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starlitex1280

starlitex1280

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starlitex1280's Latest Activity

  1. starlitex1280

    Is there Still Hope

    @miss_linh For some reason, I'm unable to dm you on this site. Contact me through email here: myx60@hotmail.com. Thank you.
  2. starlitex1280

    How to effectively delegate in nursing on a unit

    @AceOfHearts<3 Thanks for the great examples! It feels empathetic and boosts teamwork morale. Thank you!
  3. starlitex1280

    How to effectively delegate in nursing on a unit

    @Queen Tiye Thanks for that added tip! You're right, showing and validating appreciation of them is a great start! I'll try not to over do it but to make sure that they feel acknowledged. Thanks again!
  4. starlitex1280

    How to effectively delegate in nursing on a unit

    Thanks for your response! As far as basic care needs, I feel like sometimes I wind up going back and forth the patient room gathering meds, giving patients gowns/towels when requested, giving pain meds, giving an extra cup of water, emptying urinals at once. Of course if it's something basic, I'm more than willing to help out and offer assistance. But let's say you're doing an admission, another patient asks for pain meds, then another patient requests for water, then another patient is going to be discharged, there's more scheduled medications to give and it's not complete because it wasn't brought up by pharmacy, the lab calls for critical value, a family member asks to speak with the doctor, and pt came back as a fresh postop etc. It can be overwhelming and I know we all have to work as a team. Priority and delegation become extremely important. That's another thing I'm trying to work on too...priority. However, delegation is one of the hardest things for me. With the example you provided, I would have been more than willing to ungown and regown just to get supplies if I were missing something. Like if the aide was helping with positioning or something, I would have gone out the room to pick up extra supplies. I would be more than willing to help, but it seems like it's not reciprocated back as much as I would help them. This is all a learning experience and I do appreciate your example. It does give me some insight into how I can better approach others in delegating tasks. Thank you!
  5. starlitex1280

    Is there Still Hope

    Hi, First and foremost, you are among hundreds and/or thousands of students who have been in your position and are currently practicing as an RN today. Not everyone will admit how many times they have taken the exam whether it's twice or multiple times. You have the knowledge, my dear. However, it takes a certain mindset to tune it up and successfully pass the exam because in essence, it's not about what you know, but how you apply what you know already. Yes, there are certain things you need to know for the exam. However, the best advice I can recommend to you is a private tutor I know (which I will pm you) and Virtual ATI. Once you commit yourself to these two things, you are guaranteed to pass. Virtual ATI narrows down your weak points. Don't focus on what you know, focus on what you don't know. That will be the key. I took VATI with a predictor score of 84%. To them, 92% is guaranteed passing. However, you are definitely ready for this as long as you don't throw in the towel and give up. I was in your shoes for many years. It was devastating however, last year was my turning point. I decided to find what works for me. What works for me may or may not work for you. But it depends on the person also. Some people say Kaplan, Saunders, UWorld, Mosby, Pearson, ReMar, Hurst etc. works for them. But, trust there is a way. I've tried them all too and it didn't work for me. Until I met with a special tutor and her advice to do Virtual ATI in conjunction with her strategies. If there is anything else you need, let me know. Virtual ATI keeps up with the NCSBN and NCLEX as they make the exam harder every 3 years. They recently increased their price however, it is definitely worth it. You can do this!!! You really can:)
  6. starlitex1280

    How to effectively delegate in nursing on a unit

    Thank you for your response! I like the possible options that you listed. 1) Depends on the nurse they're helping. I do find that new nurses get similar responses like me. 2) Perhaps. I'm fairly new on the unit and perhaps it could be a personality clash? I'm soft spoken and non-confrontational. Most times what it would appear that the PCA is delegating to me. For example, offering suggestions after vitals are recorded. Telling me what I think I should do in certain instances because I'm new. 3) It's hard for me talk loud. So most of the time, I'm quiet and asking nicely doesn't seem to cut it in terms of delegation half of the time. 4) This is a great suggestion! I will definitely consider this the next time I'm on the unit. It's true, some people don't like being told what to do. However, certain ways of saying things can make all the difference. Thanks!
  7. starlitex1280

    How to effectively delegate in nursing on a unit

    Thank you for your response! You're right, it is definitely a team effort. Will definitely consider what you mentioned and try to apply it. I like the last example you said "I'm ____ right now, but I can help you when I'm done". It sounds negotiable and diplomatic. Will definitely work on similar responses. Thanks!
  8. Hi everyone, I'm a new RN but not a recent grad. My experience includes 7 years being an LPN and 4 years working in the lab at a hospital. However, I'm currently having difficulty in delegating tasks on the floor. I don't know how often it occurs in nursing in general, but as a new RN, I have a tough time delegating to assistive personnel. For example, I'm following basic protocol in delegation such what to appropriately delegate to the PCA: -picking up medication from pharmacy -sending them to drop of specimens to the lab -asking to change a patient and offering assistance when needed -giving socks, water, or an extra towel or blanket etc. for a patient -taking vital signs (stable patient except when critical) -emptying urinals, offering bedpans to patients, assisting them with personal needs These are the day-to-day things that matter even though they may seem like simple to do, one person cannot do everything at once. I see now that the responsibilities of an RN are much more than the LPN and delegation is something I need to improve on. I always ask nicely or politely to the PCA when delegating tasks however, it seems like 50% of the time I wind up doing the tasks myself. Here are the following common responses I get from asking the PCAs in a nice way about delegating tasks: "You can't do it yourself?" "I'm on break" "Why can't you ask the other PCA to do it? I'm doing a one-to-one" "Sorry, I'm busy right now" "I'm on this side, where's the other PCA on that side?" In addition, they're no where to be found at times. I find myself going to the charge nurse or nurse available for help. I can understand when the floor gets heavy with admissions and discharges. However, asking something basic and in a polite way shouldn't have to delay patient care. I know this is a new role for me however, I feel like my morale is very low because it's creating such a burden to ask someone for help. I want to help out patients the best way I can but I cannot do it by myself. I cannot give medication, follow up with doctor's orders, chart, monitor critical patients, turn and lift patients, offer a bedpan, give pain medications, and do an admission etc.. all by myself?!?! It's not possible, it really isn't. To all nurses reading this, I would greatly appreciate any advice you can give me and to give other new nurses out there who feel the same way. I still think that nursing is a great profession. New things to learn...you're there with the patient when they are most vulnerable and utilizing nursing skills to help them at their time of need is awesome to me. But, I'm almost burning out by bedside nursing. Thank you all for reading my post. Any help on this matter is greatly appreciated.
  9. starlitex1280

    2014 Pearson Vue Trick (PVT) Poll

    Thanks, will keep you posted!
  10. starlitex1280

    2014 Pearson Vue Trick (PVT) Poll

    I'm going out of my mind. I took my NCLEX-RN exam 3/12/14. Never bothered to do a quick results view 2 days from that day. However, was able to do the Pearsonvue trick 3/13/14 and sent me to CC page. I was devastated and never bothered to fill out the information to register again until I received the "good" pop-up yesterday, 3/16: "Our records indicate that you have recently scheduled this exam. Please contact your member board for further assistance. Another registration cannot be made at this time." This made my heartbeat skip a little. So, to verify, I did this a couple more times, trying to register again and the "good" pop-up would appear. So, I had to verify again and wanted to see "unofficially" there was a change in my status. Lo and behold, I paid to see the quick results view only to find out that I failed:/ However, I cannot register for an NCLEX exam. It's 3/17/14 and I am in search for answers as to why I "failed" and cannot register with a "good" pop-up? I put my information over and over again and I still get, "Our records indicate...". So confusing. I may be the 1% that this pearsonvue trick is not accurate. So, I did what the "good" pop-up told me to do. Call the state board of nursing. All they told me was to wait 45 days and call pearsonvue. I called pearsonvue and they said that there's a problem with the computer and I should be able to register tomorrow and if it doesn't resolve, to call back. So, my theory is as follows: 1. There was a glitch in the computer system and I actually did fail the exam 2. This might be pearsonvue's attempt to stop this pearsonvue trick 3. There was an error on their part and reviewed my exam again and I actually did pass I'm hoping for the best. Hoping for my No. 3 theory to be correct, but this pearsonvue trick is giving me the run around. All I have to do now is to wait in the mail. I hope to see a big envelope this time. Any thoughts or suggestions are welcome!
  11. starlitex1280

    Recent NCLEX test takers

    Got my candidate performance report today, but I have a question about passing the NCLEX. Now, according to this report, there are 8 categories (NCLEX-PN). Each category will say something about your performance: -Above the Passing Standard -Near the Passing Standard -Below the Passing Standard Most of mine, except for 2, were near the passing standard. Question(s): a) Does this mean that those who pass the NCLEX have all the 8 categories as Above the Passing Standard? b) Is there a cut-off where you can get 6/8 as Above the Passing Standard and 2/8 as Near the Passing Standard and still pass the NCLEX? c) Does having a Near the Passing Standard on all of the categories suggest that you "Almost Passed"? -It's just a little mind-boggling to me. I want to know exactly how things work. As you can tell, I'm very anal but that's the way I am. -It was too late to contact my state board of nursing, so that's why I'm posting this up.
  12. starlitex1280

    Recent NCLEX test takers

    Dear 1jazzynurse, starlite, i'm sorry to hear about your bad news. don't beat yourself up over thinking you should have done a million more questions. i'm going to tell you what my charge nurse told me when she saw me trying to study at work: You already know the information, now just think about what the question is asking. i know this is easier said than done. I had a practice cd with 300 questions that i didnt do and the 3 week course with ncbsn which i didn't complete. i'm not telling you not to study, but focus more on how to answer those questions. i would do the ncbsn website again and maybe only 1 review book, so that you arent scattered everywhere. focus on how to answer those select all that apply and delegation questions. they were the bulk of my test. good luck with it, don't give up. ------------------------ Thanks for your words of encouragement. I got my ATT again and will wait for my performance report on my areas of weakness to improve on. You are right. I need to know how to answer the questions more diligently. I plan to study more consistenly and pray. I have hope for the second time around, thanks!:wink2:
  13. starlitex1280

    Recent NCLEX test takers

    mood: depressed Found out my results at 9 this morning. I saw the F-word and I thought I saw it coming. I'm both depressed and determined at the same time. It's hard to explain. I knew I had a feeling that I didn't pass. I didn't do my fair share of questions. I didn't study at least 1000 questions. I did like a couple hundred questions. To tell you the truth, I didn't know where to study so I studied parts of everything. I have like 5 NCLEX review books from Saunders to Mosby. I have 2 sets of NCLEX review cards by Springhouse (together about 500 questions that I didn't answer all the questions). I registered for the 3-week online subscription at the NCSBN website. On my computer, I installed 3 sets of cds: over 3000 questions from Saunders & Mosby, and the NCLEX 3500. I borrowed the 07-08' Kaplan Strategy book at the library and utilized that. I barely studied the ReadytoPass manual from the review class that I took. I even had all my ATI books and CD's from my school to study. So, as you can see my brain was scattered. I took the test April 21 and have to wait until June to re-take the exam. I have until September to take the exam over again. It's sad. So much time and money wasted. All because I had no strategy. Nobody told me that there was a strategy because from reading the questions on the NCLEX, there are ways to answer therapeutic communication, priority, delegation, SATA, medication side effects, peds, and ob questions. I know there is a strategy and the questions seemed easy. It's just that it's hard to pick the best answer because either you're decided between 2 questions or just stumped because you never heard of some medications before. I hate critical thinking. I know it's not about memorization but there are some things that they do ask like infection control, priority, assessment, implementation, therapeutic communication, and medication questions. I know there is a strategy. There was even 2 questions that I saw from practicing the questions on my review cards and cd's. I know that I'm not stupid. I know that it's my fault that I should've studied more consistently, but I didn't know where to focus on. I also think it's also about how to answer the questions. There is a strategy, I just know it. I know I'm not good at the ATI but I gave it a shot. Is that all that matters? It's so discouraging because by reading the answers on the NCLEX two days ago, those questions were familiar to me but I guess my nerves got the best of me. I mostly made educated guesses past 85 questions and then at question 190, I began to doubt myself. Why does it seem like life or death on this exam? Too much pressure, too much time and too much ******* money. Why? Does this mean that it wasn't meant to be that I should receive my license in April of 2008? I told one of my classmates just now that I didn't pass the exam. She advised me not to let my classmates know about it and tell them that I didn't take the exam yet because people are gonna talk. I told her that it doesn't matter what other people say or think. The opinions of others don't matter. It's what I think that is most important. I don't even know how to motivate myself again. I don't want to set myself up for failure again. I'm thankful that my parents are supportive of me taking the test one more time. It's just that I don't understand the way the system is set up so that some people are designed to fail. Well, maybe I do understand but it's hard for me to see it right now because I did fail the exam. As much as I hate taking standardized tests, I know I have to. 90% is determined to do better and pass. The other 10% is like give it up already, you're not meant to be. As much as I'm trying to brush that 10% off, it seems to still linger. I always envisioned myself to be a nurse . I just see it...wearing my uniform, helping others, and making a positive contribution to society. I always seem to go hard on myself when I don't pass something. I just don't know where to begin now. I have no job. I was depending on this exam to at least start working and begin my career as a nurse. I'm still stuck at home and I want to begin doing things independently for myself. But, there's so much build-up around this test. It's is like Life or Death. The fate of my nursing career lies in the hands of the NCLEX. It's like a barrier for me to continue all the things I want to do. I still am determined, but I do need some support as to where to focus more on the test. :confused::confused::confused: ~Hopeful
  14. starlitex1280

    200 questions???

    thanks cupcakes168. nice words of hope and encouragement because my computer shut down at 203 questions. waiting until wednesday to hear my results.
  15. starlitex1280

    April 2008 NCLEX test takers, COME ON IN!

    I feel pretty much sick to my stomach because I took the NCLEX-PN this morning. The computer stopped at 203 questions for me. I would say that the test was not that difficult however, I feel that I should've been more prepared. There were lots and lots of priority questions. There were about 2 questions where it was similar to the ones that I've had on the practice questions. I don't know what to think. Now, I have to wait 2 days....2 gruelling, long, and agonzing days to find out the truth of whether I passed or failed. I really hoped I passed. Another person who also took it with me stopped at 75 but she took the NCLEX-RN. I had like 15 questions on pharmacology mostly about side effects. I also had like 4 fill-in's which were calculating how much mLs to administer etc. I didn't have any "hot spot" questions at all. I had like about 4 select all questions and everything else was multiple choice. I really wanted my computer to shut down at 85, but it just kept on going. I didn't run out of time. I had like 2 more hours into the 203 questions that I had. I'm so scared because I don't want to repeat it again, but I did give it my best shot. My best advice to those who have yet to take it is to practice a lot of questions. The more questions that you practice and get familiar with the rationale, the better because most likely it might appear on your NCLEX! Well, on to waiting a gruelling 2 days from today.
  16. starlitex1280

    Need some help!!!!!!

    I'm at the point where I just want to give up even though I shouldn't. Ok, here's my story: I graduated last year with a BA in psychology with a 2.5 gpa. I recently finished pre-reqs of Anatomy I, II, Microbiology, and English Composition II at NYCCT with grades of B-, A-, A, and B respectively. I applied to a few nursing schools already such as Downstate, College of Mount St. Vincent, Marymount University, Edinboro, and University of South Alabama. I've been rejected at all these schools applying as a second degree student except for Alabama, I'm on the waiting list. I'm thinking about taking Nutrition this fall since most other nursing schools require that as a pre-req. But I'm not sure if that's enough. Here's the thing. I'm not sure which direction I should follow. Should I take the LPN route then take the LPN-BSN later? Or take the RN route and then take the RN-BSN later? Or continue applying for the second degree program? It's very frustrating at this point. Essays, recommendations, other pre-reqs I haven't taken such as nutrition, ethics, religion, philosophy, computers, history, pathophysiology, pharmacology, organic chemistry, SAT scores required by few schools, interviews etc. Isn't a bachelor's good enough?! Apparently not! If anyone can prove me wrong, please do. All I want is to be able to go in as a transfer student into nursing. See, the only school that I've found that requires a min 2.5 gpa, no essays, no recommendations, CPR certif., pre-reqs of A&P I,II, Eng I & II, Micro and Statistics was South Alabama. However, I remember specifically on my application that if I'm not accepted into the accelerated program that I would be considered for the traditional program which I do not mind. Now, I get a letter that I'm on the waiting list and that I would have to re-apply if I don't get in. Nothing mentioned about being considered for the traditional option. It's very frustrating I would greatly appreciate any thoughts, comments and advice at this point. If there are any nursing schools that anyone knows of that can easily take someone like me, please let me know, please -Thanks
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