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GratefulHeart's Latest Activity

  1. GratefulHeart

    med error!!!

    O do try to be more kind to yourself, or you won't last long in this profession. You are learning, working very hard, and did the honorable thing once you understood the mistake you had made. Therefore, you have nothing to be ashamed about nor to run away from. EVERYONE makes mistakes, no matter how careful, brilliant, and experienced they may seem at the moment (or even project themselves to be). Please keep that in mind when you are mercilessly corrected as well. The person confronting you is just as guilty of errors. It comes with the turf. Fortunately, as blistering as these experiences are, they can be excellent teachers, and thinking through how you might handle the situation differently the next time something similar occurs *will* make you stronger and better. Talking through the scenario with a trusted nurse friend may also lend additional useful insights.
  2. GratefulHeart

    Will there eventually be more nursing jobs in the Bay Area?

    Honestly? --If you enjoy and are quite capable in the sciences (especially in chemistry), go for pharmacy. You will have plenty of interaction with others (if not patients). Pharmacists are in short supply pretty much everywhere, so you should be able to find a job no problem. They also do exceptionally well financially.
  3. GratefulHeart

    no regular schedule

    Ditto. It seems to be one of those well-kept secrets that isn't let out of the bag til after you're actually on the job. True too that I feel very little loyalty to this employer for the lure of so much time off per year - but with almost NO opportunity to ever use it (that's the second half of the equation that they don't tell you during recruitment). To the poster who spoke about lack of employee loyalty: The onus is on the employer to create a work environment that promotes a sense of loyalty. When managers & policies are in place which wreak havoc with employees' personal lives, the employer has got to expect that they're going to be continually losing their workforce to better opportunities when those present. [Just wait til the market turns...]
  4. GratefulHeart

    Can you give me the darkside of working as a RN

    Take a read at the First-Year After Licensure board here & also the Student boards. Plenty of real-life stuff there to get your feet wet.
  5. GratefulHeart

    no regular schedule

    I'm about 5 months into my first nursing job on a monitored bed floor in an acute care hospital and am growing discouraged by the lack of quality of life and stress & strain on my family by not being able to plan anything with them. Though I'm thankful to be employed as a new grad with good pay & good benefits, I have no predictable schedule other than that I work 12-hr nights. Most of the time my schedule isn't released until less than 2 weeks before I am required to work. My manager is a pleasant person, but he has delegated work scheduling to one of the night nurses and doesn't like to confront people or get involved after he has delegated a task (by his own admission). The scheduling nurse is not receptive to my requests to be placed on one of the two night teams, so I can know more predictably when I will be working. Instead I am being used to fill in wherever needed, which means if someone on one team wants a night off, then I am switched to that night, back & forth. I am scheduled to work overtime without being asked, and my schedule is changed without anyone telling me. I literally have to check every time I go in to work to make sure that I haven't been "written in" to the book for the next night without any notice. When I have spoken to my manager about this, he says that it's hard to cover all of the scheduling needs and that "next month it will probably get better" because so-and-so will be back from being out sick/having surgery/on vacation/on family leave/etc (endless problem list & excuses - I don't see any end to this). Does anyone else reading here have experience with this problem and/or can offer me some constructive suggestions?
  6. GratefulHeart

    What will a nursing student learn on a telemetry floor?

    You'll learn a lot about the balancing act that occurs between the heart, the lungs, and the kidneys...how to care for people experiencing CHF, CP, CAD, COPD, diabetes, and renal failure (among other conditions). You'll learn about fluid and blood sugar management, supporting circulation and respiration, putting together what is going on with your patients by correlating their clinical presentation with their vital signs, as well as the results of their labs, imaging studies and other tests (a dynamic process that is continually changing). You'll learn to recognize early signs/symptoms that require further assessment and intervention. You'll learn to continually zoom in on pertinent details while at the same time zooming back to capture the larger picture - prioritizing and reprioritizing your patients' needs and what to do about them.
  7. GratefulHeart

    Please help! What would you do?

    Do you have a trusted advisor at school, perhaps a nursing instructor you especially respect that you could speak with about how to write your resume? If so, I would get their input on how to do this. I think they may be better acquainted with the nursing market in your area to give you specific tips on how to present your strengths.
  8. Yesterday during my clinical rotation in the ER, a nurse shared with me that she was working her 12th day (12-hr shifts) in a row. This apparently was voluntary on her part, but it still raised questions for me about the safety of the practice. What are the legal requirements in California regarding time off (recovery time) for RNs?
  9. GratefulHeart

    I passed (phew!)

    It shut down at 75 questions for me, and I later counted up at least 15-20 that I missed. I'm sharing this to encourage anyone else who's still waiting for their results and feeling like they missed way too many. The NCLEX is the strangest exam I've ever taken; it felt like it was messing with my head from about question #40 on. As nursing students we were used to studying to mastery for our exams. However, the NCLEX is an entirely different creature. Being a smart test, it fairly quickly finds the edge of your ability and then keeps hammering you in that very insecure place. [so glad this milestone is behind me; now the real work/world begins.]
  10. GratefulHeart

    I Passed!!!-Ever felt down about NCLEX You Must ReadThis!!!!!!!!!!!

    Wow, you have been through so much, and I really needed to hear your story today. Your passion for nursing and perserverance are beautiful. Thank you for strengthening my faith that no matter what the results of my exam are, the LORD will get me through this.
  11. When you got home, did some research, and then counted up the number of questions you got wrong - how many did you miss but then still pass the exam? Was anyone out there convinced they failed based on the number of questions they know they failed but then end up still passing the exam? I've got quite a long wait until I get my results, but when I count up the questions I got wrong of those I can remember, I'm pretty sure the number is somewhere between 15 and 20. I'm wondering if it's even possible to pass if I missed 20 questions.
  12. I agree with this post. I took the NCLEX yesterday. I practiced using test questions from many sources, but those from NCSBN were the most like the NCLEX in difficulty level. Nothing, though, in reality was *as* tough. It got very intense for me by question #40, and I will be surprised if I passed.
  13. GratefulHeart


    Yes, do hang in there. I spoke with a representative at the BRN in California last week, and she happened to mention that this is one of the *peak* seasons for taking the NCLEX, which may account for the delay. BTW I just took my NCLEX today for the first time. I received 75 questions but left feeling like I absolutely failed it (does anyone ever leave feeling like they've passed?). I need to wait 4-5 weeks to see *if* a FAILURE notice arrives in the mail. If I don't receive one, then that will mean I passed. Sort of convoluted, huh? If I have passed, BRN will not give me formal notice of same until after they receive my final transcript when I have graduated from my nursing program this May. So I feel for you having to wait, I really do. On the bright side, I now know where my greatest nursing weakness is and will be working on it. Most of my questions had to do with priority of care...which patient would you see first, which problem needs to be addressed first, etc. It was like splitting hairs to figure some of those out. Of course, I could always get it down to two, but from there at times I truly was clueless.
  14. GratefulHeart

    Fear of Failure

    I agree with the others that the only way to overcome this kind of fear is to take it one step, one lab, one test at a time. Find a way to keep yourself from sweating over what's up far ahead of you. Just concentrate on the next thing you need to do right now, on learning and passing that. Your confidence and competence will grow as you gain more experience and pass the milestones one at a time. I could have written your post when I was first starting out. Now that I am close to graduation I can assure you that one day giving injections, performing catheterizations, and doing dosage calculations will not be a big deal at all. They will seem like second nature to you. You will actually look forward to managing more complicated patients and having the opportunity to learn and practice more advanced nursing skills. Re the math: I found that the more I dealt with meds in a real world setting, the more the calculations made sense and the easier it has become. They are basically the same type of questions over and over. Learn a method for now that works for you (like dimensional analysis or one of the others) and also always check your answers to see if they seem reasonable. Try to remember the generalities - for instance that kgs are heavier than lbs so the pt better weigh less in kgs than he does in lbs (that type of thing). You can do this: If you made it through A&P, microbiology, and chemistry, no dumb math problem is going to stand in the way of your goals!
  15. GratefulHeart

    Worst doctors orders ever received

    Just yesterday, written by a new intern for a patient who was unresponsive, unable to swallow, and being considered for intubation: "Hard candies to suck on." [sheesh, and what did the poor guy ever do to you, doc?]
  16. GratefulHeart

    doing research for a class and need some help

    Search your state's registered nursing board re "diversion" programs. In California, nurses can self-refer to the diversion program if they are impaired as the result of drug/alcohol problems.