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I graduate in May I'm in PANIC MODE. I travel 1 hour to clinical and was wondering if anyone has reccomendations for audio reviews I need to listen several times

I didn't need GRE for MCPHS University I'll graduate in May..overall good school.

I work at night and I shower in the morning when I get home. I live an hour away from my job so if I showered before and after I would never get adequate rest. So I wouldn't be able to handle showering twice a day if I sweat that much in my sleep that I should shower before work, then I should probably get my thyroid checked. To each their own, there's no right or wrong just a matter of personal preference

But you were smart enough to pass the NCLEX-PN. You're not dumb, but definitely feel you are dangerous in practice due to a severe lack of initiative. ITS OK TO ASK QUESTIONS. I DONT KNOW IS UNACCEPTABLE. I started as a CNA, I was an LPN, and I'm and RN now and working toward nurse practitioner. I am always looking up new meds and new diseases AND EVEN LOOKING UP OLD ONES to refresh my memory. Never go too comfortable the field of medicine and nursing is forever changing. You need to take responsibility for your own practice because should you ever be called to court you have no one but yourself and your charting to lean on. And I PROMISE if you get called into court for something that charge nurse won't be there holding your hand and saying "it's my fault" learn your job, your responsibilities and meet your expectations. If you aren't ready to be alone on the floor just ask for more orientation. Don't fake it til you make it. nursing doesn't go that way.

I'm having a wonderful experience at Massachusetts College of Pharmacy and Health Sciences. 99.9% online. You just need to do 3 residencies (they last 1-3 days each every May) it's a masters program. My only complaint is you need to be your own advocate in terms on clinical, they have clinical partners but all based out of Massachusetts so you need to prepare yourself to find your own preceptorships

Let me tell you a dirty little secret... If you do FNP you can treat patients from the womb to the tomb. It's FAMILY so you would be able to manage pediatrics, adult, geriatrics. Hospitals do employ FNPs that were not trained by an acute care school. FNP leaves more doors for opportunity if you ask me. The only areas you won't get an easy hire on would be OB without a strong OB background. So I mean... If you want my two pennies that's it

This is murky water to tread on. I personally wouldn't do it, but know of nurse who have. In the hospital setting this is an extreme no-no. I guess to find out the problem would be to figure out how the patient came to this agreement.... Were the solicited? Or was this word of mouth? Theres a a huge difference between the nurse going "now Sally I sell the supplements you take daily anyway" and the patient going "I want to add supplements to my daily meds, but not sure what company to go with, and the nurse explaining the company she works for and what her supplements do or guarantee" both still not appropriate mix but one is way worse than the other for sure

If you think this is an appropriate way to solicit help from experienced nurses... I can't wait to see you in clinicals this sounds like a homework question if I ever heard one. If you want help ask, but don't quiz us on stuff we already know, we had to learn this once upon a time too. You need to take an active part in your learning, no one will pass the nclex for you. However... If you need help why don't you give us YOUR thoughts on this material and we can help guide you to the best answers... I would rather spend 20 minutes pushing someone to the right answer than spend two minutes and hand it over. You will not learn anything or remember anything if people hand it to you. If if you have a patient suddenly collapse OP, what are the three assessments YOU would do. And what 3 nursing interventions would you make from this experience?

Sounds like you're young new fresh and the world is idealistic. Nursing is a 24/7 profession. I have worked long term care, subacute care, and acute care in the hospital. I have worked day shift and night shift and let me tell you something... Coming from a place of experience... You will always have something to do after the previous shift leaves.... Whether it is changes, wound care, meds a patient refused but now wants... You need to just take it in stride. Is it right for patients to be left wet, absolutely not; we all know this is the perfect breeding grounds for pressure ulcers however.... Have mercy on your fellow co-worker. Night shifts are understaffed, even when fully staffed it is not enough.... Patients get consufed at night, they fall at night, they code at night, they have behaviors at night, and are Incontinent at night as well... Depending on the patient nurse ratio it's a horrible race to the finish. And in many facilities I worked at when I was in long term care... I WAS THE ONLY NURSE FOR 30+ PATIENTS. To to me it sounds like you place your ideas on a pedestal and people that don't reflect your values will feel your wrath. This isn't appropriate behavior, and I personally would not want to work with someone like you. Nursing is team work, and just because you don't play the same inning doesn't mean you aren't all working toward a common goal. If this nurse has a pattern of leaving a mess, then maybe it's something to bring up, but if this is an isolated incident you just seem petty and too full of yourself. We all have horrible shifts, but have you ever heard the phrase "in order to move along, you must get along". Instead of trying to be the facility white night and "tattle" try to deal with who you have a problem with face to face like an adult. You need to tread carefully at any job because you don't know what type of relationships existed prior to you joining the ranks, and you may be biting your nose to spite your face. I am sorry if I sound worked up but I have been the nurse "tattled" on for being too busy to worry about wet beds... I had a patient that coded in the dead of winter and did CPR for over an hour near the end of shift waiting for an ambulance to arrive.... The patient was taken off to the hospital, and I have 40 minutes before change of shift, after documenting what I could remember from the code, I had only 15 minutes to round on patients, and there were several people wet. No... Not proud of leaving it, but unless you are there to witness a shift, you shouldn't make waves or get people into trouble... Unless it's something that keeps happening. I not only had a shift from hell, but had to deal with a snarky nurse during report despite my explanation of the last couple hours of my shift being hell... And then had to explain to my director why wet beds just were not a priority. It's demeaning and does not foster a trusting relationship between co-workers...,

Jesus! Not a lot of time to respond huh? Well I feel like 75k is low for NYC I used to live in NY, but you only have 3 years experience. See if you can accept with exception, it sounds like you need to contact the union and see what the plans for that salary is. Explain you want to accept but the salary offer seems soft, and with it becoming unionized you want to know what that means for your job. In my experience even unionized supervisory positions get paid better than the average floor nurse. This is an excellent resume builder if you dream of being in management someday but this definitely deserves more than a days notice to mull it over. What benefits are you getting as well as the salary... Will you be allowed to negotiate for more, will the union make your pay higher or lower? Or will you be paid the same as a floor nurse? It sounds like you are well within your rights to explain you want the position but you want to discuss with a union representative what the potential unionization of your position means for you, since this will only be a hospital position for a short period of time... Be careful... Some unions will also give you the option to get a new contract for employment meaning you get the benefits and pay the union negotiates for... Or they may not be able to unionize your position because this was a pre-existing employment contract that was made. You have some homework to do. Call the union ASAP and ask management if you can have a little longer to do your homework because the fact that this is going to be a unionized position could help or harm you.

There is a large possibility you are overwhelming yourself... I passed my nclex on the first try... Wanna know how much studying I did? 4 days a week for 6 hours broke into blocks of 3 with a 10 minute break every hour. It is possible you're trying very hard to know everything... That's just NOT POSSIBLE. Figure out which sections you will retain the most info on and focus there, since we get asked questions across the board figure out which ones will be easier to learn, you may do better next time with a focused study plan instead of a wide spread one. When I took my nclex I had a bunch of select all apply, I felt like I was being punished! A lot of my questions were psych, maternity, and med surg... Some pharm questions but not enough to make me feel it should be an entirety of your focus. But the NCLEX is random and you may get an entirely different group this time around. Pick your trouble areas, and areas you find interesting so you can retain more info.... And yes stop burning your candle at both ends... You'll have plenty of time for work, and play once you pass. Good luck!

Unfortunately, my superiors also like to beat around the bush and not explain why certain nurses are not getting patients they want or feel they need... I do not doubt your skills OP, but maybe you need to re-evaluate your own attitude. I get we are all different people out side of work and maybe on the job you don't appear the way you do on this forum, but... That said I only know you through here so here goes... i work as a shift lead/ charge nurse on my unit. Factors that go into deciding which nurses get what patients are based on many many factors.... I will explain some of my thought process so hopefully this reaches you and gives you some insight... experience: as always the more experienced nurses get the more complex patients... Yes I know youll never get the experience if you aren't assigned them, but I'm not here to challenge you...I'm here to keep patients alive... attitude: you get a big F on attitude for me... When you said you didn't go to school to be a day care worker? I hope you don't say things like that at work... But I digress... If a nurse especially new to the unit or new grad... Exhibits a know it all attitude or feels entitled to harder assignments...they don't get the hard patients, not as a means of punishment but as a means to protect the patients... If you know it all, then how can I trust you will ask for help when your more critical patients take a turn for the worse? Performance: have you missed something on one of your patients? Nurses that make mistakes even non harmful ones are usually sidelined to the more seasoned nurses. Fine tooth comb your charting, your interactions with the babies, and their families... Maybe you aren't giving parents the warm and fuzzies (which if you don't want to be a day care worker, may translate in your relationships with family members). So my homework for you.... Ask more questions, smile more, enjoy the "easy assignments" for now. I know it isn't where you want to be... But there is most definitely a reason why you aren't getting advanced despite your feelings of excellent performance. I understand you said the new policy is to spread the acuity of patients out, but at the end of the day their safety needs to come first. You are being passed over for reasons your charge may not feel like discussing, even management can be flimsy on offering true honest feedback because... If your confident... We definitely do not want to destroy confidence... In the right light confidence is awesome! Confrontation... Management does not want to fight with an otherwise good nurse that just needs to wait for her turn in the sun. Seperate yourself from your feelings and try to be on the outside looking in... Is there something in your personality, performance, or skills that needs more work? If so have a slice of humble pie and just wait for your turn in the sun. You'll get there Rome wasn't built in a day, and all GREAT critical care nurses had their turns on the "bottom"

I wish I could say our appearance doesn't speak for our capabilities but in the minds of many patients it does. I think how well recieved your choice of hair color will be, is based on where you work. If you work with the more elderly patients honestly it's 50/50 I had pink hair when I was 18 and worked at a nursing home... Some of the patients loved it, others flat out told me I needed to get it fixed.. The better question for you is how much flack are you willing to endure for your hair? If I were to give honest advice, try a few strips and see how it's recieved, if everyone likes your highlights and you don't have to sit on the hot seat after a month, go for the whole head, but don't say you weren't warned, this could pose some difficulties for you.

No children I was a child "prodigy" after exhausting a lot of the AP classes available, I was starting to be troublesome cause my boredom distracted my classmates... So my high school paid for my tuition for a vocational school for my LPN, I was an LPN when I was 17, mid way through the program they let us do CNA so I did that when I was 16. I'm 27 now and spent all of my working life in health care. I love thinking what I do makes a difference. And I don't have children yet cause my husband and I decided to try to wait for school to be done. But if there's an "accident" it'll be a happy one

Thank you everyone! I am going to look into finding a job in some type of practice setting even if it's only part time a few days a week, so I can get my face out there! It was so much easier when I lived back home in MA. I was close with several NPs that I met through my jobs and personal life experiences but... Life happens I moved to Florida to be close to my sick father, I'm glad I spent time with him before he passed away but the move certainly has had an effect on what my plans for the future were. They were so excited to hear I got into school, I figure I am starting early to try to avoid last minut stress, but I figure if by February or March if I can't find an acceptable preceptor/practice willing to help me grow, I may take a travel nursing contract... And go back home. It stinks cause I'm married but that's my last ditch effort plan. I had a network back home that I still have contact with. It's far from ideal, but I can still make a living while getting my needs met.