ever realized. In the meantime, let them go. They are not happening right now in this moment. They can't hurt you. If they were to happen, you're capable of facing them. Again, You've got this! You mentioned that your strength may lie in another field. That could be true. Maybe you'd make a stronger dialysis nurse or home health nurse or hospice nurse. Maybe you'd make a better school nurse or nursing school instructor. Maybe maybe maybe. But you're four weeks in! How do you know you won't be a great med-surg nurse? Give it time! Allow yourself to develop expertise in this area. You're only in the beginning now, so keep that perspective. You're reminding me of when I began the martial arts. I saw this AMAZING kickboxer perform her black belt test. In classes, when I learned the combos she did in her test and performed them with less than a quarter of the finesse that she did despite giving 100% effort, I began feeling discouraged. There's only so much that spirit and enthusiasm and hard work can give you at the beginning. The rest is literally practice and time under exposure and that can't be rushed. Now, ten years later, I have people who say "I want to be like her," and feel down when they can't do it like I do it. But what they don't see is the four nights per week of training I've done for the last decade, just like back then, when I wanted to be just like that girl I saw in her test, I didn't see the countless years that she had trained with all her focus and all her might. You've got your white belt in med-surg right now. Keep showing up to your shifts. Keep practicing. Keep sticking with it. Then decide if you're cut out for this or not. It's too early to tell right now! Put a pause on looking for other jobs, that's my encouragement. Give this one a run for its money before you jump ship. If one day, you after really giving this one a concerted effort, you wake up and realize this just isn't lighting you up the way serving marginalized communities does, then maybe it isn't right for you. OR maybe you can do both. Once you're trained and on your own, you'll see the movement within your organization. Maybe a new schedule will open up with less hours. You can free up some time to pursue another time of nursing that lights you up. You can be gaining experience in Med-surg which was one of your desires, and fulfilling a passion in another area. Or maybe you'll find out that one day, med-surg will light you up. Again, it's really tough to make that call right now - you're in the most stressful part of your career- learning all the pieces in the beginning. That's the tough stuff. Be patient as you go through it, and get comfortable with being uncomfortable. Don't let it cause you to panic or deteriorate. That's a somewhat normal feeling in my experience whenever we're outside our comfort zone and trying something new. Be friends with that feeling. At the end of your shifts, don't go home defeated. That's easy to say, I know. But at the end of your shift, instead of focusing on what frustrates you, on what you didn't do right or fast enough, or who you let down, focus on what you learned. Focus on ideas to try on the next shift - tell yourself, "My med passes were all a little late today. Maybe tomorrow I could try checking the blood sugars a half hour earlier and see if that helps those med passes go quicker." Rather than putting yourself down for those meds being late, observe it, troubleshoot it. Becoming defeated by it doesn't serve you. Focus on thoughts that serve you. Let these thoughts happen on your drive home, however long or short that is. When you get out of your car, leave work there. Just leave it. I know again, that's easier said than done. But bringing it home with you, dwelling on any defeats or stressors, that's going to steal away from the parts of your life you need to enjoy and love, whether its your recovery time between shifts, your time with your family or pets, or your time doing a hobby or watching your favorite shows. Don't spoil those good things by thoughts that bring you stress or worry. Harness those thoughts and leave them be. The day is done, what's done is done, tomorrow's shift is a new one, and you can try again. Keep in mind that when our brains are tired and exhausted, it's easier to fall into defeat. At the end of your day when your mind is racing 100 miles per hour on that steep learning curve, with all the demands placed on you that the shifts bring, you're going to be more prone to sadness or despair. Tell yourself when those feelings come to take care of yourself and get some sleep. If it still feels just as crappy in the morning, then address it. In my experience, the majority of the time, I wake up feeling like my worries and stress or sadness from the previous night have fizzled away. My last plug is going to be for a podcaster I found who I love love love. I listen to her podcasts on walks, while shopping or cleaning, or in my car on my way to work. Check out Abby Sanchez's Thriving Nurse Podcast or on her website. You won't regret it. Good luck on your nursing journey and welcome to the Med-Surg ranks!
  5. Nurse BB

    NCLEX Online Application

    Hi, I'm a nursing student in California, and I'd like to fill out my BRN application so I can take the NCLEX. Because everything has been moved online now, my instructors are out of their element and having a tough time guiding us through the process. Has anybody filled out the BRN application with the online process? Can you walk me through the big steps? Also, I began filling out the application a few weeks ago. I got to the screen where it wanted me to upload my livescan fingerprint and my passport photo, but I hadn't gotten those things done yet. I had been told it would save my application as I filled it out. It said to click cancel to save the application. I did, and it said, "Thank you, your application will be saved for the next 365 days." I always double check, though, so I logged back in, and none of my personal information was filled out anymore. It was an entirely blank application. The only thing that had been saved was what TYPE of application it was. So, does this thing not save? I have to type, upload, and do all that in one sitting? Checklist of things to complete before I sit down then...Livescan Fingerprint, passport photo...is there anything else? An older nurse friend of mine indicated there was a mandated reporter training/paper I had to complete and upload, but I never saw a spot for that. Thank you for helping me with this process in advance! Sorry if my post was confusing. I feel super confused LOL

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