Norubit15

Hello! When I took the NCLEX exams, I utilized practice exams, over and over prior to the test. I liked that they provided rationales so I could better understand the correct answers, and I retained the rationale information better. I see that there are several which charge fees for these practice exams, but some that are free are the National Council for State Boards of Nursing in this link: https://www.NCLEX.com/prepare.page and Mometrix has a free practice test too, located at https://www.mometrix.com/academy/NCLEX-RN-practice-test/ I encourage you to do these, and read through a good NCLEX exam review book prior to taking the test. Best of luck to you!

Hello! I saw that you originally posted this in August of 2025. I was curious as to which path you decided on? As a new graduate LPN, I was already working as a CNA at a long term care facility while attending school, so I just continued to work in this facility as an LPN for the next three years. After that, I applied at my local hospital and worked in the hospital's clinic setting. I enjoyed that it was fast paced, and that I learned a lot from the physicians/providers and other nurses that I worked with. I saw a variety of health concerns and treatments while working in the clinic for the next several years. I would recommend the clinic setting while continuing your education, as I feel that it's not as challenging as the long term care facilities can be. If you read this, I would really like to know which decision you made and if you feel that it was the right decision, now that some time has passed by.

Hello everyone, I am considering a move to the emergency room setting. I have only filled in at the ER occasionally. I am currently working a Med-Surg floor at night, and have been for about 9 years. Previous to that, I worked in a hospital clinic, in a skilled long term care facility and for a private physician's office. Has anybody made the move to ER from Med-Surg, and if so, did you find the transition doable as far as the learning curve? I am hesitant to make the switch as I am afraid my peers may think that I am not fast enough or efficient enough for the ER. Please share your thoughts. Thank you!

Sad to say, but hardly anything would surprise me anymore. These people who feel the need to post videos related to their workplace and of patients of those organizations are so very inhumane, immoral and and unkind that it makes me wonder why they became nurses in the first place. I guess they would rather be digital creators and influencers. What if this had been some of their own family? I still stand with the punishments given.

Hello! I am sorry you had a bad experience at work, and were worried for your job. I am hopeful that you got answers early this week. It doesn't sound to me like you did anything wrong, you merely answered a question. It appears to me that these papers were the direct responsibility of this DSD, and as such, should have been taken care of by that person. I must ask, what is a DSD? The only thing that came to mind was director of staff development. If that is the case, I must say, WOW! The response to you when asking about the papers is not exactly the way to develop the staff. I find it odd that a CNA had these papers if they were as important as this DSD has made them sound. This is not to say that CNAs aren't responsible individuals, more that the person that wanted something sent to another department maybe should have taken them on their own, or perhaps used a departmental mail envelope with instructions inside or similar scenario. Also, when the person gave them to the CNA, what did she tell him/her to do with them? I would be interested in knowing the outcome of this situation if you are interested in sharing. Best Regards!

I absolutely stand behind the dismissal of the nurses. How incredibly unethical and uncompassionate! What I really find incredible is that FOUR nurses at this facility on the same shift were doing this. It grieves me to know that anyone would do this, let alone four people, in the same location, on the same shift. Shame on them! If I were a patient at the facility and had seen the videos that were taken, I would be very upset, perhaps even traumatized. This makes me wonder why they became nurses in the first place. At the very least, they are immature. I hope that getting fired makes them take a serious look at their actions and behavior. As far as the timing of their firing, I stand with the hospital on this as well. If the hospital had delayed the termination because it was just near Christmas it would have appeared that they didn't take the insult of what they did seriously nor care about their patients.

Thank you. I realized when reading your post that I left out FOC, "father of child." This was fun for me because I don't work in this area, but for many others that do, they may have thought it was easy peasy and quite boring. A lot of facilities frown on the use of shorthand or acronyms so I was surprised to see so much in this charting. Thanks for reviewing it!?

@Trixie Adelaide, For grins and giggles, I have decided to try and decipher some of this. Okay, so going back a bit in my learning, here's my take on it: I know that G stands for Gravida or number of pregnancies, so I guess this is 5 pregnancies, then Para or number of babies delivered, so I guess this is 1 baby delivered, whereas the next set of numbers are identified by the TPAL score, so the T stands for number of term pregnancies which is 1, the P stands for the number of pre-term pregnancies which is 2, A stands for number of abortions/miscarriages which is 2 and the L stands for living children, which is 2. Now, this next part is going to be tricker... 38w2d (LMP and TVUS) I believe stands for mother is 38 weeks and 2 days pregnant as observed by last menstrual period and translady partsl ultrasound. Mother is here with FOC or force of contraction for IOL or induction of labor with TOLAC or trial of labor after cesarean delivery. History of PPROM or pre-term rupture of membranes, History of GHTN or gestational hypertension, and A2GDM or gestational diabetes melliltus managed by medicine. Patient has BBOW or bulging bag of water, and fetus is ROA or right occiput anterior. This took a little bit of my memory, and I did have to look up the terms BBOW and A2GDM because I didn't remember learning these. I knew of gestational diabetes but didn't remember it as being part of the Gravida Para numbers when I learned them. I am older, so perhaps they didn't exist then. LOL. I will be honest in that I laughed when I learned that BBOW stood for "Big bag of water." It seems there might be a more technical term for it. Anyway, this is a good brain exercise for a nurse who doesn't work in Labor and Delivery, so I am glad I took a stab at it. It will be fun to see how the real Labor and Delivery nurses think I did. ?

@klone, MSN, RN, This Acronym salad is a whopper! Haha. I am sure if I worked in your area of expertise, it would make perfect sense. I believed I learned all these terms once, but you know what they say...if you don't use it you sometimes lose it. Thanks for doing what you do!?

Thank you for the clarification! I think the word "spontaneous" is confusing. The dictionary definition is "performed or occurring as a result of a sudden inner impulse or inclination and without premeditation or external stimulus." Synonyms: unforced · voluntary · unconstrained · unprompted · unbidden · unsolicited · unplanned · unpremeditated · unreheorificed · impulsive · impetuous · unstudied I can see where this would get confusing as a planned induction would seem not very spontaneous. LOL ?

Hi there, I do not work in L&D, however, I was fascinated by your question. So, I did some asking around and some quick research. From what I can gather with my newfound information an induction can lead to a spontaneous lady partsl delivery which by definition is a lady partsl delivery without the use of forceps or other tools. In other words, going into labor spontaneously is a broad term covering both going into labor on or before the due date, in any location other than a hospital, in other words; OR occurring after induction methods in a medical facility. In the previous post you had an example of the progress note which stated "To L&D today for a scheduled induction. Progressed quickly to SVD." I believe this is technically correct. I am obviously not a doctor so I cannot say how or what is right to chart, but in my opinion it may have been helpful to have included something like "induction successful [or terminated], which progressed quickly to SVD." This might be the indicator you were looking for, which would tell whether the patient was induced or not. Perhaps someone from your facility's Labor & Delivery department can answer this for you, or as someone else mentioned here one of the L&D nurses can answer this. I look forward to seeing more posts about this. ?

Yes, I agree that everyone has valid opinions here and the fact that we are not law enforcement is what I was really trying to say. Thank you!

Very nice article and very appropriate during this time! ?

I understand that, but I feel that the nurse could have just told the officer that she suspected he had been drinking and then let the officer use his own judgement on what to do next. I suspect the officer would approach the person and then proceed as they normally would in this case had it happened anywhere else. My understanding is that an officer was already on scene at the facility. Perhaps I misunderstood.

Yes, I feel that PHI has been violated. The patient did not give consent. I understand the nurse was concerned for the patient and the community, however she could have just stated that she suspected the patient of drinking alcohol.