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  1. AngelKissed857

    Confused about WOCN

    The program and books were right about $6k. Food housing (air bnb) car and airfare we're about $3000 I think.
  2. AngelKissed857

    Feeling like I'm not making a difference

    A very wise nurse once said to me-actually says at least once a month- "you can't save them all". It sounds flippant, but it's not, not at all. I work with ESRD patients. Literally, my entire caseload of patients are dying, A precious few will get transplants, but most will die within a few years, usually of heart disease. They know this, they know they are immunologically fragile, they know they need to eat enough protein but watch their phosphorus and calcium levels, take their binders at meals, eat plenty of fruits and veggies and watch their potassium, etc. They know they need to take their Epogen injections on time, get their Venofer, they know they need to and they know why, and what the potential consequences are when they don't. And some of them just don't do it. They know, but they don't do it. Sometimes the hardest part of my day is to remain my patient's advocate for the choices they make, when my brain is screaming "This choice is likely to kill you!". Or the patient who gets calciphylaxis and nothing can help with the pain, nothing slows it down, their whole world becomes the pain and I can't tell them it's going to be ok or it's going to get better or easier. Because I will not ever lie to my patients. Even as I hate what choices they are making I still need to be their champion, educate them, but accept their agency and be the one who safeguards their right to choose. I also know I make a difference. There are days I have to be reminded of this. I have a patient who I told to put it out there on social media that a transplant would be a life-saving gift. There are now over a dozen people being tested to give a kidney. I made a difference for that patient. That's enough for me, except for the days when it's not, You're a nurse, no one ever said it was going to be easy. I admire you for doing mental health, it's a specialty we desperately need more nurse to choose, I promise you DO make a difference, to someone, every day you show up.
  3. AngelKissed857

    Vaccination for clinical

    John, there are NO exemptions, no way around it. And you will have to prove not only that you had those vaccination, but that you remain "immune" for every job you ever apply for as a RN. I had to have the entire Hep series 3 times in nursing school before being declared a non-responder. And I still have to have my PPD every year, and have my titres for everything checked annually. I hated getting all the vaccines, I had only ever been vaccinated for smallpox and rubella as a kid. But I not only wanted to be a nurse more than anything, and I wanted to work with very very sick people (I do), and I have absolutely NO right to potentially expose my patients to measles or anything else. BTW being a non-responder has been a hindrance. In my current job there are always jabs from management that I can't take a Hep B + patient, and I wouldn't be surprised if it keeps me out of a job someday- but I have no control over that. I lived through the vaccines, you will too. And be prepared to keep your mouth shut in nursing school on your personal views about vaccinations- people get written up or thrown out for less- no you are not protected by free speech in nursing school, despite the US Constitution. They can ALWAYS find a way to kick you out if you don't toe the line.
  4. AngelKissed857

    How qualified need to be for a peritoneal dialysis (PD) position?

    I can't speak to DaVita specifically, but if you have dialysis experience, PD will be more interested in you than someone without. They have a set salary that they offer based on your experience, and they don't step far outside that box. Just be aware that PD is very very different than HD. You'l have to empty a lot of things out of your brain- my patients almost never have fluid,sodium, salt restrictions. THe patients tend to be harder to manage, they chose PD because they want to be in charge. The biggest topic of conversation, every single day is- pooping. PD patients have serious constipation issues. All that said, I LOVE it.
  5. AngelKissed857

    Confused about WOCN

    I recently completed the Cleveland Clinic WOC program. All the didactic is online- takes about 5 months. Then you can find your own preceptor to do clinicals, but HIGHLY recommend doing the 3 week clinicals at the CLeveland CLinic- you will see stuff that you will never see elsewhere - seriously! It;s only 3 weeks, then you have some more homework, 3 finals online (proctored) and then you have your WOC. Then you have up to 5 years to take the exams for the WOCN Society to be awarded your CWOCN. Happy to answer any questions, I was in your shoes this time last year.
  6. AngelKissed857


    That tutoring is available at all is great! And yes, that is the norm, at least in California. Less than 75% on any test is a fail, no other worked added until and unless you have a minimum grade of 75%. My school also had a take no prisoners attendance policy- miss more than 10% of lectures or 2 days of clinical in a semester and you're out. Late to clinical, skills labs, sim lab or lecture and you are marked absent. It was no joke. But here's the best part of nursing school- you never have to do it again- thank God!
  7. AngelKissed857


    Joe, The thing with dialysis techs is that they do tend to have a "gang" mentality in many places. There is also frequently a ethnic divide between techs and nurses. I'm very surprised though that this hasn't been enforced all along. Pre and post weights are so critical in dialysis. Imho- having a staff meeting with all the techs and nurses on that shift with the support of your mgr- who sounds like a wimp, to educate everyone on how post weights contribute to the patients well-being. Not to providing one more opportunity to reinforce fluid restrictions on the v way out the door. I'm guessing part of their objections is that 15 minute chair turn around and not getting behind, which is understandable. Finding some ways to help them with this concerns world go a long way. Never underestimate this techs though, when they hang up on a nurse, the vnurse usually loses.
  8. This wasn't to me, but to my husband, but his surgeon- who was also a family friend. Husband has massive lipoma on one scapula. I'd been trying for years to get him to have it removed, but he was a contractor and it didn't bother him, end of story as far as he was concerned. Anyway, he finally decides to see surgeon because it's so big, he can no longer button his shirt- seriously! It was a same day procedure, under local. Husband is quite stoic and doctors hate putting him under due to cardiac hx. As surgeon is in the middle of doing his thing, he suddenly asks husband, so do you want a boy or a girl? Husband replies, doesn't matter, as long as it's healthy. The lipoma was 6lbs, 7 oz. Our first child was only 5 lbs 2 oz! I was so grateful when that thing was gone.
  9. AngelKissed857

    NCLEX RN 2016 Advice

    First of all, that review was apparently copyrighted and isn't supposed to be available anymore. Second- it is also several years old and there have 2 substantial changes to the NCLEX since- so not terribly helpful Having anyway. Having taken the NCLEX in August, passed in 75, my strongest suggestion to prepare is to do UWorld. You do not need anything else. Do it faithfully and do AT LEAST 75 questions a day. When you are getting 65 and above on every test, take the readiness test. You'll be fine. It's a horrible test, but mostly it's the psyching we do to ourselves that makes it so wretched- so much is riding on it.
  10. AngelKissed857

    NCLEX RN 2016 Advice

    Just want to point out that the review materials that keep coming up on this site are now several years old, and they were great! But...The NCLEX changes every 3 years, and 2017 was a change year. So just be aware, you might not be studying the correct information if you reply on that material.
  11. AngelKissed857

    NCLEX RN 2016 Advice

    Thank you for such a clear, concuse, well-written plan. Saving for my NCLEX adventure next June.