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Jaynie_Marie's Latest Activity

  1. Jaynie_Marie

    Anxious, discouraged, ready to quit

    I graduated my ADN program last May and was immediately blessed by receiving a job offer from the facility where I worked as a CNA during school...I accepted the job and loved working there! However, due to family reasons, I had to relocate at the end of the year and was unable to continue working at that facility. I received and accepted a job offer working in OB (day shift with three 12 hour shifts a week and three call days a month)...being that I did not have a full year of nursing experience yet, I am receiving the new grad orientation period of six months (I have two months left). I loved my OB clinicals in school and was able to do my transitions/practicum in OB before graduation - I thought that OB was where I wanted to be. But it has turned out to be something different...something completely different! I absolutely dread the days that I have to go into work - I can hardly sleep the night before, I often get myself so worked up that I am almost sick to my stomach with anxiety. I am so extremely overwhelmed while I am there that it is not uncommon for me to want to stop and cry or want to just leave during my shift; I know I need the experience, but I find myself not wanting the complicated labors, the deliveries, c-sections, or triages...I am actually extremely excited when someone else gets those patients, because it means that I did not get them. When I leave at the end of my shift, I either cry most of the way home or cry myself to sleep at night on my husband's shoulder...not because I'm worried I did something wrong, but because the stress and anxiety from the day has built up so much that I have no other way to release it. It's not the knowledge or the skills of the job that is causing this - I am getting and understanding what is going on with the patients I have (although I still have much to learn) and I can care for them at a level beyond where I am in my orientation, but I just don't do many things fast enough...I know this because it has been shared with me by the nurses I work with. However, while the nurses I work with tell me that they would prefer me to ask questions when I don't know something, they are also not very receptive to questions. I know that part of what I am feelinging is that I am still learning how to be a nurse instead of a nursing student, and that I am learning to care for a new patient population...but to me this seems to go beyond that! It is like I have lost my love for nursing, I do not enjoying in OB, I see few friendly faces at work, am constantly being criticized for not being fast enough at many tasks, and am constantly hearing about other nurses who went through the new grad orientation and were 'amazing!' It is flowing over into my personal life...even now I am sitting here on my day off crying just at the thought of work. The 12 hour shifts wear me out so much that I am basically useless the next day (especially if I work two or three in a row), it is hard to get stuff done at home because on days when I do have energy everything is screaming out at me that it needs to be done, I have little time with my husband due to not being on a similar schedule as him, and I am just sooo tired all the time. Nursing employment in my location is basically only available at this hospital, and transfers to a new unit are only allowed after one year of employment with no exceptions. Even though it won't look great on a resume, I am ready to quit just to save my own sanity!
  2. Jaynie_Marie

    Priotizing nursing diagnoses list

    As far as I am aware, they are all NANDA approved diagnoses. When writing up nursing diagoses for the care plan I do need list the R/Ts and AEBs, and I do have them for the diagnoses I listed, I just didn't type them up here because I don't have internet at home and this phone is truly a pain to type on. I am willing to add them to my post if you think its a good idea. I agree that I wouldn't put a risk diagnosis before an actual diagnosis (which is one of the reasons my other risk diagnoses are at the bottom of the list), but my instructor has harped on risk for falls a LOT and has said that she expects most of us to have it at the top of the list.
  3. Jaynie_Marie

    Priotizing nursing diagnoses list

    The book I'm using using is "Nursing Diagnosis, Application to Clinical Practice" by Lynda Carpenito. Its the required book for my program and the book which my nursing diagnoses must come from. The Ackley book is one that my instructor recommended as a resource, but I haven't gotten it yet as one of the nurses at work thought she had one that I can have. Pain and mobility are a lot of what I ended up focusing on, too. I'm thinking I might be moving the feeding self-care deficit down the list further...
  4. Jaynie_Marie

    Priotizing nursing diagnoses list

    I'm working on my first care plan and the instructor is requiring that we have 10 nursing diagnoses, which need to be prioritized into a list using Maslow's hierarchy as our guide (physiologic, safety & security, love and belonging, self-esteem, self-actualization). I've got my 10 diagnoses, but was hoping to get some input on whether I'm prioritizing them in the right order. My patient is a 90yr old female who is in the nursing due to late effect cerebrovascular disease with dominant side (right) hemiplagia. 1. Risk for falls (hx of falls. My instructor has been placing an emphasis on this to the whole class, which is why its at the top) 2. Chronic pain (she rates it at 9 out of 0-10, which is why I put it so high in the list) 3. Feeding self-care deficit (set-up help for meals. Placed as number 3 due to food being a need for survival) 4. Impaired transfer ability (1 assist to get OOB, independently once in w/c by pulling herself up with handrails. Numbers 4-7 are physiological needs related to activity, I wasn't entirely sure which order they should be in so I put the mobility ones first since immobility affects so many body systems) 5. Impaired walking (1 assist with walker, needs to take frequent rests due to getting tired) 6. Impaired bed mobility (1 assist, positions with pillows) 7. Dressing self-care deficit (needs help with lower body and buttons) 8. Risk for impaired skin integrity (she moves around a lot and is low risk based on the Braden Scale. I could put this one higher, but figured since she's low risk it wasn't quite as important as immobility and ADLs) 9. Risk for compromised human dignity (since she needs help with personal hygiene. This is a self-esteem risk, so not as important as the physiologic needs) 10. Risk for situational low self-esteem (she said that sometimes she feels useless due to her illness and being in the nursing home. My understanding of Maslow puts self-actualization needs last, so that is why this one is on the bottom) The care plan isn't due until the 17th (I'm working ahead on it due to having already made up my last clinical day which I will be missing next week - a friend is getting married out of state and I'm one of her bridesmaids), so I have plenty of time to change things if needed. Any input will be welcome! (I'm typing this on my phone, which is not the easiest phone to type on, so please forgive any spelling or grammatical errors.)
  5. Jaynie_Marie

    Anyone doing well 1st semester?

    First semester rocks!!! I am loving it!!! I study a lot and do all of the reading (of which there is a ton, of course...), but it is worth it. I got a 98% on my first Fundamental's exam, a 86 on my first Pharmacology exam (not really the score I wanted to get, but I'm a serious overachiever), and passed my physical assessment check-off on my first try (check-offs are set up as 'pass/fail' with one chance to retake it if you fail)! I know that there are some people in my class who are really struggling to make a passing grade, though - which is an average of 80%. Honestly, though - while it is great that things come easier to some people than to others, the important thing is that we all pass...when we graduate its not necessarily the person who did well in school who will be the better nurse, and for job-hunting we will all be on an equal playing field as new-grads. Good luck all!!
  6. Jaynie_Marie

    Where do YOU sit in class?

    I try to sit in the first or second row. I am a very visual person, and sitting further back provides sooo many more distractions (people seat-dancing, playing with pencils, windows, etc)! Of course I also find it very hard to sit still during lecture, so I am one of the people who is guilty of seat-dancing and probably distracting some people behind me...however, no one has complained ti me yet, so I won't worry about it until they do. Also, the instructors tend to learn the names, faces, etc of those in the front first, which can make it easier to speak up and ask questions, and helps remember you better when you go to them during office hours.
  7. Jaynie_Marie

    What did/do you dissect in A&P lab?

    You dissected a potato?! Ok, first of all - thats awesome!! Second, why? for what purpose?
  8. Jaynie_Marie

    Adult Family Home vs Skilled Nursing Facility

    I have done both (at the same time) and the adult family home is definitely less stressful. The home I worked at had two residents - both of whom needed some assistance with showering and making sure they took care of daily personal hygiene, but it wasn't the same level of care needed by many residents in SNF (although of course this will depend on the residents in the adult family home/SNF where you work). Most of my duties at the adult family home were cooking, cleaning, giving meds (which were organized by the pharmacy into daily containers), laundry, and general supervision the residents. I had a lot of down time where I was able to do homework, read, etc, which you would not get in a SNF setting. I enjoyed only having a few residents to work with, but there was way too much down time for me (and my LTC facility pays more in an 8hour shift then I got there in a 12 hour shift). Its up to you, though, as some people do like it better - it was just too slow of a pace for me, though
  9. Jaynie_Marie

    What did/do you dissect in A&P lab?

    A cow eye, sheep brain, sheep heart, sheep kidney, and something else that I can't remember right now. My instructor for the course is a vet (he works primarily with farm animals) so he has access to animal parts at a decent price.
  10. Jaynie_Marie

    My nursing school story

    Thank you so much for sharing your story! Also (and even more than the first) thank you so much for your service to our country!!!
  11. Jaynie_Marie

    Why do you?

    There are many people in this world, in this country, who do not have access to healthcare. My desire is to provide healthcare to these people and make an impact on even just a few lives.
  12. Jaynie_Marie

    Would you miss the first day of class?

    I would check with the hospital and with your instructors to see if one of them would be willing to work with you on this. However, at my school (no matter what semester you are in) if you miss the first day of class you automatically forfeit your spot in that class unless its an emergency (and even then you need to contact the instructor ASAP).
  13. Jaynie_Marie

    Can someone help? Just took CNA/STNA exam...

    Congratulations!! That is awesome! Yipee Hurray!! :-)
  14. Jaynie_Marie

    Storage clipboard with built in calculator?

    I've been wondering about storage clipboards, as well, and I even looked at them at Office Max the other day. Thanks for asking about them OP, and I will be very interested in the responses you get. :-)
  15. Jaynie_Marie

    Application for CNA?

    Always take any information which you might need to fill out an application! Speaking as someone who made hiring decisions at a precious job, having that information with you shows your readyiness and enthusiasm for the position. Also, if you fill out the application right away there is a chance you could get an interview right away, too. While a lot of people take applications home to fill out, I don't really think that is always the best practice. Obviously, as you have discovered, some employers do not allow applications to be taken home. If you pick up applications from multiple facilities, you need to somehow remember which application goes back to which facility (trust me, it does not look good if you return the wrong one!). Also, while the facility may be hiring at the time you pick up the application, there is no guarantee that they will still have that position open when you return the application a few days later. Overall...it is (in my opinion at least) best practice when job hunting to have with you any information which is needed to fill out an application.
  16. Jaynie_Marie

    Can someone help? Just took CNA/STNA exam...

    Clearly I'm not familiar with the CNA exam in Ohio...sorry! I'm in Wisconsin and here you don't have to say that you are checking it. I'm hoping and praying that you passed!