quixotic.dy

Sheehy's Manual of Emergency Care. I just bought the 7th edition online for $47. This book is ENAs gold standard. My facility does an ED Internship for anyone new to the ED (new grad or experienced nurse) and the content in that internship program is based from the ENA content in these books. You could also buy TNCC and ENPC so you are thorough on trauma and pediatrics even if your facility doesn't technically take those patients; you have to be ready for anything. These books will help you later if you decide to get CEN too.

I just graduated from a BSN program in August and we had a no visible tattoos policy. I got my first ever tattoo 9 months before graduation and just spent the rest of the time wearing a long sleeve shirt. This was only horrible during summer since I live in Las Vegas. The Hospital I worked at during nursing school had a no visible tattoo policy but enforcement was based on when you worked (days vs nights) and which unit. Now the hospital I work at as a RN doesn't have a policy at all and I rarely wear a long sleeve shirt to work. I have had a few patients ask about my tattoo since it's very visible on my forearm but it's never negative because it has a good little story and patients usually like it. I work in the ED so people are more concerned about themselves (understandably) than about their nurses' tattoos. As as long as you provide safe and effective care then it really shouldn't matter what is on your body.

One more thing, look at cost of living versus nursing salary. I live in Nevada and just finished nursing school here. We will probably live here forever because the cost of living combined with nursing Salary makes it the most affordable. Aka I will get the most for every dollar I make. Other states that are good for that long term plan is California (but will suck as a student) Washington, Oregon

I think that if you relocate to the US for a gal year during that time you should be able to get residency in any of the states. Since you are an American citizen this should be fairly easy. Most states just require that you get a drivers license, register to vote, have a permanent address and live there for a year before you are considered a resident. Some states like Nevada are even easier than that if you moved for a job or another qualifying reason. Do your research into different schools and how hard it is to get into them because you might find that it would be easier to go to a private school where in state and out of state tuition doesn't matter. Once you start as an out of state student you'll never be able to change unless you change schools so I think if you're already planning on a gap year then that will be a good time to work on becoming a resident of the state you live in. Don't do your gap year in PR.

Agree 100%. I'm a new grad nurse who applied for a very competitive and respected program that just happened to decide to raise tuition and double enrollment the semester I started nursing school. This lead to so many growing pains it was ridiculous and my cohort was short changed as the school tried to figure out how to teach twice as many students not to mention the number of brand new clinical and lecture instructors I had. So it was like the blind leading the blind. The worst and biggest change was changing the precepting to just another clinical with 4 students and an instructor on the floor every week and we still had to be babysat while we passed meds. They were fine with us only having 3 patients to pass that clinical despite most of the hospitals in town, you will have 8-10 on a medsurg floor, 4-6 in IMC, and 1-3 in ICU (which is all the norm not the exception). I was lucky enough to be able to work as a nurse Apprentice (same scope as a LPN just unlicensed and only for nursing students) so I got to experience some of real nursing, including floating ALL THE TIME. The real experience was seeing how different nurses handled 8 patients and most were sinking. I haven't started my first job yet (soon though!) and I'm excited and scared because I know my nursing school prepared me to pass NCLEX not actually be a nurse. I sure hope that after a year I won't be ready to run for the hills.

Having a bachelors in nursing isn't about what you can do as a floor nurse in a hospital it's about preparing you to be part of leadership and also to go on to get a graduate degree. If you only aspire to work as a staff nurse, then don't waste any more money and time on a bachelors degree. If you desire to be a manager, nurse practitioner, educator, nurse scientist, or researcher then you need a bachelors degree and that is why you are doing this extra work. I had this same disconnect working on my BSN (I did not start with the ADN) when we were doing these incredibly in depth assessments and then in the hospital nurses are very quick and to the point. I was like why am I doing all this work when this isn't what nurses do? Until I saw a nurse practitioner do a focused assessment which was more in depth than any assessment by a doctor and was what we had been learning. The bachelors program is giving you a taste of what comes at the next level so that when you get there, you aren't deer in the headlights. I do share your hate for everything that feels like busywork. So trust me I do feel for your frustrations. (And yes I have not one but two bachelors degrees but lack of proper punctuation and whatever else because it's on my phone and the internet.)

I'm feeling the same way. Not quite as bad though. most of my cohort had jobs at the same hospital before we graduated. I did not get an interview with them. But I took and passed the NCLEX only 2 weeks after finishing school (the average where I live is a month cause there's only 1 testing center). I got my ACLS and PALS done and I did everything to feel like I should have job offers rolling in. But nope. I have had one offer which of course I have accepted. It's not anywhere near my first choice. But it is a job offer. I will say it will be much easier to get a job after you pass NCLEX. The people who were offered jobs before school was over, only were because their position is a new grad residency which is all lectures, exams, and simulation for the first 6 weeks and it didn't even start for 6 weeks after school finished. So that's a full 3 months before they were going to be on the floor. Most hospitals are not going to risk offering you a job and spend the money to drug test you, back ground check, or any of that and then have you fail the NCLEX. They want to at least give the spot to an actual RN or at least someone who has finished nursing school successfully. So baby steps. focus on what's important in the order that it's important. Finish nursing school. Pass NCLEX. Then get job.

What I read here was not the post of someone who will fail, but of someone who is very self-aware and will succeed. You have already shown that you can make tough decisions (withdrawing from school because of the pregnancy) and then recognizing that being off your medication wasn't a good choice. These are all great qualities and already showing that you have the propensity to succeed. As for nursing school causing additional stress and anxiety... well this is for everyone. Since you have a preexisting condition, I am sure it is worse for you. School is going to be a non-stop stress fest, I won't lie there. I just graduated nursing school and even though I was in a part-time program, it was still difficult at the best times and down right life shattering at the worst. The key is that you know how to pick yourself up when those times are life shattering (like when you fail an exam or worse a class), and how to self-care the rest of the time. Having non-prescription ways to help with your anxiety is going to help a lot and you HAVE to make time for them. walks, long baths, reading books that aren't textbooks, even playing candy crush (or whatever) as distraction, meditation, yoga, running. find something that works for you and make it a regular part of your life the same way you make taking medications a part of your life. Don't just pray not to fail, actively make sure you don't; you CAN do this!

You are a RN. You have a lot of options. You don't need vocational rehab, you just need to find a new specialty if you think that you cannot be a home care hospice nurse anymore. Look into the insurance companies. I know that might be like working for the Devil but I know a nurse who works from home and makes decent money. They usually want nurses for telehealth to triage patients and hopefully keep them from going to the doctor or ER when they should just stay home and eat some chicken noodle soup. Or see if you can get help going back to school, you could become a nursing instructor. We have an even larger shortage of those which is compounding the RN shortage issue. Whatever you decide to do, good luck!

Have you actually tried out this stethoscope? As someone who just graduated nursing school and is hard of hearing, I use the Littman Electronic and it amplifies 24x. It is not the only electronic out there, ThinkLabs has an electronic that amplifies 100x. If these work for you then I feel like you would not need an interpreter. Honestly, it seems to me that you have not started nursing school yet and since school is required to abide by the same ADA rules as the hospitals, you will be able to work out these problems yourself. If you're hearing loss is profound enough that you need an ASL interpreter for school, I think you will find out quickly that you will have limited job opportunities as a nurse. The hospital setting would be difficult because even if the hospital does provide you with an interpreter, how many interpreters want to work 12 hour shifts with a nurse? As a nurse apprentice I was walking about 5 miles a shift, not to mention when we needed an ASL interpreter there were few available. Now this is not to say you should not follow your dream to be a nurse. Absolutely do it! But either a hospital position in a town with a high number of deaf people, like Washington DC since Gallaudet University is there, or you will need to work in a less acute area. I could see you being an amazing resource for the Deaf Community, so please pursue this, but also be honest with yourself while you are in nursing school; you do not want to harm someone (or yourself) unintentionally because you could not hear. BTW I have never seen a single nurse percuss a patient, but you can feel the difference with certain things like if you are over air filled space or solid matter.

Actually, if you are concerned about infection control, wouldn't you rather it be left up? Would you rather a man touch the seat with his hand right after he touched his member and probably got urine on his hand and therefore is getting urine on the seat? Doesn't that defeat the entire purpose of putting the seat up anyway?

I look at it very simply Subjective is patient Said Objective is I observed. Subjective Says Objective Observed If I didn't observe it then it needs to go in the said column.

As ridiculously more expensive as it is, I like having both the Ebook and a paper copy BUT what I have done is buy the current edition Ebook and a previous used edition print. I save money on the print but can have those at home and write in the margins, pagemark in a way that works for me but I still have the portability of having all my books with my on my 2 pound iPad instead of a 40+ pound backpack.

I understand where you are coming from. I am first semester and there's been little direction in my health assessment class. It's also difficult when not allowed to use the word normal or no. The tips we were given is saying things like "patient/client denies..." Or using the abnormal results and saying that is not noted. I also bought a nursing diagnosis book and that really helps with the assessment and plan part of the soap notes on your healthy nursing student lab partner. I think it all kinda just clicked yesterday which is good because I felt like i was drowning last week (only week 2 but it doesn't take long to be behind). Subjective is just a recap of the health history at this point. Later it would include a quote of why the patient is there. Objective is everything you see. That's your "skin is warm and dry. color is pinkish tan with darker pigmentation in sun exposed areas. Turgor good. No suspicious nevi noted. Nails are smooth, translucent, and attached at the nail bed. Capillary refill less than 2 seconds" Assessment: at risk for impaired skin integrity due to radiation damage from excessive sun exposure. Plan: student nurse will teach client how to do a skin self examination. Student nurse will teach client importance of sunscreen use and risks of sun exposure. Client will report any changes in lesions immediately to provider. Student nurse will continue to monitor. Just hang in there and talk to other in your cohort. They are all feeling the same way I am sure. Also if you can make friends with any one a semester or 2 ahead they are great resources and usually willing to help because they remembered when someone helped them. Hang in there.

I was in a similar situation. My cumulative from my first bachelors was like 2.3. It's still only up to 2.7 (because it's hard to budge a GPA based on 150 credits) but my GPA for the school I attend and did all my nursing school pre-reqs at is 3.7. I did retake many courses from my first degree like English 102 and Sociology 101 (which was funny cause my bachelors is in Sociology) but none of those really bad decisions, like the classes I just stopped going to, counted against me cause they weren't nursing school pre-reqs. I start nursing school next week. This is a really competitive program too.