oops I bradyed again

I used to work retail and wished I had gloves! Money is filthy and people (especially some who don't seem to have great hygiene) will pull it out from unmentionable places. People would carry the dressing room number cards in their mouths before handing them to me. The metal hangers would stain my hands and make them smell gross. I've also found old used shoes, a dirty diaper, and a needle under racks. So yea...nothing wrong with wearing gloves.

Patient wanted to know if we had a hot tub they could use. Patient asked if I would go to a specific fast food restaurant and get a milkshake for them. (There is no fast food remotely near our hospital.) Patient was upset that I wouldn't feed them because their "hands didn't work well." Left the room, came back a short time later, and the meal was completely gone.

We don't have showers or bathrooms in our ICUs either. CHG or regular bed baths for everyone.

Critical thinking is something you will continue to develop even after graduating from nursing school. How far along are you in your program? You can use the nursing process to help you think through issues. Each school teaches this differently, but in general the steps include; assessing, diagnosing (nurse dx), planning, implementing, and evaluation. Nursing diagnosis handbooks can also help you think through these steps. Lastly, if you have a strong understanding of A&P and pathophysiology you will be better able to think through things, so brush up on those subjects if you need to.

I don't think there is anything wrong with taking your time if that's your only option or suits your needs best! It took me about 3 years to finish my prereqs because I only took 1-2 classes every term in order to be able to afford it, maintain a 4.0, work part-time, and help support some family members. It then took me another 3 years to finish my BSN. I know it seems like a long path and can be discouraging, but I promise the times flies by! You are still young and have plenty of time to work after graduation, even if it takes you 6 years to get there!

In my area it seems that most applications open in April/May, interviews and hiring decision take place in June/July, and new grads start their residencies in August.

I'm familiar with nursing programs in the Portland area and that's why I commented...so students/applicants won't expect any other program to be drastically different, better, or worse! Again, the information you and your classmates were unaware of before attending orientation is pretty common. I attended a 3 year program, but also had classes with accelerated students. Regardless of our backgrounds, we were all surprised by the amount of busy work required. Because clinical placements can be difficult for schools to coordinate, we often didn't know our schedule until shortly before the term started. Many students had to be flexible with work schedules, child care, and commute long distances. Pretty typical nursing school problems that any student will likely come across in most programs and be unaware of when just starting out, unless they know someone who is already living it!

I live in another state, but I received my license number 3 days after taking the NCLEX. You can always contact the BON to get an update.

With the exception of the dropout rate, it sounds like a typical nursing program.

See if you can get in touch with any students who are getting ready to graduate or recently graduated. I know in my program many students or new grads were willing to sell their books super cheap or even give them away.

We were drug tested as part of the admissions process before the first semester even started. It takes so much dedication and hard work to, not only get into nursing school, but also get through it. Why risk it all!?

I've never come across an accredited online A&P course and wouldn't recommend it anyway. Even if you excel academically, I just think A&P is one of those classes where it's important to get the full hands-on experience. How would you complete the lab portion in an online class? A strong foundation in A&P is critical if you want to be prepared for, and do well, in nursing school. Plus, it's knowledge you will use throughout your career. There are community colleges across the country that offer microbiology online, but be prepared to buy a lab kit and a microscope, unless you somehow have access to a microscope through a friend or your local college. Also, make sure the nursing schools you are applying to will accept credits from an online micro class.

I don't remember exactly how long we had to wait for our clinical schedule each semester, but I do remember it was usually pretty short notice. Many of my classmates complained about not being able to plan work schedules or child care in advance.

I think it all depends on your hospital and area. Where I work, you can transition to the CVICU with only med surg experience, although I think PCU definitely helps! Nurses are trained on both days and nights during their orientation, but will ultimately work nights. Usually nights are a slower pace with less changes happening, which makes it easier to learn and get your bearings when you are new to the ICU setting.

Do any hospitals in your area offer nurse internships for the OR? In my area that seems to be one of the only ways to get into the OR, unless you did your practicum in the OR as a student.

At least 3 people from my class started in pediatrics (including NICU) right out of school and none of them had previous healthcare or pediatric experience. However, the units they were hired onto is where they spent their practicum during the last year of nursing school, so I think that was a huge factor!

I've been told that even if there's no formal contract or commitment it's recommended to stay on your first unit for 2 years to "repay" them for your training and hone your skills/critical thinking.

We need assessment information. What is your thinking behind vasopressors?

He was not prepared! Have you taken the NCLEX before? Pearson Vue makes it extremely clear in multiple places that you need to bring a signed ID. This is one way they verify you are who you say you are when you check in to take your exam. Personally, I can't comprehend not being prepared with a signed ID, directions to the testing center, etc. the night before. It's the freakin' NCLEX after all!!

Lawsuit...

I recently took my NCLEX and while there is no rule someone has to witness you sign your passport, there is a rule that the ID you present must already be signed. Part of the check-in process and verifying test takers' identity is having them sign their signature on a pad. If the OP's passport was not already signed upon arrival to the testing center, they have no way of verifying her signature.

Thank you KrCmommy522! Very helpful!

Acute care = med/surg, at least in my area. It could be any kind of unit really, depending on the specialty. We have a variety of med/surg (or acute care) units including orthopedics, medicine, trauma, cardiac, oncology, neuro, abdominal surgeries, general surgery, etc.

Hi Everyone, I will be graduating this June and am running into some situations that I'm unsure about as I start planning to apply for jobs. Firstly, I'm a CNA at the hospital that I hope to work at as a new grad. The nurse manager who hired me has since retired. She was well respected throughout the hospital and knew me much better than my current manager, whom I've only met once. Would it be inappropriate to ask the retired nurse manager to be a reference for me as I search for nursing jobs and/or write a letter of recommendation? Secondly, I'm currently completing my integrative practicum on the unit I would like to work on as a new grad. Is it appropriate to use my preceptors and faculty (who also works on the unit) as references and/or ask them to write a letter of recommendation? Any feedback is appreciated! In previous job searches I haven't had to deal with these dynamics and just want to make sure I am not crossing any lines or being unprofessional. Thank you!

What were her lab results? Was she having any ectopy? Did she recently have a significant loss of potassium from vomiting, diarrhea, etc.?