CPres2018

Hello all! I have just transitioned from working on a cardiac telemetry floor with a 1:4 ratio, (although it was 1:5 on most days) and now I have taken a job in ICU with 1:2 ratio and MUCH more intense care. I’m very green to it all and feel like a new grad all over again. Almost everything is completely different, I feel like I’m starting from scratch. And to add insult to injury, a lot of the older nurses there make me feel even worse, and there’s times I can tell I am being talked about. I am still on my orientation but I only have 3 shifts left with a preceptor. Any advice for when I’m on my own? It’s all happening so quickly and I’m needing some encouragement or advice for when you were new to ICU and how your flow/time management was and what resources you may have used to grow your knowledge. Help!! Sincerely, A new, struggling, baby ICU nurse :(

New nurse here! I recently started working in August of 2020. In nursing school, they give you the perception that you have all the time in the world to properly care for your patients, get to know their backstory, their home life, their psychosocial, apply the Roy adaptation model to every single patient, perform a 30 minute head-to-toe assessment... And I had that idea that nursing would be that way, and I would have fulfillment from knowing that I provided that best care I could and made a difference. During the beginning of my orientation, I was hit with this reality that nursing is no where near that. It's fast paced, it's challenging and if you prioritize and use time management, you're not at the bedside discussing the patient's home life! If you're worried about their home life, you put in a social worker consult.... LOL. All kidding aside, I worried I chose the wrong profession. I went into each day hoping to have a "good" day and I was often disappointed by the day I had been given. I had this idea that I would reach fulfillment by caring for my patients, but sometimes the patients wouldn't want my help. They refuse care, they don't want to take care of themselves and therefore you are very limited to the way you can care for them. Days don't always go my way. I am starting to let go of this idea of always wanting to have a good day. I realize now that my previous viewpoint was selfish, always wanting to have a good day for my own sake. I now realize that the focus needs to be on my patients. Which may seem like, "duh," but it really is changing the way I am viewing my position as nurse.. I am there to serve others, not there to have a good day. Trying to let this be my focus every single day.. I want to ask those who have been in nursing for a while, what helped you to stay in the nursing profession? Is it your viewpoint of the job? Is it the way you de-stress? I would love tips. I plan to stay in nursing; despite the bad days, which are frequent, especially starting during a pandemic. Thank you all!

Took NCLEX on June 17th, and it shut off at 60, I had the overwhelming feeling that I passed! Because the questions were so difficult, I had soooo many SATA questions, and it shut off at 60, I knew I was in the clear. I had been doing computer adaptive tests through NurseAchieve so it was recognizable to me, it’s designed to missed half so you feel like you fail, but if you know you can miss half and the questions are difficult. Like “how do they expect me to know that,” difficult, you’re in the clear!!

Good I’m glad this post was useful and helpful for you! Yes it is very stressful. You made it through nursing school, the knowledge is there, trust your nursing intuition! You got this! Good luck ??

Thank you so much! I’m glad you are using your resources and hopefully finding something that works for you! Glad NurseAchieve is working out. Best of luck to you in your studies! You got this!! It will ALL be worth it!! ??

It is such an unnerving time! Wishing you good luck ??

In that case I’m honestly not sure! Maybe waiting until tomorrow and trying again. I wish I knew and could help

Wait until you have received an email from Pearson vue! It will say something along the lines of “you’ve taken the NCLEX, but you may still have questions.” After receiving this, it will be a good time to try

Take a look at the image below, hope this helps! May need to try the trick later. My mistake, thought you got the good pop up!

Try not to worry too much!! The good pop up is a good sign! It works 99% of the time!! Just wait two days to check the unofficial results or your state’s Board of Nursing

The “unofficial” results through Pearson take 48 hours to view after you’ve taken your exam. I was able to know I’m licensed by looking at the BRN (BON) in some states. I wasn’t able to view it until this morning. I took my test 6/17 and saw results 6/19. Did you take your test today?

Hi H to the R dizzle, On my exam, I had many, many SATA. About 20 I would say. Hopefully you see results soon! I know the waiting game is terrible.

Hi Juliet! Click “buy” near the 30 day subscription, I believe for $95, and then on the next page, for the promo code, enter free30, that is where it will put the balance to $0 due!! Hope this helps!

Hello Future Nurses! If you have your NCLEX coming up, and you're anything like I was, you're FREAKING OUT. I wanted to make a post about my experience with NCLEX and what I used and how I benefitted from those resources, hopefully ease some nerves. My school included Kaplan in the package, and quite frankly, I couldn't afford UWorld, so Kaplan is what I used and stuck with. In addition to Kaplan, I used the Saunders book for content review, and Nurse Achieve for their Computerized Adaptive Test (CAT). Nurse Achieve is doing a deal where they offer a free 30 days to sign up and utilize their test bank and CAT btw!! I did the question trainers through Kaplan and had average of low 60s and high 50s for question trainers 1, 2, and 3. Q Trainer 4: 60% Q Trainer 5: 57% Q Trainer 6: 58% Q Trainer 7: 62% If you have scores around these or even more than these, try not to worry, you are doing well!! I then went on the other exams. Who Do You See First: 80% Alternate Format: 38% (which is normal, people usually score in the 20-30s) NCLEX SAMPLE 1: 58% NCLEX SAMPLE 2: 48% (YIKES) This is where I got super discouraged. I knew under the 50% line was not ideal, and I needed to do some further review and strategy to do better. After a bit more content review, and some QBANK in my weak areas, I went ahead and took the readiness test and scored a 67%. This was good! I knew > 65% was the goal and I started to gain a little bit of confidence. At this point I was less than a week away from the NCLEX and this is where I started to take my CAT exams from NurseAchieve! This was essential! I was able to gauge the difficulty as I was taking the exam and could tell when I was getting some wrong and some right. This is how the NCLEX is designed and those adaptive tests taught me what difficulty level that questions were, and how to feel if I was doing well, or doing poorly. After taking the CAT exams 5x and receiving Solid-Pass on 4 of them, and Pass on 1 of them, I felt ready. I was going to pass this test, I knew it. I kept telling myself, there is no reason for me to fail. I am prepared. I will do well. Speak positively to yourself because you will be there in no time!! Try not to focus on bad scores, but remediate the topics and TAKE NOTES to review later!! The day of my exam, my husband drove me up to Sacramento and we had a nice lunch. He spoke positively to me and told me he believed in me. Support people are everything. We prayed together, and I left my phone in the car, and started heading for the building. Talk about an ANXIOUS MESS! I felt my heart beating out of my chest. Before I knew it, it was time to press start and do this test! At question 60, my heart was beating quickly again, when I pressed next, the screen shut off. I DID IT, IT'S OVER. Now the waiting game....... I received the email from Pearson Vue, that I had taken the test but still had questions, and didn't do the Pearson Due Trick right away, but when I got home that is the first thing I did! Got the "GOOD" pop up! Worked for me, since I found out 2 days later that YES, I PASSED! I didn't pay for the unofficial results, instead, I went to the Board of Registered Nursing and looked up my name. There it was. My license. Registered Nurse. Praise GOD! He brought me this far and came through! I hope these study tips and scores help some who may be testing soon. Remember with Prioritization think: Expected/Unexpected Stable/Unstable Acute/Chronic & ALWAYS Airway, Breathing, and Circulation - Safety! Keep your head up and remember you got this!! Every time I spoke about my test, my family and friends said they knew I would pass. I'm sure many of you relate. I didn't believe them fully, I kept saying "We will see." I should've taken their good energy and said YES, ABSOLUTELY, I WILL PASS! You will pass! Have faith! Prepare, and get a good night of sleep the night before. Good luck!!

I received mine also! Accepted for Fall í ½í¸ƒ