ichiro12

Thank you. I read that alot on these forums where new nurses aren't giving it a chance. You are right. I will stick it out. It's been getting better but I've also been getting more patient load as orientation progresses which can explain why I don't feel like I'm improving, but I am because I am taking on one extra pt a week until I reach five pts. I did apply for the dialysis position. I can always decline, but we'll see. I go in tonight. This will be my first day with FOUR pts. Excited but scared.

Thank you.

I'm a Med-Surg RN with a 1:5 nurse to pt ratio working in a Level 1 Trauma hospital. I like that I'm never bored and I'm always learning something new. However, almost everyday I get off shift, I feel like a failure. I'm also a single dad and before I started working, my soon to be ex worked days and it worked out for the both of us with our 3yr old son. I have no family here. I also feel like I'm sleeping my life away when I'm off because technically, I do work on my days off up to 7am so it feels like I have no days off. My unit has a dayshift position open, but at this point, I see Med-surg isn't for me. I've always preferred a day clinic setting and now a dialysis position opened. Should I apply being that I worked at my current unit less than 90 days? or switch to dayshift on my current floor? Should I stick it out? Part of me wants to quit because I don't feel like I can keep up with the acuity level and the temptation to fall asleep from 2-4am.

That's what I thought. My orientation has been so conflicted, I've had to read the BON and hospital policy. I don't want to not do something, if something were to happen like that to me. The question I got on my assignment stated This patient scenario took place at 2100. Patient goes to bed at 2300. Trazadone (wrong med) given instead of requested (Tramadol). Answer was a report should be written. Preceptor said no because it was PRN hs, and though it was the wrong med, the patient has prescriptions for both and to just monitor and document "given" on the MAR.

I am currently in orientation and my educator and my preceptor stated two different things. I was told by the educator that if a PRN medication Trazodone (tx insomnia) is given before bed instead of PRN Tramadol (opioid pain med the pt actually asked for) that an adverse action report be written. However, my preceptor stated that it doesn't have to be, just as long as we inform the patient, document it was given, and we follow up and because both meds were PRN medications, the patient shouldn't have adverse reactions. I'm confused? So because both are medications the patient is assigned that an incident report nor an adverse action report needs to be written as long as we document and follow up?

That sounds like a great idea and I hope to continue my education online RN-BSN as well. One of my courses is a practicum and I sure hope your idea is something I am able to do. At this point, it seems that's the only choice I have. Thank you for a quick response. I'm sad that I just got my first RN job and may lose my skills before I can even use them. Have you been through a similar situation? If so was it hard to integrate back into being a nurse?

I am currently a logistics officer set to deploy next month. I just earned my RN degree and am starting my first RN job next week. However, I ask for advice because I am wondering how nurses are able to go back to work after a year off from working as one?

I passed!

I passed!

I just got done taking it. Not sure if I passed. I didn't get any math questions nor other alternative questions, nothing except a ton of SATA and regular multiple choice.

I just got done taking it. Not sure if I passed. I didn't get any math questions nor other alternative questions, nothing except a ton of SATA and regular multiple choice.

Yes that helps :) Thank you.

I did the live review and reviewed the 14 day trial once. I'm thinking Monday/Tuesday I'll review the book to refresh. I only did PDA questions.

I think with LaCharity, I got too burnt out. I spent pretty much this week doing 300+ questions per day and reading the rationale. You think I'm overdoing it? It appears according to my scores, they are decreasing so maybe I need to take a day off? Not sure. I'm glad to hear Hurst is working out. I'm going to take a break on doing questions and go over the book again this weekend. Did you feel like you walked away feeling you knew most or some of the questions? or hardly any questions towards the end? From reading some of the posts, it sounds like it's better to walk away feeling like you failed than you pass because of the harder questions means you were above the passing range.

Below are my scores. I take the NCLEX next week. Anyone had similar scores and passed? Or have similar scores and feel prepared? Hurst Q Bank: 80, 79, 81, 75, 83, 86 Lacharity: 63, 71, 75, 78, 75, 73, 72, 79, 91, 57, 50, 57, 60, 64, 85, 73, 64, 57, 45, 45 NCSBN Average Score Test Bank 1-15 (87) Test Bank-16-30 (72) Test Bank-31-45 (81) Test Bank- 46-60 (82) Test Bank-61-75 (92) Test Bank-76-90 (79) Test Bank-91-105 (75) Test Bank-106-123 (73)