dollparts13

so I've been a nurse for a year and a half.. first year spent at a small hospital, and I've been at a huge level 1 trauma center for 6 months now. I still feel like a new grad most of the time. .. One good approach that I think works well is when a patient gets put in your room, if you have something else you have to do, go introduce yourself, give them a hospital gown and tell them to change. This give you a chance to do a quick "across the room" assessment and to figure out why they are there. then tell them you'll be back in. Moving the meat is right, as terrible as it sounds. in one way, because most EDs track how long it takes you to d/c your patients, and secondly, where I work, the charge nurses put your next patient outside your room within 10 minutes of your patient being up for discharge. There isn't time to dilly-dally around. I still try to pay attention to get tips on prioritization and just keeping up wtih a massive, fast load, but I figure being with my sickest patient that needs me the most can't fail me.

So I work in a pretty busy ED in a for-profit hospital. I started work in August and I had a 16 week orientation, where I took multiple classes, ACLS, PALS, ASLS, EKG, etc. I've now just made it to my 3 month mark of being on my own, and lately I have felt so paranoid or worried that I'm too slow or incompetent for the emergency dept. I feel as though I'm pretty well educated, and I'm never afraid to ask questions, but for soe reason I've just recently felt like I'm getting slower and more insecure about myself and my nursing abilities. I try to take the more critical areas of the ED for experience and enjoyment and I'm pretty calm in real emergent situations, but for instance last night, I took care of my critical patient, but I never could document on him for a few hours. Meanwhile I have another decently sick guy next door that I haven't seen in 2+ hours. I guess I'm asking, is this normal? And any pointers for juggling better and keeping up with documentation ?

There isn't a specific time frame, to my knowledge. Mine just happened to be two months after I passed the NCLEX b/c of when the board met. I don't know about the cognizant... I know that there was an "analyst" handling my case. The board grants/denies on a case by case basis, and I know as long as you're honest, you are more than likely going to be okay.

I just graduated in May from Gordon College in Barnesville, GA. It is an excellent nursing program, and we're still waiting on everyone in our class to take boards, but the last two classes have had 100% pass rates on boards, which evidently does not happen too often!

Hey guys, I was in the same situation just a few weeks ago. I'm a May graduate,a nd I initially submitted my application may 3rd ... took boards on June 3rd, and I did not get my license until August 3rd, after the board met & reviewed middle of July. I had put "Yes" on the background/arrest question in regards to an expunged charge. It's impossible to be patient when you're waiting on something so important, but you just have to wait. Best of luck.

Hi, I'm in the same situation here in GA. I have two underage drinking charges from '07 and '08... They were both null processed/expunged. I submitted all the court disposition papers and required paperwork anyway. I received my ATT & took the NCLEX June 3rd. I passed the NCLEX, and I have been checking the site daily since. The board was supposed to meet & review July 13th, but I still show "Pending" by the resolution to conviction status part of the list. So I have been freaking out. Does anyone have any experience with this?

Hello, I'm new to the boards, but I have read through for information from time to time. I am a third semester nursing student, and after having the Summer off, I am not feeling like I have the hang of things as much as I did last semester. At our school, third semester we do our second go around of med/surg... The more in depth stuff, if you will. However, in the care plans, and in the course objectives, there is information relating to health promotion in the client. I understand teaching is a huge part of nursing, but I'm having a lot of difficulty pulling this together with the disorders and diseases. For example, I am studying stoma care, and ostomies currently, and the course objective is asking for health promotion activities for the client with an ostomy. Our book does not refer to anything specifically either, I've been searching all over! Am I thinking too far into this? Does anyone know of any resources for this?