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ER, ICU, Education
Member Member Educator Nurse
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AOx1 has 15 years experience and specializes in ER, ICU, Education.

AOx1's Latest Activity

  1. AOx1

    Professors fail everyone?

    I would not pass a student who is below the passing standard. I care enough about my students' knowledge and the public's safety to tell a student when they are not ready. The huge majority return with a fresh perspective, new study skills (I work with failing students extensively) and go on to succeed and be great nurses. The worst thing I've ever experienced as a professor was seeing another professor pass a marginal student who was two points below passing. I tried to work with that student on skills and study techniques. The student felt she was "home free" since she passed. She failed NCLEX 3 times. Guess who she called for help then? Hint: not the professor who let her pass unfairly. I want all of my students to meet or exceed the same minimum standards to protect their own licenses after graduation, to protect the public, and to be fair to all of my students. There must be an absolute minimum standard somewhere. OP, I wish you luck, but whether you pass or fail, I hope you explore why you are not succeeding and go back to learn more about your areas of content in which you are not doing well. Also, Test Success by Nugent & Vitale has been a great help for many of my students.
  2. AOx1

    IV starts in nursing schools

    We teach this in second semester to our BSN students. I would be embarrassed if they did not know these skills. Our students graduate with around 1100 hours of clinical practice, have excellent pass rates, and are quickly hired before they graduate. Word gets around quickly in our area about which graduates are ready to practice, and I'm proud that our students are known for clinical excellence.
  3. AOx1

    Have you noticed...

    It is cold outside, and I eat everything at the first sign of below freezing temperatures. Pasta, oatmeal, my young. Generally, I prefer carbs to eating my young, but some are so tasty. In all seriousness OP, nursing is much like any career. Expect the best, and the few jerks you encounter, just don't be tasty. Be calm and assertive but not aggressive, and try not to take the bait. In a healthy workplace, this is rare.
  4. AOx1

    Knitting during class: ok or not?

    Oh my goodness! I must indeed be a COB. In my class, there is no gum smacking, meal eating, knitting, texting, side conversations, and certainly no marching or gymnastics. If students want and pay for education, that is what they should get, in a setting free of distraction. I am trying to help students acclimate to a professional setting. These actions are for break, lunch time, and personal time, not for class. That said, I work hard to keep class time relevant and engaging, and my students get hourly breaks. As the saying goes, the mind can only absorb what the butt can endure!
  5. AOx1

    Saw an angry clinical instructor...

    Excellent news, Bortaz. If you do decide to bite, please update us to let us know if the instructor tastes like chicken. In all seriousness, you've done well, and nursing students should see that there are many practicing nurses who care deeply about maintaining professional standards in nursing education. Bortaz for the Daisy award!
  6. AOx1

    Saw an angry clinical instructor...

    Bortaz, thank goodness you have witnessed this and are willing to act. Hostile communication is a patient safety risk and JCAHO strongly frowns on it. This instructor is setting a horrible example. I would document factually, along with your coworker, and submit to the clinical liaison. There is a decent chance that the head of the school may already be receiving conplaints from students, and outside witnesses make it that much easier to get rid of "bad apple" instructors. Most schools will fire an evil instructor before they risk losing a very hard to obtain clinical site. As others have said, if there is not a liaison, then contact the school directly. I would fire a faculty member for this, without hesitation or regret. Typed statements from two witnesses to abuse would seal that deal.
  7. I wonder if the content was moved from prior semesters, and the instructor reused an old test without checking? It sure sounds like it. First and foremost, the best evidence-based standard is for educators to perform statistical item analysis after an exam. If this is not happening in your program, why not? If it did, the items not covered would be thrown out when they perform poorly. I would begin by calmly asking the instructor about the items that should not have been on the exam. If that fails, then approach the head of your department (Dean, etc). Follow whatever process is laid out in your student handbook.
  8. AOx1

    RN to BSN programs

    Wow, that's expensive! It is interesting how different parts of the country are different prices. Here, the ones I know about range from around $8,000 to around $25,000. Now I really feel old! When I went through my BSN years ago, I think I paid around $5,000 total, including books. Yup, feeling practically ancient here!
  9. AOx1

    Ebola here in Dallas USA

    I think you've hit on it exactly. It reminds me of how often we hear blaming of others in healthcare and I think that we do it in part to feel safe. For example, if we see a fat person have a heart attack at a young age, we hear people make fat jokes. If we see a young person overdose, we hear comments about meth heads. It's distancing. If we can convince ourselves that this could never happen to me because I'm not fat, an addict, a whatever, we feel safe. The problem with this comes when someone breaks the mold (ex- a skinny, fit, seemingly healthy young person has a heart attack) and this feels so much more devastating. I'm not saying it's ok, but I do think there's a strong sense of "Well, Ebola isn't my problem because I'm not from a 3rd world country/don't travel there/etc." it reminds me of when AIDS was called a "gay disease" back in the 80s until we admitted that it most assuredly is not.
  10. Others have given the most important advice, to seek help and address your mental health as first priority asap. If you had crushing chest pain and were short of breath, you'd prioritize that, right? This is no different, simply a different organ (your brain) is the cause, and not your heart. Mental health issues are nothing to ignore or be ashamed of. When that is addressed, I hope you will realize that potential or actual failure of one course has little to do with intelligence. As a professor, I respect my students who try their hardest whether they are my strongest or weakest student. When some of the fog of depression clears, I hope you will explore all of your options, like scholarships, signing a contract with a hospital, and loans. You may not even need these noptions. Have a frank talk with your mother. Most people are clueless that nursing school is more difficult than many degrees. I would also suggest a positive chat with your instructor, along the lines of "I know I can succeed. Today, I'd like to teach a patient about x, would you be willing to observe?" Make a plan of action. Don't think of it as just women's care. A post op c-section is a surgical patient! Most of the same risks as any surgical patient. Review the basic teaching for postpartum. Most of my male students enjoy postpartum more because they are more comfortable providing education, and if a male partner is present, can also teach him. For example, learn some basics. How often should baby eat? Pee? Poop? Does breast-fed poop and bottle fed poop look different? Go in and ace it. Each time you enter the room, give a small piece of relevant information. Giving the first bath? Tell family about temperature regulation and skin care. Bringing diapers? Talk about expected voids and stools. Giving immunizations? What are they for? Etc Get assistance with your mental health on an ongoing basis, learn positive coping and stress reduction, then go forth and shine. You are a young fellow and will soon be independent. Start building the skills to succeed and to cope with stress and mental health now, and go show your instructor your capabilities. The world has a funny way of looking really dark at times, often just before you learn a big life lesson. A failure only has the ability to dent your self esteem, don't forget who you are in the process.
  11. AOx1

    Sticky situation .. What would you do?

    Sorry, but this is ridiculous. If this is not addressed, take it up the chain as far as you need to (ex-your school ombudsman, Dean of Students, or appeals committee). I am a nursing professor, and this is laziness to the extreme. If your scantron is broken, get the darn thing fixed or use another method such as online testing. It's rather scary that this is a known issue and has still not been addressed. If your school is ACEN accredited, it must show that students have curricular input. This would be first on my list to ask my student representative to address. I am embarrassed to be associated with an instructor who would blame a student instead of fixing the technology, or reassuring the students that the tests would be hand-graded.
  12. So much of this depends on the course. Is this a new freshman in a remedial course? Is this a senior nursing student? I have found that many new students have weak writing skills and don't grasp the difference between throwing in a huge volume of quotes and actually synthesizing and paraphrasing information. Blatant plagiarism in our nursing courses = course failure. They have had two semesters of English comp, as well as a module on academic writing in their intro course. They are told up front about the policy. They are told that we flunk 100% of cases we catch. I see this as the equivalent of false documentation. Very serious, very dishonest. That said, there are exceptions. For example, we did not flunk a student who attempted to cite, but did so improperly. Faulty citations are simply docked APA points.
  13. AOx1

    My good friend is a 'witch' at work

    I worked with several women like this on a rather toxic unit. They would try to run others down in my presence. I refused to listen. Ex- "Can you believe Mary did that? She is such an idiot!" and I would respond with "That is not my experience with Mary at all. What would make you say such a thing to me about Mary?" If they tried again, I would say "Let's go talk to her right now together." They never would, of course. When I was eventually promoted to manager of the unit, I gathered the staff together. I went and spoke with each shift. I let them know that we were finished with gossip, and those caught gossiping about peers would be fired. There was grumbling. Two people were fired. The unit was then a much happier place. Two ringleaders and a culture permissive of gossip had allowed for a horrible work environment for so many nurses. Work is for work. You gossip, you refuse to work as a team, I fire you. Simple, really. I say this because all it takes is one bad apple like your friend, and those that stand by her and tolerate her nasty actions to sink the morale of a unit. Of course, she has problems. Boo hoo. So do all of us, so do the people she bullies. And yes, she is bullying, if she repeatedly undermines and criticizes. She is simply dumping venom on those who already have issues because of her own personality flaws. Don't they get credit for being multidimensional, for having pain and sorrow unbeknownst to the rest of us? I don't need or want friends who like to hurt others to make themselves feel better. She will not change until the cost of her actions is more than she is willing to pay. She still has a job and friends for the time being. She has a ready supply of people to attack and treat cruelly. She has no reason to change.
  14. Many years ago, in the times of an ACTUAL shortage, when we actually received a pension and great benefits, my old employer had a great system. Sick time accrued at a lesser rate, but was more valuable. You could do one of three things with unused time at the end of the year, just before the holidays: donate it to a unit-based emergency sick time fund to cover those with severe health issues, donate the monetary equivalent to one of two local charities, or get the cash. You could also do a combination. We all loved it, but as nurses grew more plentiful, it went the way of the dinosaur. I do not remember call outs for nonsense reasons at that time. Knowing you had extra holiday money was a big incentive.
  15. AOx1

    Passed by 1 question!

    Test Success authored by Nugent & Vitale has helped many of my nursing students.
  16. Our students are taking their ATIs this week and many of them have mentioned that some ATI exams are really easy, and some are incredibly hard. What was your must difficult ATI or HESI subject exam?