RnH15

I just received an e mail from my manager informing me that I have been asked to attend an RCA meeting regarding a patient I had last week. The patient coded, was worked on and sent to ICU. although I am not 100% certain, I feel the situation likely did not have a good outcome. I understand that the point of the RCA is to analyze the situation and collaborate to come up with ways to keep it from happening again, and that it is not designed to place blame or get anyone in trouble, but I am still feeling a little nervous. I am still a pretty new nurse, I got my RN license almost 8 months ago. What Can I expect from this meeting? Any tips or advice?? Thanks in advance!!

Do y'all wear the knee high ones?? The ones I'm looking at (total compression solutions) have knee and thigh- but the thigh high ones seem like they would be uncomfortable?

Hi all :) I am a new grad and starting my first job as a BSN, RN in a couple of weeks on a med surg unit. I have heard many nurses suggest compression stockings and some others say they didn't care for them.....So what are your thoughts/opinions on compression stockings? And if you like them, what is your favorite brand??

"That said, looking for positions in that area of nursing, it's been good. Managers do ask about preceptorships. However, don't think that because you precept somewhere that you've been pigeonholed into that area of nursing. I've interviewed for ICU and ED and been the #2 choice in both units (so close!!), and I have another ED interview Friday. I currently have 3 jobs, only one of which has anything to do with my preceptorship (I work at a freestanding birth center)" Thanks! I think that is where I am getting hung up....I personally don't think med surge is boring at all, I enjoyed my time on a general med surge floor. It was my shortest clinical but I definitely learned the most. My med surge skills are good, Im a student so obviously they still need work-I had no problem taking a 3-4 patient load including all assessments, meds and discharge teaching. I know that my skills need practice (mainly things like insertion of IV, cath, NG)because I haven't been in settings with opportunities lately. I guess I was worried that if I precept in med surge and then go on to apply for a job in a more specialized setting there will be question of why didn't I try to precept in that area.....or vice versa, if I pursue a preceptorship in oncology or even L&D and then end up applying for a med surge or tele position I may lose out because I would have less experience.

I am so glad to hear this-I felt the SAME way!! I did TONS of practice questions and still felt that it was the hardest HESI section I had taken. I did ok, but it was hard earned!!

We had 55 questions, so 55 minutes for the test. This is the book that most of our class used for study/practice questions and we all did well. HESI Comprehensive Review for the NCLEX-RN Examination by HESI | 9781455727513 | NOOK Book (eBook) | Barnes & Noble I remember a ton of safety/Maslows and communication type questions

In my program we have to take a subject specific HESI in addition to our comprehensive final in each semester and pass it in order to move on to the next semester (I haven't taken exit HESI yet, thats in April for me) and I always feel like the NCLEX practice questions that I do are way easier than the HESI we take!!

Hang in there- if you truly know the material it sounds like it is a matter of mastering test taking strategies. For me, doing tons of practice NCLEX type questions and reading ALL of the rationales helped a LOT. I was able to understand the way of thinking behind the nursing school style questions. Are your instructors accessible to students for help? If so I would try to schedule time with one you feel comfortable with,they may be able to give you some pointers. I LOVE nurse labs-here is one of their articles on test taking strategies.....when I do not know the answer based on content, I fall back on these http://nurseslabs.com/11-test-taking-tips-strategies/

So-I am going into my FINAL semester of my BSN program (thank you jesus!) It's time for us to select units to precept on and I am looking for some thoughts/advice/insight......Many of my classmates know EXACTLY where they want to precept. While I do feel drawn to a couple of areas of nursing, and also have some ideas of places I do NOT fit in, I am not as sure about how to weigh that with my preceptor decision. My top 2 areas seem to be oncology and telemetry with L&D close behind. I feel that if I were to precept in something like oncology or L&D I would be placing myself in a small box way too early. Everyone talks about how "boring" med surg is( many classmates are running for ER or ICU ), but I'm thinking that choosing Med Surg or even Telemetry to precept would be beneficial because I would get a wider range of experience and skills. I just need to talk it out and bounce ideas off of people who speak the language

I'm with everyone else- that actually sounds like a GREAT price!! In my program, we often buy our texts from upperclassmen for a fraction of the cost, is that an option?? The nice thing about that is some of them will put little sticky notes inside with study tips :) Maybe try amazon student??

Thanks for the helpful response Esme. PuraVida - I have certainly read Neuman, and read it again and then again......I have a pretty good grasp on it, but when applying it to a large community instead of an individual I just needed a little guidance. Possibly I should have worded my question a little better - the levels of prevention are easy, Ive got that......the normal and flexible lines of defense finally became more clear to me, the only thing that I am still fuzzy on are the Lines of resistance for the community. In one of the books I have it lists an after school program for school aged children as an example of Lines of resistance, but that doesn't make sense to me. My first instinct was to list Lines of resistance as things like the disaster preparedness network or food bank, but everything I have read doesn't support that.

Oh the theories will haunt me forever Just when I thought I had it down - I have to apply the Neuman System Model to a community assessment. I am having trouble figuring out what makes up the normal lines of defense, flexible lines of defense, and lines of resistance for the community. Can anyone help??