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twintoo

twintoo

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  1. Hi all, I am a new Nurse Tech in the ER. My position allows me to do all of the things that I have checked off on in Nursing School. Along with that I must do the Tech duties (changing sheets, taking specimens to the lab, etc.). The people who are precepting me are all basic EMTs so they are not able to do a lot of the things that I have checked off on. My problem is, I feel like the nurses don't want to give me the opportunities to do things. When ever I see someone getting ready to start an IV (which is the only thing I have seen done that is a "skill" I can do, we are a pretty slow ER unfortunately(fortunately? LOL) I can ask them if I can try it but a lot of the nurses seem to just want to get it done instead of letting me try. One nurse said, "sure go do it" but geez I am still really new and may need some guidance, KWIM? So, I can do lots of skills (have a big list but the main things we do are splint, foleys, and IVs) and I understand if the person has one good vein that the nurse will want to do it but I feel like they aren't really giving me a chance. So, how do you, as nurses, feel when a new tech approaches you to do a new skill? Is there a way that is better than others to approach them besides "hey can I try that?". I mentioned really briefly to my boss and she said just tell them, "hey I want to do that" but I feel like a lot of the nurses aren't really receptive to me yet because I am new. Should I just give it time or what? Any advice will be really appreciated!!
  2. twintoo

    Can anyone explain how the nclex is changing?

    From what I understand, the "old" format was all multiple choice answers. The "new" format is multiple choice, multiple-multiple choice(where you choose all that are correct), and fill in the blank. If anyone knows differently then please correct me, but this is what I have heard. HTH!! ~twintoo
  3. Edited to say, all is well. Nevermind all of my sadness about the job! :)
  4. twintoo

    I got my first J-O-B

    :balloons: I applied for a nurse tech position at the local hospital (along with 4 others in my class) and I got hired!!! I am SOOO freaking STOKED about this. I get to buy my first set of Non-school scrubs soon!
  5. twintoo

    What is your grading scale in nursing school?

    My grading scale is 91-100=A 80-90=B 74-79=C Therefore anything below a 74 is failing. My school also has >90% pass rate (usually in the HIGH 90s) on the NCLEX.
  6. twintoo

    Do you get your exams returned to you?

    During our tests we mark our answers on the test booklet and on the answer sheet. When we are done we turn in the answer sheet and when everyone is done we grade our tests. They give us 5-7 minutes to write down any that we do not agree with and then we turn in the test booklets and the comments. Then whenever is convenient for the teacher there is a test review where you ask questions and they answer. If you want something more in depth the Nursing Department Chair is always willing to sit down with us and discuss our tests. :) We do not get to keep our tests or our answer sheets.
  7. You all are NOT going to believe this but I WAS RIGHT!!! You *can* give it with a licensed nurse. I got out my "official skills checklist" where I checked off on IV-pushes in skills lab! It says "CANNOT give unless instructor or licensed personnell is right by the student's side " (yes even the spelling mistake LOL) OMGoodness, I am SO excited I cannot express it!! She cannot dock my grade for this because I was RIGHT!!! OK, off to present it calmly to the instructor!! :balloons:
  8. I wasn't being snippy, sorry it came out that way. I am sure you could imagine screwing up...knowing you screwed up...and your teacher knowing you screwed up. It's kind of a little stressful to say the least!
  9. Thanks Rapheal!!! I really appreciate it! I am still freaking out b/c of the what ifs and about my grade. I am just glad that it was a matter of me screwing up policy and not the wrong med for the patient. I guess *that* is my silver lining.
  10. As I posted today, I gave a push IV med to a client with a nurse instead of my teacher. That is the worst I have done in 2 semesters.
  11. Oh, I dont blame her for being upset...heck I am upset with myself. It is one of those things that I learned a LONG time ago and it has never been brought up with any of my clinical clients since. It is kind of like Spanish...if you don't use it, you lose it. I *know* that isn't an excuse, I KNOW it is serious business I didn't come here for anyone to reinterate that I was wrong because I already know that! The thing is I looked in my syllabus when I got home and it is NO WHERE in there. I finally found it in a skills checkoff list for IVs that you give to the teacher during mastery and they check off what you did/didn't do.
  12. I always understood the policy at our school to be "you can only give IV push meds with a licensed person" UM I learned today that you can only give IV push with the instructor! I was helping an RN and she asked me to draw up this med. I drew it up and then she said, "you can give it." I said "me?" b/c it wasn't my client and then she said yes and then after you give it I will let you tell me why *I* wouldn't give it. So...dum-de-dumdum I give it! Then she asked me "so why wouldn't *I* give that med?" I said "b/c I drew it up". DING DING DING I was right! LOL She runs to the instructor to brag on how well I did...Uh oh! Here comes my instructor red faced and shaky and asks me about it. I really didn't think I did wrong but I did! BIG TIME!!! Now, I am thinking she is going to give me a ZERO for part of my grade! SO, my last clinical of the semester and my first screw up since day one...I am glad that I didn't kill anyone but gosh, I feel like CRAPOLA! **Susan, if you are reading this...yes this is me!! LOL**
  13. Hi! At each of our post conferences we present these case studies. The teachers give us the topic and the questions that they want answered. Our group splits the questions and then we find a creative, interactive way to present the material. We have done matching games, skits, and pretend board games. I am the leader for our last case study (CVAs) and I cannot think of a fun, interesting, and interactive way to present the material. Do you have any ideas?
  14. twintoo

    night before clinicals-going to the hospital

    Hi Carla, we were required to dress in nice clothing (slacks or dresses) and wear our lab coat with our name badge. We went to the hospital, looked through charts and found our patient. We would write down all of the history of this admittance to the hospital, diagnoses, meds, and abnormal lab values. Then we could go meet our client if we wanted. Once we are home, we have to write a care plan with a nsg diagnosis, short term goal, 3 interventions and rationale. Then we memorize all of the medications (trade name, generic name, action, therapeutic effect, 3 side effects, and 3 nursing implications). :) Hope that helps!
  15. twintoo

    The different kind of nursing students

    How about the student that was in for a semester last year but flunked out so he came back this year. He knows all about "colon resectionectomies", "comadon" (Coumadin), and "hot taps", even when the teacher has no clue what they are talking about. :rotfl:
  16. twintoo

    IV on the 1st Stick...

    Good JOB!! I also agree with the poster who said to pull the needle back as you push the catheter in. The needles we use at the hospital are the push button retact ones and they are heaven sent! :) Keep up the good work!