amok

I had a physician who was stepping back from his practice that taught one of my A+P courses. He was getting older and basically seemed to be teaching because he genuinely enjoyed it. He was functionally retired but taught to stay busy and contribute to the field, I suppose. I'm not really sure why this is concerning?

I wouldn't say anything now, but maybe see if the problem fixes itself and they get rumbled trying to fool the drug test. If they got through that? I'd think about anonymously informing an instructor but without naming particular students. Maybe having to awkwardly sit through a reminder by the professor that they're being idiots by risking their opportunity like this will get them on the right track. Remember, if they have reason to believe it was you who told on them specifically it could get pretty bad.

I would echo other users that have said the fundamentals-type courses aren't necessarily difficult, but are important to stay on top of. One of the big things I took away from it was learning the conceptual difference between a medical diagnosis and nursing diagnosis. They really wanted us not to just be able to say a patient has fluid on their lungs, but to elaborate on what kind of assessment findings would indicate such. How might that interfere with activities of daily living, or be a risk to life and limb? How could you tell if it might be getting better or worse? What other changes would be normal/abnormal with that condition? What can you do independently as nurse about it? Just some food for thought.

I respectfully disagree with everyone waving a hand at this as "teenage drama." This is how nasty interpersonal stuff in a classroom or a workplace can start and get out of hand bewilderingly fast, with someone who has no ability to reflect on whether their behavior is appropriate or not. I don't know what rational person would continue sending photos of themselves doing things like driving to work to someone they barely know who isn't cuckoo for cocopuffs. I would just keep this dude at arm's length, I dealt with something similar once and it was a tightrope, but it worked. If it makes you feel better there's a good chance you're not the only girl he's trying to run this play on.

Her best bet may be to come clean ASAP, the "I didn't know it was against the rules" defense gets weaker every day she doesn't say anything. It really depends on what this website she got the bank from was like. If it was obviously not on the up and up they probably won't buy that she thought it was just some extra resource. She can gamble that she never gets found out, but I would vote to come clean. Also, if she's just been using test banks there's a good chance she hasn't really understood then material, which could become obvious once she doesn't have access to them. Just my two cents.

I'm still a student and people are more than welcome to have their own views, but what I will say is this: I've never heard the opinion that nobody should be in nursing with compensation as a significant motivation from the nurses and other medical professionals I've spoken with who have actually done the work for as close as you can get to no pay. I've been lucky to know and/or at least talk with people who have worked for NGOs like Doctors Without Borders and other charity-oriented organizations about their work. Whenever I see someone shame others for being "in it for the money," I'm tempted to ask why they don't do it for free, then? If anyone here has worked in that capacity I'll eat crow, it's just a trend I've noticed.

The instructor would have wanted to see your charting first, or watch you do the wound care? I'm assuming you're using some kind of electronic charting?

That sounds really frustrating. I'd echo the earlier posted who suggested meeting with him/her, all I would add is to keep in mind that they might have something else going on at home, etc. Nurses are expected to be tough and all, but it might not just be an attitude problem in their end or something. Just a thought!

People from "welfare," who you describe as "loud" and engage in "street behavior." Does anyone else smell what I smell? Oh, and it's because of an environment where people are of low economic status and aren't educated, right?

I wouldn't be surprised if she got cut for being useless on the floor or absenteeism. All unrelated to vaccines/contraception, but she's looking for a payday.

Being allowed to pass off major parts of your clearly outlined duties to your coworkers is not a "reasonable accommodation." That would be allowing a nurse to wear long sleeved scrubs or to cover her hair. And I'm not exactly a church-going Catholic, but last time I checked they objected to the use of aborted fetal tissues in the original development of certain vaccines, but the overall directive is that children should still receive them. This is total nonsense. If I say that touching a naked person of the opposite sex is against my religious beliefs, do I get out of doing pericare? Should I try it?

Having all of the prereq courses done was a hard rule for my program no matter how good other scores/grades were. I wouldn't expect them to admit students who haven't finished those courses ahead of another who has. We even had a different application status if we were applying while still in a prereq, they didn't announce anything until after the end of that semester in case anyone failed a prereq they were still taking when they applied.

I've also seen a lot of the horror stories, but so far all of my clinicals have been great. I think a lot of it depends on your program and how strong their clinical side of the program itself is. Some schools have better relationships with local hospitals/SNFs than others and I think some devote more to finding and retaining good clinical instructors than others. I've gotten the impression that there are just straight up toxic instructors out there, but I feel that the programs that don't have high turnover for preceptors and put a lot of focus on the clinical experience have better outcomes for students. I feel like my clinical is the most important part of my week, and my instructor has high but reasonable expectations for us. They shouldn't expect perfection, but I won't lie. Sometimes I wonder if the students who talk about it being hell aren't in one of a few situations: 1. They have a quasi-sociopath for an instructor who weirdly enjoys tormenting people, bordering on hazing, 2. The student has a trash attitude/work ethic and can't handle criticism whatsoever, 3. The student has a lot of anxiety and it cripples them in clinicals. I'm just a student, but that's just how I see it so far. It's not supposed to be easy, but it really shouldn't be absolute hell.

I don't mind at all, really? I'd imagine they would be OK making alternative arrangements in my program if a student had an issue, I just didn't realize that it wasn't the usual practice. I understand if others feel differently, but I would be much more anxious doing my first injections on patients. That's just me, of course.

I was perusing another nursing forum and stumbled on a discussion about how programs handle injections during skills labs and evaluations. My skills group has a practice lab where we practice drawing the "medication" (i.e., 0.9% NaCl) and injecting into mannequins/mimic pads (or hotdogs with "skins" during the intradermal, for bonus humor). On evaluation day our instructor watches the entire process from vial to injection individually. We perform the injections on a partner who then has their turn, all with supplies right out of the packages of course. We also swap the syringes we prepared with our partner, so we're always being injected with something we drew (with supervision) ourselves. Subcut was back of the arm, transdermal was the forearm, IM was ventrogluteal. The discussion I saw was mostly about the IMs, but also about the whole general idea. People were outraged about the ventrogluteal IM! Like, suggestions for the student to get a lawyer and general freaking out. Is how my program does things atypical?

Whoa, I thought that was a district-to-district thing in some states and didn't realize it was on the books. That's...very unfortunate. Thanks for the correction!

Abstinence-only programs are not good evidence based practice for delivering sex ed. Administrations are right not to shell out money for them, in my opinion. Relevant study from PLoS One/NCBI: Abstinence-Only Education and Teen Pregnancy Rates: Why We Need Comprehensive Sex Education in the U.S

Sounds like seeing someone hurl is your "thing," I would say that most people in healthcare have one. For some it's vomit, dry skin flakes drifting through the air like a gentle snowfall, purge, the list goes on. Mine is trach care sputum/suctioning, I get the sympathy gags. My advice would be not to let this keep you from the profession. Emetophobia isn't necessarily an uncommon phobia, I would suggest maybe seeking therapy for it the way plenty of people do for other debilitating fears. The therapeutic approach to one phobia is much like the approach to any other, there's likely a professional in your area who has helped people move past similar anxieties. Seeing people vomit is generally inevitable, it may be well worth finding a pro to help you. Good luck!

I commented earlier, but another thought. I've noticed you haven't spoken of him as your childrens' father, but as your husband? Either way, if he talks to you the way you say he has, how do you think he'll treat them if they don't do what he's decided is best? If you have a daughter, why wouldn't he treat her the same way he treats you? Just a thought.

This might sound silly, but I've been using this for YEARS. Pre-nursing, other college courses, all of them. Grab a stuffed animal (I've just always used something I can anthropomorphize, I use a tiny plastic lizard) and explain the material to it. I don't know about your program, but we have the learning outcomes that will be addressed on each exam. Look at those, and explain it out loud to the best of your ability to your new BFF. Everyone encodes and retrieves information differently, I've found that using information verbally (the "out loud" part matters!) really helps me retain an apply it. Good luck!

We don't know your life, but maybe ask yourself if he's a "crab." Put them in a pot of boiling water and they'll yank each other back down over and over again until they're all dinner. It's not a perfect analogy, but if it feels like he's opposed to the idea out of spite or insecurity I'd ask him AND yourself some questions. There are people of either sex and in all kinds of situations who get sucked into keeping everyone down on their level, I hope you guys can come to some sort of resolution. A major practical consideration though is what is he hoping to study? If nursing is more lucrative in less time you have a pretty solid reason to prioritize your studies. Just an idea. EDIT: I just saw where you wrote that "when he gets mad at me he tells me that i will never be anything but a housewife." That's a mean, spiteful little man. I've booted everyone who's ever spoken to me like that out of my life and I wouldn't change that for the world.

A lot of this probably depends on your school/program. I would suggest posting in the area of the forum specifically for students.

I feel that the fact that you're still beating yourself up for having to repeat means you have to motivation to try again and do better. Were you putting studying ahead of creature comforts last time? I figure it's Maslow's hierarchy of needs, a lot of students push themselves to study, study, study, but don't get meaningful results from all of the work because they aren't eating, sleeping, getting some fresh air, etc. I'd put my money on a rested, nourished student who studied for 12 hours over the exhausted, twitchy student who studied for 20. Try not to get overwhelmed by the thought "what if I fail again?" That's something in the future that could happen. You could also get hit by a meteor, right? If you want to do this, I would suggest taking that anxiety and applying it to a single, discrete day at a time so you can funnel it into a more productive energy. Even if it didn't go how you had hoped the first time around, there's no better way to learn how to take on a challenged than to have tried and failed before in my opinion. Take care and good luck.

A lot of LGBT+ people don't seek preventative care or look for treatment early because they're afraid of running into some of the attitudes in this thread. AIDS was originally called "GRID," gay-related immunodeficiency disease. That pain and shame is still with a lot of people, I have better things to complain about than questions that might help them feel like a hospital or SNF isn't a place where they're going to be sneered about behind their backs anymore. The seniors who appreciate being asked these kinds of questions might remember watching a friend waste away while doctors and nurses refused to go near them out of fear.

I would suggest talking to either a counselor associated with your school or an independent therapist. It's not like I think you're losing it or something, this is just one of the reasons these professionals exist. It could be burnout, or anxiety because it's all starting to seem "real?" I have no shame about the fact that I see a therapist twice a month to help me manage anxiety and depression, in fact I take opportunities like this to encourage others to do the same if they have the means. Speaking with a pro about these feelings could help you better understand and work through them, plus it can help you start a therapeutic relationship with a provider. I'm of the opinion that anyone who works/will work around the sick and/or dying should have someone with training that they know is there for them and that they trust. Many medical professionals deal with a lot of responsibility and really dark, bleak stuff, I would take this opportunity to both address these problems before they potentially get more severe and approach it as preventative care for the future. Time heals most wounds, but can also let them fester. Best of luck. Also, I'm just going to congratulate you on your BSN now. I'm sure you can do it.