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goingback's Latest Activity

  1. goingback

    Looking for resources

    I have a friend who finished LPN school a while ago and hasn't been able to pass NCLEX and now has been out of real like practice in hospital. Is there any "refresher" course that has simulations that could help her refresh her skills and the critical thinking basics of NCLEX--like always check the ABCs first even if the patient has a stubbed toe?
  2. Ugh. I've been a nurse for 20 years--ER always (and some other units). On my feet 8-12 hours a day for 20 years. Now for the last year I got a knee injury and then knee and hip pain. All wear and tear and overuse DX--patellarfoemoral syndrome, piriformis syndrome. It is so hard when you are in pain to work, let alone do your PT and exercise as well. I am one of those who takes care of everyone else before myself and my body shows it. Yes I am overweight--don't exercise like I should, but diet is reasonably ok. Stress has been huge (work and family issues). While work stress is being resolved, family stress (husband) still there. Last year this time--I was working out 4 -5 days a week, had lost 12 lbs, but then got a knee injury which has not involved more things. I can still work, I am doing PT for my hips/knees, but it is very hard to exercise (especially cardio) when I have hip and knee pain I am limited and it is a fine balance of not doing too much so that pain isn't worse (got to still be able to go into work to pay the bills). So when I complain in the evening of my hips and knees hurting husband says "well don't you think its your weight. You need to exercise" He doesn't get it. Yes I am overweight, and that has not helped anything and I am sure made things worse, but so is 20 years of being on your feet. How do I get his to have more compassion for me. I am exercising, I can't do the kickboxing or zumba that I want to because of my injuries. I can't even go up and down a flight of stairs without a lot of pain/difficulty. I can only walk for short amount of time. (I have a complicated condition--otherday I walked around at a festival for 2 hours with no real problems minor pain--but then my muscles were apparently so fatigued I literally could not lift my leg to get into car (my husband just rolled his eyes at me). I am doing best I can. He is not understanding, he resents that I ask him to help out with house or taking groceries in when I tell him I'm in pain. It seems like he is unsympathetic to my pain because he thinks I have caused my problems due to being overweight only. Am I wrong? Lazy? I am doing best I can.
  3. goingback

    When is it time to leave ER?

    Just thought I would update. I had stayed with the ER. But again the bullying came around, had to get the union involved (I was having health issues and the ER bullies were making it their business to try to get me in trouble with excessive absences (even though MD notes), not being "up on skills", etc.). Union said I had case for harassment. Just not worth the fight anymore--why am I working so hard to try to stay in a place that I love the work and patients, but hate the people I work with--and that constant stress of working with people who are making life difficult for you. The stress of working with those people was affecting my work and my health. I have 2 other areas I work in with no problems and people happy to have me there. So I quit the ER. I am still coming to grips with that, mostly wondering how uncomfortable it will be running into those who made my life so miserable. But it is a major relief not having the stress of working with those nurses. There are others who have left recently also for similar reasons. I wish management would wise up and see they are loosing good people. I really hope those bully nurses will eventually get in trouble for what they are doing. They are not representing the spirit or values of a nurse.
  4. goingback

    Sleeping for an occasional night shift

    Help! I have to do a per diem night shift (haven't done nights since nursing school). Not really sure how to get myself to sleep during afternoon evening. Do I try to take like a melatonin at 3 in the afternoon and put on eye shades and use ear plugs? Do I try something like ativan to relax to sleep? I am just scared about not being well rested.
  5. For those that teach the skills labs and have letter grades: Do you have check offs that have points assigned for specific steps? How do you ensure that all people who check off do so equally? For skills that require sterile technique like foley catheters--if a student breaks sterile once--do you give them only 50% of their grade possible or do you give them zero if they break sterile once? Or if they break sterile, but realize it--do you give them the points or still deduct for error? Clinical instructors: Do you assign grades to care plans? How many care plans do you require in a med-surg clinical? How does your school or you deal with the complaint of faculty grading differently or harder? Do you still use NANDA? Do you find that students care plans (and their thinking/prioritizing on care plans) is typically reflective also in their clinical practice on the units? How do you let students know how they are doing each clinical day--do you meet with each student individually?
  6. I know that we tell students to take feedback given to them in a professional way, not personal...but it is so difficult to read the student's feedback of my teaching and not feel like I am being attacked and worried for my job. It is so hard when students are so upset over a grade on a care plan or skills check offs--the reviews come back that instructor was too demanding, too much work assigned, unfair grade compared to others. I document everything--so if a student gets a B in clinical--there is usually documentation of performance weaknesses or issues. Or if they fail a skill or are struggling in the lab there is documentation put in their file. If a student is a safety risk they should be held accountable I believe. If they continue to make an error is practicing a skill or sterile technique--they should be held accountable. Not everyone is an A student. I am just so tired of being told by students on reviews that I am a harder instructor than others or grade harder than others. Should I compromise my values of holding students accountable and ease my grading (inflate grades) just so I can get better reviews? Although most all my students end up doing the work and getting As in clinical and skills labs, it seems as if they have a hard time with feedback. I am a very nice and open person and try to always be kind and friendly to my students, but will I have to take a perhaps different approach with giving feed back? I try to give praises to students, but I keep it simple and say good job, nice technique, I liked how you communicated that...Do I need to fluff the praises more? There is not enough time to tell all individual 20 students in a lab class how well they are doing. Any tips on how to make the students feel more special? Any suggestions on receiving anonymous feedback from students that feels like they are attacking you for just doing your job?
  7. goingback

    iPad or tablet for teaching

    For ITEACHOB, When you talk about being able to link "dropbox" ---are all your computers and phones from apple so that if you make changes in oneplace--it changes them in another as well? Or is there dropbox features available on any laptop? I love my iPad, but it is frustrating that it will not sinc my email with my home computer. When you take your ipad into the clinical setting--how do you keep it from getting stolen (sy you can't take it into a isolation room) and also from picking up regular hospital germs.
  8. goingback

    are online MSN programs respected?

    Yeah. I am all done with my MSN in Nursing education. I would recommend it to anyone.
  9. goingback

    Creative teaching --Games/tools?

    Are there any websites that people know of to find creative nursing games. I have heard of RNtertainment and Medical monopoly. Any others? Someone also said they had seen some type of beachball that had nursing questions on it. Anyone hear of these or others? Or know of any cool sites.
  10. goingback

    PhD programs online

    Anyone know of an accredited program online--that does not require the GRE? Do you really have to go take the GRE even if you have a MSN? I feel like I must be missing something. Do people with their MSN who have been in the field for a while really have to go and take the GRE? I looked at the AACN-CCNE website and I was surprised there are not more accredited schools, but the drop down menu was for DNP--it didn't list PhD. Shouldn't Universities all be accredited for their programs?
  11. goingback

    Teaching for diploma or BSN?

    So what are the pros and cons doe teaching for a community college vs BSN program? I understand that the community colleges pay more. How is the job security? Pros/cons? What about the BSN programs? I teach for one part-time now. The salary is horrible--like $20 less an hour than what I make in the hospital. Lots of politics--which I don't have to deal with too much as a part-time clinical faculty. Are there more politics at the BSN level vs community college? I have a BSN and believe in the education that the BSN includes vs the CC diploma program. Also there is a different type of student that goes through a community college program vs the more stricter, high GPA, competitive BSN programs. While a nurse is a nurse and it is more that goes into how good you are vs what degree you have. Am I selling out at all if I were to teach for a community college for the money? I would love to hear peoples experience who have taught for both types of programs.
  12. goingback

    PhD vs. DNP

    I am also considering the option of DNP vs PhD. JaneyW what online program did you look into? I love teaching. I hate research. So for me DNP sounds more enjoyable. Does anyone know of online PhD programs that are less research oriented? What would be the best way to see what is required to be faculty in my area? How to find out what would make me more marketable and get more money?
  13. I will be starting my preceptorship/practicum in Fall 2010. I am a NE emphasis. I know that as an NE I can work in the hospital setting or the academic setting. I already teach skills lab and have been a clinical instructor. I am wondering should I try to get a preceptorship in hospital setting to have a different experience or if I should try to just do a academic setting for a different institution. I have 288 hours over 2 semesters to complete. What have others of you done and what was your experience? I would love to hear what people have done in both settings. Were you able to do this on top of you current work schedule or did you have to take time off?
  14. goingback

    Creative skills lab ideas

    Finn--is the study guide your schools own or a published one like Mosby's. I have 2 sections--20 students each. They are required to do checkoffs for each skill. So it's one day of coming having done the readings/watched the video, I talk a little about the skill, demonstrate it in small groups off 6-7, then they practice (4 hour class). The next day they check off (2 hour class). Those that are waiting to check off or have checked off can practice or review other skills. Any hand outs about skills or critical thinking exercises about skills people use?
  15. goingback

    Creative skills lab ideas

    Who has ideas for how to make skills lab more interesting/fun/educational? I did visit a colleague who had a great idea--he was going over wounds and wound care. He broke students into small groups and gave them each a special topic/population and had them write down how it would impact wounds and what could be done. Like how incontince affects skin and what could be done, how would paraplegic and neurologically affected patients be affected, etc. So this generated a lot of critical thinking. Iv'e done scenarios where they each have cards-kind of like amurder mystery- so it is played out where Rn is assisting a hip fx patient to commode and then patient falls or complains of pain or gets dizzy. Or gave insulin to patient before dinner now after your break find patient cool clammy lethargic--what do you assess and do. I'm just teaching skills this semester and feel like it will be boring with just lecture, demo, then student practice. (They have to check off for each skill either the next day or next week--accelerated program they have only 6 hours a week in lab a 4 hour segment and a 2 hour segment). Are there any good resourses out there for skills teaching?
  16. goingback

    Ideas for teaching lab about Chest Tubes

    Atrium will send you a whole chest tube collection kit and a respiraory simulator and video. They are great. There is an area on their site for educators/education.

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