Posts Tagged ‘nursing school’

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Practically a Nurse: Life as a New Graduate RN

September 25, 2012

By Medora McGinnis, RN, whose last post for this blog was “Don’t Cling to Tradition: A Nursing Student’s Call for Realism, Respect.” Medora is now a pediatric RN at St. Mary’s Hospital in the Bon Secours Health System, Richmond, Virginia, as well as a freelance writer. As a nursing student she was the Imprint Editor for the National Student Nurses Association.

Life as a new graduate RN has been . . . confusing. While my peers seem to have it all together, for the last five months since graduating I’ve been perplexed—what do I do with myself, if I don’t have to stress out and study everyday? Well, of course I have my five kids to keep me busy, an amazing new job as a pediatric RN, and my husband who almost forgot what I look like.

Still, I feel like I should be cramming for something, memorizing something, or at least triple-tasking. I’m stressed that I’m not stressing out. Maybe I just dreamt that I graduated . . .

Here is a little of my backstory: I graduated in May from a three-year diploma program, as part of the very last class in that historic Virginia program, Bon Secours Memorial College of Nursing. It is now a four-year BSN program. They are affiliated with the large health system of the same name, and one of the benefits of this type of program is the guidance provided to students and graduates during the job search.

I participated in the “early career decision program,” which started well before graduation, and it was an amazing experience. Nurse managers from all four area Bon Secours hospitals attended, and we were able to do a “speed dating”–style interview session with many of them. They then called some of us back for second interviews on their units, and we were on our own from there for the interview process.

Get involved. I worked very hard throughout school, and was blessed to receive an offer to join the unit that I had always wanted—pediatrics. The takeaway: If you’re currently a nursing student, my advice is to not only focus on schoolwork, but also participate in any and every additional student opportunities you can—join state and national organizations, especially the National Student Nurses Association; go to meetings and seminars, visit annual conventions, and keep a record for yourself. You will learn and grow, and it will come in handy when you are ready for the job search.

Now that I’m working on our peds unit, it has become clear to me that a lot of what I just learned in school is not part of everyday nursing care—perhaps that’s because I’m in such a specialized unit, but most units have a focus. As RNs, our education is so vast (general, but vast) that it’s probably not even possible to use it all in one specialty! If I don’t use my knowledge somehow, I’m going to lose it.

So as a new grad, how do I work to retain that nursing school knowledge? There is a big effort nationwide to support and encourage working nurses who want to go back to school—for me, the next step will be an RN-to-BSN program. For BSN grads, you might think about a master’s program or a doctoral program. All of these will require dedication and investment, but they will also propel us into the future of nursing and give us the tools to guide our profession.

Daily life as a new grad RN on the pediatric unit is exciting, and has its ups and downs. My fellow nurses and manager are supportive and encouraging, while also holding me to a very high standard. I’m comfortable working with families and little patients, and I’ve already learned that just when things feel “comfortable,” I get another admission—I’ve learned to always work as if there’s another patient on the way up. It’s true that nurses often don’t go to the bathroom or drink anything for hours on end—it takes a conscious effort to avoid dehydration! Read the rest of this entry ?

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To the Nursing Class of ’12 (and ’84, and ’96, and ’01)

June 15, 2012

By Karen Roush, MS, RN, FNP-C, clinical managing editor. A version of this essay originally appeared in the 2008 AJN Career Guide, but we feel it’s still just as relevant to new nursing grads or even to seasoned nurses (and non-nurses, for that matter) who might need a sense of renewal.

via Wikimedia Commons

On a rainy cold Saturday last May my son graduated from Rensselaer Polytechnic Institute in Troy, New York. As I sat shivering in my complimentary plastic poncho, listening to the commencement speaker doing his best to inspire the faces peering up from under soaked tassels, the thought came to me that we all need a commencement address every five years or so. Someone to tell us we can make the world a better place, that the possibility for greatness exists within us, that we may yet achieve our dreams. Someone to remind us why we chose nursing, and why we work so hard.

So, whether you are a new graduate or graduated 50 years ago, this is my commencement address to you.

Stay alert. Be vital. Sharpen your mind and your skills. Read journals for nurses and on health care in general. But don’t limit your knowledge to health-related information. Read political discourse, economic theory, and great literature. At the time of this writing, a book of poems, Slope of the Child Everlasting by Laurie Kutchins, sits on my desk at home. Each evening it pulls me into a deep reflection that informs my practice in a way clinical study alone can’t possibly do.

Keep moving. Learn, change, uncover, discover. There’s no other profession that allows you to do this like nursing. Whether it’s within your facility or as a travel nurse exploring the country, or perhaps going from clinical care to a policy-making position, movement will awaken the anticipation and excitement that you felt in the beginning of your career.

Look beyond your borders—whether they’re a shift, a hospital, a specialty, a state, a country. Reach outside of what you know. See yourself as part of something bigger than nursing. At the time of this writing, I’m about to leave for a trip to Uganda and Rwanda to see what it’s like to be a nurse in a place very different from home.

Act out. Be willing to anger people. Remember, you are valuable and necessary. Get your facts straight, then speak up loud and often. Make some noise and get some attention. And then be ready to back up your words with actions.

Become nursing’s biggest fan. Promote it. Boast about it. It will go a long way in making nursing what it should be—well paid, well understood, and respected. It will draw talented people to the profession. Nursing suffers from gender bias, this is important to recognize whichever gender you happen to be. It affects who goes into nursing, how your role is allowed to evolve, and how much you get paid. The answer isn’t in making the profession good enough for men; it’s in making the profession good enough.

Lastly, don’t let nursing define your whole being. Be a baker, a runner, a book club member, a father, a wife. Whatever it is, be it totally, ferociously, and separate from nursing. As a writer of poetry I am often referred to as a nurse-poet and I always protest. I am not a nurse-poet or a nurse-anything. I am a nurse and a poet . . . among other things. Nursing takes incredible mental and physical energy. Shelter that part of you that is away from nursing and it will energize your presence as a nurse.


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That Acute Attention to Detail, Bordering on Wariness…

November 21, 2011

via Wikimedia Commons

By Kinsey Morgan, RN. Kinsey is a new nurse who lives in Texas and currently works in the ICU in which she formerly spent three years as a CNA. Her last (and first) post at this blog can be found here.

It seems that nursing schools across the world subscribe to certain mantras regarding the correct way to do things. Different schools teach the same things with utmost urgency. Hand washing is one of the never-ending lessons that comes to mind. How many times do nursing students wash their hands while demonstrating the correct way to perform a procedure? I vividly remember actually having to be evaluated on the skill of hand washing itself.

Another of the regularly emphasized points of nursing school is double-checking. One of my first clinical courses required students to triple-check patient identification before giving medications. We were to look at the medication administration record, the patient’s wristband, and then actually have the patient state their name.

As a new nurse learning several new computer systems for charting, etc., I’ve noticed that the old attention to detail, ground into my soul during my school days, now seems easy to overlook, since computers do so much of the work. Of course, computer charting and electronic MARs* have simplified tasks and made time management much less daunting. But sometimes I worry about the hidden cost of such improvements.

I intend, vow, resolve to make an effort to remain aware of how easily errors can happen when we don’t double- and triple-check things. I want to always retain that astute attention to detail, bordering on wariness, so that I can practice as safely as possible, even with the advent of electronic methods.

*MARS = medication administration records

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Realizations of a New Nurse #1: I Am Now the Educator

November 7, 2011
image via Wikipedia

By Kinsey Morgan, RN. Kinsey is a new nurse who lives in Texas and currently works in the ICU in which she formerly spent three years as a CNA.

In nursing school, there is a growing push to educate future nurses on the amazing breadth of roles within the nursing profession. As a student, you are in some way exposed to the role of nurse as leader, advocate, healer, educator, team player, and researcher. Even this list is not exhaustive. These roles are certainly vital and important and worth teaching about in school.

As a brand new nurse, I haven’t personally encountered all of these roles yet, but there is one in particular that I encounter—and embody—every day: that of educator.

One of the most humbling realizations I’ve had since recently becoming a nurse is that I am now the educator. I’m glad to know that there are other nurses around me, as well as many resources from which to glean knowledge, but I am daily faced with the fact that people now look to me for answers. There are times when I feel outside myself, for while I give correct answers, hearing myself giving them is a little surreal. I’m sure these feelings subside with time, but I hope that I always remain somewhat in awe of the amount of trust my title elicits.

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Notes of a Student Nurse: A Dose of Reality

May 4, 2011

By Jennifer-Clare Williams, who is a student at Cox College of Nursing and Health Sciences in Springfield, Missouri. This is her first post for this blog.

Doyle Alphabet by fdecomite, via Flickr

It’s been said before that we are our own worst enemies, our own worst critics. I can’t imagine a time when these phrases are truer than during nursing school. Little more than a year ago, when I was starting my prerequisites for admission to the BSN nursing program, I was giddy with excitement. Images of what life would be like played in my head like episodes of Grey’s Anatomy, or, on a day I was feeling a bit more goofy, reruns of Scrubs.

I took any opportunity I had to share with friends, family—even new apartment neighbors—that I was well on my way to nursing school with the confident smile of a person destined to save the world, one patient at a time. I scoured discussion boards and nursing student forums late into the night, anticipating the day that I, too, would have something profound to contribute.

I laughed off those who warned me that the path was difficult and ridden with challenges. There was no bridge I couldn’t cross, no task I couldn’t do, and no test I couldn’t pass with flying colors. The world was mine. Now, I’m living those moments as a first semester nursing student—but a funny thing happened on the way to the present, a thing I will lovingly refer to as reality.

And reality has an uncanny way of making sure you’re well aware of his presence. The truth is, most days I feel more like the character Steve Urkel in Family Matters than like Meredith Grey in Grey’s Anatomy—awkward, unsure, and out of my element. My excitement masquerades more as fear. And those scrubs? Hardly the superhero cape I’d imagined. Yes, the truth is, for the first time in my life, I don’t have the definitive answers to anything, my “natural aptitude” for test taking continually disappoints me, and that confident, poised, straight-A student has somehow disappeared, leaving a nervous, uncomfortable rookie in her place.

I replay my mistakes (“No wonder your patient was uncomfortable—you put the bedpan under her backwards!”), I cry more than I ever have in my life, and I continuously wonder how on earth I will ever learn everything I need to know.

But there is good news. Read the rest of this entry ?

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Nursing and Women’s Basketball Go Back a Long Way

April 5, 2011
Nursing Student Basketball Team, Grace Hospital, Detroit, 1924

By Maureen ‘Shawn’ Kennedy, AJN editor-in-chief

I’m a big college basketball fan (to me, professional teams seem less about the team and more about the players). When I was growing up in the city, playground basketball was the only sport that was accessible on a daily basis. (OK, there was a ping-pong table, but that just didn’t seem as exciting.) I learned to play the game there, and then played in high school and for one year in college as a freshman. After that, nursing classes and a part-time job interfered. More recently, I coached grammar school and middle school girls teams (one of the funnest things I’ve done!).

I love that the women’s NCAA college basketball tournament has received more and more coverage each year. A few years ago, one was hard-pressed to find out when the games were being televised. Now, they’re enjoying prime time, if not a prime channel. (Women’s games—and tonight’s championship game between Notre Dame and Texas A&M—are usually broadcast on cable, on ESPN.)

So here’s some trivia: many people may not know that most nursing schools had basketball teams in their early days—as far back as the 1920s. It’s always been interesting to me that, despite the oppressive and convent-like restrictions placed on nursing students, these young women could play basketball! There were leagues among schools—the AJN archives has articles and photos of early teams (the photo above shows the team at Grace Hospital in Detroit, in 1924; click through to the PDF version of the article to read an excerpt). Many schools maintained teams into the 1970s. I doubt that any continue today, since so many diploma schools of nursing have closed.

So, I wonder if any of the players who reached the “Final Four” are nursing students—does anyone know?

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‘At the Night Camp’: How Assumptions About Patients Can Blind Us

December 17, 2010

The entire time he was with us he kept looking around, eyes darting back and forth and toward the truck he’d driven, which he told me wasn’t his own. He shifted uneasily in his chair, and I felt the impulse to try to comfort him and tell him we could help.

That’s an excerpt from “At the Night Camp,” the December Reflections essay in AJN. The essay, by Meg Sniderman, a student in the MSN program at Emory University School of Nursing in Atlanta, takes a wry, honest look at the ways we can imagine whole lives for those around us based on their cultural identifiers, yet often miss the most obvious things about these patients . . . the things that make them just like us, despite apparently vast cultural differences.—JM, senior editor/blog editor

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A Nurse Cartoonist Worth Checking Out

September 17, 2010

Drawing on Experience is a blog run by a student who’s been completing an accelerated BSN program in nursing and who illustrates his education and personal life with remarkably subtle and witty cartoons. Hat tip to a recent Change of Shift blog roundup at Emergiblog for letting us know about his work. It would be wrong to reproduce this artist’s work here without permission, and he might not like it, so I’m just including a really really tiny version of a recent cartoon illustrating his induction into the nursing honor society. It links back to his original Web site, where you can see this and many other cartoons in full, legible size (and of course, upon request, we’ll gladly remove the thumbnail image here!).

Click image to go to artist's site and see larger version

What makes this artist’s work so much fun? The tongue-in-cheek, martial-arts-disciple-and-wise-man narrative? The humility and sense of pleasure in life’s ironies and challenges? The quality of line? The attention to apparently trivial details? The way his mini-narratives play with genre conventions? At any rate, it’s a welcome addition to the nursosphere; I don’t see any contact info on this artist’s blog, but we hope he’ll find time to continue (and consider letting us publish one of his drawings on the blog or in AJN).—JM, senior editor/blog editor

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Prospects for New Nurses: Thoughts on Graduating during a Downturn

May 21, 2010

By Christine Moffa, MS, RN, AJN clinical editor

Miami Beach & Port of Miami just after dawn / joiseyshowaa, via Flickr

Impending graduation is usually a happy, exciting time, especially for those who, after putting in years of hard work,  are finally about to get that college degree. In the mid-1990s I was in what I considered to be a pretty tough nursing program. For example, during my second semester of core classes we went from 30 students to 19; the drop-off was due to students failing out. Graduation couldn’t come fast enough.

However, when you find out that people who graduated one and two semesters before you are still looking for work, it can be a real buzz kill. That’s how it was for me in May 1995. During that time several hospitals were going through restructuring or reengineering (as this AJN article reported) and were replacing RNs with UAPs. It was next to impossible for a nurse without at least a year of recent experience to find a job in a hospital. Now, as a result of the recession, new graduates are  facing a similar situation. It took me almost a year to get my first job—and this was not without some sacrifices:  I had to relocate from New York to Miami and work the 12-hour night shift.

It ended up being worthwhile, but it was one of the hardest years of my life and potentially could have turned me off of nursing forever. Has anyone else out there had a similar experience? What advice would you give to nurses graduating this year?

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When Devices Do the Thinking for RNs, What Training Still Matters?

March 15, 2010

By Sheena Jones. (Sheena is an LPN in training to be an RN at Dutchess Community College, Poughkeepsie, NY.)

'Technology Then and Now'/iLoveButter, via Flickr

So I’m sitting at home on a rare day off and I get a phone call. It’s the supervisor trying to locate one of the many devices each staff member has to sign in and out at the beginning and end of each shift. The hospital I work for uses bar code scanners, wireless computers, PDAs, and Vocera badges. These things are supposed to reduce errors and in general make the jobs of staff members easier. Once I get to work I feel like I have to put on a utility belt to carry all of these devices.

With all of these machines to think for me, I wonder if all of the schooling I’m enduring to go from my LPN to RN is obsolete. Yes, compassion and empathy can’t be taught or replaced by technology. But sometimes it seems to me that a technology-savvy teenager could do much of this job, as long as she could stomach the visuals at the bedside. I remember studying night and day for an exam about calculating medication dosages, only to discover that the computers give the exact dosage and that drugs come from the pharmacy just as they should be given.

Maybe we are a little bit dependent on technology. You should see the mass panic when there is an electrical surge. Nurses often waste time finding computers on wheels (affectionately known as “COWs”) that have a full battery. If they’re not charged or there’s not enough charge to go around, very few people get any work done until power is restored.

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