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OliveOyl91 CNA, RN

Orthopedics, Trauma

Content by OliveOyl91

  1. OliveOyl91

    Saline Flushes - My Old As Dirt Question

    The only time I scan a flush is when it pops up on the MAR as a scheduled PICC or central line maintenance.
  2. OliveOyl91

    Coronavirus (COVID-19): We Want to Hear from You

    I work in Washington state. We are also screening individuals for respiratory illnesses and recent travel activity. I happened to be taking a class with our infection control nurse earlier in the week and she went onto a coronavirus tangent saying that until we learn more about the virus and how it’s spread, we will be to placing any potential coronavirus patient into airborne isolation much like how we did during our measles outbreak. I haven’t worked the floor since (I’m back tomorrow night), but I’m sure more education has been sent to our emails. Addendum: Our hospital has also discontinued using N95 masks and anyone working with airborne patients is required to use a PAPR.
  3. Boise State University allows ADN students to start their BSN during their last term. A classmate in my ADN program did this. Boise's online programs have a good reputation and it's pretty affordable.
  4. OliveOyl91

    ATI comprehensive RN Exit

    For my ATI Comprehensive Predictor, I used solely ATI material to study. I used my textbooks, answered questions from the test back, and retook practice exams online. Passing was 68% for my school. I wound up getting an 80.7%. In hindsight, the ATI exit exam was much more difficult and tiring than the NCLEX-RN itself.
  5. OliveOyl91

    Sumner college portland

    Sumner has a very solid nursing program. If given the opportunity, I’d go for the RN. It’ll be tough to go from LPN to RN without starting over. We had several LPNs in my RN cohort. I just graduated and passed my NCLEX first time around. They accept transfer credits, which is nice, but regional schools like Linfield won’t accept Sumner credits at face value. I looked into doing my RN-BSN at Linfield, Washington State, and Boise State. They all require several gen ed classes before being eligible to apply for their RN-BSN programs. Even with classes I took at Lower Columbia College, I was looking at 25-30 quarter credits to take before applying to those schools. I’m starting my RN-BSN online at Chamberlain. They accepted many of my credits from LCC and Sumner, and I’m able to dive straight into the program.
  6. OliveOyl91

    Passing Out at Clinical

    I had one experience during my clinical preceptorship where I felt like I would pass out. I was assisting my nurse with a really complicated dressing change on a patient who had an open window thoracostomy. You could see into their thoracic cavity and see their lungs. Of course they were on contact isolation so we were wearing those hot isolation gowns. Well, soon I suddenly got overwhelmingly hot and started feeling lightheaded. I was honest and told my nurse that I needed to sit down. I sat down, focused on my breathing, and the feeling passed. Make sure you eat a little something something, try not to clench your legs, and be honest. Warn folks if you think you’re heading in that direction. That way they don’t have to pick you up off the floor.
  7. Oh my goodness, that sounds agonizing! I tested yesterday at 0800 and Washington had my license active by 1700.
  8. OliveOyl91

    1 hour drive to school

    Occasionally, yes. I would listen to podcasts or study material during the drive. Or my buddy and I would ask practice questions from our workbooks or textbooks. For the most part, we used this time for decompression. Then I would hunker down at home to study or do my homework. A few terms I was lucky and we’d have an hour or two between classes and I’d do my homework then. Most of my meals were made in the crockpot or instapot during school and it saved lots of time and energy.
  9. OliveOyl91

    1 hour drive to school

    I just finished my ADN at a school that was 60ish miles away from home. For two years I drove from home near the Oregon coast to Portland. Luckily, I found a classmate who lives nearby and we carpooled, alternating driving days. It was exhausting. Rush hour traffic made the drive almost twice as long. Two hour drive, eight hour school day, then the two hour drive home... Then there were the quarters with 12-hour clinical days. It was worth it, though. Driving so much definitely wears at your car. Aside from the cost of gas, I was also having to get oil changes much more frequently, went through a couple sets of tires, and had to get more than a few rock chips filled during these last couple years.
  10. I have ulcerative colitis and had a nasty flare during my nursing prerequisites. I have several W's on my transcript as a result. I just graduated from my ADN program and am getting ready to start my RN-BSN in the next couple months. They're a blemish on my transcript, but they don't count against my GPA.
  11. OliveOyl91

    Sumner College

    I just graduated from Sumner College and am waiting to take my NCLEX. I was rejected from Lower Columbia College's ADN program (with all my prerequisites done) and applied to Sumner before the next round. Sumner transferred in most of my prereqs and that knocked the price of the program down significantly. After my NCLEX, I'll be starting the online RN-BSN program at Chamberlain University, they offer discounted tuition to Sumner graduates.
  12. OliveOyl91

    What unit do you work in?

    I thought it'd be fun to talk about our respective units, how our shifts normally work out and whether or not we float to other departments and if we enjoy it. Because, why not? :) I work on the orthopedic/plastics floor. Half the unit is reserved for elective surgeries such as total joint replacements and breast surgeries, while the other half is more of an orthopedic trauma/surgical with lots of fractures. Usually car accidents, falls, etc. It can be quite a bit of heavy lifting, especially when patients have external fixators or they are left immobile and require us to turn them to prevent pressure wounds or purely for comfort. We do vitals q 4 hours on all our patients (all post-op, trauma and telemetry patients require it), so on my shift it would be 2000, 0000, and 0400. I do ice waters and ice packs at 2000 and 0400, while I empty my trash and linen hampers at 0000. If I'm working the elective side of the unit, I am responsible for making sure all our total joint patients are dressed in their own clothes (or pajamas) and that their foley catheters have been removed by the time I leave at 0700, because physical therapy starts right after breakfast at 0730. I have floated to different units only a couple times and it was an interesting experience. Once to a medical floor that reminded me an awful lot of my days at the nursing home. Checking vitals once a shift, turns, changing incontinence pads, etc. The other time in recent memory was to the cardiac unit. That was a whole different ballpark. Every one of my patients were physically capable of everything: going to the bathroom, ADLs, everything (they said it was a freakishly good night that night)! I had to do vitals every 4 hours like on my home floor (since they were all on tele), but everybody needed to have their standing weight taken at 0400 which threw me through a loop! This was tough to do since the entire unit (with 40 patients) only has two scales. I wouldn't mind floating again, but I do love my home unit where I have my routine down pat. Haha.
  13. OliveOyl91

    Pigeon-holed if you dont work at a hospital right away?

    Many of the nurses I work with at the hospital have prior experience in SNFs. They all say it was definitely a different experience and it took time to adjust, but they're all amazing nurses. Experience and wonderful interview skills. :)
  14. OliveOyl91

    Is It Possible To Work During Nursing School?

    It is possible to work while in nursing school. I've been working throughout the past year of my program. If you're able to get a room in the dorms that would help tremendously. What are your work hours like? Can your schedule be flexible? I work 12 hour shifts as a CNA and before I started my program, I asked my manager if I might be able to work weekends only (after going part-time). I've been working Friday and Saturday (nights) for the past year and pick up extra shifts when I have breaks from school. Now, one year in, it's nice because I only have class two days a week and two weekends of clinical for the term. After my loans and grants, my school let me go on a monthly payment plan for my remaining tuition. And with each scholarship opportunity that payment gets smaller and smaller. I think my monthly payment is around $200 at the moment. It can get really tiring, tight, tough, and downright depressing at times, but it's doable. :)
  15. OliveOyl91

    Thinking of letting my CNA expire

    I would keep it, as well. Heaven forbid they do decide to make having a CNA a requirement for your position (I've seen it happen), plus you may want to move onto other things that require a CNA. If you can afford it, I'd keep it until you're done with school.
  16. OliveOyl91

    How long should prereqs take?

    Everyone goes at their own pace. I did my nursing prerequisites as a part-time student over the course of 3 years. This was a a community college to prepare for my ADN-transfer degree. If you went full-time, you could potentially get all the prereqs done in about a year and a half to two years. Don't focus on simply getting classes done, make sure you do well and comprehend the material. Now that I'm in a RN program, I'm constantly referring back to my a&p, micro, and even English classes for pharmacology and completing my patho packets.
  17. OliveOyl91

    Doctor teaching nursing class

    I've never heard of a physician teaching a nursing class... I've had nurses with their doctorate teach a nursing class, but never a physician. I will say that a practicing physician taught my medical terminology and pharmacology classes... He was the best! I learned a lot during his courses.
  18. OliveOyl91

    Kicked out for first practical exam fail

    I'm just in awe. I'm so sorry this happened to you. I've been a CNA for four years and am currently in nursing school. I have NEVER heard of a "special knot" to tie an isolation gown. The main priority of donning an isolation gown is to secure it in a way that it protects yourself and your garments, and while doffing you must make sure you don't contaminate yourself. Usually we rip them off and roll it in on itself (dirty side in), so special knots don't matter. Don't let this get you down. I hope all the best for you!
  19. OliveOyl91

    Whats in your bag?

    I lug around a pretty standard JanSport backpack. It's one of their laptop-sized ones. I always keep a fairly large collection of pens, pencils, highlighters, and my calculator in the front pocket. Most of my textbooks are on my kindle, so that makes it nice. Things you'll never catch me without are some feminine products, advil, tylenol, and plenty of tea bags! My school has free sources of hot water, so when I'm not drinking water, I'll brew a cup of tea.
  20. OliveOyl91

    long days, back discomfort and cracking?!

    I have arthritis in my back, so nursing school with clinicals plus the 12-hour nights I work over the weekend can put a lot of stress on it. I use a lotion called Deep Blue, it's essentially a type of icy hot rub. I use it before I go to bed and on days I don't interact with patients (it has a very strong mint odor). Heating pads work nicely, as well. I have a regular one at home and I use cordless, disposable ones at school when I feel I need it. Other than that, I also do pretty much everything that previous posters have mentioned. I wear compression stockings, wear orthopedic shoes,my sweetheart at home will rub my back for me and I constantly try to remind myself to keep a nice posture. When you work with patients, save your back! Every instructor I've had has really stressed that our backs are our money makers! Raise beds up to a suitable working height, use proper body mechanics when moving patients or when you're reaching for something.
  21. OliveOyl91

    Lower Columbia College

    I took it online with Rhonda Meyers. There was no lab kit to purchase, but there were separate lab exams. Tests were proctored either on campus or online at home through ProctorU (which is an extra $45, I think). Online "labs" were essentially studying different parts of the body through photos and then we were tested on the computer about those body systems. When I took it, she gave us photos to study and then those same photos were used for exam. She would have a line pointing to a part of it and the answers would be multiple choice.
  22. OliveOyl91

    Lower Columbia College

    Hi there! The fall quarter has come to an end and after the new year I will be starting my last two prerequisites (A&P2 and lifespan psychology). I can finally see the light at the end of the tunnel! I'm a student at Lower Columbia College in Longview, Washington and am planning on applying this spring for fall 2017 admission to their RN program. I just wanted to start a thread for anyone who may be in the same boat as me in the area or people who have been through the process. In a perfect world, I'd like to complete my associate's here at LCC and then finish my bachelor's at WSU-Vancouver.
  23. OliveOyl91

    Having to teach yourself?

    In my classes we are expected to have our reading and homework finished for whichever chapters we're going over BEFORE we have a lecture on it. We'll have a pre-quiz and then the teacher will lecture over the most important details. For pharmacology, for example, we have our textbook "Pharmacology, 8th Edition" from El Sevier with the online content and other resources, and we also have our pharmacology book from ATI.
  24. OliveOyl91

    Quarters to Semesters

    I did my prerequisites in WA as well and have found that my options were limited even just by crossing the river into OR. Luckily, I only had issues with my A&P credits. My school had two 5-credit A&P classes, totaling 10 credits. Many schools require 12 credits in OR. They didn't make me retake the entire series, but I do have to take their A&P 3 to make up for the deficit. Keep looking into schools and asking! After a quick google search, it looks like only three community colleges in California use the quarter system. Foothill College, Lake Tahoe Community College, and De Anza College. They're all in the northern part of the state, though. Several 4-year universities are on the quarter system down there, though. It looks as though all of the UC campuses use it along with several private 4-year institutions to get your BSN.
  25. ASAP. There's no reason to NOT get these vaccines as soon as possible. The flu shot is annual and the tdap needs a booster once every 10 years. Hep B is a series of three shots if you haven't had those already. The only one I would hesitate on is the TB test. How recent of a test does your school require? You said your prospective start date is Spring 2019? My school required a TB test within a year of starting. There's a two step skin test and there's also a one-step blood draw, called IGRA. CDC | TB | Fact Sheets | Interferon-Gamma Release Assays (IGRAs)

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