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Anyone Have Experience w/ Hurst 45-Day Remediation?
Hey cruzystudying, Hang in there and give it your ALL. I ended up following the Hurst Remmediation packet and spent 45 days studying-like-crazy. On the day of my nclex I still felt unprepared and scared to death. I planned on being there another 6 hours. I took the test the second time in about an hour and 15 minutes and the computer shut off at 75 questions. I felt very confident and and felt like I knew the answers on many of the questions. There were some SATA questions that I just put my head down and wanted to cry because I was SO certain with my answers! After my 1st test, I felt like I was going to be one of those people who would have to take it 5-6 times, so I gave it my all and studied my heart out. I hated this past summer because I spent most of it in doors with my nose in a book, but it was SO worth it GOOD LUCK AND DON'T GIVE UP!! I KNOW it feels like the end of the world, but you will get through it if you put in the effort! Go big! :) :)
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My Patient Coded Yesterday
I'm a new grad nurse. I have been on the floor for three weeks, yesterday marked the last day of my third week into my orientation process when my patient coded. I am on a Med/Tele floor caring for 3 patients but my preceptor is monitoring the tele strips (I'm not ekg certified yet). Out of my three patients I had one "problem child" and two patients admitted with fractured hips. The one I was leased concerned about was the gentleman with a hip fracture who was alert and oriented. He was the one who coded and it came out of NO WHERE right in front of my vary eyes. I gave him a multivtamin and asked him if he was interetsed in getting the flu vaccine. He said he was. I went to the pyxis to get the vaccine, came RIGHT BACK and while I was trying to find the lot number on the vaccine vile, he started complaining of being too hot. He didn't look right. Diapheretic and loosing his color. I checked his temp: normal. Called my preceptor and told her to come immediately. She happened to be in the room next door and dropped everything to come help me. Then her tele phone started beeping and we were told his HR was 33. Called the doc, doc ordered 500cc bolus of NS. For about 15-20 min we administered the bolus (he was a frail 95 y.o. male with a 20 gauge IV). BP and HR started to get better and we thought we were in the clear... Then he started tanking again and stated "I don't want to do this anymore". Another nurse ran into the room who was monitoring the ekg strip from the nurses station and said "He doesn't have a P wave!" My preceptor called the doc and told him he needed to come ASAP. We called a code on him and before I knew it, 2 docs, 2 RT's, 2 flight nurses (came to try and get a better line in him), 2 ICU nurses and several nurses on my floor swarmed him. He was a full code. They cracked open the code cart and started a dopamine drip on him, got a stat echo, and put the pads on his chest, all of this was a blur and I could feel my heart beating in my chest. When he was stable enough, he was taken down to Cath lab. That day, his triponins were 1.29, so he was put on 12.5mg of metoprolol. When I gave him his metoprolol, his HR was 64. It was a 25mg tab, so I cut it in half and showed my preceptor the other half. He coded at 630pm, I gave him a lovenox shot that morning and the 12.5mg of metoprolol and two norco around 2pm (nenver did get around to that flu shot). He also had his SCD's (pressure socks) on all day. That day all he complained about was his hip pain and some gas. PT had him up and tried to have him weight baring at the bedside, but he was too weak. He was living independently up until this fall which is what brought him into the hospital. He was originally medical status and then switched to tele status after the triponin number. PT and INR were within normal limits. This was the scariest day of my life. He is the nicest gentleman ever, I can't let it go in my mind. I can't help but to feel responsable, somehow. They're thinking he was having a PE, so he was placed on a heparin drip, continued on the dopamine drip, and went in to have a pacemaker put in today. He never complained of chest pain. I just don't understand how this could have happened. I feel just awful because he was MY patient and he didn't deserve to go through all of that termoile. I'm afraid of something like this happening again. I did my preceptorship in the ICU, so I'm not a stranger to intense situations but this time it was different because he was my responsability and it came on SO quickly and out of nowhere. What if I hadn't been in the room? There are monitors at the nurses station, but many nurses get "alarm fatigue" and don't pay as much attention as they should to every little beep or alarm that goes off for the entire floor. Thank you for letting me vent.
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Bite the Bullet......
Good luck! Sounds like you got this! Keep us updated!
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Failed the NCLEX!
Hello! I just wanted to let you know that you are not alone in this battle. Many people have failed their nclex and gone on to be AMAZING nurses. You will have the same license just as everyone else, you just took a different route of getting there. Allow yourself time to grieve, give yourself credit for making it thus far, and most importantly: Don't give up! Think of the first NCLEX as a test run.. Now you know what to expect, so the second time around you will be more prepared! Keep your chip up! I did not pass my NCLEX a couple weeks ago at 265 quetions. I am studying hard to show this test who's boss. If I can do it, so can you!
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Anyone Have Experience w/ Hurst 45-Day Remediation?
Hi Everyone, I failed the NCLEX-RN June 10th at 265 questions. I am rescheduled to take it July 25th. I got my results in the mail yesterday informing me that I was "near passing" in every single category; which to me means, I need to study everything from the bottom up. I did the Hurst Review and have the option of doing their 45-Day remediation course, or I was thinking of signing up for Kaplan. Anyone have an idea of which would be the better road to take? Thanks!
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Failed NCLEX-RN, Had New Grad Position Lined Up... Please Help Me
reese0608, thank you for your reply, i know how hard this time is for you right now. getting all the way up to 265 questions and then learning you failed is very upsetting. i think this experience will make us stronger people and we will appreciate that rn behind our names so much. a friend of mine told me that in order to really feel success, you have to feel failure. keep strong my friend, we will get through this.
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Failed NCLEX-RN, Had New Grad Position Lined Up... Please Help Me
thank you everyone for your posts, i spoke with the facility that offered me the job and they have offered to secure my position for me when i pass this nclex-rn the second time. i am scheduled to retake it july 29th, it was the soonest i could sign up. i feel so blessed that they are offering to secure my spot. i feel like i owe it to them to pass with flying colors. the more i think about why i failed, i really think it’s because i just took it too soon and didn't give myself an adequate amount of time to have all of the material completely understood. i was able to narrow most questions down to two answers, but at that point it was a 50/50 guess. i felt like my knowledge was strong in some areas, but weaker in others. i bought the lacharity book because of the reviews many people gave it on this site. however, i'm still unsure about how to use these next 45 days to their full advantage. i am currently not working and i am looking forward to dedicating most of my time to preparing for this nclex. i have the option to do the hurst 45-day remediation course, which i think i'm going to take. a lot of the nclex questions were room assignments and priority and delegation, i think in order to really understand how to delegate and prioritize, i need a better understanding of my core content. i took someone's advice off of here and wrote down as many questions as i could think of from my test and i was able to remember about 40. i plan on finding the category those questions fall under and reviewing that content. if anyone has any advice or ideas on how i can better prepare for this next nclex exam, please share your thoughts. i am willing to do whatever it takes learn this material and pass this exam! thank you everyone, so much.
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Failed NCLEX-RN, Had New Grad Position Lined Up... Please Help Me
Hi Everyone, I feel so lost and scared, please help me. I am embarrassed to tell the facility that offered me the job, my family, and friends that I failed. I took my NCELX- RN today and got the "bad" pop up. I graduated from nursing school this past May, 2011 and had a New Grad position lined up in April at the facility where I did my preceptorship. I drove to an adjacent state to take my NCLEX, as soon as I could (which was 4 weeks after I graduated), used the last of our savings money to make this trip happen. I took the Hurst Review, used ATI, and studied using Saunders CD-Rom. I shut down my facebook account and dedicated my time to studying for the NCLEX. The first time I took the ATI predictor, it said I had a 65% chance of passing. The second time I took the ATI predictor, it said I had a 91% chance of passing. I took all of the Hurst QReview questions and was averaging around 63%. I wrote down rationales and reviewed and tried to learn what I did not already know. But obviously, I did something wrong. I took 5 hours and 45 minutes and got to 265 questions. By the time I was done, I was drained, exhaused, and mortified. I just couldn't focus anymore. I have read on the NCSBN that 91% of NCLEX-RN takers pass their first time ad only around 50% pass the second time around. This just kills me inside. I am so afraid of never getting my RN or having to take it 10x!! My questions are: 1. How could I have failed? 2. How can I pass next time, and beat the statistics against me? 3. How am I going to tell my "employer" that I didn't pass? I am supposed to meet with the HR person on Monday morning at 9am to discuss scheduling, etc. This has been the worst day ever. Please help give me some direction. I have no plan of what to do next. Thank you so much.
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New RN's...do you have a job ?
Hi! I just had to sign up and reply to this. I got a job offer to work on the Med/Tele floor at a Northern Colorado hospital. I am scheduled to start in July, and I couldn't be more excited! I was told that they would be hiring one other new grad. Congratulations everyone! We have all worked so hard to make it this far!