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Doing my first night shift EVER tonight!
I think you'll be good! I usually never get really tired at work overnight even if I wasn't able to get a nap in that day. Plus you'll have your nerves and adrenaline to keep you awake. Goodluck! I'm a new nurse orienting on nights and I love it!
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New Grad applicant walked on a unit today...
I've personally walked onto different units with no prior warning twice. The first time I did it I felt so awkward and I was nervous but the ANM was very welcoming and nice. She told me that they had just filled all of their empty positions and wouldn't be hiring till the end of August so I figured that was no go. The second place I did it they had already had my name because I had a friend who works on that unit. I kept hoping I'd get a call about an interview because they had my name for about three weeks. I finally did get a call but it wasn't until the day after I came in and gave my resume to the ANM. I had the interview two days later and I got the job. The first place I went to ended up calling me 2 1/2 months later in August asking if I was still interested in employment. But luckily I was able to say I already was employed. So I think you should do it. If they don't give you the time of day then oh well. All you need is one ANM who appreciates your efforts!
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Do You judge and treat patients differently depending on who they are ?
I think it's human nature to judge. But part of being a nurse is how you deal with that judgment. As long as you treat everyone the same regardless of their name or any other attributes they may have then you're doing what you should be doing. I remember when I had my senior practicum for nursing school and I had my first patient who was a prisoner. I was a little nervous and wondered how it would go. When I was taking his temperature orally I was so afraid that he was going to bite me or something. I was making that judgment strictly based upon the fact that he was a prisoner. After taking care of the patient for that rest of the day I realized that he was nothing but polite and respectful to me. So shame on me for judging him. It could have easily been Mrs. Smith (made-up name) down the hall that bit me instead but I was only worried about him since he was a prisoner. What I learned from this was that your initial judgment aren't always correct. It was a very interesting learning experience for me.
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Interview questions: What do you ask?
I asked about patient ratios, how long orientation was, if there was any type of loan repayment, if the preceptor chose to be a preceptor or if they just got assigned to it, how scheduling was done (if we were able to pick our shifts or if they were assigned.) This has some really good ones Nursing Interview Questions | Monster
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Help Help Help .. Failed NCLEX
I used the Saunders 4th edition as well but the questions that they have in the back of each chapter are way easier and I felt that they were nothing like the questions they had on NCLEX. Make sure you are comfortable with answering priority, delegation and infection control questions. That seemed to be the majority of my test. The study guide on here was very helpful but wasn't all inclusive!
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Nurse Educator vs. Labor and Delivery Nurse
What causes you to dread going to work in the ICU? If those things aren't present when you do L&D why worry about the feeling of dread. Also, there had to have been reasons why you originally wanted to go into L&D. I think you should try and remember what those are and then jump on the L&D position. I personally think L&D would be an amazing opportunity. Good luck!
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New RN on the first job hunt
When I stopped by the hospital to say hello, I gave them my cover letter, resume and a letter of recommendation that I had. Sure, they might not look at your cover letter but I think it's better to have one even if they don't want to read it than to not have one and they want to see it. Anything you can do to prepare and make yourself stand out is just another plus in your favor. Is there anyway that you can have sort of a generalized cover letter? I mean I know it can't be the same for every single place but only change a few sentences here and there to correlate with the place that you dropped it off at. And as far as what you wear I wore the same pants to drop by and say hello as I did in the interview but made sure to wear a different shirt. I think you should be prepared to interview on the day you drop by the hospital so you should be prepared dress wise. And btw, I got the job where I stopped in to say hello and physically handed them my information. Good luck!
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3 Steps to NCLEX success.
Congrats! I second the statement of treating yourself to a nice alcoholic beverage, or two, or three. You deserved it!
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Tumor Fevers
This is just a wild guess but it's what I would think. I would believe the pathophysiology is the same for anything that would cause a fever. A fever is your body's way of trying to kill whatever is infecting it so could the fever just be an immune response to the tumor in an attempt to "kill" the tumor? I can't remember the exact pathophys for how your body creates the fevers though, so if that's the answer you were looking for, sorry! I would think this is something that could be common in patients with an intact immune system because the body is always going try and defend itself the best way possible. Like I said though this is mostly just a guess so if anybody knows any different feel free to correct!
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36 online applications and no bites?!
Is it possible to go to the floor and personally hand somebody your resume? I've heard some people say to do that and others not to but what could it hurt? From the way it sounds you haven't heard back anyway so it might be worth a shot to get your face associated with a name. Now you aren't just some name on the list of hundreds but you're that person who came on the unit and have put your face out there.
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First Resume - Please Help!
Because you are a new graduate and have no experience I would recommend trying to showcase what you've learned in school to the best of your abilities. Instead of having every clinical site listed maybe take the clinical site that you did most recently and put down certain things that you've learned there. For example on my resume where I had no previous work experience I pretended my last clinical site was a job (at times it felt like it) and formatted it the same way as my other jobs. I also wrote things like: assessed patients and implemented care plans according to findings, administered medication including IV piggybacks and documented patient findings in the electronic medical record. There are tons of ways to format your resume but I liked incorporating this into mine. Hope this helps. Good luck!
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For all you new grads...what does your resume look like?
On my resume I had the usual sections such as objective, education, work experience, (I've never worked in the medical field before) certifications (ACLS, BLS, etc) but I also put my last clinical rotation. A lot of things I read said not to put it and others said to put it but the way I looked at it was how could it hurt? I also just put my last clinical rotation down because its the rotation where I felt I learned the most. Good luck with everything!
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Nclex June 8th
I went into the test not really expecting to get all 265 questions. I was hoping that it would stop at 75 and then when I went to 76 my heart sank a little. But it stopped me right after 76 thank goodness. Thanks everyone!!:) Honestly as far as reviewing SATA questions I can't really recommend anything. I used Saunders 5th edition but the questions in there weren't anything like the NCLEX questions. But there are multiple SATA questions so maybe it would be helpful to you if you just practiced doing them. Goodluck!
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Nclex June 8th
I personally couldn't tell if the questions were getting harder or not. Whenever I thought I got a question right I would almost hope I got a SATA question next because then I thought for sure I got the previous question right since you would think SATA question would be judged as being harder.
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Nclex June 8th
It was what i was expecting and then again it wasn't. I know that doesn't make a lot of sense but it's hard to put in words. Most of the questions I could get down to two answers that were incorrect immediately. But after that it was just an educated guess honestly. I tried to rationalize the answers and pick the answer that would be the safest for the nurse to implement. I had quite a few prioritization and select all that apply. I would say about 15 prioritization and 10 SATA. I had one math questions and no other alternate format. But the one thing that you have to realize is what I'm telling you right now could be the exact opposite of what you get on your NCLEX. That's what makes this test so difficult. It's completely individualized and if you read what other people got it could be the exact opposite.