gutcheck

this has been my experience also. I have been a tech for 3 years, two of those while in nursing school which I just completed. I remember during our clinical skills tests at school our instructors encouraging us to put the call light on and have the aide/tech bring an item/s if we had forgot to bring something to the bedside. it was our "out" so to speak. in terms of teaching us prioritizing an instructor during lecture would say "have the tech do that". it just amazed me. I agree with everyone else. the student should have rechecked the patients status. and if the patient was "okay" helped you or if she wasn't allowed found someone that was able to help you. you are right, ultimately the nurse is responsible for the pt. she is delegating that task to you. if you are unable to perform the task, as you gave notice to such, she is responsible for assisting you to complete the task or delegating the task to someone who can.

sorry to hear you didn't pass. my advice would be the same. take a week off. begin to study again when your in the right frame of mind. go to the library and see if they have any nclex books. I liked saunders to review and study with. but I also used kaplan strategies book also because they had harder questions. I would also recommend the HESI book. the cd that comes with it has a lot of really great questions. practice practice practice with the questions. read the random facts thread. do you know your weakness from you previous exams? make sure to focus on those for your studying also.

I got a 913 on HESI and passed nclex with 75 questions. as long as you studied and did questions to prepare, I think you have passed. also I didn't take a review course. I just studied from mostly saunders and the kaplan strategies book.

congrats!

congratulations!

I am glad mass. allows you to function as such. according to the national council state boards of nursing rns cannot delegate the nursing process. which includes assessing. this however, may differ in state nurse practice acts (such as mass). I am only speaking in terms of nclexrn, and the national board. https://www.ncsbn.org/Joint_statement.pdf

sorry this question was in the nclex forum and moved. I was posting my answer only in terms of nclex. now I see it has moved to the lpn forum.

I am only speaking in terms of nclex. nclex is a national test. state laws do not apply. for example, some hospitals in my state allow the NA to insert foleys which is a sterile procedure. but, if it were an nclex question, I would get it wrong on the test, because one has to think broadly on the nclex. and accordingly, NAs cannot perform sterile procedures. I am not saying that you won't encounter LPNs or NAs functioning beyond their "scope" in the work (hospital) setting. I am only answering this question in terms of nclex. nclex doesn't refer to state laws. in some states things may be able to be delegated. but this doesn't apply to nclex. for nclex it is the nurses job to teach, assess, etc., it can't be delegated. the LPN can not assess. doesn't matter how your state allows you to function. like the previous poster said you would have to get more training as an LPN to do blood products, etc.

here is how I think of it. LPNs cannot reassess. with blood products lpns cannot even check the blood product. that requires 2 RNs. and you have to stay with the pt. for 15mins. to reassess, evaluate how the are responding to the transfusion. same with tpn, that is an RN responsibility. the LPN can do some sterile produres. like dressing changes, trach care. but these should be simple procedures, which won't require the RNs assessment (that is the key, does it require reassessment). anytime you have a pt. with a sign or symptom, like restlessness, confusion, pain, headache. it requires the RNs assessment. the RN needs to assess the level of pain, are they confused/restless because they are short of breath. this requires the RNs asssessment skills. The RN is also responsible for admission and discharge. admission requires you to assess the pt. and discharge requires teaching in some ways. both of these only the RN can do. as long as the situaiton requires you to assess, reassess, plan care, evaluate, admit, discharge, teach, it will be the RN responsibility. so you have to think about are they needing something requiring me to reassess. before you give pain med. you have to assess there pain. after you give the med you have to reassess. so if it is a prn med or a med that requires reassessment. then that is the RNs patient.

here is how I think about it. the LPN cannot teach, assess, discharge, evaulate, do certain sterile invasive procedures, IVs (like TPN etc.) so if the pt. needs reassessed, being discharged, admitted, or needs to be taught something, that is the RNs responsibility. only the RN can do those things. the main thing to remember about NAs is that they can not do sterile procedure. so they can't insert a foley. the NA cannot do teaching either. it is the nurses responsibility and role to do all teaching. no matter how simple. like coughing and deep breathing. if you see the words teach, admit, discharge, evaluate. or if you need to reassess the pt. this could be like for pain, breathing, consciousness, it is the RNs responsibility.

I wanted to post about my nclex experience in case it would help anyone who was questioning themselves after taking the test. I took the test on Wednesday. I studied and prepared for two weeks studying all day. I was working full time during school, but cut it to 1 day a week at the beginning of July. I needed time to study. people at the hospital asked me what I was doing with my time off, going on vacation, going out. I told them studying. they thought that I was studying too much, they thought that I should be relaxing and not worrying about it. they were nurses, I thought they would know. I had a lot at stake. I had gotten an internship that was contingent on me passing the nclex. I only got one shot at passing because the internship starts the first week of august. I didn't have health, dental, or vision insurance now b/c I had dropped to one day a week. I didn't have a job if I was to fail b/c my last day as a pca (tech) was actually today ( i work nights). not to mention I would have to tell everyone that I had failed at work, when they were telling me, oh don't worry about it, you'll pass. Basically, I had a lot riding on passing this test. So on Wednesday, I went and took the test. I actually wanted it to shut off at 75. I knew with my scores from the practice test and HESI that if it shut off at 75, I would be confident that I had passed. I was so nervous. my test was at 2:00pm. I went into the building at 1:22. so I took the test. I normally take my time on testing. I am usually one of the last few to finish. but a blazed through the nclex. I got in my car and called my mom. I looked at the clock. it was 3:08. I told my mom that I had took the test (I didn't tell anyone when my test date was). I told her I thought I did well. we talked and then I hung up. then I started thinking about the questions that I got. and what I have read on this site. someone had said if you come out of the test w/ 75q and felt good either you didn't get the priority ques. or you had studied and knew the material. I didn't think the questions were all that bad. From some posts I have read your name shows up on the ohio BON really fast like 24-48 hrs. mine was still pending. I thought well there is a 95% chance that I have failed because it is not on the BON. that was what I told my mom, I was 95% sure that I had failed. the next day,friday, I looked on the BON again in the morning like 9am. still pending. did some chores to keep myself busy. I checked again at 1130am still pending. again about 130pm still pending. at 200pm I left my house to go to school to look at the pearsonvue site to see what my result was (for some reason pearsonvue won't show up right on my home computer). I don't want to go and see I have failed but I know it's something that I just have to get over with. driving down to school I felt my stomach lining was exposed and a cold empty spot in my chest. anyway I get to school at 215 and check. results are not available. BON still pending. my mom calls to tell me about test results for a procedure she had done. that took awhile to talk to her. and I check again after I get off the phone at 245pm nothing and pending. I walk to the library. check at 300pm nothing and pending. surf the web. check at 315pm. and the pearsonvue says results available. I get to the credit card page. I check the BON still nothing. I know I have to enter the information. so I do. and I see test result: PASS. I could not believe it. I checked the BON still pending. needless to say that my license number did not appear on the BON until around 6:00pm that night. approx 51 hrs after I tested. so don't think that you have failed b/c your name hasn't appeared on the BON, check pearsonvue. I just wanted anyone else in this situation to know that there still was hope.

let me try again. accidentally submitted and then computer failure when editing some i came up with a couple sayings to help me with the whole addisons/cushings separtion. the aren't very grammtrically correct. so this might be helpful for a few and useless for others but i thought i'd share addisons our sons often get emotional kicking over violets (what this tells you:hyposecretion, hypoglycemia, hyperklemia, hypovolemia(think dehydration-lethargy,weakness, fatigue), emotional disturbances. i tried to incorporate sons to make it tie with addisons) addisons crisis adding events kills our grandsons opportunity to overcome normal sickness (what this tells you: the overall meaning is that adding an event i.e. trauma, infection, stress, or surgery, causes addisons crisis which is life threatening. specifically with addisons crisis you have: hyperkalemia, hypoglycemia, hypotension, hyponatremia, shock) addisons tx the "add a sone" is a great way to remember to add a steriod. i've tweaked it to include the common initially presecribed steriod solu-cortef add a sone suffering crisis (add steriod solu-cortef) cushings causes of cushings increased all cushions to help prevent an abnormal adrenal (what this tells you: overall: hypersecreation specifically: increased acth, pituitary adenoma, adrenal adenoma) cushings assessment and tx during clinical practice, i gave someone with bad cushings really positive treatment after their radiation (what this tells you: decreased calcium, potassium, increased glucose, sodium, wbc, removal pituitary tumor, adrenalectomy, radiation. the their is it make it more grammatically correct, you can omit it if you like. ) of course you can use the standard addisons down (decreased). cushings up (increased). i just wanted to come up with something more specific to help if they threw to hypers or hypos in there that i couldn't figure out. and with the potassium it's opposite. also, referring to secretion. addisons has two words add & son so glucocorticoids and mineralocorticoids. cushings, i think of it as one word and the g - just glucocorticoids.

some I came up with a couple sayings to help me with the whole addisons/cushings separtion. the aren't very grammtrically correct. so this might be helpful for a few and useless for others but I thought I'd share Addisons our sons often get emotional kicking over violets (what this tells you:hyposecretion, hypoglycemia, hyperklemia, hypovolemia(think dehydration-lethargy,weakness, fatigue), emotional disturbances. I tried to incorporate sons to make it tie with addisons) Addisons crisis Adding events kills our grandsons opportunity to overcome normal sickness (what this tells you: the overall meaning is that adding an event i.e. trauma, infection, stress, or surgery, causes addisons crisis which is life threatening. specifically with addisons crisis you have: hyperkalemia, hypoglycemia, hypotension, hypokalemia, shock) Cushings Causes of cushings Increased

the decelerations during pregnancy get confused in my head. this is what I use to keep them straight. note the bold text. early deceleration - fetal head compression (the ear is a part of the head) late deceleration - uteroplacental insuffiency variable deceleration - umbilical cord compression