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Pharmacology Textbooks
Lehne was the manufacturer that we used for our pharmacology textbook. It will go in depth in pharmacodynamics for you. I've found that its best to try to understand HOW a drug works rather than we give for x and memorize side effects. If you understand differences between certain receptor activations of beta blockers (propranolol vs metoprolol vs sotalol) you can understand why certain side effects are present. This greatly helps with recall. You can probably get by with general classifications of medications for the most part (although idiosyncrasies exist). For individual medications, you can use something like Davis drug guide or research the drugs information for prescribers.
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Failed, venting, don't know what to do =\
Don't forget that you can talk to the Vice President of instruction and president of the college. If they are of no help, you can even bring it up to the school board during one of their meetings. If you have written communications documenting some of what you've said, it will go greatly to aid your cause.
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Advice for Grad, Jobs: Fact or Fiction
You can specialize, but it will obviously be determined by your grades, preceptorship, instructor recommendations (maybe), facility, interview skills and location. I realize a lot of ADN students have difficult finding jobs with an ADN, but I started out with an ADN in a MICU at a level one trauma teaching hospital after their usual application cycle had closed. Before that, I turned down an ER position and a MICU position at a smaller facility. Some specialties may have more limited mobility, but I think you can always overcome that, especially if you're willing to move. Just make sure you have all of your ducks in a row. You should seriously consider relocating if needed. You should also frequently (1-2x per week) call the director or HR manager with new information and display your enthusiasm. That can make you memorable (so long as you don't do it in a negative manner). Be professional, kind, confident, humble, and inquisitive.
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Prescriptions and Drug Testing
I realize this is a week later, but you do not need to disclose the faculty. You also, likely, do not need to disclose to the person who takes your urine from you. I have never disclosed any medications as it would be a HIPAA violation (their words not mine). The person who analyzes your urine and may contact you if positive requesting an explanation. Although, it seems like with prescriptions being in an online database, they rarely contact you. I have to take one medication that is scheduled and should trigger their screening, but I've never once had to give an explanation at multiple facilities providing the drug screen. They will always report negative as long as you have a prescription or proof that you should be taking that medication.
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Do you think eating in the classroom is rude?
If you do not have adequate break time, you should consult your faculty. It is a failure on their part because breaks allow for consumption of food, drinking beverages, using the bathroom, and giving your brain a rest so that you may focus adequately on the materials presented. If the class is only two hours in duration, you still should likely be able to last that time. Technically our professors should have given us a break every 50 minutes, but not every one did. Sometimes we did work through breaks. I understand that some people can't control fidgeting. I've generally not confronted people about this, but I was more referencing constant foot tapping. Seating is not always possible due to the selection from students (who are rigid in their desires to sit in a particular location) combined with no available seats. I think we will reach an impasse that neither party will be happy with, so I'm unlikely to respond beyond this point. Best of luck!
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ATI 2013 cutoff scores
Sorry about that! I found http://www.atitesting.com/ati_next_gen/Includes/PDF/en-US/Nursing/HowTo/Faculty/HowTo_RN_2013_CMS_Proficiency_Levels.pdf Maternal Newborn (60 items) 55.0% – 65.0% 66.7% – 78.3% 80.0% – 100.0% Nursing Care of Children (60 items) 53.3% – 61.7% 63.3% – 76.7% 78.3% – 100.0% The cut offs are Level 1, 2, 3 in their respective orders. I hope that helps! Good luck on your ATI testing!
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Specialist
Personally, I would choose something that I enjoy rather than will advance my career (unless this advancement is something you would enjoy drastically more). If they're both about equal, I would probably go for what will advance my career. As an aside, you may want to keep in mind that relocating from wherever you are may help you secure a job. It depends on where you are, but you can receive job offers for various areas with a great understand of nursing (for what is appropriate for a student), great clinical experience (some people refer to the most important clinical time as preceptorship or capstone where you follow one nurse for x amount of hours or x shifts).
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ATI 2013 cutoff scores
Are you referencing the ATI Comprehensive RN Predictor? If so, this is what I've found: RN Comprehensive Predictor® 2013 Individual Score Predicted Probability of Passing the NCLEX-RN® 80.0% - 100.0% 99% 77.3% - 79.3% 98% 74.0% - 76.7% 96% - 97% 72.0% - 73.3% 94% - 95% 70.0% - 71.3% 91% - 93% 68.7% - 69.3% 89% - 90% 66.7% - 68.0% 84% - 87% 65.3% - 66.0% 80% - 82% 63.3% - 64.7% 73% - 78% 60.0% - 62.7% 59% - 71% 54.0% - 59.3% 31% - 56% 0.0% - 53.3% 1% - 28% I apologize for formatting. I don't have the slightest idea how to make it appear in a box, but I tried to make it legible.
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Do you think eating in the classroom is rude?
I fail to see how this has anything to do with being compassionate as a nurse. These are different environments, and sometimes rules are there that people don't necessarily like because they're for a greater good. We're all on equal footing in nursing school. I'm not better than you, you're not better than me. I don't have a responsibility, legal, ethical, or moral, to take care of your needs or wants. I'm trying to learn, and eating hinders that. That could make the difference between an A and a B or passing and failing. Eating in breaks solves both issues. There's no distraction in the classroom, and I wouldn't be bothered at all. You're welcome to quote my post. I'm not ashamed of what I've said, and I would say it again to your face in person. I didn't flee the scene. I had other affairs to attend to, and checking here everyday is not on the top of my priority list, especially when I was not directly talking to you. I answered the original poster's question of whether I thought eating in the classroom was room. I understand that theory classes are 4-5 hours long. You must think that I either did not attend class or that somehow my classes were fundamentally different. We had a strict no eating policy (or drinks besides water) in the classroom. We were in class for 50 minutes with 10 minutes for a break every hour. Class was the usual (8-5). Again, I don't have any issues with people eating food in and of itself. In a learning environment, there are multiple different people who get distracted from the professor for various different issues (one of them is noise from eating or the noxious odors). If I'm having to pay attention to the professor, it's not your right to distract me. You should be provided with breaks that provide ample time to use the bathroom and eat a snack. I also find tapping, constantly fidgeting, cellphones constantly vibrating, etc. annoying and distracting. I still stand by that. I don't think that I've been 'utterly ridiculous or immature'. Believe it or not, I have participated in group projects and study sessions that lasted for hours. Suprisingly, this is a different situation and environment than if a professor is speaking and I'm trying to listen to what they say because it may be on an exam that can permanently alter my future. I'm sorry if I've asked others not to crinkle bags so I can hear.
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Do you think eating in the classroom is rude?
I find it to be highly rude and offensive, especially when there are rules specifically against it. The classroom is a place of learning. It's not your personal kitchen or restaurant. People did not pay money to listen to you cling, clang, crunch, smack, chew, etc. if you 'just have to eat in the classroom', you better have a medical condition. As heartless as this sounds, it's not my problem that you work 900 hours a week raising 20 kids you adopted from Zimbabwe and this is the only time you can eat. That's a deficiency of your scheduling. Your problem, not mine. Don't make it mine. Also, foods can give off noxious odors (shocker: you may not view your delightful sauerkraut as being noxious, but other people do). This can be distracting in and off itself, but it may also trigger allergic reactions in certain individuals. Not wanting people to eat in a classroom is drastically different than if you have a patient where you're not learning new information (at least the same breadth and depth). Here's another surprise, I have no issues with patients eating or any bodily fluids or excretions! I only have issues with people eating when I'm trying to learn! Fancy that!