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Cupcake2018

Cupcake2018

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  1. Cupcake2018

    nursing diaganosis help!!

    What evidence do you have that suggests an impaired mobility issue besides just bilateral edema? Does the patient need assistance when ambulating or doing ADLs? Are they unable to move freely in their bed? Has the edema caused them to spend more time in bed than normal? Does the edema affect the patient's gait or step?
  2. Cupcake2018

    Working During Nursing School

    Honestly, I'd find a per-diem CNA job or two. There's plenty out there. Per-diem will allow you greater flexibility. For instance, if you have one week where you're going to have a couple of exams and a paper to write, then perhaps, you'd pick up less hours. You can make up for the loss during weeks that are more 'slow'. If you can't get health insurance going this route, then maybe you could check out the Market Place to see if you can find an affordable plan that covers your needs.
  3. Cupcake2018

    Is there even a chance for me to pass nursing school

    If you believe that it is over for you, then it will be. The most important thing I've learned as a nursing student thus far is that we have to fake it till we make it. It's a self-fulfiling prophacy kind of thing. If you believe you can do it then you probably will. There are so many aspects about this line of study/work that can be phycically, academically, and emotionally challenging. When the self-doubt thoughts creep in, do the opposite of what they're telling you. A year ago, I was petrified of clinical, I had no measurable confidence in myself or my abilities, and took on a minor so I could work on that and postpone the clinical for a semester. That was a mistake. I'm still scared at clinical at times, but I act confident. As a result, I am better able to do the things I had previously convinced myself I couldn't do, which has given me some of the real confidence that I need to move forward. For instance: I gave my first IM injection yesterday. Let me tell you, I hate shots! The thought of sticking needles in people scared me. But I chose to see it as an oportunity to do a new skill and I pretended to be excited and made sure those around me knew it. I ignored the evil voice of self-doubt. I gave the shot, and wasn't all that nervous doing it. Everyone survived. I now know I can do this skill in the future. It's hard to change bad thinking patterns and it's a lengthy process, but the results will be worth it. Start with your thinking.
  4. Cupcake2018

    I didn't wake up on time and was too late to come for AM shift?

    I'm a CNA, not a nurse, but I did the same exact thing this morning. I had several nights in a row with very little sleep and when I got home last night, I just passed out hard and didn't fully wake until four hours after my shift started. It was a no-call/no-show, which is something I'd never dream of doing, and I felt really bad about it. I called my work and ended up talking to the head honcho. I don't think they were happy, but I haven't been punished yet. I apologized and offered to pick up shifts to make it up. You're human, and sometimes this stuff happens. Be nice and offer to pick up a few hard-to-fill shifts for them. Hopefully, that will help smooth things over a bit. Good luck.
  5. Ask your nursing program and the local hospitals and surgery centers if there are any shadowing or volunteer opportunities. Sure, you won't get paid and you might not get much hands-on experience, but an awful lot can be learned through simple observation. As a nursing student, I think you should keep your CNA job. Even if you don't like it. If you can endure the parts about your job that you don't like now then chances are pretty good that you will be able to endure some of the unpleasantries that nursing will undoubtedly have to offer once you start working as one. After all, so many new nurses leave because they think they can't handle it. Such a waste, really, especially during a time when health-care workers are in high demand. Someone who has built up their endurance through experience, such as you, will likely make it as a nurse in the long run. Try to focus on some of the positives that come with your job. You get to work with nurses and other members of the health-care team, so there's a lot to learn from that experience. You get to learn how to balance your time and prioritize. You get to work very closely with patients, so this is great patient communication experience. Show interest in your patients when you're providing care for them, it truly means the world to some of them. A lot of them are grateful so it's can sometimes be a rewarding experience. Good luck. ~ A fellow nursing student and CNA
  6. Cupcake2018

    Tutoring...Desperate for help!

    Hats off to you for your willingness to try to help people who clearly don't want to help themselves! I can only imagine your frustration. It is the students who should feel desperate for help, not you. It is my personal belief that students at the college level should be using tutoring as a LAST resort because someone at some level during the admission process should have verified that the students were well-prepared for the program before they were admitted. As adults, they really should be expected to be more resourceful. It's funny, yet quite sad, how so many college "kids" today know how to photoshop their image to death but can't do a basic math equation or solve a simple problem without lots of hand-holding and step-by-step instruction that could easily be found elsewhere (lots of learning resources on the web). If they fail to participate in future tutoring sessions, I'd just report it to your supervisor. No sense on you wasting your time.
  7. Cupcake2018

    Should I Keep CNA job?

    I'd say keep your CNA job. Because you are per diem, you likely have options in terms of scheduling. Maybe pick up shifts during breaks from school (including the long summer break) and focus on your other commitments while school is in session. I agree that CNA experience as a nursing student is a positive. The lines of work are different for sure, but CNA skills are actually basic nursing skills delegated by the RN to the CNA, so the future nurse will need to have mastered these skills anyway because they will be supervising the CNA staff in their future nursing role. Some benefits of working as a CNA while en route to becoming an RN: 1. Learn the importance of teamwork. I cannot emphasize this enough. There are many instances in the health-care setting where you simply can't do something on your own and you must be able to seek out help from others and be willing to help them out too. Plus, you have to be able to collaborate with a variety of staff on the patient care team. 2. Learn how to communicate with patients. This takes practice because not all patients are alike. Like us, they all have different personalities and ways of communicating with others. Working as a CNA will expose you to lots of different patients with whom you will be speaking with. It's great practice, actually. 3. Time management and resilience. I hear a lot of people whine about clinical. Reality is that in nursing you have more than one patient, you don't get to spend hours researching them before taking them on as an assignment, and you don't always have a Momma/Dadda nurse (clinical instructor or mentor or supervisor) at your fingertips to help you figure every little problem out. While CNA work is different than RN work in many respects, both still have to provide for the needs of many different patients/residents during a given shift. You learn all about prioritizing and problem-solving real quick. Suddenly, the one patient you have in clinical doesn't seem all that stressful. 4. Improved empathy and compassion for others. The CNA works directly with the patient/resident and will be exposed to all different types of emotional and physical challenges faced by these people. We live in a self-obsessed society, and even nursing schools themselves are set up to have us compete with one another (just the nature of the beast), so I think some time, albeit stressful time, working directly with others in need helps to put things in perspective. 5. Exposure. Even though a CNA is not an RN, both work together closely. You get to see what the nurses do on a day-to-day basis and you are exposed to the general medical environment. There's lots to learn here. 5. Motivation. I work as a CNA, and while there are parts of it that I love, there are those parts that I don't particularly care for. When I feel discouraged by nursing school I can just remind myself "Do I want to work as a CNA for the rest of my life?" No, I do not. This is the first semester that I have worked as a CNA. So far, I'm actually doing better in terms of getting things done, being on time, staying motivated, etc. Whatever you decide to do, good luck!
  8. Cupcake2018

    Best Drug Guide App for nursing school?

    I downloaded the Davis Drug Guide for Nurses from the Apple App Store as a continuously updated subscription for $39.99/year. Prior to this, I did some research to answer the same questions as you. This app is specifically created for RNs, so it has all of the information that you will need in this role. Includes side effects, dosage information, lab work to consider, necessary assessments (nursing) that need to be considered when a patient is taking a particular drug, contraindications, and so forth. I have found that Davis is very comprehensive but succinct. Some of the other drug guide apps out there are created for the public for general use and you can't always trust the sources used to provide information on those types of apps. There are also more in-depth apps like the PDR, but this is completely unnecessary for RN use. The PDR is more suited for prescribers like MDs, PAs, and APRNs who need to know extra information like the chemical composition of a drug and whatnot. One thing to consider before subscribing to an app is whether or not you will be allowed to use it. I am pretty sure my school won't allow us to use any form of digital media during clinical, but I subscribed anyway because it's useful for everything else. However, you might be allowed to use it once you become an RN. Nursing schools seem to have more rules and they are very 'by the book', but I know that a lot of people use apps and mobile devices (for work-related purposes) once they go to work as an RN. Depends on the employer and how up-to-date they are.
  9. Cupcake2018

    Nursing Assistant Job App Help

    At one point in time or another, all CNAs (and everyone else for that matter) filled out a job application where they had little to no experience. Everyone has to start somewhere. Employers know this and eventually someone will give you a chance. You might want to consider starting out in a nursing facility first. I decided to go this route as a way to build up my confidence before moving on to more acutely ill patients in a hospital setting. If you have already done clinical at the hospital, then maybe you will feel ready to start there. Technically, clinical experience is educational and doesn't really count as employment experience, but it is very valuable experience nonetheless. Please do as the poster above suggested. Add a cover letter talking about your nursing student experience or add it to the application itself. Your status as a nursing student will act as a reference in itself. Also, if you plan on working during nursing school, you might want to consider a per-diem nursing assistant job. Much more flexibility with hours (no set # of hours to be worked per week, pick your own schedule, no mandatory weekends, etc. - no benefits like health insurance though). I think this allows students to keep nursing school as the priority because they can plan their work schedule around the school schedule. For instance: if you had one week where there was going to be three exams, then perhaps you would be scheduled for less (or no) hours that week. Good luck!
  10. Cupcake2018

    Need help with LTG

    Acute pain related to post-operative incision (secondary to kyphoplasty, perhaps) as evidenced by facial grimicing, muscle guarding (where?), and verbalizing a pain level of 7 on a 0-10 pain rating scale.
  11. Cupcake2018

    List of illnesses and descriptions?

    Web MD is a good resource. Good luck!
  12. Cupcake2018

    Starting first semester of nursing school

    NCLEX-style questions can be a bit tricky. Some of the questions ask for multiple answers and other questions want you to pick the BEST answer. There are a variety of resources out there to help you prepare for these kinds of questions. I have used Lippincott's 'Question of the Day'. Just sign up and they will send a NCLEX question to your email on a daily basis for free. Comes with rationales as well. Copy and paste this link: Free NCLEX-RN Practice Questions | Question of the Day There are also several apps that you can purchase in the Apple, Google Play, or Android app stores. Lippincott and Kaplan are reputable makers of NCLEX-style questions. Good luck!
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