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nursex23 BSN, RN

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nursex23 has 1 years experience as a BSN, RN.

nursex23's Latest Activity

  1. I agree. I offered but she said she was ok to go back until dad brought meds.
  2. I'm actually a little happy about it. Hopefully she spreads the word - the new school nurse is taking care of business.
  3. I had a teacher bring a student down to my office. Teacher says "she was in here earlier but I think it's time to go home." Student had been in earlier with cramps and we called home to bring her ibuprofen but dad said it would be about an hour. Now she's crying. Teacher keeps repeating that she should go home. I asked the student if it's still cramps that have gotten worse or is this something new. Student said it was just the cramps. Again, teacher says she should go home. I told the student in front of the teacher that she can be in school if it's just cramps but I asked the student what she wanted to do, call dad and see where he is with pain medicine or see if he can pick you up? The student said the medication always works for her so she wants to wait for the medication. Called dad who said he was outside parking the car. Teacher had nothing to say after that.
  4. nursex23

    Should I appeal?

    I had to read this several times to make sure I understand 100%. The first issue everyone agreed it wasn't your fault so it's off your grade or you improved and they feel you progressed? And then the second time you almost made a mistake but caught it but still failed? I don't really know what you mean by punished. When I was in nursing school, you would lose a check on a box and talk privately (or even among classmates that could benefit from a lesson) with the instructor about how you could improve. What do you mean by punished? I know that nursing instructors can be very unfair and pick on students but what I'm getting is that they are trying to correct you and you don't want to hear it because you don't think it's serious. You almost made a mistake and it sounds like you don't think it's a big deal because no harm came to the patient but it could have been an actual mistake that kills a patient. I know it sounds dramatic but nurses have to be careful because we can actually bring great harm to our patients when we get careless. While nursing students shouldn't fail because of a near error, it sounds like you're thinking it's not a big deal at all and your instructors may feel that you are unsafe because of this. This is a subjective assessment so I could see the instructor wanting to fail you because of this. Again, that's just what I'm getting out of what you said. You also said you've seen students make the same mistakes and nothing happens to them. Could it be that they are acknowledging that they almost made a mistake and are taking it more seriously? Another thing that's off-putting is that they told you to stop having people speak on your behalf. What is the purpose of this? You need to talk to your instructors privately, LISTEN to what they are telling you, and learn from it because it sounds like you're not listening. So now this brings me to what's most unclear. You are graduating in a few days but now you're getting failing grades on remaining assignments. Are you being kicked out or failing because of that mistake? What really caught me off guard was the lawyer. Why is a lawyer involved? If you're not failing or getting kicked out I would say LET IT GO. Lay low, get your degree and get out. If you are failing, take the grade, repeat the course, and again lay low. Thank everyone for their feedback and criticism, learn from it, get your degree and get out. I'm sorry if it sounds like I'm being harsh. I know personally that nursing school politics can be messy but it sounds like you're contributing to the problem by not owning up to anything you may have done wrong. I personally had a target on my back by an instructor that was hellbent on trying to fail me in lab for some reason. Even my classmates noticed that she picked on me for absolutely nothing. I still took every piece of feed back with a smile and worked to improve. Nursing isn't just answering tests questions correctly and performing skills. You also have to be personable and adaptable to different people. I hope you take everything and turn it into something positive. Good luck!
  5. nursex23


    Interesting. What's the purpose of calling after they leave?
  6. nursex23


    Hi school nurses! I'm a new school nurse and I've been having an influx of students saying they're dizzy. No other signs or symptoms. They deny hitting their head. Some say they've ate breakfast, some say they haven't. I always offer the snack and most of the time they feel better but lately they're saying it doesn't help. What do you do for just dizziness? I've called home for 2 different students and one parent told their child to stop trying to get out of school and suddenly he felt better and went back to class. The other parent actually came to pick the student up. I don't know why I was shocked; I was kind of expecting it to go like the first parent. I don't want to dismiss how they're feeling and it's something serious but at the same time I don't want dizziness to be the golden ticket out of class. How would you guys handle this?
  7. nursex23

    Instructor Retaliation?

    I totally believe they were unfair to you. Even as an RN, I've accidentally picked out wrong medications and caught it before I prepared my meds. I do think you're in the right, however, nursing school politics can be a pain. I would let it go. There were several incidences when I was in nursing school and I just lowered my head and bit my tongue so that I could graduate. You know that you are always going to double check your meds when you're working as a nurse so once you have your degree and "RN" after your name, it won't matter what instructors gave you a hard time about what. Good luck with the rest of your program!
  8. nursex23

    I need a 76 on my final to pass fundamentals

    Your average is 74.8 and you need a 76 so you only need to do a little bit better than you have been. The problem though is when you aim for a 76 because then you leave holes in your studying and end up failing. Aim for 100 on every test you take. That's what I did after I almost failed fundamentals and I was able to pass every class, maybe not with 100% or even an A but I passed. Good luck!
  9. I think I just need a minute to whine, or maybe I need career advice, or maybe I need some tough love. I’ve been a nurse for a year and four months now and I’m worried maybe I picked the wrong career. When I first started, I wanted to be a NICU nurse. The only place that would hire me out of school was an LTACH so the plan was to do that for a year and try to find a job in a nursery or NICU. Over the year, I became interested in women’s health and NICU but as time went on, I realized I absolutely hated doing 3 12s especially on weekends and holidays. I also cannot take the constant stress of unstable patients. After about 6-7 months I had shaken that “new grad” feeling but then came the “I really don’t like the field I’m working in” feelings. As I was coming up on my 1 year, I applied to some L&D units with no luck. I also tried doctor’s offices and schools. A school hired me pretty quickly and I’ve been here for a month now. I don’t hate it but I’m not particularly passionate about it either. The schedule is exactly what I want and I genuinely enjoy helping my asthmatic or diabetic students or the ones who need some first aid. However, there are overwhelmingly more students who are just trying to get out of class and give me a hard time when I tell them they are fine to go back. All day, I am calling for an administrator to remove these students from my office. A job recently opened up as a nurse reviewer for an insurance company. Much of it appeals to me, especially the opportunity to work from home. I’m a homebody and absolutely don’t mind spending hours alone and not leaving the house. This is partially why I feel nursing may have been a bad choice for me as a career. I worry about leaving this position now, burning this bridge, and I’m even more unhappy with the insurance company. I feel very lost when I think about my future – I feel like I don’t know what I want to do with my life for the next 40-45 years. I do see myself teaching one day, especially online. I would love to read academic papers and discussion posts and provide feedback. I feel like by now I should have a basic idea of where I want my career to go and I’m worried I’m setting myself up for failure long term. If anyone can give me some advice or perspective. Thanks.
  10. nursex23

    nurse reviewer vs. school nurse

    Hi everyone, I recently left an LTACH after my first year as a nurse. I couldn't get past working weekends and holidays (I know, I know, I chose this profession). I applied to a few schools, doctors’ offices, and one insurance company. One school called and hired immediately and I’ve been here for about a month. There’s really not much to complain about but I am finding it difficult to work with middle school kids as far as dealing with their attitudes. Now this insurance company is looking at me. They both pay about the same. The insurance company could potentially be work from home which I find very appealing but I’m nervous to leave this school nurse job and the insurance company is worse. I’m also nervous to pass up the opportunity with the insurance company. I also don’t want to burn the bridge at this school because I just started and I would be leaving in the middle of the school year. I’ve compiled a list of pros for each job. Pros for both *close to home *pay about the same *schedule: no weekends, no holidays *no stress of bedside Pros for school *schedule: long breaks, Christmas break, Spring break, etc. Cons for school *students can be disrespectful and overwhelming Pros for insurance company *potentially work from home Cons *don’t know of any Can anybody share their experience and insight about these jobs? My long-term goal is to go into academia. Would either job help or hinder this goal?
  11. I felt exactly how you described when I first came off of orientation. I thought it was a unique feeling and I could not fathom that every nurse feels like this when they start. But the crazy thing is one day, after a year, I realized I didn't feel like that anymore and I saw other new grads coming in after me feeling the same way that you are feeling and the same way I felt. I also noticed many nurses gave me a hard time about small details when I was new and they eventually let up on me and started doing that to newer people. Whether it's because of the whole "nurses eat their young" idea or just that they're trying to help bring your attention to these details that you're overlooking. With experience and time, others around you will see your unlabeled tubing and trust that you are going to label it before you leave and I would honestly just throw a gown on before going in. I can almost promise you that after a year or two you will be almost like your buddy - helping out other newer nurses with easier assignments. You will get the hang of it and get faster at doing the "tasks." From what it sounds like though, you had a lot going on at once and prioritized correctly. The next time you have a day like this, you will just move through everything quicker and it will all come together. As far as your other patient *shrug* He will be fine. I once had a coworker's patient request to leave AMA when it took "20 minutes" for someone to put him on the bedpan. It was 10 minutes tops. My coworker said "OK" went straight to the filing cabinet, pulled out the form, called the supervisor and went into his room to let him know the process of leaving AMA. He ended up not going because he just wanted to whine but my point is, you will eventually realize when their complaints are valid and when they need a small reality check. While I get your reaction and I know you're only human, I would have apologized (we're in a service based profession so we're always apologizing for things out of our control) and informed him that there is another patient who is doing really bad. Almost every time, they say it's ok because it hits them that they're in a hospital and people could actually be dying. However, I've seen other nurses react as you did and you're not totally wrong - he has to wait. I remember when I first started and I got a call from the lab that my patient's hemoglobin was like 5 and I had to do a transfusion and I panicked and was frantic and blood transfusions were the scariest thing. A few weeks ago I had 2 in one shift and was like meh. You will eventually get that way with time. In about a year you'll be dealing with a low BP like meh. I know it feels like a nurse, even a new one, should be confident and know it all but that's just not the reality of it. Give yourself time and you will eventually become a great nurse.
  12. nursex23

    I don’t know if I like school nursing

    I want to thank you all so much for your replies. The students made me feel like I was mean and crazy for not giving them any little thing that they wanted. A teacher told me that the previous nurse would have about a dozen students at any given time being rowdy. I put a stop to that right away and got tremendous push back at first and quickly got the reputation of being mean - a student actually told me this. Your responses assured me that I was doing things correctly and need to keep it up. I think I'm slowly getting the reputation of being another lame adult that's not going to let them participate in shenanigans. 2 of the students that I stopped from coming in all the time for nonsense came back with real (minor) injuries. I could see the surprise on their face when I didn't send them away and took care of their real complaints. I get WAYY less students with "headaches" and they all assured me that they've had plenty of water and just need a minute or that ice really helps their headaches. I feel like I'm gaining control of the office and I even straightened out all of the paperwork. I feel like school nursing could be my niche. I'm still nervous for bigger emergencies but I'm just going to continue to trust my training and experience. Thank you all so much for your encouragement! I look forward to having more discussions with all of you on this forum in the future!
  13. nursex23

    I am struggling as a new grad! need advice!

    Hi! I've been a nurse for about a year and a half now and I felt exactly the way you're describing. I felt like it wasn't normal to feel that way and I felt that I was unique in that I had a nursing license but shouldn't be a nurse. The truth is, we all feel that way when we start out. I realized that when we started getting new nurses after me and they felt in over their heads like I used to. I know it sounds like a cliche but it really does come with experience. As new grads, we're not expected to be the best nurses on the floor. We're going to make mistakes but that's when we need to slow down and make sure we are not going to cause harm to our patients. Just think that every time you're in a situation that seems daunting, you will learn from it and it will continue to make you a better nurse. That was the key to saving my sanity the first year. When I had a bad day, I thought, "Did I harm any of my patients? No. Okay, what did I learn and what will I do differently next time?" 99% of those feelings went away and now that I'm in a new position in a new specialty, many of those feelings have come back but I just continue to think "don't cause harm and learn from everything." Your experience with TPN may seem like a huge mistake. But think about it critically; the patient didn't receive anything that harmed them or missed a life saving drug. In other words, you did not put your patient in mortal danger. I would not say you are an incompetent nurse at all. An incompetent nurse would find out that the rate was supposed to be 25mls faster and not see a problem. Next time you have a patient with TPN, you're going to check and double check the rate and you will be a better nurse because of the time you missed the rate change. I would try reaching out to your manager to discuss how you are feeling. He or she may be able to reassure you and show you areas where you could improve. I would also use them to discuss policies. Find out if a report was supposed to be filed and know that next time if it happens, you need to file it regardless if someone is going to get in trouble. If your manager doesn't seem interested, I would try reaching out to another more experienced nurse. This forum has been there anytime I need to vent and have other nurses give me some perspective on a situation. Sometimes it helps to talk over things and get more personalized feedback. But I agree with the previous poster, don't go around telling everyone every mistake that you make. I would find someone you trust. Good luck to you and I can tell you are going to be a great nurse!
  14. Hello! I just started at a middle school and I have mixed feelings about school nursing. I LOVE helping the students that require nursing attention such as the ones with chronic conditions and the ones who have had injuries (so far they’ve been very minor except one possible leg break but ems arrived within minutes). I was surprised by how much my education and prior experience came together for my triaging skills. Another part I don’t mind is the clerical work however the previous nurse left this office so unorganized it’s taking me forever to reorganize while still entering incoming documents. The part that I feel would drive me away is the endless nonsense that I get from these kids. They come in packs and ask for things I don’t think warrant a visit to the nurses office. I have a girl who broke an artificial nail last weekend and has come in everyday multiple times a day this week for a bandaid and ice pack for her finger. I keep telling her she should just leave it alone already but she will not leave until I give her something. Endless students come in asking for an ice pack, many even go straight to the freezer and help themselves, and when I ask them what they want an ice pack for many say a headache. I suggest they try drinking more water and try to provide some education on why. Some listen and feel better but most look at me like I’m crazy and won’t leave without an ice pack. I have another girl that comes in everyday for an ice pack, she just goes straight to the freezer and says she has a headache. I’ve tried telling her to have water and lay down for a minute but she began arguing with me that she doesn’t drink water, took an ice pack and left. Am I the crazy one? Do we just give out an ice pack and do nothing else? Some will tell me that they drink a lot of water throughout the day but they still have a headache and then I see it appropriate to try ice. It seems like the last nurse would give any student anything they wanted when they walked in and everyone wants to come down just to leave with something. There’s a bathroom in my office that students are allowed to use per the principal but I don’t like when they do because it’s a small office and I want to give those who need my attention some privacy. I mostly wanted to vent to people who have experienced what I’m facing. I don’t know if I‘m complaining too much and should just let it go or what I should do. I also maybe wanted to get some insight into if this is common with high school students as well. I’ve always genuinely liked teenagers and high school is what originally drew me to school nursing. Sorry if I rambled I just have so many emotions because I think I may have found a specialty that I could really enjoy but I dread the way many of these kids think my office is a fun way to get out of class and leave with a little prize.
  15. nursex23

    New school nurse

    Hi everyone!! I just accepted a job as a school nurse in a middle school of about 900 kids. I'm really excited to work in this type of setting but I'm also very nervous that I'll panic over emergent situations like asthma attacks, seizures, etc. Is there any advice you guys could give?
  16. nursex23

    I feel like I'm going nowhere

    Hi everyone. I kind of want to rant and I kind of want some perspective. I started working at an LTACH right out of school and I’ve hated it since day one. I started applying here and there with nothing. Fast forward a year and I’m still having no luck. I started applying to L&D and NICU (my 2 desired specialties) and then more outpatient OBGYN office jobs. I even looked into school nursing and I think it’s something that I would enjoy but I can’t afford the paycut. Now I would be willing to work just about anywhere that isn’t here or LTC. Well now the number of applications are adding up within hospital systems and I feel like that is working against me. There’s one health system in particular that I have been trying to join since I was in nursing school and now I have 49 applications for jobs that I have not gotten. I had one call in nursing school for a PCT position but didn’t get it because I was going to graduate with my nursing degree within 6 months. My last application, I had a phone interview and was not selected. Some people tell me to keep applying and some say to stop applying for a while. I feel like I’m stuck where I’m at and I’m not sure how to get into a big hospital system and I’m also not sure if the LTACH experience is also hindering my job search because it’s not technically acute care. Any insight would be great, thanks.