mlss94

Yeah documented the heck out of the surgeons order.

Hey everyone! This is a half vent, half needing advice post. I promise to get to the point though! Well I'm a new RN working only less than 3 months off of orientation. I come to work one night and assigned a very combative pt in bilateral restraints. This pt was very strong and was agitated all night. Typical nightmare right? When trying to give medicine, the pt was able to swing and hit me in the stomach many times. This pt had a triple lumen central line placed in the groin. When the CNA removed the mittens to get a sugar check, the pt somehow snagged one of the lines. When the pt finally let go after holding it super tight, I saw that the top part was off. Like the port and lock. The CL was still in place and the other lines were flushing and pooling back blood fine. But I immediately thought, this is introducing infection big time and possibly a pulmonary emboli. I called the nocturnist who was baffled and clueless and told me to call the surgeon. The surgeon of course was pissed. He ordered to clamp the line and add a hemostat for extra protection. Not to d/c the CL which is what I thought he would order but hey I'm just a nurse. I even asked our nurse supervisor for her opinion and she didn't oppose to the surgeon just said to do what he ordered. I did what was ordered and told the dayshift nurse what had happened. The dayshift nurse takes it upon herself to d/c the CL. Come back to work to hear that that very nurse (who I have followed after many times, who has event reports on her, and many complaints about the way she practices) told everyone on our unit what happened and criticized my nursing judgment. I believe the nurse said I had bad nursing judgement. Mind you, after she shared with me that if anything happened that that would be on the surgeon and never said anything to my face about her two cents on my nursing judgment. Totally two faced me. Anyway, I'm asking if ya'll think she was justified? Honest but respectful opinions appreciated. I'm new and I want to correct any mistakes I make and be a better nurse.

Hey guys! just an update for anyone that cares still! i started using Uworld and it is great! i'm doing 75 questions a day and making notes on rationales. i'm reviewing content from the 2015 Kaplan content review book that a friend gave to me. i would use the saunders book but i graced through it a couple times and i just liked how the kaplan book had more tables. for me it feels easier to absorb information from tables than paragraphs. i'm also still doing a chapter/questions every other day or so out of the PDA Lacharity book. i get my ATT soon! thanks everyone again for the advice and experiences :)

Thank you everyone for your advice so far! I've started doing the Lacharity PDA book and it is really great! I do the questions and make notes on them. I'm getting Uworld next week! Those seemed to have been the most advised to use. I also got the NCLEX mastery app and it is pretty great too. Someone had mentioned it is like a game and I totally agree. I like to do when I'm waiting in line or something. I think I am okay for now for resources. I heard doing having too much resources will just overwhelm you! I might have to take a little break of like a day because my pinning ceremony and graduation ceremony are next week two years go by so fast! Thanks again!

I understand your point. I truly wish I had the family and friends to do that, but I don't. It is not that I want to go "as cheap as I can." I'm honestly forced to. I need resources that actually work that won't cost me an arm and a leg because I can't afford a review and neither can my family. I have a very small family that are pretty much my grandparents and single mom. I've already asked them to scrape up the money to give me $300 to even take the test. Pretty sure that was my graduation gift and I'm very thankful for it! Believe me, I know how much the test is the determination of my entire life on a computer screen and I'm investing everything I have. I appreciate your insight and the good luck :)

Well the thing is my school's cohort behind me was a passing rate of 73%. The faculty and staff were of course freaking out because our pass rates in the past have always been around 90%. I have no idea what happened with that cohort but one day a couple of the students from that cohort came to talk to my cohort in class. They pretty much explained that they thought they were prepared enough after graduation and so the majority of them didn't do further preparation. I'm really hoping that was the case. But thanks for your advice :)

Thanks ya'll so much! You guys are AWESOME! Would ya'll say I need to study 8 hours a day or will 5 hours a day suffice? I'm really confused on how to go about a study plan. I know I should do at LEAST 75 questions a day but I feel like that is not enough. What was your schedules like?

Hey everyone! I'm a senior nursing student and I'm pretty broke right now. I graduate this December and I've already accepted a job. I have spent all my savings on a new/old car when my first car died on me and vet bills for my cat when she got a bowel obstruction from eating an ear plug. Life is a struggle but I am NOT asking for a pity party. I know my life can be much much MUCH worst. What I am asking for is some serious advice. I NEED to pass the NCLEX-RN the first time to start making real money and to fulfill my dream of becoming a RN. I've never been more happy with my life than when I'm at clinical pretending to be an RN. Seriously ya'll it is my calling! Anyway, if ya'll can share any cheap ideas that will help me prepare for the NCLEX-RN that would be awesome!! I'm so scared that not doing a review like Hurst or Kaplan means I won't pass. And it's not that I don't want to, I just simply can not afford $350-400 for it. Just to tell you about myself: I'm a decent student graduating with cum laude (mostly by my work ethic). My school used HESI. My scores have been anywhere from yikes (630-750) to ehh (751-899). I've always been bad at standardized testing. The only ones I have made over a 900 on were Mental health and Pharm. I have started preparing for the NCLEX with the Saunders ed. 6. My plan is to take the test at the beginning of January. Please any advice would be awesome! My budget is no more than $200. So low I know, but the struggle is real !!! TIA!

If anyone wanted an update I chose to not go with this hospital that wanted me to sign a 4 year contract. I thought very hard about it but I realized I could not bring myself to sign a 4 year contract. Partly because I had an interview at another hospital and the manager and I just clicked so well. The other part is a little bit more personal and probably hard for everyone to understand. I don't think I could live in southeast GA any longer much less 4 more years. I think my time here is up and I need to move to a more diverse area. I want to move back to the Atlanta metro area where I grew up and people are nicer and more open. Then eventually back to California where I was born and most of my family is (although the job market for RNs there is terrible I hear). So as you can tell, in the next 4-6 years I won't be in one place. So anyway, I accepted a job offer on the Medical Oncology unit (future goal is to become chemo certified ) at St. Joseph's/Candler Hospital!! Which did include a contract but only 1 year plus a sign on bonus! Thank you everyone for your advice so much! This comment became a justification to my reasons and I'm sorry if ya'll could careless haha!! Next stop NCLEX-RN!

I'm on a super tight budget and I'm graduating this December! This post helped me feel a little bit better on not paying for a review like Hurst. Still pretty anxious! I'm starting to study now! I NEED to pass the first try and I'm TERRIBLE at standardized test. I'm a decent student graduating with cum laude so my SAT scores don't reflect me well at all. My HESI scores have been between yikes and okay all semester. The only ones I've gotten over a 900 on have been Mental Health/Psych and Pharmacology. Any advice for someone like me? And when I mean tight budget, I mean any advice that is free (if that is even possible)? Thanks so much!! :)

pretty much in the same boat as well and this is my last semester of nursing school. i've looked over pretty much all of the entire HESI NCLEX review book med surg section and have done half of the 100 questions. but it's so hard not to freak out especially since i'm so close to being done :'( does anyone else have any tips? i feel as if the saunders is too easy.

Thanks so much everyone! I think doing the interview and having them under my belt wouldn't hurt! But I will explore my options because I believe I could get paid a little bit more at the hospital next to Memorial and just sign a year contract. However I think the pay range for where I live in southeast GA seems to be $21-23. $28 for a new grad RN seems high for where I live currently. But I'm not too sure of course! I'm preparing myself for many interviews in many different areas! It seems like that is the best option! Thanks again! :)

So I'm graduating December 2016 and all summer I've worked as a PCT/Tech/CNA at a hospital in Savannah, GA (Memorial). Anyway, I like my job for the most part. It's float pool but my supervisor lets me preassign to units (if the unit likes you enough). Basically, I found a unit I really, really like. Almost love. Memorial offers a residency program for new grad RNs and since I'm a PCT, I automatically get an interview. But with the residency program comes a 4 year contract. If I break it I have to pay $8k. I've spoken to a couple other nurses that are/were in the program and some that were not. A lot of the negative comments I get is that they don't pay enough (I was told they pay $22 base pay) and I shouldn't settle as a new grad RN. What do you guys think? Is really bad to settle as a new grad? Or does it look better on your resume that you've been in a trauma 1 hospital for 4 years? Your honest opinion and any advice is most appreciated!! :)

Congrats! Your fundamentals class may start lectures first day but for the most part it will be syllabus day but pay close attention. They overload you with info so bring stuff to take notes. I made sure I had all eBooks so I could just bring my laptop or Ipad instead of lugging all my textbooks. And you will most likely have tests every 4-5 weeks in each class. So one week in each month could be a week of tests! Yay nursing school lol! Good luck!