NamasteN

NamasteN

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All Content by NamasteN

  1. Family refuses care

    I am torn and want your take on this situation. I have a resident who fell and has a compound fracture of the ankle. She has dementia. Family doesn't want anything done except comfort care. The resident is also hospice care. Being given Roxanol ...
  2. What is it like working on med surg?

    there are no "always" and "alls" in life or in Med/Surg. Sometimes I get out out on time which means 730 and many new grads go to med/surg but not all. what is it like? crazy, busy, never ending, varied, hectic, frustrating, enjoyable, interesting...
  3. How long is your commute?

    Nursing jobs are very competitive in my area. Most hospitals want a BSN and I have an ADN. So I travel 50 minutes one way to the only hospital in the area willing to take a new nurse.
  4. For better or worse, here in NY most LTC facilities have several units. One for dementia pts, one for stable but very sick pts and one for rehab. It doesn't matter which unit I am on, they are all hard. The 40 dementia pts are screaming, falling...
  5. How many patients do you have on average?

    I too am coming from LTC where some evenings I am the only nurse with 40 patients. Looking forward to now being an RN at a hospital with 4-6 patients. I realize they will be more acute, but still it has to be easier than 40 no mater what!
  6. Taking a pay cut to go to day shift?

    "But for my mental sanity, I finally feel like I have an 'out' from nights and that makes me so excited. " To me, this trumps it all. You really want days! And it's a better quality of life. Yes your daughter will go to day care more, but actually...
  7. New Grad...Is this typical?

    I attended a community college, 2 year program and have found that most associates programs do a lot more hands on than the BSN programs. I have a lot of experience with all the skills you mentioned with the exception of chest tubes. Unfortunately,...
  8. You will also make more on weekends. The difference in pay is not worth the debate. Go where you put all the exclamation points ! :) Magnet hospitals are the bomb!
  9. COPDer de-satting? What do you do?

    For COPD higher amnounts of O2 are not the answer, but delivery system is. Use a non-rebreather at no more than 4-6L/min. Face mask is useless. Give a neb tx, sit upright, slow deep breaths. If it's only on exertion, need to rethink PT
  10. Does the bad pop up for Pearson Vue mean you fail?

    I did it last week, got the good pop up passed. So did all of my nursing school class. Not sure if this means it works ALL the time, but it does work. You have to use a valid card and be prepared to pay the 200$ which if you are going to take the ...
  11. Best nursing youtube channels?

    Look up Mike Linares on you tube and facebook. He has a website as well and charges for his Nursing Made simple, but I got enough free stuff from those 2 places. He's cute, smart, funny and breaks it down to understandable basics.
  12. Need study tips

    I always made index cards and carried them around. Reading out loud helps me too. Another thing I did was watch youtube videos of procedures. Hearing someone else do it out loud helped me. Love the NCLEX RN books as well, Exam Cram and Saunders. ...
  13. when to start studying for NCLEX

    I guess it depends on your style of learning and studying. Our program had us purchase the Saunders NCLEX review and we read that along with out Med-Surg book for each topic and did the questions. We also had Kaplan and did those throughout. I als...
  14. Is this a new trend?

    This is actually a very old practice. In the 'olden days' there were no such thing as disposable depends. But this doesn't mean to not clean the patients. I have worked in LTC and in hospitals and I can tell you that no one ever takes responsibil...
  15. 50-60 SATA questions on NCLEX??

    I could have written that same post. Took my NCLEX yesterday too, and had almost all alternative formats. Everyone says that means I passed because I had all higher level questions. But I feel like I was punched in the stomach. I did the PVT and g...
  16. LPn at age 50, after teaching middle school for 15 years. Now at 57 just became an RN. Bet I'm older than you! í ½í¸Š
  17. Pearson vue trick

    I feel like I'm having a heart attack! Just got home from taking the test, I had probably 2/3 alternate format questions!! So many meds and no trade names, just generic. Arrgh! But I did the 'trick' and got the good pop-up, is it 100% reliable? ...
  18. 52%-59% Scores in Kaplan Qbank.

    Do you have the Kaplan course? Did you watch all of the videos? Especially helpful are the decision tree and NCLEX review videos that specifically teach you how to break down the questions. Go back and do all of the Kaplan stuff if you have it.
  19. Need help with tests.

    Get an NCLEX review book either Saunders or Exam Cram. Read the section you're studying in class and do the tests. It's good practice for the NCLEX too. I also carry index cards everywhere I go. If I get a break at work, (I'm an LPN) I whip them...
  20. Advice on transitioning to RN

    That's exactly what I did. The first year of RN was mostly CNA stuff you learned in LPN school. Then we went straight into Cardio/Pulmonary. The things I needed to review were head to toe assessment, wound assessment, vitals, abnormals, lab values...
  21. Random Valuable NCLEX Facts :)

    Definitely oversimplifying for the purpose of giving an example. ? That is how the test works, I was trying to let the person asking the question realize that there is no need to memorize every single thing, in order to pass you need to be able to ap...
  22. Random Valuable NCLEX Facts :)

    I would add that it is entirely possible to know which questions are higher level passing ones. They ask you to analyze or assess. Lower level "fail" questions are recall/facts. Ex. these are your patients K+ levels, what does it mean? is a pass...
  23. 2nd retake in two weeks!!! Ahhh

    In order to pass the NCLEX your practice scores should be in the 65 and up range. If you are still scoring so low you are making critical thinking mistakes. Kaplan has many strategies for analyzing questions. I am fortunate that my school purchase...
  24. 3 time NCLEX Taker - HELP

    Try the Kaplan program. They offer a money back guarantee. Do you have an NCLEX prep book? I found the EXAM-Cram series to be excellent as it is written by Pearson, the people who write the NCLEX. Sounds like you need to practice HOW to test as w...
  25. Look at Sage in Albany, NY. about a 15 month program.