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nickster26

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All Content by nickster26

  1. nickster26 replied to jv713's topic in Emergency
    Hey I though I posted my response to you but I noticed that it never saved sorry. Orientations is going really well so far. The nurses are very supportive and open to showing me the ropes. I feel it is 100% normal to feel this way, as I definitely do at time. I honestly did not know how little I knew until I started clinical orientation. The learning curve is steep but like I mentioned in my last post I am currently reading the Emergency textbooks published by the ENA. To organize myself I use the method that I mentioned in my previous post and try to document as soon as possible, which 9/10 is never soon enough. But before I document, I always look back at the nursing triage note to refresh my memory... especially after seeing 3-4 patients back to back. But I think the best thing I have going for myself is that I am willing to try new methods until I find out what is best for me. One thing I learned from my preceptor is to not be scared and be sure of yourself when speaking to anyone from CNA's to PA's to MD's. Stay strong and survive orientation :)
  2. nickster26 replied to jv713's topic in Emergency
    Hey jv713, I can totally empathize with how you're feeling right now. I recently graduated Nursing school (December 2015) and am currently in orientation at a Level II Trauma center in an urban area. I know what other people are going to say and I've heard it many times already but unlike most nursing students I have interned for 2 summers on a med-surg floor and externed at an ER as a graduate nurse. Back to your post though, I am in my 4th week of orientation and I love it but at the same time I am so nervous about being sent out on my own. In these 4 weeks of my also 12 week orientation I have already learned so much and am just starting to realize how steep the learning curve is. All this advice your getting is amazing and pertinent to me as well so thank you for posting. My nurse educator recommended getting the ENA published Emergency nursing textbook. I brought the textbooks and am currently reading them now. They are a great to the point refresher to common procedures and illnesses seen in the ER. The stress you're experiencing about organization is similar to mine. The ER is so fast paced and it seems like most nurses just remember everything regarding their patients. However, to me that seems dangerous and error prone. I've noticed several nurses take a blank sheet of paper, fold it in half, and put patient labels on it and write chief complaints, medications, and pertinent information under them. At the end of the day, they shred it to prevent any HIPPA violations. Good Luck on orientation! :)
  3. I am currently working on my BSN but have a long term goal of becoming an NP. I hope that I am fortunate enough to find someone like you to precept me! You seem to be the epitome of the ideals and skills I believe NP's should have, and it would be amazing to learn those from some so dedicated and passionate.
  4. "An erection" -Sorry for being crude, but it's true
  5. 7am- Handoff Report- Your patients slept well with no acute incidents! Have a good day. 7:05am- NURSE YOUR PATIENT IS CODING! "OH NO OH NO AND SO IT BEGINS JUST TAKE MEEEEEE AWAAAAAAAAY!!!!!!
  6. Yaaaaaaasssss queeeeeen!!!! No call outs today and i have my favorite pct!
  7. 1. When your a male nurse workplace bullying does not apply to you! 2. Being a Male nurse automatically comes with an everyday sentence to 12 hours of hard labor! 3. As a male nurse there is no such thing "hold on a sec while I get some help to straighten you in Bed"... Because you are the help! 4. Male nurses are expected to be angels, superman, and batman all at the same time (Angeleruperbats- is what we should be called instead of murses) 5. At the end of that day, it feels great to know that after everything is set and done you have found a profession that allows you to help people in every way you can!
  8. It is basically coordinating care for thier clients (HHA, medical equipment, monthly assessments, provider f/u, or education etc). The goal being to keep the client in the community for as long as possible. I just started orientation (which is 3 weeks long) and definitely feel that I will be adequately prepared after it. Not to toot my own horn but I don't think that it is appropriate for ever new grad.
  9. Hi and thanks! I am in NYC and did two Summers at Bellevue hospital through their Student Nurse Volunteer program and I was also selected by my professor to do a Graduate Nurse Externship at Woodhull hospital's ER after I graduated (but they only do the Externship with my nursing school).
  10. I currently accepted a job as a care manager at an MLTC. It will keep me stable financially while I continue to apply to hospitals, but I am giving myself 6 months to get a hospital jobs. If I don't hear back I will wide. My search to upstate. Thanks for the advice, I definitely don't mind the pay cut since clinical experience is invaluable.
  11. Thanks for the advice. Unfortunately I am tied down to NY due to family responsibilities. Just excepted a job as an insurance Care Manager while I continue my search for a clinical position.
  12. Thank you so much for your advice! Unfortunately because of family member health issues I am unable to leave nyc. I definitely don't want to pidgeonhole myself. I will say that the salary they are offering me is EXTREMELY competitive and I am hoping that it will allow me to get on my feet and wait patiently for a hospital job.
  13. Took 1 time, passed on 1st try. NY NY
  14. Thank you for your advice! I see this as a short term job until I can get hired into a hospital. I honestly can not wait 6 months to hear back for a hospital position (as many nursing students with ASN here in NYC end up waiting).
  15. And so it begins... I just graduated from my ASN and am currently in a BSN program. Has anyone applied to or heard back from any hospitals in nyc? How long after applying did you have to wait to get an interview? This is so stressfull! Nursing school did not prepare me for this... nothing could have!
  16. Hi Everyone- Just looking for some advice. I am in NYC and recently graduated from a ASN program. I did multiple internships in city hospitals and have recently been offered a job as a Care Manager in a MLTC. I am very excited about accepting this position. However, I ultimately want to work in a ER and am wondering whether recruiters would view this as acceptable experience. PLEASE HELP!!!!
  17. Your negativity and disrespect is so not welcomed here!! Move on and stop talking about issues that you have no knowledge or experience about. I am making a conscious effort to not stoop down to your level and so should everyone else here. You don't deserve our time or acknowledgement.
  18. Thank you for sharing this! I care for my grandmother with Alzheimer's and it is refreshing to hear from people who are going through or have gone through this terrible disease. As a new RN, I feel that a lot of my education has allowed me to give her the proper care she needs and better manage her care. However, it sometimes feels so overwhelming, I feel that my moods are just as labile as hers sometimes. At the end of the day though, seeing her smile is what makes me want to do everything I can to give her the highest quality of life. And to Roy Hanson, how dare you tell people who are sharing their person experiences with Alzheimer's to "Study Up" and "Not Pamper them". Like LadySolo mentioned, trying telling someone who has NO IDEA that they are confused and have ALZ that "this apartment is the same apartment that you have been living in for the past 30 years"... it doesn't get more direct than that but yet each time you get the same answer, "Why are you doing this to me, I want to go home!" You don't have the first clue what Alz is, I don't care wether your an RN or an MD. My grandmother soothed me when I was ill, raised me when both parents were away at work, and loved me and my brother uncondonitionally... if it weren't for financial constraints that restrict us she would be getting the best care possible. For now I can only do the best I can with what I have and "pamper" and love her the way she "pampered" and loved me.
  19. Thank you! That seems like more than enough time to buckle down and study. It seems to me that you have done plenty of questions. Just remember though that it really doesn't matter how many you do. In my opinion the most important things is good review of the rationales. Unfortunately I only answers post on allnurses and do not contact people through private emails. Some other tips would be to try and relax. I know the anxiety is a killer (it was for me) but just know that it will soon be over. And if you don't pass the first time, don't freak out, reassess and try a different study strategy.
  20. Hello Everyone! This is my first time posting onto the site. After 2 years of Nursing school I was so glad I graduated with my associates degree. Soon after, I started a Nursing externship program that lasted 7 weeks. Needless to say I had no idea how I was going to find any time to study. I scheduled my test for March 9th, 4 weeks after the end of my externship. Many people told me I was crazy and needed more time but I was worried about prolonging this anymore. With a deadline in mind I began immersing myself in Kaplan's online review. I also promised myself that whether I passed or not, I would post on the site which served as my lifeline to all things nursing when I was in school. Studying was hard. Even though I had a set schedule and was set on doing 100 questions a day and reviewing all the rationales, it was easier said than done. Finding time to study was difficult, it seemed as if I was busier now than when I was in school. But I will tell you that I tried my best. For the most part I only used the Kaplan Q-bank. I would advise anyone to do as many of the questions as possible (I did about 800 of the 1000 or so available questions). I also did all 7 of the Question Trainers. I'll be honest those were the hardest and longest but well worth it. I did the last Trainer in two days as it was 265 questions long. I feel my scores on the Q-bank and Question trainers don't matter but they ranged anywhere from 51-65%. REVIEW YOUR RATIONALES. Whether you got the question wrong or right, still review them. I focued on Kaplan because I did not want to stretch myself too thin, it was hard enough to finish most of the Kaplan. My school also offered us the Kaplan course for free which I took. Was it great no, was it helpful yes. In my opinion it cemented some strategies that I had learned in school such as ABC's for prioritization. I didn't care for their decision tree very much and did not use it on the NCLEX. But the course was free, so if your school is offering it just take it. Remember your experience is unique to you and you never know what may help you pass. What I though was pointless may make the world of a difference to you. At the end of the day your taking the NCLEX my experience may be different than yours. The day of the test I was so nervous. I had only slept 4 hours and was so worried about having to take a possibly 6 hour long test. My testing site was nice and the staff was kind, which helped me relax a little before it. So at this point I'll answer everyone's favorite question. My computer shut off at 75 questions, I received over 20 Select all the apply (so be prepared). But don't freak out, just be prepared for it when it happens. Remember that your test should be getting harder and not easier. I did feel that the subject matter on Kaplan and their questions styles were similar to the NCLEX. After the test, I did not know whether i had passed or failed and as much as I wish I could tell you that I put it behind me and forgot about it, I can't. The next two days were very emotional for me. I really wanted to pass this on the first try and move on to looking for a job. In New York State we have access to quick results 48 hours later, which I did. And no I did not do the PVT. I don't think I could have handled getting the "bad pop up" because of a mishap and having to wait 48 hours for a confirmation. I'm glad that I waited. Sorry for the long post but I am trying to be thorough. I hope that this can help someone, even if it only serves to ease their anxiety. If I can do it so can you! If anyone has any questions I will do my best to answer them. Good Luck, Everyone!

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