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  1. elephantlover

    Late to clinical

    It is a good lesson. I am sure you will not make it again. Nursing schools have to prepare you for a real job where there would be disciplinary action. If you mind your ps and qs you should be fine. I use two alarms on my phone and an alarm on my watch. I double check the time and volume on both each night. Budget 20-30 minutes extra than you think you need and you should be fine. And ps. Have some confidence. shake it off. prove that you can grow and learn from this. We all make mistakes. It is what we do to learn from them that matters.
  2. I am in my last semester of an accelerated BSN program. I think the hardest thing about nursing school has been balancing my priorities: work, clinical, school, staying healthy, etc. I had MANY times where I would go from clinical to work, work till midnight and leave my house the next morning for clinical at 5:15 AM. I think being in clinical adds a new layer to nursing school. Clinical is very time intensive. From the prep work to post clinical paperwork. At my school expectations were very high. I would spend 10 hours a week on clinical paperwork.
  3. elephantlover

    Mission Health Nurse Residency Program

    Hi there. I am curious if you ended up at Mission Health? I just submitted my nurse residency application for the summer of 2019. Would love to hear about your first year.
  4. Hello, I am a senior nursing student. I am working to develop my clinical decision-making skills by observing the nurses I work with as a CNA. I have some questions regarding a situation I witnessed at work. I have read old discussion posts on related topics, but I still haven’t found my answer. Looking for your input. A patient developed what appeared to be grade 3 or 4 phlebitis while receiving a vancomycin infusion through a peripheral line. I notified the RN and asked if she wanted me to remove IV catheter. After assessing the site, the RN decided she was going to leave the IV catheter in because it still flushed. This patient was in a lot of pain. I thought the proper course of action would be to remove the catheter, apply heat, and monitor frequently. This patient did not look like she would be a difficult IV start. The policies and procedures manual stated that IV site removal may be warranted for treating phlebitis. This was not the definitive answer I was looking for. What would you do? Would contacting the provider to discuss a PICC line be warranted? How do you manage IV site complications like this one? Thanks for letting me pick your brain.
  5. elephantlover

    Financial stability while in an accelerated nursing program

    Hi there. I am currently in an ABSN program. My experience is different than yours, so I am not sure how much help I will be. Here is my experience: I worked like crazy the two years leading up to my program as a waitress and CNA. I am talking near 80 hours every week. I was able to save a lot of money doing this. I found an AWESOME program that I love. The ticket price tuition is much higher than what I am paying. I was able to get almost 70% of my program funded by merit scholarships offered by the school. Look into scholarship opportunities both internally and externally where ever you apply. I currently live with my parents, and it is a tremendous help. I know that is not an option for you, but do you have extended family? If not, can you find a roommate to lower housing costs? I work 8-16 hours a week at the hospital and as needed as a waitress. I find this to be manageable during my accelerated program. Every person and every program is different. It has been enough cash to cover my car and other living expenses. Other ideas: I know there are loan forgiveness programs offered by the government and various employers. The tuition reimbursement is not very substantial at my current job, but it is something. Like other posters have said, there are a variety of different nursing school tracks. I know my school offers a few different accelerated paces. Obviously, the slower ones give you more time to work. Will an extra year or two make a big difference to you in the long run if you are able to have some income during your program? Is it important that you live in NYC or are you willing to explore schools in more affordable cities? Good luck to you!
  6. elephantlover

    Already struggling as a cna

    Other CNA tips: Establish rapport. introduce yourself to your patients. ask your patients how they want to addressed (what is their preferred name)- this helps to establish rapport. Ask your patients how they are. let them know what you are doing. try to give them options when appropriate. You do not want to phrase everything as a choice, however. Simply say I am going to check your blood pressure right now. Does it matter what arm? If you have the flexibility on certain tasks you can ask, would you like to go for a walk now, or in an hour? Remember patients always have the right to refuse, but how you word things can make a big difference. Use purposeful rounding. Think ahead, what supplies do I need to clean this patient up? If the patient is incontinent, I like to stock extra linens, briefs, barrier cream, powder, wipes, chux, etc. in the room. Try to anticipate the patient's needs to reduce avoidable call light use. Does the patient need to use the bathroom? are they in pain? are they hungry? Let the patient know when you will be back in the room. Make sure they know how to use their call light. Environment matters. Get in the habit of scanning the room each time you leave. Is the bed locked and low? is the call light in reach? is the patient's water jug full (if medically appropriate), does the room look tidy and clean? does the patient want the blinds open/closed, lights on/off, door open/closed. Is the bed alarm on (if appropriate?) is the patient warm enough? too warm? Prioritize. greet all your patients, do you vitals and document first before other tasks like showering a patient or taking a patient on a walk. Taking a patient to the bathroom is more time-sensitive than washing someone's hair or checking their vital signs (in most instances). Focus on comfort and needs. Have a patient who is agitated or confused? try to figure out their underlying need. does that patient enjoy music? what is comforting to them? they might not be able to communicate what they need so you have to be the detective and keep the patient safe and comfortable. Teamwork. help other CNAs out and if you work in a place with a healthy culture they will help you in return. Stress Management. sometimes I need to center myself before entering a room. When I am overwhelmed I first take a deep breath. I make sure to exercise, eat well, and get decent sleep. Gives me more resources to cope with the stresses of being a CNA. Use a "brain sheet." The internet will have lots of ideas. I write down the patient's name, room number, code status, diet, how they move, assistive devices, if they need a blood sugar check, admission diagnosis and other orders (do we reposition this patient every 2 hours? compression devices?) intake and output, foley cares etc.
  7. elephantlover

    Already struggling as a cna

    I am a nursing student and CNA. Like you, I am book smart and I once was afraid to assert myself. Yes, being book smart helps, but there is so much more to nursing. Being a CNA has improved my common sense and ability to plan ahead. I promise you that you continue to build if you are open to constructive feedback and put the time and energy in. It is important to be aware of opportunities for growth, but don't be too hard on yourself. I fumbled around for a while and there were days where I wanted to give up. It took me several months to feel confident in each new setting that I have worked. I AM SO GRATEFUL for my CNA position now as a senior nursing student. Working in acute care has reinforced material from school and has given me a leg up in clinicals. Although a painful learning process at times, I have learned so much about prioritization, time management, communicating with patients, and teamwork as CNA. I have been exposed to so many different patients and disease processes working on a busy medical unit. If you land a CNA job (which I HIGHLY recommend to all nursing students, especially acute care jobs) your paid orientation will likely last anywhere from two weeks to a month. You will get to follow experienced CNAs and learn their tips and tricks. Blood pressure tricks? Well, most cuffs have a line that says artery. you want to line this arrow up on the more medial aspect of the arm (where the brachial artery lies). There are lots of awesome videos on how to take all of the vital signs. I would recommend watching a few. Most cuffs have a line on them. You match this line with the width of the patient's arm. If a patient is lying in bed I like to place a pillow under the arm so it is at heart level. Other VS tips? Take multiple measurements at once. If using an automatic cuff, I like to measure the patient's temperature at the same time. It is efficient and distracts the patient. I like to count respirations at this time as well. Good luck to you! Sounds like you are off to a great start. I think it is normal to be frustrated and question yourself from time to time. We all start as beginners, not experts. I know you have talents and gifts to bring to the table. Anything worth having does not come easy.
  8. elephantlover

    Academic adviser says I'm selling myself short by going into nursing.

    My advisor told me the same exact thing during my first degree. I graduated with a degree in psychology and biomedical science. I excelled in school and wanted to pursue a second bachelor's degree in nursing because I felt it was a combination of my two interests: the human body and the mind. And that is exactly what I am doing right now and I have zero regrets. I feel challenged and am never bored. I get to work intimately with patients and families. I get to educate patients and collaborate with the health care team to help treat patients. I have absolutely no idea where this notion comes from that a career in nursing is "easy" or "unstimulating" or "a backup plan." At the end of the day, you have to choose what you feel passionate about, what makes you feel alive. Nursing will offer you room for growth, the flexibility to live anywhere in the country, and the opportunity for life-long learning. Yes, there are some small people who view nursing as a joke. Yes, you do have to humble yourself. Some people who really have no insight into what it is nurses do may underestimate you. But I believe those people are the minority. I am doing what I feel called to do and best of all nursing offers me the opportunity to enjoy life outside of work. Don't let small minded people alter your path. Do your due diligence. Explore multiple careers. Shadow professionals. Consider what your goals and priorities are. You will land on your feet if you work hard and pursue something you feel passionate about. Good luck, this an exciting time!
  9. elephantlover

    Depressed in Nursing School

    Hi Ashley, I am sorry to hear you are going through this. Nursing school is such a heavy responsibility. It requires so much effort simply to complete a single week. If you couple that with depression and feelings of uncertainty about the profession the task seems almost insurmountable. I am a nursing student as well. I feel for you. Your post really resonated with me. I have been exactly where you are. More than once. First, I think it is very normal to have doubts about the path you are on. Some days I am beaming with excitement about the profession. Other days I have overwhelming anxiety and crushing doubts about the field for nursing. I have had my share of breakdowns and thoughts of dropping out. Those days happen. Nursing school is stressful--and not just in a busy stressful kind of way. Becoming a nurse is a huge responsibility. Acquiring the knowledge to be a good nurse is challenging. Developing the interpersonal and time management skills necessary to survive is challenging. I have faith that we will get there like many great nurses before us. All part of the process. We must be kind to ourselves along our journey. Second, please consider finding someone to talk to. Many schools offer counseling services that are included in tuition. Depression is real and it should not have to be dealt with alone. Trained professionals can help you to uncover what the source of your sadness is. Depression can manifest in many ways and make everyday tasks challenging. Depression can steal passion and motivation from us. Next, I have found it helpful not to focus too much on the future. I know it sounds crazy. Every time I go down the path of trying to plan out my entire nursing career I spiral downwards. We live in a society that encourages us to plan and to think only about tomorrow. I think some of the depression I have faced as a nursing student is linked to this false belief that I need to lock into one path. Humans are dynamic. We need to give ourselves the opportunity to evolve. We miss out on happiness and opportunities to learn and grow when we force ourselves to fit into a mold. The beautiful thing about earning a BSN is that you can do SO many things with it. Even things you cannot imagine right now. Please, please do not give up. Finish this program. It sounds like you are performing quite well. Give yourself some credit! A BSN is a powerful degree. And the beauty of it all is-- you can always, always change paths. You can literally do anything. You could go on to get your MBA, go to med school, become an engineer, study fine arts, OT, PT, speech therapy.... anything! You are off to a great start with 75% of a bachelors degree complete. I graduated with a B.A. in psychology before starting the nursing program that I am currently enrolled in. I switched my major from nursing to psychology when I was 19. I regret not finishing the nursing program I had originally started. I would have needed to go on to graduate school to become a counselor anyway. I could have done that with any undergraduate degree. But so is life! I am embracing my journey. I have come full circle and will be graduating with a BSN in May. Be kind to yourself Ashley. Think about why you started nursing school. Think about how you have changed as a person. Maybe nursing won't be a lifelong career for you, but it is a start. Find someone to talk to. Never be ashamed to seek help. If you need ideas on seeking out therapy or want to talk further feel free to PM me. Good luck Ashley. Sending some love from one nursing student to another.
  10. elephantlover

    Break up during school

    Hi, Nicoleashley. I am sorry you are going through this. Grieving loss is not easy--this is clearly a significant loss. I think that classes will be a healthy distraction. I would focus on taking care of yourself. Making sure you are eating decent meals, exercising, and getting enough sleep. The breakup coupled with coping with your parents' divorce is a lot of at once. Most schools have counseling resources. I would encourage you to seek our these resources. I experienced something similar during school and I am glad I sought help when things weren't turning the corner for me. Good luck. Take care. Be kind to yourself and do not be ashamed if to ask for help.
  11. I work as a CNA. The RNs on my unit take a few minutes when they can. Managment wants us to use break buddies, but this simply is not practical for our workflow. I cannot think of a safe alternative. In theory like the concept of having a resource nurse take over for breaks--however I see many issues with this being applied into practice. At a minimum, I believe nurses and assistive personal should be compensated for their breaks because they are "on call." I rarely have the opportunity to take an uninterrupted full 30-minute break. I NEVER get to take my paid 15 minute breaks. Lawmakers and nurses need to work together to find a safe solution.
  12. elephantlover

    How far in advance do you get your class/clinical schedule?

    It depends on the semester with my program. Sometimes we know a week in advance. Sometimes a month. It is very frustrating. I need to give my availability for work at least one month in advance. My schools has even changed our schedules without any notification. I am sure my experience is the exception. I have friends who completed other programs and knew a couple of months in advance. If you want a real answer to contact someone at your nursing school or ask an older student!
  13. elephantlover

    Marian university online ABSN in Nashville

    As long as the program is accredited I don't see any reason that the board of nursing would care what method your theory classes were. Since you haven't had luck getting in contact with the board of nursing maybe ask an admissions person at Marian. I found the admissions personale to be very helpful.
  14. elephantlover

    Is this really that controversial?

    Good for you, serving is a practical job for students! After working crazy hours for a couple of years, I have saved up a good chunk of cash. With the help of scholarships (and living rent free with my parents), I will graduate without debt. Serving teaches you about proritizing and how to work with customers and coworkers--important "soft skills" for nurses to have.
  15. elephantlover

    When they're SO sure they're right...

    Interesting, I had not seen this in the literature until you mentioned it. It seems there is not robust research on this topic yet, but I certainly believe GI health impacts neurodevelopment, immunity, and overall functioning. The truth is that schizophrenia is likely a group of disorders caused by different things. Hopefully, researchers continue to learn more about the disorder so that lives can be improved and stigma reduced.