billybulldog

Sorry this never got any traction. I've worked at Johns Hopkins as a Nurse Extern/Tech and I LOVE it!

Get a book on emergency medicine and start reading to give yourself a head start. Also start looking at material for CEN or CPEN certification. Finally, ask around on the floor for what types of cases your ED sees the most of and brush up on those first.

If you need a physical ND, than activity intolerance would be good but I'd shy away from saying R/T motivation or depression. You could also ND impaired physical mobility R/T surgery AEB decreased muscle strength and coordination, inability to move as desired.

Knowledge deficit. This lady needs an education on the seriousness of her condition and needs to be on board with her plan of care, including ambulation & incentive spirometer. Surgery will not "fix" her. She needs to get off her butt & walk. Respirations 18-20 are on the high side of normal for someone just lying in bed. Why is she so poorly motivated?!?

Leave. Battles with nursing school directors and administrators usually never end well for the student. I have a friend who graduated at the head of his class from a top law school. He owns his own law firm who has tried cases like these with no success. He says you are paying money to be treated like a slave. I won my battle with a tyrannical clinical instructor because she did not follow written university protocol, so I basically got off on a technicality even after this woman was changing signed clinical evaluations. If you do decide to fight you need to document everything, right down to the page in the student handbook where you are quoting the rule she violated. Get it in writing. Insist on your right (quoting your source, of course!) to be advised via email. Your feelings have no place whatsoever in these proceedings. If you're going to get angry or cry or show emotion in any way you are DONE. And don't expect the dean of the nursing program to be fair either, it won't be till you get to the dean of your school's college of health professions or for the entire university that you will have a chance of getting a fair hearing. I am very sorry you are going through this. I went through it and it was awful even though I won. I wish you the best in dealing with this & hope it ends well for you!

No I would not have called out. Your family needs to get a clue that you work in healthcare and that this is what your job is like. Feeling guilty isn't helping you either. Coworkers saying they would've called out wouldn't stop YOU from getting in trouble if you'd done it. If they want to spend time with you have them drive you to & from work and show them around a bit before your shift starts! That and quality matters more than quantity, so getting time with them at breakfast or dinner should count for something too. Also I'm noticing they came on a weekend, so why not invite them back in the middle of the week when you're off...

Stay humble & look at every exchange with coworkers as a way to gather information so you can get better at your job. Bad managers can make your work life miserable and damage your career, so be very careful what you say to yours. If she asks you how you think it's going don't be afraid to ask a clarifying question back like "What part of my orientation are you most interested in getting feedback on?" You also need to try really hard not to get defensive, especially when sleep-deprived, and try to see things from their point of view: What are your preceptors writing about you? What are they saying to you? Who is the last "new person" on the unit you can talk to about how they got through it? Have you made any friends on the unit that can mentor you? Good luck & best wishes!

Ditto. I worked as a tech in a PACU at Johns Hopkins and am doing my senior practicum in an ICU. I already have 2 interviews lined up in surgical ICU's at Hopkins in the next 2 weeks. Having a good work history and connections in a hospital make all the difference. That and having a BSN.

Online classes!

It depends on the unit. My experience in a PACU at Johns Hopkins has been terrific. The nurses have all taken an interest in teaching me everything they can. Others I know say their internship work has just been simply as a tech. Sorry about the double-post! The website isn't working real well right now...

Depends on your unit. I've been a nurse intern in a surgical PACU at Johns Hopkins for 15 months now and it has been terrific. The nurses on my unit know I'm getting my BSN and they always are helping me, showing me stuff, educating me, mentoring me, etc. I've had other friends get intern jobs and they basically just work as a tech.

Enjoy looking & feeling young and don't change! Worst case you introduce yourself with your name and how long you've been a nurse.

Start getting any certifications you can (ACLS, PALS, CCRN, etc.) and studying up on your critical care nursing. Volunteer to do a share day in your hospital's ICU, make friends, and ask for advice from the RN's there. Be warned ICU nursing is not all running codes: You will have days and nights of tipping urine, entering vitals, and cleaning up your patients bc they just pooped/peed themselves again. You'll also have to deal with family that can't/won't let go and lots of death regardless, so be ready for that. You will also have the nights where you feel like you saved the world and that makes it worth it!

Congrats on getting in. I am at Towson starting my J2 semester on January 27th. BTW, my GPA was a 3.94 and got a 97% on the TEAS. it definitely helped me feel better prepared than some of my classmates but we all made it through the fir s t semester.