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Need help with new grad job offers
I graduated earlier this year in May and got into an ICU immediately after. Unfortunately, that hasn't panned out due to many factors (a strong one being commute and lack of structure in residency program!) I left after about a month and a half. Now, I’ve interviewed and shadowed about 6 units at a hospital that’s only 10 minutes away from me (yay!). I got offers from PCU, 2 medsurg units, ortho/neuro unit, tele and mother/baby. I’m thankful to have all these choices but I’m also the most indecisive person. On one hand, I really liked working in the ICU but unfortunately they weren’t hiring so you would think PCU is the next best choice. However, the ratio scares me. Due to shortage of staff in the entire hospital, they said ratios are 1:5 and can be 1:6 sometimes. However, it’s for a night position so maybe that would be a little less work? When I shadowed there, the techs were extremely helpful and answered most call bells and the unit culture seemed wonderful. A lot of people my age who seemed to get along extremely well. My second choice is mother/baby because I’ve always seen NICU as sort of an end goal but most nurses keep telling me it’s not a good place to go as a new grad because I’ll be limiting my chances of getting out of OB in the future if I decided it wasn’t for me. When I shadowed, everyone on the unit was nice but they were mainly older white women, not that I have anything against them but I just don’t have a lot in common with them LOL. The ratio is 1:3 couplets and I found that there was a LOT of downtime at night, but that could be a good thing for me since I’ll be starting BSN classes soon. They are also adequately staffed to the point where we only need to work 1 or 2 weekend days per month because most people WANT to work weekends. Also holidays rotated every 3 years. The other units were okay but didn’t stand out a lot. I would love to hear what you would do if it were you or if you have good insight about your new grad experience in any of these units. Thanks!
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First time writing a care plan... help?
Hello everyone, I am a first semester student and I missed one of my clinical days so I was given an alternate assignment to complete, which is a care plan! We haven't done any yet or been taught how to do them so I am struggling HARD. I struggle with writing nursing diagnosis, especially the R/T and AEB parts, so if you could guide me into the right direction I would really appreciate it! About my "patient": 75 years old woman, came in with severe right lower quadrant pain and had an emergency appendectomy 2 days ago. She had an indwelling catheter which was removed 24 hours successfully. She has become confused and easily startled over the past 24 hours. She was alert and oriented x4 and now is down to x2 and needs further assistance with ADLs due to midline surgical incision, but was able to perform her own unassisted ADLs before. She has tried to get up without assistance twice and is now on fall precautions. One hour after being monitored for falls and with 3 bedrails up, patient is now combative. Her abdomen was soft but has become distended after 6 hours post foley catheter removal. Hasn't had bowel movement in 4 days when usually she does every other day. Previous vital signs: 98 70 16 130/85 and now they are 98.9 90 18 140/90. Complaining of fullness to abdomen, inability to void and abdominal discomfort. I have to come up with 3 nursing diagnosis and 2 at risk diagnosis. What I have so far: 1) Constipation R/T abdominal muscle weakness secondary to appendectomy AEB lack of BM in 4 days, distended abdomen and abdominal discomfort 2) Impaired urinary elimination R/T Foley catheter removal AEB patient's inability to void. 3) I want to do one surrounding her sudden confusion (acute confusion?) but I'm unsure how to set it up. As for my at risk diagnosis, could I do at risk for falls even though she is already on fall precautions? And could I do risk for infection related to use of indwelling catheter and recent midline surgical incision? Thank you in advance!
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Montgomery College Fall 2019
Thanks!!
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Montgomery College Fall 2019
Got it! I was just confused because at the information session they told us that it would be based solely on TEAS scores and priority courses but I guess not! She completed all her priority courses with A’s as well.
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Montgomery College Fall 2019
My friend received a standby letter through certified mail today. Her TEAS was a 77 so I’m confused because I see that 2 of you had a 76 overall and didn’t they say the ranking was based on priority courses and TEAS scores?
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Montgomery College Fall 2019
Congratulations!!! ?
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Montgomery College(MC) Nursing Fall 2019
Omg congrats! I got in too ? Can I ask what your TEAS score was? My friend still hasn’t got in and she’s very anxious about it ?
- Montgomery College Nursing Fall 2019
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Montgomery College Fall 2019
@Lat Gotcha! But congratulations!! ? It has been nerve wracking waiting for our letters haha
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Montgomery College Fall 2019
What were your TEAS scores and GPA if you guys don’t mind me asking? I got a 90.7 on the TEAS and 3.88 GPA. My friend got a 79 on the TEAS and is still anxiously waiting for her letter
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Montgomery College Fall 2019
Thank you!! Hopefully you hear good news soon ☺️
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Montgomery College Fall 2019
I received my acceptance letter today!
- Montgomery College Nursing Fall 2019
- Montgomery College Nursing Fall 2019
- Montgomery College Nursing Fall 2019