NRKB

No, some of my classmates don't speak Spanish, but it is much easier if you can speak it. All of the books and exams are in English. The classes may or may not be in English. It could be a mix. It is doable. It is what you make it no matter what program you are in. Each hospital here gives a different experience, and we have the option to go to other hospitals to get the experiences we need. We just speak to our director and he accommodates us the best he can.

I am sorry for you loss. You spent a lot of years caring for this patient, and I am sure you made her final years and days much more comfortable and meaningful. You seem to be very self aware of your short comings and the areas that you need to work on. So you are able to make changes where changes are needed. I don't think "a paper trail to your termination" is always the answer. Sorry. I know a lot of people are chewing you out here, but you seem to be receptive to the criticism and willing to change. Most people would be on the defensive. I just want to say that you sound like a caring nurse. Some nurses I have worked with didn't care. They were just there for the paycheck. If you don't care for people then you're in the wrong profession. I think it is probably easier to tone down someone who cares too much, than to try to get someone to care more.

Yeah... maybe weekly visits would be good for you both and more appropriate. That way you're not over doing it or over stepping her care by other team members. Also it gives her time to adjust to other staff and get use to the pace and environment where she is. Poking your head in once or twice a week will be nice for her and give her something to look forward to.

It sounds like a lot of visits, but it is obvious that you care about her end of life experience and don't want her to die alone or uncomfortable, and as a human being and a nurse, I don't see anything wrong with that. However, you have to give the same love, dedication, respect to your other patients. They deserve it too, and they may need a lot too, just different needs at this time, and they and their families are depending on you to give them great care that they also deserve. Have you ever worked hospice? Sounds like you would be great.

Look if you really like the job as a CRNA then don't give up. You do have to be realistic though. If you get excellent ICU experience at a busy hospital, shadow CRNA's, pass your CCRN, and get excellent grades in your MSN program then I don't see why you can't apply to CRNA school and be a good candidate. The thing about life is that we are constantly growing and learning about ourselves and our abilities. Your grades in nursing school do not define you, but what is important is recognize and acknowledge your areas of weakness (we ALL have them even CRNA's trust me they do) and make them strengths. THIS is the journey a decent CRNA panel would respect, and it is not boring. There is a quote that my son's tutor has on her page, and it may be from someone famous. I am not sure, but it says, "We are what we repeatedly do. Excellence, therefore, is not an act but a habit." Please read that over until you understand it. Don't ever give up or give in because something seems impossible. This is your life and be excellent!

Hello, I am currently a nurse in the states trying to obtain licensure in PR. I have all the documents that are required except one very important document that PR is requiring from the NCSBN or Pearsonvue who administered the NCLEX. It is the document that says the date I tested, the time, location and whether or not I passed, and they require my photograph to be on the document from the exam day. I contacted Pearsonvue and NCSBN, who both told me that I have to contact the board of nursing where I obtained my license. I contacted the board of nursing and they provided me with a licence verification form which stated on it that I passed NCLEX on specified date, that I graduated from school of nursing etc. PR says it has to be from NCSBN or Pearsonvue... Does anyone know what I am talking about and how I obtain this document that apparently nobody can provide me? I appreciate your help! Ps. Please do not question why I am trying to get licensed in PR or complain about the territory and work conditions/pay. It's not what I am in need of. Much love.

Yes, if I had the book i would have looked it up! Ill have to get one when I'm not broke! Sorry I didn't have my glasses on and I'm on my phone. It looked like I typed "ineffective" at the time! Anyways, "nursing school" really needs to be included in that "related to" list. Yikes!

An infective sexuality pattern? What does that even mean?! One day you identify as female, the next as male? Or your sex life has no pattern to it?

I am a single mom and started school when my son was 6 months old and exclusively breast feeding! Honestly, the first year of school was easy because he was an infant. Once he hit toddler hood, the temper tantrums made it very tough. What I do to be successful is the days I have class, I go to class and then study till 5pm and then pick my son up from school. So 8am-5pm. On clinical days, I go to clinical and study either before or after clinical, depending if it is at night or in the morning. Fridays, we are out of class early, so I dedicate the rest of my Friday to my boy. We go out to eat or do something fun with the grandparents. Thursdays, I'm off but I study all day and prepare well for Friday' s exam, while he is at school/daycare. Saturday, I study half day, and Sunday, I study for Monday's exams. I dedicate my nights during the week to my son. I make him dinner and we eat together. I read to him every night after his bath, and we go to bed around 9pm. I do not do school work at night unless I have a major project due the next day. Sleep is so important for me to function at my highest. I have been doing this for a couple years now and it works. I make straight A's :). You just have to find what works for you. Your own flow. Just keep in mind the needs of your kid (s) because they still need the attention from their hard working nursing school parents and we need their love to ground us!

I would say that it depends on how strong you are in a&p. I took patho and a&p2 together and then micro the following semester and did well, but I felt confident in a&p. In my patho book they would review the anatomy and physiology of the topic they are discussing and I made sure I took the time to read that and understand it. I'd use other sources as needed. If you're not so confident or you struggle a little in A&p 1 then maybe wait till after. Patho is very important so be sure you are going to be successful

What helps too is learning about the drugs your patient is on when you are in clinical. I remember at the nursing home everyone seemed to be on a BP medication, and coumadin (which you'll learn about labs then, PT&INR). The repetition will help. Know the antidotes and what drugs interact? Which electrolytes do you monitor? Is there a risk for organ damage? What about in the elderly or the young? Keep all this mind.

Is it weird that I find this stuff fun? I always think if your vomiting (acid is going out of the body) then the pH in your body will increase and become alkaline because the acid balance is offset. If someone is not breathing (hypoventilation) then CO2 increases in the body leading to acidosis.

Savannah sure is a beautiful place to live. I'd love to live there. I'm not sure how much they pay but if you find out please share. In North GA I don't think the pay is as low as 22 an hour but maybe it is in Savannah?

I am glad you had an awesome preceptor! I only hope I do too! I have to say you sound very sweet and thoughtful and I am sure you are an excellent nurse and will make a great preceptor too! Thanks for sharing.

I didn't know what I wanted to do either when I got out of high school. I went back to school 3 times and quit 3 times. Yes, expensive and stupid but I had a lot of pressure on me from my parents to go to college and graduate. (Now that I am a parent I understand where they were coming from) It took me 10 years to find myself. I learned a lot in those 10 years from the odd jobs I had working at mostly minimum wage. I worked as a pharm tech, animal tech, a barista, a waitress, an animal groomer, dog walker, cashier etc. Some of these jobs were awful and quite dangerous and then some were great! Some advice I can give is if you do take some time off school continue to educate yourself. You don't need to spend money doing so. Just read as much as you can about things that you love or that interest you. All the odd jobs that I had taught me a lot about myself and where my interests lie. They have helped me tremendously with my nursing classes that I have no regrets for taking a significant amount of time out to find myself and where I belong. So don't be discouraged. Enjoy your life, stay true to yourself and take the time to find what it is that will make you happy.