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Dr. Shelia, RN

Dr. Shelia, RN

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  1. Dr. Shelia, RN

    Accelerated BSN Student Support

    i thought this would be a great time to bump the advice from ja up-- she gives some excellent advice regarding surviving and thriving in an accelerated bsn program! from jataylor i am in the absn program at wcu and have some tips for thriving and surviving. some of them fall into the category of academic tips, some professional development tips, and others are how to take care of you. all of them are what worked for me personally so pick and choose what looks good to you! academic stuff 1) resist the urge to come straight home from a full day of classes or clinical and dive immediately into studying. do whatever you do to exercise or de-stress even it its for 30min., eat, then study your productivity and retention will be much better....and its a good habit to set for yourself- this is a marathon, not a sprint (although with the absn its a little of both)! 2) whoever posted the tip about focusing on nursing management and process during your studying was right on. most of the physiology you know (at least enough to get by). 3) everybody takes notes differently, but i do not recommend taking notes on power points. in my opinion it makes you lazy b/c you're saying "i don't have to write that, its already in the notes." by writing out all your notes your actively taking in the info, as opposed to passively watching the ppt. if you read before class, taking notes is reinforcement #2, listening is #3, and by the time you review you've got it! 4) formula for success on exams: read before class, take good notes, re-read your notes, skim the boxes in the chapters, make notes while your studying for the exam of stuff that just doesn't look familiar at all and hit that again before the test. its tedious....but you get efficient and you get good results. 5) stay organized: i can't stress it enough.....your time is so packed anyways, anything you can do to be more efficient with studying is going to save time. as a result you'll feel less stressed, and more confident. professional stuff: 1) be on the look out for amazing and inspiring nurses, and then pick their brains. its good to have a mentor. they have great advice, are very supportive, they know what you're going through with school, and are very helpful when it comes time to think about applying for a job. its kind of like having a life line to what life will be like after school is over. 2) go to nurse association meetings...they are interesting, its good networking, and its usually free when your a student. taking care of you: nursing school is a culture shock, be prepared to feel overwhelmed, keep moving forward, one day the clouds will part and you'll hit your stride. its tough that your friends and family will never quite understand how hard it is, but you have your classmates and they are going to become like family. when conflict arises, and it will, don't let it distract you from your ultimate goal-becoming a nurse! i disagree that you can't have a life and go to nursing school. youjust have to willing to plan more than you did before. set aside times to work and times to play, and then follow through. it doesn't always work out exactly like you planned, but the intention is there and it can happen more than you think. stick to the basics: good food, enough sleep, and exercise- again its a marathon, you don't want to get run down in the first 3 miles when you have 20 more to go. finally, it is easy to forget while your in nsg school how much work it took and how smart you must be to have made it this far, remind yourself from time, and remind each other. hope this helps...good luck
  2. Dr. Shelia, RN

    You will still have to wipe butts even as a NURSE !

    Thanks-- the way we speak really does make a difference. I have a feeling you are a very good nurse already.
  3. Dr. Shelia, RN

    You will still have to wipe butts even as a NURSE !

    I find the slang "wiping butts" to be demeaning to patients and nurses alike. We care for patients when they are at their most vulnerable, and yes, sometimes we do have to delegate basic nursing care, including cleaning up bowel movements. We can delegate tasks but not the "caring".
  4. Dr. Shelia, RN

    how long did it take you to finish the saunders book?

    What I recommend is to take the short tests at the end of each chapter-- if you score 75%, (you'll have to calculate your grade) move on. Study any chapters you make less than 75% on-- then if you have more time, review the other chapters starting with next lowest score. I have had my at-risk students use this method (in-addition to taking an NCLEX-prep course) and I have seen much success. Students report it makes all the difference. Study hard and good luck.
  5. Dr. Shelia, RN

    ATI Predictor Test Score in relation to Pass/Fail NCLEX

    Remember-- if you received a predicted probability of success of 90% on ATI this means: "For every 100 students with this score, 90 are predicted to pass and 10 are predicted to fail" (ATI Score and Explanation- Individual Performance Profile, 2009). Since you said you didn't study for the Comprehensive, it would probably be a good idea to study for NCLEX-- either a self-guided NCLEX prep book or an NCLEX prep course. You don't want to be one of those ten out of 100 that does not pass.
  6. Dr. Shelia, RN

    How to study for nursing exams?

    In addition to the above, one of the best strategies for learning to take multiple choice nursing exams is to write your own multiple choice questions after you have studied a unit of material. It helps to have a friend who will do the same-- then you share each other's questions. This strategy does two things 1) it causes you to review at least 4 pieces of information --and when you write the "wrong answers" (distractors) you REALLY learn the right one 2) it builds test-taking skills because you are learning to think like a "tester". The trick is to do it consistently and always ask questions that include a nurse and a patient. For instance if you study the following: Deep vein thrombosis is the formation of a blood clot in the deep veins of the lower extremities. Postoperative patients are at risk deep vein thrombosis due to venous stasis secondary to immobility. OK! Prior to nursing school, I bet you were accustomed to questions like this: Deep Vein Thrombosis is: a. blood clot in lungs b. varicose veins in lower extremities c. vasoconstriction of veins in legs d. blood clot in lower extremities. That works for memorization-- however in nursing we have to be able to USE (apply the information we learn). So you would write a question that asks you to use what you learned. Such as: The nurse is caring for a patient who had a choleycystecomy 12 hours ago. To prevent deep vein thrombosis the nurse will teach the patient : 1. keep legs immobile while in bed 2. to avoid ambulation except to bathroom 3. to keep legs elevated above the level of the heart at all times 4. the importance of early and frequent ambulation. The correct answer, of course, is #4. Try this strategy prior to your next exam. I use this with all my students who have difficulties with those first few exams --it works!
  7. Dr. Shelia, RN

    help with my assignment

    The top priority for establishing nursing priorities is ALWAYS (a word rarely used in nursing!) the ABCs 1. Airway, Breathing, Circulation --you will be focusing on the "B" of course-- what nursing interventions will promote effective breathing (elevate HOB, administer bronchodilators, etc) Now read through the patho again -- what do you see as most important for a patient with asthma once you've made sure they have a patent airway, have stabilized their resp status and cardiovascular status (bp, pulse) are normal? Now look at what you as a nurse are doing for the patient-- you'll be administering meds as ordered. You don't have to know what to order but you do have to know how to administer them safely and and evaluate response/adverse effects? That's huge-- after the ABCs, always think SAFETY -- and for the patient with asthma, safety is related to safe administration of meds. Now that the patient is breathing, you have given meds safely to stop the acute attack, how will you help the patient/family prevent recurrence or manage their asthma? Education-- teaching, teaching, teaching. Get out your med/surg text and reread asthma-- focus on the nursing interventions from the ABC/safety/education format. I bet you'll get it quickly. Hope that helps.
  8. Dr. Shelia, RN

    Accelerated BSN vs traditional BSN?

    The ABSN is the best choice for students with previous degrees who are able to immerse themselves in nursing for 12-14 months. Choose a program that has a high NCLEX pass rate, high student satisfaction ratings-- and most importantly-- one that meets your needs. Western Carolina University has an accelerated program -- we are accepting our third class now. We offer small class sizes, committmet to student success, and a 100% NCLEX pass rate for our first class. Visit our website for more information. If you are a student with a previous baccalaureate degree with a GPA of 3.0 or above and are interested in nursing as a career, you may consider WCU as an option. While we are very competitive (1:5 acceptance ratio), a new grant will allow us to accept more students next year. If you feel you are among the "best and the brightest" and want a career in nursing-- check out our website.
  9. Dr. Shelia, RN

    New school in NC?

    Western had a CRNA program-- great one. Western also offers an ABSN option for students with previous BS/BA degrees who want to go into nursing. Check the website at Western Carolina University. You'll be surprised at what you find.
  10. Dr. Shelia, RN

    Abusive and Cruel Clinical Instructors: Why??

    As a student you deserve quality clinical instruction. If you are coming to clinical with a firm academic background, prepared, and willing to learn and accept constructive criticism and you truly believe your clinical instructor is abusive-- talk directly to the instructor. If you do not receive results, go to the next in chain of command. If you are coming to clinical ill-prepared, lack a sound academic background, or are simply not up to speed--remember-- your instructor is not only caring for you-- but for your patients. Assess your own preparation first and correct any deficits. Students should not be exposed to abusive instructors. Instructors should not be expected to deal with immature or ill-prepared students. It's not about "us" vs. "them"-- it's about the patient.
  11. Dr. Shelia, RN

    HELP!!!!!! Took Final Exit Hesi 3 times and Failed HELP!!!!!

    Use Saunders Comprehensive Review NCLEX review text (I have no stake in that company or book). Take the test at the end of each chapter-- if you score 75% or above (you calculate your score), move to next chapter.
  12. Dr. Shelia, RN

    Help : i want the most common side effect of lithium carbonate

    tremors, peripheral edema secondary to sodium retention. Know the therapeutic level== early signs of lithium toxicity-- increased tremors and edema.
  13. Dr. Shelia, RN

    Please Help: A Few Nclex Questions...:(

    Saunders Comprehensive Review is an excellent review test-- take the test at the end of each chapter. If you make 75% or above (you will have to calculate your score), move on. Study the chapters that you score less than 75% on-- then go back and review the rest. Remember-- NCLEX is about basic nursing care-- safety. Don't focus on the "nice to know" or "nuts to know"-- focus on the need to know. Kaplan is a great product, no doubt, but I have my students use Saunders and I am well pleased.
  14. Dr. Shelia, RN

    Accelerated BSN Student Support

    Please help with suggestions for students who are entering Accelerated programs. Tips on time management, study skills, stress management-- and how to survive and thrive in the ABSN environment.
  15. Dr. Shelia, RN

    Drill Sargent Clinical Instructor

    Talk to the instructor prior to your clinical rotation. Tell her about your concerns. Most instructors want the very best learning experience for their students. Remember-- rumors are rumors-- often spread by students who have had some challenges. Be direct, open, and honest. You have a good academic and clinical performance record-- expect to be successful. Stop listening to rumors and find out from the source. I suspect your instructor is not a drill sargeant, but simply someone who cares about your being ready for practice.