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nurseygurlie

nurseygurlie

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nurseygurlie's Latest Activity

  1. That's why we provide the information, the risks, informed consent, our nursing duty. Then the patient makes their own decision. Then we support them without passing judgement. Cuz that's our job. They shouldn't be expected to base their decisions on your, or any other nurses, belief system.
  2. I never wanted a cs, but after three vaginals....I can see the pro side of remaining intact. Let's empower women and our patients to make their own decisions based on what is important to them. Our job is to provide information, not pass judgement.
  3. nurseygurlie

    UTA general ED courses

    I'm currently taking statistics online with UTA. It's an okay class but it's not easy to sit at the computer and spend hours trying to learn statistics alone. The teacher has audio lectures set to video slideshows and follows the book pretty close, so it's doable. I just find the content kind of boring and it's hard to find motivation to sit and do it. There is a quiz every week and 3 or 4 exams throughout the course. As for algebra and tech writing, I took those at a community college so I can't answer that. Tech writing is pretty intense though.
  4. nurseygurlie

    The Case Against Med-Surg!

    I think there are a lot of good things about med surg. I was a PCA for two years on a busy med surg floor and wow, did I learn a lot. I feel like my exposure gives me an edge starting as a new RN on my dream floor, OB/GYN/couplet. That said, I totally agree with the article in the sense that the year in med surg isn't necessary for every pathway. I think there are certain pathways where the experience is more helpful, but there are others where it isn't. I think if you are a new grad and you can get a position in the area you want with a strong residency or internship, you'd be crazy to turn that down or worse not try for it at all, just because you think its necessary to do med surg.I also think its misleading to say that nursing students only want certain units or that hospitals don't hire new grads. It might seem that way externally, but its just not true. I know so many people who aspire to work in oncology, dialysis, school nursing, womens health, geriatrics, psych, surgical, etc. ICU and L&D are popular units, but they are broad areas too. There are many specialties within those areas, especially if you live near a major hospital system.As for the job market for new grads, its limited but not closed. If you build your resume from the beginning of school by getting involved in school associations, keeping your gpa competitive, volunteering, and working in or near the setting you are trying to get into, you won't have a problem. If you don't do anything to stand out from everyone you are competing against, you might have to consider med surg to get started. its not a bad thing tho, its experience you can really sell when you interview for the dream spot!
  5. nurseygurlie

    Want to vomit

    Destress, deep breath and focus on giving your best answer for each question. That's all you have to do! You can prepare for that.In terms of studying and learning the exact content you need for your specific test, there is no way for any of us to prepare for that. How many ppl come out saying "nothing I reviewed was on there" or "I didn't know any of the meds". The whole point of nclex is to figure out if you will act safely when confronted with something you DON'T know about. So just pick the best, most safe answer that displays your judgement as a nurse. That's easy to do, you've been studying for over 2 years so you are for sure prepared :)Don't go in there without a plan to handle your stress though!! Good luck!
  6. nurseygurlie

    teaching first clinical class

    My first clinical instructor gave me great advice that had a profound impact on my learning through nursing school. "If you don't know what's going on with your patient at the cellular level, you aren't looking close enough or searching deep enough." From then on, my patho, my research, my careplans and my approach to patient care has always been thorough, scientific, and carefully thoughtful. It was a great peice of advice to build on!!
  7. nurseygurlie

    San Antonio, Tx Nursing

    San Antonio College has a 9 month LVN-RN program, its an associates degree at a public school so its the most affordable option. If you can stand a few additional pre-reqs, I would look into UT Health Science Center which is a BSN program. You can find SACs nursing info at http://www.alamo.edu/sac/nursing. There are other private nursing schools like Baptist Health System, Galen, and some others. They are more expensive tho.University Hospital is a magnet award winning hospital, among others. They are doing a lot of expanding and offer AMAZING health benefits, differentials and tuition reimbursement, as well as student loan forgiveness and other perks like NCLEX-RN review course reimbursement and testing fees too. They are a public hospital, serving the underserved of south TX, a high volume of spanish speaking patients. Also the only level 1 trauma center and airlife program in the city. http://Www.universityhealthsystem.comThere are other private hospitals too, as well as Brook Army Medical Center (BAMC) which is a huge military hospital with a ton of benefits. I would assume they have tuition reimbursement, but you have to have 1 year of RN to work there. Not sure if there is an exception for LVN. The other three hospital systems are Christus, Methodist and Baptist. So many hospitals here!!Good luck!!
  8. I always feel like the energy that nurses spend on this issue wastes so much time. The most efficient way to handle it is just anticipate and plan the pain medicine as part of their care. If you know they are going to want it every four hours, plan to be ready to give it every four hours. My only issue with IV pain medicine administration is when the patient encourages or insists that I administer it a certain way. I don't care how much they want to feel high, and I don't judge them for that because there is a reason it's called "high", but I refuse to risk patient safety for that. I will always closely monitor blood pressure and respirations, and ALWAYS dilute and push slowly. That's the nursing assessment and diligent safe practice that we are responsible for. However, I will also always validate someone's pain if they say that's what it is. As long as you provide empathy and safe nursing care, you've done your job. Anything beyond that is bringing bias and opinion into the care of the patient, which isn't good for either of you. Your day will go so much easier the more willing you are to accept it that way.
  9. nurseygurlie

    Any tips with smells? Please!!!

    a mask with a teabag inside, works every time and both are available on almost every floor, unit or facility
  10. nurseygurlie

    Why doesn't the NCLEX include skills demos?

    The NCLEX is not a test that measures whether or not you have the clinical skills to be a nurse; you'll get that evaluation when you go to work and you have to pass and have documented that you met all of the institution's clinical competencies. Many hospitals will even have written and demonstration tests during an orientation/internship. The NCLEX is a test that measures the safety of your decision-making. It's is a test to protect the public, not to measure your skill. Sure, it will ask you important questions to evaluate your risk of harming a patient while performing skills, but they don't care if you can follow steps 1-10 exactly, as long as you can do it safely. It's a judgement test, not a skill test. They want to know if you can identify the patient who is most in trouble, or the medicine that carries the most risk-potential. If they ask a question about skills, it's more to hone in on where the risk is and what your judgement would be as a nurse in a situation where your decision will have an impact on that risk somehow. I have often wondered though, why it's not something they do as an exit exam from nursing school. My school has a beautiful, top of the line simulation lab. We often use it during clinical rotations, at least once or twice, to simulate high-risk scenarios or common clinical skills. I even wrote a paper on how I think part of the exit exam from the program should be passing an individual simulated scenario.
  11. nurseygurlie

    what units of chemistry needed in nursing?

    I think there is a lot of chemistry in nursing. All of the electrolytes are chemicals, it's good to be familiar with how they interact with each other. It's helpful to understand dissociation, osmosis, diffusion, etc. It's also important to understand the radiation spectrum and how it affects living tissue. A lot of the basis of nutrition is chemical. My whole way through nursing school, while writing my care plans I focused on what was going on at the patient's cellular level. So much of that had a basis in chemistry!
  12. nurseygurlie

    Senior nursing students I just want to say.....

    Two weeks!!!!!!!
  13. nurseygurlie

    Does it matter where you got your BSN from?

    "I knew someone was going to try and say that. You don't have to LOVE your job to be able to do it competently" I agree with that. I have no doubt that someone with your focus and planning would be a very competent and clinically skillful nurse. However, the basis of nursing is caring. It is compassion, communication, and the interactions within a therapeutic relationship are very intimate. If a nurse doesn't love what they do, there is no way to compensate for that within that relationship. The patient can feel it, and I don't think it's fair to them. I've seen how patients respond to people who LOVE nursing care, no matter how bad of shape their patient is in. I've also seen patients who get upset when they can't build that connection with their nurse, or the families who are disappointed that the nurse doesn't seem to have that tenderness or delicacy when dealing with their family member. I have met plenty of competent and skillful nurses who don't love their jobs. I think that years of nursing can even erode that love. But if you are in the process of considering nursing, and don't get excited about the love and compassion that is such an essential and basic part of it, then in my opinion, you should look at something else in health care. There are so many science based positions that don't require the intimacy that nursing does. Respiratory therapy, physical or occupational therapy, physician's assistant, radiologist, etc. They all develop caring relationships with patients, but on a much less emotionally based level. They still get to teach and spend time with the patient, but they are not responsible for the detailed psychosocial assessment and therapeutic relationship aspect of the patient's care. It's not all giving meds, performing procedures and monitoring labs...... Plenty of competent people that don't love it do it...but they shouldn't.
  14. nurseygurlie

    Does it matter where you got your BSN from?

    "I enjoy human interactions, but not necessarily in love with the idea of taking care of someone who's in the worst state ever, don't get me wrong, I can do it but I don't think I'll love it." People who don't love it shouldn't be nurses. It's too much intimacy for someone who isn't passionate about providing care, in my humble and probably outnumbered opinion.
  15. nurseygurlie

    Nursing hours

    I just got hired for my first nursing job doing 8 hour shifts in my dream unit, OB-GYN. There are so many different settings and units to work in, you can find what you're looking for.
  16. nurseygurlie

    CNM Questions

    I have the same plans as you do, so I can't speak from an experienced perspective. However, I have a few views about some of the comments you made in your post. I recently accepted a job offer at the county/university hospital on the OB-GYN unit. The one shift that I shadowed, I saw many sick people. Some of the things included in my nurse's patient load included two NG's and one foley inserted, one post-op patient, one psych patient with a gaping infected open c-section wound with packing and daily dressing changes, a patient with a nephrostomy and ileostomy, One mediport, one Subclavian central line, and one healthy newborn. I saw more skills on this floor than I do at the Med-Surg floor where I work as a tech. Most of her patients were also on running fluids and IV push meds too. I think to say that L&D is easy is laughable, I don't think the nurses you are talking to realize what is going on. It is the ONLY unit in ANY facility where one of your patients is inside the body of the other. The level of acuity and critical decision making is very high. Couplet care is also complex. You have to have assessment skills for the newborn AND the postpartum mom. Very complicated conditions and syndromes can happen postpartum, such as pulmonary embolisms or DIC. Elevated assessment skills, the ability to provide effective teaching, and quick decision making without alarming the patient and their 20 present family members are all mandatory. It's a very specialized unit. I know some people aren't into it, but I wouldn't work in any other area. You should try shadowing an OB-GYN nurse for one shift and see how enlightened you are at the end. If you can do it at a public hospital, I think you will see even more than you would in a private, just because the moms and women are not all insured and getting adequate prenatal or yearly women's health screenings). Good luck in your CNM path!!