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JROregon

JROregon ASN, BSN, RN

Infusion
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JROregon has 5 years experience as a ASN, BSN, RN and specializes in Infusion.

Started on nursing school path in my mid-40s and finished just short of my 50th birthday. BSN in 2015. RN at hospital.

JROregon's Latest Activity

  1. Yeah, what Gavin513 said. In my state and probably others, getting into a nursing program is pretty competitive. The pre-nursing classes (in Oregon) are pretty standardized here so that a student will need to have writing composition, college algebra, A&P, micro, developmental psych, nutrition, and biology that included a genetics component. All have minimum grade requirements and points are given based on grades in those courses. My community college required a CNA certification to even apply to the program. Now it is offering several points towards program acceptance for working a considerable amount of hours as a CNA. Because of very limited resources (instructors and clinical sites) nursing schools don't want to waste time with students who aren't completely up to speed at the time they begin either a 2 year ADN program or 3 year BSN program. Just like everything else, a lot has changed in nursing over the last 30 years. The OP is right, go for the gold. If you are struggling early, go after all of your resources. Heck, You Tube has tons of videos that can help explain a process that isn't coming across so well from your college instructor.
  2. JROregon

    Not sure about Nursing School acceptance?

    I can almost guarantee that by missing more than a week of nursing school will result in either poor grades or a failing. Even being distracted without missing class makes passing very difficult. This is a very difficult decision to make but do listen to all your options.
  3. JROregon

    Anyone worried b/c you did RN and not BSN?

    Sure, I worry a little. I chose an ADN program because it is close to home and the clinical sites are all within 15-20 minutes of home. The closest BSN location would be about an hour away (school and clinicals) and for 2 years or more of school, I would not have the stamina along with having a family. We all have to look at our own personal situations. I will get my BSN with a bridge program once I'm done getting the RN and I will need to be comfortable with that situation. There are quite a few hospitals in this state that won't hire a new RN who doesn't have a BSN. I'm going to hope that my prior BS degree and work experience will help improve the odds of getting a hospital job.
  4. JROregon

    At my age, should I forget about upper level degrees?

    It really depends on what your goals are and those goals can change. I personally would not get myself into a huge amount of debt for a MSN regardless of your goals. If you want to teach, for instance, I would find a way to get that masters by saving ahead and finding a reasonably priced program. I think people who go into $60,000 debt even for and ADN or BSN are just plain crazy. I'll be 49 when I graduate from my ADN program and intend to work into my mid-70s.
  5. I have only done a morning in orthopedic surgery and another in obstetrics. I think the circulation nurse has the best job. Although, it would be a great gig to be the surgeon's first assist. Usually a physician's asst does this but occasionally a very well trained nurse is doing it. I'm not too interested in doing either as a career just because I prefer to take care of patients that are awake for the most part. Keep researching, it might be your thing and surgery is always fascinating.
  6. OR/Circulating nurse is in charge of everything that happens in the operating room. He/she gets sterile supplies for scrub nurse/tech, gets patient prepped (betadine scrub, positioning on the table), documents everything and makes sure the anesthesiologist has his supplies. PACU - once the patient is done with surgery, he is wheeled off to a PACU area (sometimes the patients room like after a c-section) and is watched one-on-one by the PACU nurse. The PACU nurse is taking vital signs every 15 minutes until the patient is stable. Nausea and vomiting are very common after surgery so they make sure the patient does not aspirate. They have suction ready and other emergency supplies just in case. Not sure about perioperative. There is a pre-operative nurse that does the vital signs and assessments before surgery. She will reconcile medication that the patient is taking at home, get a thorough history of prior surgeries and anything that might affect the surgery or recovery, allergies. If the patient needs prophylactic antibiotics, they are the ones to set this up. I have watched surgeries in the regular OR and obstetrics OR and the regular OR splits up these nursing jobs into 3 different entities. In obstetrics, one nurse traveled with the patient, setting up the IV, getting a history. Then she became the circulating nurse in the OR, getting all the supplies and documenting everything. Then she followed the patient to her postpartum room, where she took vital signs Q 15 min for an hour. If you have a test coming up, try visualizing what you think each of these jobs entail.
  7. JROregon

    is this a good idea?

    Thatguy is right on..... I happen to like my A&P book because it gives really easy to digest information. That would be the best reading. As you study each system, try to come up with the diseases and conditions that affect each.
  8. JROregon

    is this a good idea?

    In short, no. It would be helpful to go over patient assessments - head to toe. However, to read about it is only slightly helpful. You just won't retain the information. If you have a friend going into the same program, and is willing to practice with you, you both could get really good with the assessments. It's most helpful to read the book(s) just before your lectures and then again going over the important items before the tests. I wish I could tell you otherwise. Nursing school is just plain hard on kids.
  9. JROregon

    Advise for upcoming clinical

    Many nurses are not going to want to deal with you when you are new so make yourself useful for the first few weeks by doing your patient assessments, answering those call lights and any help you can offer the CNAs. Ask if you can watch procedures being done like Foley catheter placement, NG tube placement, IV starts (although this is something we will learn at the end of the 2nd year) and anything you haven't been trained to do yet. Offer to do those skills that you have learned. When you find a great nurse, ask if you can watch her/him go through the process of admitting or discharging a patient. Ask your clinical instructor for feedback. There will usually be something you could have done better. Be a great listener for your patients, especially the ones that need a caring ear.
  10. JROregon

    What makes med-surg class seem hard to you?

    I'm with ImThatGuy. We have different instructors teaching each chunk of material. When I started thinking like the instructor, I started getting A's. It made it a lot easier to study. I would take my study notes and then go through the book to make sure I understood the concepts. Always know the clinical manifestations of the most common disease processes - know those signs and symptoms! And know the most common forms of treatment, including medications. Don't get caught up in memorizing the teeny tiny print in your book, focus on the italicized parts and do your best to understand the charts in your book. They are in there for a reason. I also found the tests to be a little easier when taking a patient with the same conditions we were studying. Nothing helps understand the processes of diabetes better than taking a patient who has diabetic ketoacidosis or HHS/HHNS.
  11. JROregon

    how far ahead should I get?

    Never knew there was a dosage calculation book. Good to know. The math is likely one of the easier parts of nursing school. Do you have a class that covers only medication dosages?
  12. Mondays - morning class for 2-1/2 hours, skills lab for 1 hour (not every week) Tuesday - morning class for 2-1/2 hours, pharm for 1 hour (not every week), then off to the hospital to pick patients who will be staying a couple of days or so. Get data, do preps for the next several hours and usually done with 2 preps by 11pm. Wednesday - get to hospital for 6:45 shift report, there till 1pm. Go home, write up care plans for my 2 patients. Thursday - get to hospital @ 6:45am. Go home at 1pm, send weekly journal to instructor. Friday - every other week is a test week. We have about 6-7 skills to demonstrate for an instructor and have to sign up on their schedule to come back for the demo. Can be educational or excruciating. Each school has a different schedule, different group of instructors and a different bag of students.
  13. JROregon

    Time commitment for ADN program??

    I am almost done with my first year, 2 more weeks. You might want to find out how much out of class time you'll need to prepare for clinicals (I spend about 3-4 hours prepping and writing up care plans for each patient I pick weekly) and how much writing you'll be doing. I found that I can't sign my kids up for everything and show up for all their events. Just not possible. I am also an efficient studier and make the most of my time by listening very carefully in class. It took me a few months to understand what I would need to know for taking the tests. Some students still don't know how to study and it wouldn't matter how much free time they have. Flexibility is the key to getting through.
  14. JROregon

    What if I fail again?

    The U. of Phoenix is an awfully expensive way to get a AA degree in something that has no value and the classes can't be transferred to a CC or university. Why not take a placement test at your local CC, take the math that you need to be proficient in algebra (for graphing equations) and a general biology class or chem class for know your chemical bonds. Many, many people need to brush up on chemistry and algebra especially if they didn't take those classes in high school or took them so long ago, they forgot the basic. In my school, there is no pretesting to get into nursing school but there are a lot of pre-requisites and math and sciences are just 2 of those pre-reqs. Best wishes! This is not failure, it just means that you need to take a step back and actually take a few classes to get proficient.
  15. JROregon

    career boost: would a bachelors in human resources help?

    Probably not. Having past work experience in human resources might be a plus for getting hired. A number of hospitals in my state will only hire BSNs, they likely won't look at any other bachelors degree.
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