Larry2016

UM - thought it was a federal requirement now to have all electronic charting...?

Work overtime

Sorry for typos i was on my phone replying

By the way i did call off. I hate doing so. Here is another question... How soon do you call off? I found out about my fever at 1 pm yesterday and called off 15 minutes after posting on here. Nainly i do not want to appear unreliable. After taking advil last night it came down but now its back to 100.3. If i call off now for ronight i will feel like an ass if i am better rhis afternoon...but if i wait until the afternion i know they will be scrambling for a replacement. Also i don't want to go to urgent care. Last rime i went there the just told me to take 800 mg of amoxicilin...it did nothing for md so qhen my pcp wS open the next day dx was walking pneumonia. The amox was doing nothing.

That is the odd thing though i got my flu shot i always have since i was 18

I know this topic has been debated before but i have unique ciecumstances. Some people say do not call off sick because it is abused and that it is best ti just show up and be sent home. (Side note, in my mind though that wiuld cause more chaos to scramble around ro find someone). Others say it is ok to call off. Where i work a call off is considered an adverse event and we are allowed up to 6 per calendar year. I called off once in January ...i was so sick i literally could not get out of bed. I commute 1 hour to work and have to be there at 7pm tonight. I did not feel good last night after my shift so i slept. Congeation cough and just didn't feel right. I tried to get some sleep this moening but i couldn't because of the cough and felt dizzy. I went to the storw got some mucinex, advil, and a thermometer. Apparwntly i have a 101 temperature on top of this. I have only been there 6 months and i do not want to give the impression that i am unreliable. I mean right now i juat feel blah and I can do stuff, just feel fatigued if i exeet too much energy. The fever though concerns me about showing up and taking care of patients. Thoughts?

Only do the contract if tou rwally believe you will love OR.

Remind the oncoming RN that this is a 24 hour facility and that it is everyone's responsibility to provide patient care including environmental cleanliness. Here is my question. Why not delegate that responsibility to the aide?

Um....yes? I shower before work in upstairs bathroom, after work in basement shower stall. Can't be too careful.

Not really. Depends on population. Big metropolitan areas, or suburbs that have hospitals that have the funding to handle such cases, are examples. There are so many congenital defects and premature births now that keep NICU busy. Six months ago I was talking to a nurse who had a niece with ToF, something rare and unheard of (it's like less than 2% or something like that) - but if not monitored correctly and treated, it can be very deadly. Now if the population of the area is like 15,000, and the local community hospital has a lot of NICU patients that need transferred - then I would raise eyebrows. When you are talking about a population that is in the millions, though, it's not uncommon to have a very busy NICU.

Now that I think about it, as a kid my parents had a horrible time getting me to sleep at night, and as a teen I would sit up in bed until late at night, and sleep on the bus and in home room during school. First time in college too I made sure all my classes were scheduled no later than 2 pm. Most of your nursing classes you do not have that choice (Foundations I and II at 715 am almost killed me LOL)

OK this is the best part of the post... just teasing, sort of I would be very interested in this topic. I started working night shift as a PCNA until recently promoted to RN after passing boards and start orientation September 13. I will be working nights to start. I had such a great experience working nights during my precepting. I was foolish enough, though, not to take the advice of my unit manager. I said that I just like to do three 12 hours shifts in a row so there's no break in between. I was thinking it's unrealistic to maintain a normal family lifestyle if you work, say, Monday Tuesday and Thursday night shift (probably sleep Wednesday away as well and come home and sleep Thursday day time away too is what I was thinking). At this time, thouhgh, I really don't get fatigued at night (I stay busy), but driving home I find myself having to pull over to 2 rest areas to take a 15-20 minute snooze and have a 50 minute drive home. PS: Not complaining about the drive. I made the choice to take this job and love where I am. Hopefully we are planning to move closer next year.

Here is what I recommend. 1. NCLEX mastery app 2. Kaplan NCLEX review (with live option) 3. NCSBN...and try using the NCLEX decision tree with the NCSBN questions. The NCSBN, IMHO, have the pharm drugs a lot more organized than Kaplan. I just found out I passed this morning.

Update : I PASSED! It's like a huge weight is lifted from my shoulders now. 239 questions but I tried to stay focused even 5hough it started to become mentally exhausting. I paid for the quick results at 10 am. I am so excited!

I will tell you what my live Kaplan instructor told me. Aim for 60-65% for best results on the real NCLEX. ​Use your QBANKS too.

Here is what I did. I earned a 3.9 just with my pre-requisites. 1) Look up the assignments to read. 2) underline IN PENCIL what you think is important. **how do you know what is important? ---> a) read each chapter SECTION objectives (1.2 Cell Theory: Identify what Cell Theory is. Explain how evolution theory applies to Cell theory...etc etc.... b) take a sheet of notebook paper and write down 2 objectives on each side (half of the paper for each objective each side) c) What is important is the objectives and finding those objectives in the chapter section. d) after reading the chapter, close the book, walk the dog, get a drink do something else for 5 minutes. Then, write in your own words under the objective headings what you learned. 3) take your book to class. Instead of taking passive notes in class, take a highlighter and highlight what points the instructor is making. I always kept a legal pad (narrow ruled) next to the textbook to write down notes if I needed to. 4) Notecard time. Do not bother sitting there writing out notecards for every single term and every single bone/vessel/organ etc...save yourself time. For example, If you already know that the function of the liver is bile production, metabolizes drugs, and uses protein for clotting factors, you don't need to make notecards for the function of the liver. BUT, if you don't know that the main clotting factors of the liver are affected by Factor X, Vitamin K, and lab tests involve PT/INR (vitamin K) and PTT (partial prothrombin time - Factor X and other types of factors) - that might be something you put on a note card. Also if you didn't know the spleen is involved in portal hypertension - that is something important to know. IF your brain already knows something, either 1) you can easily remember it and reproduce it, OR 2) your brain will be able to use critical thinking to figure it out. If it is something you never knew before or never recognized - that is where you use your notecards. This helps a lot instead of writing out thousands of notecards. I started doing that for Pharm and said, "THIS IS NUTS." and just made cards for what I had trouble keeping in my noggin. Some drugs are very easy for me to learn/know because of how they act/react. Others were really difficult for me. OR - if you can spend the money - find flashcards already made for you. Anatomy and Physiology Mosby's Anatomy & Physiology Study and Review Cards - Books on Google Play LASTLY...Reviewing. Your goal in reviewing for a test is not "OMG I NEED TO REVIEW ALL THIS TONIGHT FOR 7 HRS!" No. Plan ahead - and this will train you for clinicals as well. You really need to be an "organizational nerd" and write down every test date , every assignment due, every working hour - and yes plan your sleep as well! So here is how you review.... a) day 4 before the test...just read over notes for the whole test and your own responses to how you understand the objectives from chapter sections. What did you understand well? What do you need to reinforce? b) day 3 pre-test: quick review things you know. c) day 2 and day 1 pre-test: review and reinforce things you are weak on 10 hours before your test ... DO NOT STUDY. Trust your brain. Get good sleep. Take a hot shower *yes HOT even though its still summer* Drink OJ and have some protein before the test. Not all methods work for everyone. This worked for me. Oh...and test on Monday? But that means studying over the weekend!! I have plans!!!...well, sorry to burst your bubble - but...gotta be disciplined and tell friends / family to wait. That will also take you a long way when you get into clinicals. Oh- and trust me on this one- if you are living in the dorm - NEVER STUDY IN YOUR ROOM!!!!!! All it takes is some loudmouth joc on the football team to come running into your room and yelling "PIZZA RUN!!!!!" and next thing you know they are challenging you to play chugalug at the local bar. And here is a little funny since you are just starting... youtube ask a ninja college - Bing video

the fee is worth the 8 bucks, but yeah, an agonizing 48 hours :)

What state are you in? Ohio takes like 2 weeks to post your license. A friend of mine passed in 75 questions, took 10 days for Ohio BON to post license. They JUST recently switched over to elicensing and their website says "having issues." It took me 239 questions. I still don't know if I passed or not "officially." Apparently others are saying I passed because I got the "good" popup. But I cannot say anything official until I get the unofficially "official" quick response (which is tomorrow probably since I took it Monday as well). Checking OH BON after I post, but I doubt it is there. PS. Do not knock dietary questions. I had something like this on KAPLAN: Client is in the acute manic phase of bipolar disorder. Which menu items are best for the client to have? 1. Tuna salad sandwich and orange slices 2. Bologna and cheese sandwich on wheat and apple slices 3. Veggie burger and a pickle 4. Egg sandwich on Bagel with Orange Juice Apparently, at least, Kaplan thinks these are really important. My last question was so easy. I have to leave it at that because I am not sure how much I can say about it. :) EDIT: Just checked the BON website - maintenance from Aug 14-18 12 am - 6 pm Time to walk the dog :)

Location matters a lot - so does cost of living. You are making 85 k as a new grad? Great? in San Francisco? Housing cost I believe there is no less tha 600k. Ohio - 45-60k...you can find decent housing with a mortgage at 200-250k. Also you have to consider benefits. You want a company paying you 30-40$ an hour but you have to pay for every doc, every specialist, every med until you reach a high deductible? Or do you want a plan where mostly everything is covered ? Many traditional students value $$/hr over benefits. But don't leave out benefits in the equation. Also look at quality of living: are you working one straight shifr (monrings / nights) or are you required to work swing shifts (3 weeks mornings / 3 week evenings)? To me, the latter would put much more strain on your body and mental well being. Lot of things to consider here and if it is actually worth the $$ based on your own personal goals.

Thanks. It puts me a little more at ease. After I posted this I was debating...do I pull out my drug cards and start all over or do I shop for my new nursing scrubs So I decided.... I'm going to the Winking Lizard to relax :)

I tried the PVT. I tried it on (embarassing) an depleted credit card (nursing school - ya know? LOL) I got this message (does it REALLY still work I am really stressed LOL): "Our records indicate that you have recently scheduled this exam. Another registration cannot be made at this time." I finished the exam at 1:45 pm...it is now 7:32 pm I am in OH....my license info just states "In Review"

I had like 10 SATA questions though out of 30 before my last question....so I have mixed (yet uneasy) feeling about this. I poured a lot of time preparing for this through Kaplan and NCSBN reviews. I hate waiting.

I just have a really uneasy feeling about this. The computer shut off on me at 240, and I know I got the last question right but it was so basic it was pathetic. Just really pathetic. I can't disclose what it was, but to me it was a knowledge question.

I didn't think this worked anymore since Pearson wants you to pay $10 now to see your results...

I take the NCLEX-RN Monday, and for some reason I still don't feel prepared. People say not to study the day before, but I still need to tighten up some areas. My wife is sort of "treating" me to a relaxing atmosphere. I am taking it in Columbus, and we are spending today and tomorrow down there. I've been through Kaplan. I have earned 56% on the RN Readiness, and I took QT5 over again (it had been 2 months) with a 74% and I took QT7 with a 60%. Friends of mine who took Kaplan and passed told me that they thought Kaplan was harder. I did 3 pretests on NCLEX RN mastery app and got a 75%, 70%, and 64% (last one was really rough). I am just freaking out because I still have to look over a lot of drugs and my weakest link seems to be Physiological adaptation and Health Promotion. I am usually pretty good on Management of Care issues and Psych (which is funny because I do not like Psych nursing ) Check in is at 3 pm, and I think we are leaving around 1 pm. Even when I try to do something to relax I get this nagging feeling in my head that I need to at least look over my drug cards and just skim through material. Maybe someone can help me out with an issue that will help with health maintenance. Most of the questions I miss are OB questions. I know what to do with unreassuring FHRs. What I have problems with specifically is "put in priority which patient you will see first" when it relates to OB. How do you determine that when all 4 are in labor and there are no evident complications (like there are no symptoms of placental abruption, no prolapsed cord, etc)? Please don't laugh - my wife and I don't have kids and in my OB rotation I mostly was in the nursery. I mean do you go by the effacement/dilation? Contractions? Presentation? Yes I am freaking out about this! I need to find a way to relax about it.