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nguyency77

nguyency77

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  1. nguyency77

    The Wicked Politics of Clinical Practicum in Nursing School

    My clinical instructor said today, "You learn more from your mistakes than from your successes." It's much more helpful to remember what NOT to do... I would rather get called out in front of my classmates than make a potentially dangerous mistake. Maybe it's embarrassing, but really?
  2. nguyency77

    Is there time to also minor in something?

    I have a couple of friends who finished their psychology minors before we started nursing school. So maybe you have time during pre-reqs, but I wouldn't try it during nursing school. Nursing school is very time consuming because there is a lot of studying involved, and many, MANY, assignments. I spent my middle and high school years at a liberal arts school. Do I want a minor? No, sir.
  3. nguyency77

    Looking back I'd wish I'd know......

    I wish I had known this before I started my first semester of nursing school; but I'll pass along the torch in the hope that you don't have to go through what I did! Between classes, pay attention to your classmates. Learn to read their behavior, but keep it to yourself. Why is this important, you may ask? Some nursing schools believe that group projects foster teamwork and collaboration, while failing to recognize that group work has a tendency to be exploited. When you are allowed to choose your work groups, try to work with seemingly responsible students. Typically these are the people who raise their hands and ask a lot of questions. There are no consequences in group projects if you don't do your work, as many students fear confrontation and want to promote a peaceful and supportive learning environment (at least, early on). This sets the stage for lazy people to just show up on presentation day and pretend they did something all along. The worst thing about group projects? If everyone else did the work, the slackers still get the A's. So try to stay away from those types; many find smart students to leech off of and skate through the program. Don't let it happen to you; it's not a matter of grades, but a matter of integrity. If these people were not trustworthy enough to carry out a simple task, or at least own up to the fact that they didn't help, how do you know that they actually gave the med that they documented they gave? How do you know they actually assessed the patient when they said they did?
  4. nguyency77

    Young, Thin, and Cute New Hires

    Couldn't have said it better myself. My clinical instructor praised me at the end of our first clinical. I don't get compliments like that every day, so it meant a lot coming from an instructor I admire. That did not make me think I was destined to be the greatest nurse out of my whole cohort, though. Say what you will about CNA experience being "pointless" prior to entering nursing, but being a CNA taught me so much. The most important lesson was: It'S NOT ABOUT ME. So let's make nice. Age and appearance do not determine nursing ability; however, they influence how patients view us and how much trust they are willing to give us. Actual ability and patients' perception of ability go way back (think Psychology 101!) to the halo/horns effect. Your management is probably attempting to tap into the halo effect by overestimating the influence appearance and personality have on Press Ganey. It is experience and open-mindedness that make a great nurse. We are all taught that nursing is a science...and an art. You might be good at technical skills, but have atrocious bedside manner. You might be the sweetest nurse in the world, but can't start an IV to save your life. The caring, the knowledge, and the wisdom to make judgments are traits that every nurse needs and hopefully acquires as he/she moves through life and through their nursing career. Even when (if!) I pass my NCLEX, I recognize that I'm still not done. Just because I'll graduate with a BSN doesn't mean I know more than anyone. There is much to be learned from the LPN and the ADN who have spent decades on the floor.
  5. If I see them and it's convenient for me, I will say hello. But if they are scattered throughout the facility (a couple at the med carts, hiding in the break room, and some down this hall and some down that hall), I'm not going to play hide and seek. My point was that I don't go looking for them because between the 3 confused residents plotting their escape, and the new admit who is yelling for iced tea and the bathroom at 5-minute intervals, and the RN asking me to take 20 vital signs and do 4 showers, you all know where my priorities lie. Unfortunately, not all preceptors are like you. When I was new, one of my preceptors spent the whole shift MIA (AKA texting her boyfriend in a comatose patient's room while I ran around getting all her call lights). But I digress. Perhaps that CNA should not have 'yelled' at the OP. But at least now you know that patients'/residents' diets are everyone's responsibility. Another example is code status. Everyone needs to know that, too. You cannot just resuscitate someone who didn't want to be revived and just say, "Oh my bad, I didn't know." You would be in for a major lawsuit and legal actions against you as a person. You would also lose your job and any chances of getting another job. OP: Students actually ARE a liability. When I'm in my nursing clinicals, I work under my instructor's license AND the RN preceptor's license. Meaning if I do something wrong, both of them are in big trouble and can lose their license to be a nurse. And then the hospital/site will get sued if a patient is harmed and it will be also my fault. That is the definition of liability. You probably thought I meant "annoying" or "in the way," but no. Please don't be defensive. I never said anything about you as a person (because how could I know that from one post?); likewise, I would appreciate it you refrained from making assumptions about how I am heartless and cold, just because my day doesn't allow time for me to go kiss up to nursing students. I am just informing you the consequences of what happens when you don't know someone's dietary restrictions. It's not about us CNAs and the inflated egos we tend to get from time to time; it's about the patient being well, and having the surgery or treatment that they need. We are here to care for our residents and make their lives easier. I personally don't come to work to get compliments, or told how I'll make a wonderful nurse someday. It's about humility, an idea that many people cannot grasp early on. When I was new, I was very shocked that some of the CNAs came across as stand-offish and wouldn't come say hi to me. Later, when I got their same workload, I understood why. It's not that they wouldn't; they couldn't. Maybe not now, but someday you will realize it's not about you. I sure did.
  6. I'm sorry you had a difficult experience, but allow me to point something out... Maybe this is assuming too much, but why do you think the CNAs should have said hello to you? Our teachers drill this into our heads all the time: we are students, and therefore liabilities...not assets. No one should be kissing the floor I walk on. When I was working as a CNA, I barely had time to pee and eat...let alone go introduce myself to all 10 practical nursing students. If I got to work with one, awesome. If I didn't, I wasn't about to go out of my way to make them feel all special. I just didn't have the time. If I had a patient who was allergic to peanuts and I gave them a peanut butter sandwich, could I just shrug and say it isn't my fault because I didn't know? You took an NPO patient into the lunchroom. Why did this not strike you as a problem? If the person had eaten lunch, they may not have been able to have surgery they might have needed and it would have been your fault for not noticing they were NPO. I found that by losing my naive sense of entitlement to kind and fair treatment, and by proving to people I was serious about my work and school, no one picked on me. Never play the meek card. If someone has a problem with you, resolve it. Don't let yourself be the victim, and you'll never be one. :)
  7. nguyency77

    Young, Thin, and Cute New Hires

    In Vietnam and China, ALL "female" jobs require you to have a certain look. It does not matter if you came up with the theory of relativity and revolutionized the world of science; if you are considered unattractive, you will lose the position to the ditzy teenager who slept with the HR manager. If by 'their' standards, you are slim and leggy with a cute face and a girly voice, you're hired. This is true whether you are a cashier at KFC or if you're a new nurse. Never mind logic. There is definitely a shift from Nursing by Merit & Experience to Nursing by Customer Service. It's kind of sad that healthcare is shifting to a customer service model.
  8. nguyency77

    Readiness for enhanced family processes r/t?

    If it's a wellness nursing diagnosis, I think it has to be only one part.
  9. I'm in Level I. So far, this what we've done: 3-4 Reflection papers for community clinicals 2 Reflection papers for SIM Lab 3 Skills Checkoffs (graded: full head-to-toe assessment, Foley, IV; pass/fail: trach suction, NG tubes, NG feeding, blood draws, etc.) 3-4 Electronic Medical Record documentation (we have a student system to practice on with fictional patients) 2 Class Presentations (patient teaching & professional nursing association, with APA citations) Lots of online quizzes Online discussions Online, interactive case studies Watch skills videos to prepare for lab & lecture READING: Lots of it! 1 Care plan What we will do once clinical starts: 2-3 Care plans Health Histories A full head to toe Whatever else they feel like assigning us!
  10. nguyency77

    Department Wars

    This is one of the most bizarre things I have ever heard of. As Erikson would put it..."Identity versus Role Confusion."
  11. nguyency77

    Straight A's in Science prereqs?

    Yes, I got all A's in my science classes. I say this a lot; it's not about the time. It's about the quality of your studying! If you have only two hours at a time to study, how can you make it meaningful? :) NEVER CRAM. Cramming might get people through pre-reqs, but once nursing school starts cramming does not fly. I still make To Do lists because I need something to keep me focused. I also like to make up questions that I think might be on tests; I put them on my gFlash+ app on my iPhone/iPad and quiz myself out loud. (I am finding that this technique is really helpful in nursing school! Doing this seems to help me re-word test questions so that I can find the best way to answer them). For patho, I used to draw out concept maps because this cut out a lot of extra words and simplified the concepts for me.
  12. nguyency77

    CNA Supervisor or all under DON/ADON

    As TheCommuter said, we had a "staffing coordinator" when I was a CNA in a LTC/SNF. The person was a CNA; she was actually the person who hired me. She worked central supply, hired new CNA and med techs, and drove the van occasionally. However, discipline was always left to the ADON or DON.
  13. nguyency77

    Nurses: Why do many of you do this?

    I thought so, too. This is going to sound really passive-aggressive, but the next time she starts on a topic like that I'm just going to ask her if telling the story is okay with HIPAA. She used to work in a LTC, and she actually shared information about who lived on what floor. And of course they were all people within the community who were identifiable. Maybe this isn't a problem to some residents, but in our culture some people consider it morally wrong to institutionalize the elderly because of family values. I personally don't feel that way, but I digress. It's as if she thinks I don't know what HIPAA is, and somehow that makes it okay to gossip about patients to people who know them? It doesn't.
  14. nguyency77

    Nurses: Why do many of you do this?

    I have a question! I'm just a student nurse. But there's a certain person that I know who is a RN. She and I are both part of our ethnic community; therefore, most everyone knows everyone by name, gossip spreads like wildfire, etc. The problem is...She likes telling stories about patients that are identifiable. The other night, she told my grandparents a story about Mr. So-and-So who had X amount of strokes, was having X treatment at Y Hospital, is about to die, his WHOLE life story (including how many kids he has, how long he's been in the hospital, etc.), his NAME, who his wife was... This is an arbitrary example of what she does. Call me a silly idealistic student, but isn't that WRONG? I can understand it when nurses tell stories of funny/weird situations. I know I have had to care for interesting people during my time as a CNA... Won't ever forget the times I got punched by residents! But it is NOT ok to be sharing information that is specific and identifiable. I knew exactly who the person was and how to find him. I just feel that the people in my ethnic community don't necessarily understand their rights under HIPAA. What do I do? If I keep my mouth shut, she's just going to keep telling the whole world about her patients.
  15. nguyency77

    Study habits

    Hey! (: What I did for A&P 2 was to know the textbook really, really well. If you have who I think you have, he likes to test on matching! So know the anatomy of everything, but especially bones. He likes charts and graphs for physiology, especially about thresholds. Many of his questions are about function; I thought it was helpful to make flow charts. For reproductive, I wrote out step by step which hormones do what at which point in the ovulatory cycle. If you have the leftover time, he also likes to test on things that "sound cool," like the Nodes of Ranvier. Don't space out during his lecture because if you lose him, you've lost him for the remainder of the class. People are often saying that his lecture is pointless, but if you read the book before you go to class his lecture will clarify a lot of things for you! Like someone else said, make flashcards on Quizlet or another site. I would not rely on other people's cards. Make up your own questions! Integrate terms with questions like, "Drugs that increase the threshold of myocardial contractility will do what to the heart rate?" Because it's important! :)
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