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fired during orientation...to list or not to list?
I'm kind of in the same boat. I put it on both because I think it's long enough for a potential employer to notice and ask about why you did not include it. I'm still searching for answers so I'll let you know if it works for me. My one interview so far they actually didn't seem to care. I think it's a matter of be tactful. Best of luck :) Let me know how it goes for you as I am curious about if this is the right way.
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Considering New Career
I agree that my anxiety is a big factor. I am a task-oriented person so that does play a factor as well. There are things I can work on and I own that, but some of the aspects of each job seem like a lot for anyone. Like working your regular 40+ hours a week then having to be on call all week, work the weekend and call on weekend then do your regular 40+ again. Or having a patient load of 5 to 6 with a 104 yo who likes to try to get up (high fall risk) whose family pushes you to the limit and also a baby with RSV on that same team, all of which you have to do hourly rounds on and even more frequently for the minor ones. What really gets me is that (at least in the places I have worked​) they started me out with no training on the charting system until like 2-3 weeks into the job. I'm told that they are supportive and like teamwork but get irritated if you ask a question or for tips or demean you because you did exactly as you had been shown. Not to mention the whole talking bad about the other nurses behind their backs (very catty). I have tried to connect with patients and help them in any way I could. Sadly when I took more time I got called slow or doubted. Perhaps it is a matter of finding a niche. Perhaps it's something more. While I really do love nursing, it hasn't seemed to love me back. My health, sanity, and happiness are all factors to consider.
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Considering New Career
This is a rather lengthy post. I was recently let go from my job in wound care just after orientation. All they basically told me is that I am really nice but they thought it was too much for me at this time. I feel like they didn't train me very well and looking back it was actually a toxic sort of place. I know areas I could have worked on, but sadly they didn't want to give me anymore time. Big hit to my confidence. Before that job I didn't home health for about a year and a half. I needed to change because I was feeling over worked and like my team leader was gunning for me. Among other things she said clients would call her to say I was too quiet or too rushed (I would have loved to have spent more time with people but kinda hard when you're pushed to see at least 5 people daily and some are 2 hours drive apart). Before that I was at my first job in med-surg. I actually loved the job when I was on night shift but my body and life couldn't handle it. Switched to days which wasn't too bad, but the nurses were cliquey and I was kind of the oddball. This coupled with anxiety over having to cover patients between a few weeks to over 100 yo with varying acuities drove me to seek a home health position. So now I am stuck thinking that I chose the wrong career. After 3 jobs in 3 years, it seems like it must be me or something. Any advice is welcome. Needed to vent to people who (hopefully) understand.
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First job anxiety.. Help getting started out
I could read numerous posts but I think it would be more help to get direct advice. I graduated, got my license, got married, moved, started my first nursing job then moved again all within the span of less than two months. Needless to say I am quite exhausted. The advice I need is how to proceed with my job. It is on the night shift which completely throws my schedule off. I get so scared going to work because I had 6 weeks orientation without a consistent preceptor and have now been on my own (though the other nurses are usually helpful). I feel like I don't know what I am doing and have extra fear because we are short staffed and have to take 5 to 6 patients. That number may not sound like much but they are generally high acuity and range from having chest pain to stroke to gi bleeds, etc. I am scared I can't handle this and I try to soak up advice and keep improving but I feel lost.. Please help me with some great advice
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MedSurg and Pharm .. What to study?
Start looking up mnemonics. Get a good drug book. Know the ins & outs of the nervous systems (SNS and PSNS) Think oxygen, circulation, etc. Formulate a plan and stick to it. Try books that simply the info. Find a mentor, prayer partner, whatever you want to call them. Breath and relax and know you are not alone. Nobody is perfect, has perfect advice, or know you better than you do. Here is a list of common drugs (sorry it pastes funny to here) TOP 50 DRUGS PRESCRIBED 1. Advair Diskus Salmeterol xinafoate 2. Albuterol Aerosol Albuterol 3. Allegra Fexofenadine 4. Ambien Zolpidem tartrate 5. Amoxidillin Amoxicillin 6. Ativan Lorazapam 7. Augmentin Amoxicillin and clavulanate 8. Celebrex Celecoxib 9. Coumadin Warfarin Sodium 10. Desyrel Trazodone HCI 11. Dyazide Triamterene/HCTZ 12. Effexor XR Venlafaxine hydrochloride 13. Elavil Amitriptyline HCI 14. Flonase Fluticasone propionate 15. Fosamax Alendronate 16. Furosemide Furosemide 17. Glucophage Metformin HCI 18. Hydrochlorothiazide Hydrochlorothiazide 19. Hydrocodone w/APAP Hydocodone w/APAP 20. Keflex Cephalexin 21. Klonopin Clonazepam 22. Levoxyl Levothyroxine 23. Lexapro Escitalopram 24. Lipitor Atorvastatin calcium 25. Metoprolol Metoprolol tartrate 26. Micro-K Extencaps Potassium chloride 27. Motrin Ibuprofen 28. Naproxen Naproxen 29. Neurontin Gabapentin 30. Nexium Esomeprazole 31. Norvasc Amlodipine 32. Plavix Clopidogrel bisulfate 33. Prednisone Prednisone 34. Premarin Conjugated estrogens 35. Prevacid Lansoprazole 36. Prilosec Omeprazole 37. Prinivil Lisinopril 38. Propoxyohene N/APAP 39. Protonix Pantoprazole 40. Prozac Fluoxetine HCI 41. Singulair Montelukast sodium 42. Synthroid Levothyroxine 43. Tenormin Atenolol 44. Toprol-XL Metoprolol 45. Tylenol w/Codeine Acetaminiphen w/codeine 46. Xanax Alprazolam 47. Zantac Ranitidine HCI 48. Zithromax Azithromycin 49. Zocor Simvastatin 50. Zoloft Sertraline
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ATI Pharmacology
Try looking for a book called "Math for Meds". Know the ins & outs of the sympathetic and parasympathetic nervous systems since almost all drugs affect them. Get a good drug book such as Davis's or Mosby's or find an app. There are several mnemonics that can help as well, which can be found all throughout this website. Try making note cards of drugs which include the drug class, purpose, action, side effects and life-threatening conditions, potential interacting drugs & foods & herbs, what labs to watch, and what to teach the patient. This may sound like a lot but it helps and if I can do it I'm sure you can. Start with these common drugs: TOP 50 DRUGS PRESCRIBED 1. Advair Diskus Salmeterol xinafoate 2. Albuterol Aerosol Albuterol 3. Allegra Fexofenadine 4. Ambien Zolpidem tartrate 5. Amoxidillin Amoxicillin 6. Ativan Lorazapam 7. Augmentin Amoxicillin and clavulanate 8. Celebrex Celecoxib 9. Coumadin Warfarin Sodium 10. Desyrel Trazodone HCI 11. Dyazide Triamterene/HCTZ 12. Effexor XR Venlafaxine hydrochloride 13. Elavil Amitriptyline HCI 14. Flonase Fluticasone propionate 15. Fosamax Alendronate 16. Furosemide Furosemide 17. Glucophage Metformin HCI 18. Hydrochlorothiazide Hydrochlorothiazide 19. Hydrocodone w/APAP Hydocodone w/APAP 20. Keflex Cephalexin 21. Klonopin Clonazepam 22. Levoxyl Levothyroxine 23. Lexapro Escitalopram 24. Lipitor Atorvastatin calcium 25. Metoprolol Metoprolol tartrate 26. Micro-K Extencaps Potassium chloride 27. Motrin Ibuprofen 28. Naproxen Naproxen 29. Neurontin Gabapentin 30. Nexium Esomeprazole 31. Norvasc Amlodipine 32. Plavix Clopidogrel bisulfate 33. Prednisone Prednisone 34. Premarin Conjugated estrogens 35. Prevacid Lansoprazole 36. Prilosec Omeprazole 37. Prinivil Lisinopril 38. Propoxyohene N/APAP 39. Protonix Pantoprazole 40. Prozac Fluoxetine HCI 41. Singulair Montelukast sodium 42. Synthroid Levothyroxine 43. Tenormin Atenolol 44. Toprol-XL Metoprolol 45. Tylenol w/Codeine Acetaminiphen w/codeine 46. Xanax Alprazolam 47. Zantac Ranitidine HCI 48. Zithromax Azithromycin 49. Zocor Simvastatin 50. Zoloft Sertraline
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Problems with ATI
ATI tests can be hard. I did not pass my nutrition test the first time. I have found that the majority of other nursing students I have talked with also struggle with this area, so don't get down on yourself. Take the focused review that can be generated from your results page. It should be up to date and more accurate than the books since they update versions constantly. ATI does have its faults like other testing systems so I cannot say that it is the best but it will prepare you for NCLEX (or so I've been told, since I haven't taken it yet).
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Pharmacology
You also want to include what you should teach to the patient. Keep in mind almost all drugs affect the nervous system either SNS or PSNS so know the SEs. Get a good drugbook and start searching mnemonics. Btw most hospital sites have drug books and computer systems readily available for looking up meds since nobody can remember them all. Good luck! It's actually not bad if you can find ways to make it enjoyable
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Limited Healthcare Agencies in area, advice in applying-Southern Missouri
I am getting married in June and going to be living in the West Plains, MO area. My grad date is in May and I have begun the process of applications. My concern is that there will not be a job for me in the area, at least not in a hospital which is where I would like to start (anyone from the area have advice on where to look/apply). I am also worried about asking off so soon after I would start for my wedding and some days around taking the NCLEX (am wondering if I should hold off on start date or what). Also, I would appreciate tips on how to deal with calling HR to check on applications. I have spent almost 4 years in school, so I would like to find something soon but I know it will probably take time. I am also nervous/scared to begin practicing as a nurse... I have begun caring for four patients in my preceptorship class and feel overwhelmed/slow so I worry how it will be when I actually start on my own