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createddaisy's Latest Activity

  1. Hello all, I graduate the beginning of May with my ADN, then immediately after leave to volunteer 3 weeks overseas as a nurse, then I come back to the states the beginning of June. My NCLEX date will probably be in July according to most of my instructors. I have to take 4 classes as prerequisites to a bachelor's program beginning in January and plan to work full time night shift 3 times per week as soon as I pass NCLEX. My question is this: should I take the summer off to focus on NCLEX and tutoring (my job) or get STATS out of the way by going to class 4 days a week for 2.5 hours each day all of July? I feel like I am going to overwhelmed either way. Another question: how many weeks did you study to pass NCLEX? Thank you for any assistance you can offer.
  2. On my MH study guide it asks: 1) "What are the responsibilities of the Milieu Manager?" The book does not discuss a Milieu manager, so I did some research online. Basically I found that a Milieu manager ensures that meetings run smoothly, participates in group meetings, and is responsible for supervision of unit program schedules and staff. Is this accurate? Can any of you provide me with further info? Thank you!
  3. createddaisy

    What to do after school?

    I will graduate with my associates as an RN this spring and can't decide what to do afterwards. I have a job offer to work in my home town (of less than 1,000 people) at a hospital that does a little bit of everything, or I could stay here (two hours away from my family) in a town of around 30,000 people and choose to work at one of the two hospitals they have here. I also don't know what floor appeals to me more, even though I enjoy NTU and PCU. I have thought about doing float pool. My dilemma is this: to accept the job back home I would end up moving back in with my parents and three siblings (which I'm not to excited about) and I don't know how much good work experience I will get there. If I stay here, I start paying rent after I get out of school and work for a much bigger hospital. I have been living here for 1.5 years and still have almost no support network--only one close friend, no boyfriend, and no one to hang out with. I plan to stay here over the summer, but I need to make this decision by the end of June and plan in the mean time to do some volunteer work (ideas are welcome for this too). My other problem is that I intend to go back and finish by BSN and I need to find an affordable school. All the schools I have an invitation to attend are private colleges and with scholarships it will still cost me 11,000-29,000 to attend 1 year. I guess a lot of my stress is that people keep pressuring me to know what i want to do, and I don't. My parents want me to move back home (I'm 19 by the way) and my clinical instructor asks me every week, twice a week what I am going to do, even though I keep giving her the same answer. It is causing me a lot of frustration (with myself) and anxiety. If any of you have suggestions or a way that I could look at this differently it would be greatly appreciated.
  4. createddaisy

    Tips for passing OB/Peds class?

    I start OB/peds class tomorrow. This class has a 25-50% no pass/failure rate. This class is specifically for theory and is condensed into 8 weeks. Any study tips or specific areas to pay attention to? The first week of reading (that I am almost done with) is more than 300 pages long and the study guide has 57 questions. I am really nervous as there is so much info to learn in a very small amount of time. Thanks for any tips or advise you may have!
  5. I just did an OR assignment and have to write a paper...Can anyone tell me what the criteria is for tranferring from post-op? I asked the nurses there and they pretty much just said vitals WNL. I have all of the paper done except for this part and I can not find this information any where. I need specifics, like RR must be >12 for example. (Please note this is not transfer from PACU, but from the OR floor.) Thanks!
  6. I'm 18...I will be an RN at 19. I do talk to my class mates, honestly. I never give the impression that I dislike them in any way. By "I will not tolerate" I mean that I will not discuss those topics. They are not necessary to discuss and are usually very inappropriate, let alone people who have heard some of my classmates talk view our class as undignified as a whole. Overall this post was not to be a rant, but rather a way to see if other people are trying desperately to be different and succeeding.
  7. Thank you so much for posting this!!! I realize I may have come off prideful, but that was not my intent (I am naturally an observer and introvert, I really don't respond to any harmful comments). I am also a Christian and find your words inspiring. Thank you just being you tonight, that was so encouraging! To everyone else who posted: I understand I deal with some social barriers, but overall I help my classmates as much as possible and interact with them well according to my professors. Honestly, the hard part is just holding it all in sometimes after the whole week when no one really understands or "gets me". I grin and bear it. I really don't appreciate being cussed out by my classmates just for being different, adhering to the rules set by the instructors, or for my conscience.
  8. So long story short, I was homeschooled and entered college at 15 almost 16. Two years later, I am now 18 and in a community college RN program and will graduate at 19 in little over a year. I am about 5 years younger than everyone! I am also very different in personality and take myself very seriously (most people think I look 16, but guess 22 if that helps). I have absolutely no problems with school, although it is like bootcamp, and I am top of my class. My problem is I have no friends or like minded people. Whenever I do "group projects" I always feel like I do most of the thinking and have to babysit "kids" 5-20 years older than myself. Also, people only talk to me when they want to borrow something or want me as their personal dictionary. I also WILL NOT TOLERATE or converse about the same things as my class mates (i.e sex, getting drunk, personal problems, severe profanity, etc.) Lastly, my goal is to go overseas to work someday and everyone I talk to thinks it is very unrealistic and rather selfish toward my own community. I would also like to note that I really don't let what a lot of people say bother me, but I would like to know if there are others out there sharing the same struggles as far as age and determination goes. Thanks! Elizabeth
  9. I don't have kids, but at least half of my classmates have kids. All of them say that they wish they did not have kids! Nursing school takes way to much time away from family, so there is no way I would recommend starting one during school or before. It would be better to have a steady income first from your degree before having a baby. Hope this helps, good luck!
  10. I think we can all relate to that exciting moment when we first receive our acceptance letters into nursing school (congratulations by the way!), but we also know how terrifying it is, too. This is usually because you do not know what to expect; even though most colleges really do try to explain it, it is just not the same as experiencing it for oneself. My First Week Observation of Nursing School: 1. Be prepared to probably buy a bag with wheels, you are going to have a lot of books that are NOT worth breaking your back over! Hobby Lobby has some great deals on scrapbook bags that work perfectly for this kind of scenario. 2. The people around you will be your family for the next 2 years of your life-learn to trust them, like them despite your differences, value their opinion, and to ask them questions because they usually have a lot of valuable information they are willing to share. You might be surprised, but your classmates are probably just as nervous as you are! 3. Do not be alarmed when you are put outside your comfort zone by being asked to answer questions regarding your personal beliefs and values, give an opinion, work with new unfamiliar people, or when discussing topics that were previously not discussed in any other basic prerequisite classes. 4. You will feel like you know nothing. Seriously. Just remind yourself that this okay and that it will get better, because it does. Soon you will know more than 50 abbreviations and medical terms! I promise that is a good thing. 5. You can never ask to many questions, at least that is what my instructor said (until she met me). I imagine that your next anxiety is related to test taking, and by the way if you are wondering if nursing classes are as hard as people say they are, they are. Just saying. It takes a LOT of studying and perseverance to succeed, but it is possible. You have probably already heard that questions on nursing exams are different from all other previously taken classes, and that is correct. The next five tips outline some great ways that I have found to take and study for exams. 6. Always, always do the review, vocabulary list, all primary readings, and whatever else that the instructor assigns. This is not the kind of class that can be studied for an hour prior to taking the exam. If you want to put forth your best effort, use the tools given to you to succeed. If you do not understand how to utilize these materials, the instructor is often the best person to ask. 7. Find out your learning style, whether that be verbally, audibly, kinesthetically, or visually. There are many online quizzes to determine your best learning style if you do not already know it. Using you best learning style, or a combination of several, you maximize your chance of retaining material and applying it. 8. The questions are almost all application based, especially after the first couple weeks are over. This is not about memorizing random facts and information any longer, you must apply what you have learned to best take care of your patient. When studying, try rehearsing scenarios in your mind of how the information could be applied. The following is an example of a basic application based question: "What will you do if your patience has a hypoglycemic blood sugar?" First of all this question is not asking what a hypoglycemic blood sugar is ( 9. Most questions are multiple choice and you must select the best answer, not the most logical or textbook relevant answer. Although this may seem straight forward, it is never black and white. It takes time to get used to, and it is always a good idea to ask your instructor about questions you do not understand after completing the test. 10. Realistically, you will most likely fail at least one exam or quiz. It really cannot be helped because it takes time to adapt to the environment, the format of how the questions are asked, and what is expected of you. Overall, sometimes the questions just do not "make sense". Keep in mind something my instructor told our class: "I would rather take a 'C' nurse that knows what they are doing, verses an 'A' nurse that cannot act responsibly and quickly to certain situations." This leads me to my next topic, clinicals. Typically clinicals do not begin right away during your first semester of nursing, but rather become more and more frequent as you progress throughout nursing school. Your first clinical is often times the very first time you truly think "I am actually in nursing school, this real!" As exciting and thrilling as this moment may be, keep in mind that it is real. You are now interacting with patients, nurses, and even doctors and interdisciplinary staff. Especially if you have never worked in a hospital before, it can be rather intimidating. I remember my non-clinical instructor asking how I felt after having completed my first two clinical days. My melodramatic response consisted of that fact that I felt uneasy and that somehow I was sure I would "mess everything up" and endanger my patient. My instructor, in an effort to console me, tried to make the funny statement "Don't worry, we will catch you before you kill anyone." This made me even more nervous about clinicals because I felt that this statement was untrue. In response I stated, "No! No, you wouldn't though. I could kill someone and then go get an ice cream cone and no one would still be looking for me." First of all let me say this, I was being dramatic. Very dramatic. Please do not ask me, if I were to murder someone, why my first thought would be to eat ice cream. I guess I found my coping mechanism. Okay, so here is my next list of advice for clinicals: 11. It is worth taking the time learn how to properly write and verbally state medical terms and military time. You will forever use them in documentation and when interacting with staff. 12. You will probably embarrass yourself more than once for various reasons while on the floor. For me, the most common embarrassing mistakes I made were from mispronouncing medical terms, writing the time in standard time, walking into a different patient's room, forgetting my patient's room number, and when I walked out of my patient's room with red ice cream on my white scrubs. Do not let mistakes define you. 13. Adhere to your school's code of conduct and dress. Instructors do not hesitate to send you home if you are missing your name badge or lab coat. Make a checklist and lay things out the previous morning if you find that helps you remember what you need for clinical. Remember, your attitude not only reflects you character, but also yours school's reputation and how well you give care to your patient. It is not about you at this point. (Note: During a normal class day you can usually wear normal clothing.) 14. For both men and women, wear your hair out of your face and in place so that it cannot easily be dragged through whatever (or whomever) you are working with. Minimal make up is acceptable, but should not be distracting. Usually tattoos must be covered, no nail polish or fake nails are worn, and one set of piercings may or may not be allowed (differs per school and facility) and only in ones ears. 15. Clinicals usually begin before 6 am and end around midafternoon, if you are not tired already you will be. 16. Bring a snack, you cannot provide adequate patient care if you are worried about your own stomach growling or are becoming "Hangry". Usually there is a breakroom or waiting room to eat in on each floor that is accessible to students. 17. This is not a time to talk about yourself. You are here for your patient. Learn to use effective communication-express empathy, reflect questions back to patient, talk as little about yourself as possible, be friendly no matter your patient's background, use tools adaptive to people with certain disabilities, get an interpreter if needed, make sure you explain what you are about to do before you do it, and most importantly be therapeutic. 18. Do you assessment quickly, thoroughly, and document on time. Nurses usually want the current vital signs to administer medications, and the doctors use information in the computer to provide care and make rounds as well. 19. Ask for help. During clinicals you usually are assigned a "primary nurse" to oversee you and who acts as a guide and sometimes even as your "guardian angel" from mistakes. She is there for you to safely learn and to ask questions. Utilize her as a tool but not as a safeguard. There are times when you may not be able to find your instructor or your primary, so you must act on your own knowledge and critical thinking. Remember, never do anything that may endanger your patient. It is always best to wait and ask for help, than to be sorry later. Last, but not least, is this tip to keep in mind while actively surviving nursing school: You will have bad days. You can never predict what will happen during your shift, to your patient, or how you will react. Do not be too hard on yourself. It all comes with time, patients (no pun intended), and perseverance. The important thing is that you try again and eventually you will succeed. I wish you the best in your nursing career and survival during your first semester. Hopefully you will live to tell the tale like I did.