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dorimar BSN, RN

ICU, Education
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dorimar has 25 years experience as a BSN, RN and specializes in ICU, Education.

dorimar's Latest Activity

  1. dorimar


    I don't know much, I just know that my director told me the corporate director would like to set up a phone conference with all the nursing directors from schools in our parent company across the nation to discuss changes in our Exit HESI policy based on this new directive from the NCSBN. I am pretty excited about it. But again, I do think we should still give the HESIs throughout the program including at Exit. I just don't feel it should be make or break.
  2. dorimar


    I agree with your concerns about the make or break test requirement to graduate. This has been a big struggle for me. I do see however, that the only students of mine in the past two years (very few) who failed NCLEX did have to take the Exit HESI multiple times. However, my feeling has always been that if we passed them through a program all the way to the end, we should not prevent graduation if they can't pass one test made by an outside company... I guess if they made it to the end, if it is a requirement for them to pass the Exit and they can't pass it, then maybe we didn' t do our job? Not sure, but it is a troubling. I do really like that we use the HESIs in every class though. I do believe it really does prepare the students. I hear that the NCSBN is now discouraging nursing schools for requiring an Exit Test to graduate... I am interested to see how this pans out.
  3. dorimar

    Should I do an MSN or RN to MSN program

    It is confusing, and I also believe the requirements for teaching in the classroom depend on the State Board of Nursing where you practice. I think that you need to differentiate between the Master's degreed you are discussing. There are MSN and MS degrees.... If you already have a BSN, I think an MS degree is fine for teaching in many states. However, some nurses already have a BS (not a BSN) and when they get their ADN and have practiced for a certain length of time, then are allowed to take a bridge MSN program to achieve their MSN. I guess what I'm saying is that an MS degree means nothing in nursing without a BSN too, but you can have an MSN without a BSN... Sorry if that is way confusing and not helpful.
  4. dorimar


    We use HESI entrance exams for our candidates applying for entry into our program, and we also have always used the HESI exams throughout our program (worth 10% of their exam grade for the various nursing courses), and then we require a score of 850 on the Exit HESI in the final semester to graduate (with multiple chances). This has always been a point of contention with the students and a part of teaching with which I have struggled. I questioned the validity of these standardized tests and doubted whether they truly measured entry level competency (and still do). However, I am learning that these standardized tests really do prepare the students for NCLEX. I have only been formally teaching a couple of years, but recently had several students who graduated tell me the HESI's were a great preparation for the NCLEX and that they appreciated them. I have been at the bedside for a long time, and when I came to teach in the classroom, I knew I could really help prepare them for practice (and I mean good quality practice), but worried about my ability to prepare them for these standardized tests that I felt (and still sort of feel) are not really a measure of good practice. However, I have seen a true correlation in students ability to pass these standardized tests and pass NCLEX (whether I think passing NCLEX means they are ready for entry level practice is a whole n'other can of worms). I am not preaching HESI only, but that is the only standardized testing that I have worked with, and I do feel to prepare students to pass NCLEX, the routine standardized testing helps (be that HESI, or KAPLAN, or ATI, etc.). In fact, in our upcoming program revision, we will be using both HESI & Kapaln focused tests throughout our program to compare the two. But, I also feel that to prepare them for practice, and to prepare them to catch and prevent bad things from happening in real practice, we need to teach current real practice. Everyone talks about the gap between theory & practice, and I honestly feel that comes from the workload on faculty. It is honestly not possible for me to work any bedside hours right now with the class load and work load given to faculty that are staff (not adjunct). I put in about 60-70 hours/week prepping for class, revising curriculum, sitting on committees, etc.... Even Registry is not much of an option for me because our local big healthcare system has their own registry and they require at least 3 days/month of work (which is just about every weekend). I did not go into to teaching to leave the bedside. I loved the bedside, but I feel pushed away from the bedside in order to be faculty.... Anyway, that is going off on a tangent from standardized testing.
  5. dorimar

    Curriculum revision & mapping

    After much research and struggle, I think I have it down. I cannot believe how much I have had to use the stuff I learned in grad school so early on in my teaching career path! From the get-go I had to start writing and revising curriculum! I am thankful i did the career path with a healthcare education focus for my MSN!!!!!
  6. dorimar

    Curriculum revision & mapping

    Hi, We are in the process of revising our program outcomes and curriculum. In looking at the curriculum map template given me, I see we are to have both program goals and program outcomes. Our documents are rather a mess and we have different goals and outcomes listed for our program differently in various handbooks and publications. I am able to write the outcomes without difficulty utilizing QSEN, NLN, our program philosophy, etc. However, I am having a problem with the goals.... I have looked in my Billings & Halstead book, but it doesn't differentiate the two. I have tried looking on-line for examples from other associate degree programs and have looked for hours without much meat to work with. Do any of you have examples of program goals or at least a clear description of the difference between program goals and program outcomes? I know that outcomes are to be what the graduate can do upon completion of the program... and should be measurable. But what about goals? Any help is greatly appreciated. Thanks!
  7. dorimar

    Need help from an Arizona nursing instructor

    Hi Katy, I am a nursing instructor at a Phoenix associate degree nursing program & teach the NCLEX RN review course in which we administer the Exit HESI. I would be willing to dialogue but I only have an MSN and it sounds like you will need a doctorate prepared educator. If I can help, send me a private message.
  8. My gosh! People forget that there are different perspectives because people have had different experiences and well... different perspectives from various roles. I have been a nurse a long time. I see some really good experienced nurses and some really bad experienced nurses. I see some really good new nurses and some really bad new nurses. But what has remained constant, is that while there are some good nurses in our profession, there are some bad nurses too, and some of the experienced or semi-experienced bad nurses are teaching new nurses bad practice. So I decided to go into teaching. I thought I could instill the importance of excellence in nursing--show students what a difference their care could make (or not...more importantly). But I also remembered nursing school (as long ago as it was), and I remember being so stressed over passing and making the grade, that I did not really learn anything really about nursing until after I graduated and started practicing. So I wanted to make that experience different for nursing students. I focus on the learning. I treat them like the adults they are. I give my students that respect. They will be my colleagues very soon. However, there are those few that would take a mile when given an inch and who do not afford me the same respect I do them. There are the few who routinely have the requests for late allowances, or excuses for why they don't know the meds or patho on their patient, or who think the test was too difficult rather than that they should have known the material because they will actually need to know it to practice safely... There are some mouthy cocky people who are students and who try my patience and who actually ruin it for the majority that want to really learn and appreciate a teacher that really wants to teach them.... There are those that expect the degree because they paid the tuition. If they can't pass a dosage calc test and can't do the math, they are angry that they were tested on it even though it is basic knowledge & skill required to practice safely. There are those that complain about having to know info, but complain when I take the time to really teach them and make them think in class & never take me up on my open office hours or my practice stuff I send out-& still complain that we expect too much to expect them to know this basic knowledge/skill required for entry level safe practice . I do realize that these are not the majority. However, they are the squeaky wheel. It is hell being a teacher.... I get accused of being an "easy A" and get accused of expecting too much all in the same quarter.... and all I really expect is for the student to be safe and accountable and understand the importance of knowing.... I never thought adults needed to be treated like children to get them to do what they should.... But I am learning that in this-day-and age... limits need to be set and enforced because some adults are not internally motivated. So... even the best teachers look bad to some students. And our perspectives do change with different experiences and roles. I try very hard to keep looking at it from all perspectives, but I have learned to set limits and rules and enforce them. I do expect safe practice, and I do expect my students to leave me knowing ! that is the main reason I went into teaching. If I have to be more strict or more of a hard-ass with adults than I have to be with my teenage son, well then so be it....
  9. dorimar

    Advice for future Nursing Faculty

    I didn't choose teaching because i always wanted to be a teacher. I chose to teach nursing because I was always a nurse, and started to see some bad practice in my beloved profession and wanted to have a positive impact. I believe that nursing educators need experience. I teach nursing because I really know nursing and have a vision of what my profession can be. So, I guess what I am saying is, get some experience, then if you love nursing and think you can teach it well, then consider teaching nursing.
  10. It's not just NLN... The state BONs have much control over schools. Specific passing rates are required... In my state, the BON has an "education board" that approves nursing schools and programs (can open and close them). However, those on the "education board" are directors/deans of various nursing programs in the area.... It seems obvious to me that this is a huge conflict of interest....
  11. dorimar

    Teaching w/o a MSN in nursing education...

    My school requires MS or MSN for nursing instructors to teach in the classroom. While they do NOT require ED focus of the degree, it is a plus.
  12. I think a clinical education background is a plus... However, simulation has become a field of its own that has a ton of research/education practice to back it. If you have simulation experience or simulation education this is a plus. While clinical education & of course clinical experience is most definitely an asset in this position, experience with or knowledge of simulation is a huge plus. You can research this topic. Sim educators are becoming a specialty.
  13. dorimar

    Hesi Exit Test

    It depends. The conversion score is based on which questions you got correct. There are varying levels of difficulty of the questions. You need to see your actual score. An 82.4% for you could equal a different total score for you than it did for someone else depending on which questions each of you got correct. You should be able to get on evolve and get your score.
  14. dorimar

    RN pay and benefits in Az

    If you have 17 years experience it may not be that difficult. The market is no where near what it used to be, but experience still means a lot. I'm guessing on a range, but with 17 years as an RN you might be around $35-40/hour base pay (I know this is a broad range, but it does vary and some people can negotiate better than others). Shift differential can be anywhere from a couple dollars/hour to 16% increase for night shift.... Some places offer weekend differential (it was only 75cents/hour at my last job, some offer better) and others don't offer a weekend diff because is expected that everyone works every other weekend (or their fair share of them). Most of the hospital benefits are still pretty good out here. I believe generally if you use your facilities system it is often 100% covered in many places out here. I know that recently Banner (our big hospital conglomerate out here) recently increased the cost of benefits for part-time staff to the point that many of them were forced to go full-time in order to afford the benefits. Retirement varies from organization to organization. Most have decent 401Ks. I think the only place that still has a pension is County (governement) and their retirement is awesome!!! I'm not sure how long that will last though with the economic state of our state government... Mayo may have a pension, but I'm not sure.... Hope I'm not leading you astray with my estimate of pay. Anyone else have any thoughts or input?
  15. dorimar

    If not a hospital, then where?

    I know the immunization clinics are hiring and the prison system. I don't know what the pay rate is in comparison. Also if you know anyone who needs office help, although I never thought this paid close to hospital pay. I have a new grad that just got work in home health which really shocks me!!! I never thought a home health agency would hire a nurse without experience. Apparently the do, and you will be managing vents and stuff. Blows my mind....
  16. dorimar

    How much prep for theory?

    I spend way more time in prep than I do actually teaching. It makes a difference if you've taught the material before or if it bran spanking new. My new director tells us that we get only 2 hours of prep for every credit hour. If I lecture 3 hours I am only alloted 6 hours of pay for prep. I am teaching a class for the very first time this quarter (pathophys) and that doesn't even come close to the time I am actually spending on lesson prep... However, for my critical care class, I know that field up-and-down from my years working in it and have taught it 3 times in the last year with the same book and so this requires very little prep for me. I tried to tell my director that comparing a class you've never written or taught before to one that you've already written and taught is like comparing apples & oranges.