RN4jewels

My understanding is that the questions are mid level on a given topic and if you miss the mid level it goes down to an easy question on that concept and work back up but not necessarily sequentially. The questions are dispersed in the remainder of the test. If you answer the mid level question the harder questions come like another member said. When I went into the test I figured it would take 125 questions so I wouldn't get too anxious, but it turned off at 76 in 55 min. I have had friends fail with 75 and pass with 265 or out of time. Congrats to all the grads who have recently passed their exams!!

In 1995 I had an ultrasound at 37 weeks that showed baby to be 6.5#. Because of this I had an induction the day before he was due. I was induced for 2 days which I learn now is almost unethical. My son was 9# 7 oz and had huge shoulders. I pushed for 3 hours. He was so stuck he could not be vacced out or pushed in to do a crash C. He was a PNB for 6 minutes post delivery which took 15 minutes from the time the head was delivered. Today, by the grace of God I have a bright, loving 7 year old because we were at a hospital with a NICU. I don't want to imagine what the alternative would be. He has Erbs palsy in his Left arm, but I am grateful that is the worst of it. This happens in many cases where no induction is performed. I can't imagine having a child with tonic-clonic CP because I wanted a home birth. It is a personal choice and I respect that but I wouldn't advise it unless it was the only alternative. too bad hospitals still don't do as wonderful a job making the environment as homey as the new age idealism makes it sound. JMHO.

I AGREE WITH YOU LIBERAL rn ABOUT THAT APPROPRIATENESS, wE HAD A SERVICE EXCELLENCE INSERVICE A FEW MONTHS AGO WHERE WE ARE SUPPOSED TO GO OUT OF OUR WAY FOR EVERYONE, NOW WE ARE TO TELL PEOPLE (ancillary) CALLING FOR INFORMATION, "THIS IS AN INAPPROPRIATE CALL, PLEASE CHECK THE COMPUTER OR CALL THE HUC FOR INFORMATION (the HUC who just transferred the call and I am not making this up)

Worse yet to me is when we have medical students working under the residents. The resident can be sitting 10 feet fron the patients bed and hisname is ON her chart, when I state, so and so is worsening, labored breathing, dropping sats etc..... they will say "What med team is she on???" in other words find the med student....Hello, your her MD too, just go look at her for me. It is one of the most difficult tasks on our floor trying to figure out who to call in the middle of the night. YIKES!!!! HALF THE TIME THE CHART IS EVEN WRONG.

HI, On our 32 bed floor first shift takes 1-2 pts that are going to be discharged that day, they go to hospital report, help other nurses and coordinate admissions. The same is genearlly the case for 2nd shift. I work 12 hr Noc's and we have a full load, coordinate admissions, check code equipment, call in line draws, and do scheduling for night/day shift and the assignments. We also deal with the codes and other emergent situations and the things that come up during the shift. We give report to the Day charge nurse when she comes on. It doesn't seem like alot but no one wants to be charge for the extra 50 cents an hour. I rarely get to sit and also seem to never get everything done for my own patients. We have an 8:1 ration on NOC's but have had 10-11:1 shifts which is just plain wrong in my opinion, dangerous and reckless for management to even suggest it but it happens. Fortunately we take turns being charge and we all help each other out. It is the best asset on our floor. the teamwork. I work with amazing people but then I think all nurses are amazing, I am so glad to have found this site also and thank you all for your insight and expertise !!!!!!!