Posts

Reflecting on School and What’s Next

We’re almost there! It’s hard to believe that we are coming to the end of our program and the end of our med-surg content. I still feel like there is so much to learn, which is probably  because there is! Going into nursing I was excited about the academic nature of the healthcare field. There is always something to learn and what we know, or think we know, is always changing. Now in the midst of nursing school my feelings of excitement have shifted a bit towards feelings of being overwhelmed. There is in fact an enormous amount of information to learn and sometimes I feel I am only retaining a very small percentage of it.

Looking back at our first semesters I do have to admit I have vastly more knowledge now than I did at the beginning of the program. The dreaded ATI tests have become smoother and I’ve gained more confidence in the clinical setting.  I’ve learned so much through our clinical rotations and at this point I think I will excel the most through getting out and working in the field.  I’m looking forward to public health next semester and getting to see a different side of nursing than we have seen in the acute care setting.

I’m excited to finish school and start working but it is going to be an interesting transition. I’ve been working for my current employer for five and a half years. I work part time during the semester and always work full time when I can between semesters. I enjoy my current job and love my coworkers. Sometimes I have to work really hard to remind myself why I decided to go to nursing school and make this huge transition in my career in the first place. In the end I know it will be worth it and am really proud of myself for pushing my comfort zone and doing something new but it’s not to say that it has been easy!

Final reflection

I often find myself in the situations that I now respond differently. A couple of month ago, I helped a person who was stung by the stingray on the beach. I guess the stingray hit the artery because the blood was squirting from the leg of that young boy. I immediately started acting in the way I would not have acted before the start of the nursing school. I introduced myself, asked for permission to help, sent for a life guard/extra help, got a towel and asked him to push above the wound, etc. It was weird to me that other people did not seem to know what to do. His friends even attempted to stop the bleeding by pushing below the wound (I asked him to elevate the foot and press above bleeding site. They took it literally and started pushing above, but the foot was up, so they were actually pushing below – that would not have helped to stop the bleeding!).

My friends also often ask for my advice and explanations of the health issues. I am always happy to share whatever I learned and be helpful for people around me. I do hope that I will be able to remember all of the basic things I have learned and turn this foundation into a more working and practical knowledge and experience.

As Nursing School Winds Down…

As I near the end of nursing school, I feel both excited and apprehensive. I am so ready to be done with the constant stress that nursing school causes, but at the same time, it feels like I will be stepping out of a protective bubble into the real world. As a student, I felt like I could make mistakes, and not have to worry about looking too bad in front of people that matter. Now I feel like I will be expected to know how to perform my duties like a seasoned nurse even without being one in front of my workmates and supervisors.

 

The NCLEX is of course also weighing heavy on my mind. I know that I have to do so much more preparation to be ready for it. As of right now, if I took it, I may just get lucky and pass it, but those are not odds I am willing to take on. I want to feel fully prepared for it and plan to study intensely for it as soon as I graduate.

 

Despite all of this stress, I do look back on my first semester and can proudly say that yes, I am concerned about the difficulties of being a nurse, but I do feel like I will in time be a good one once I get over the new nurse hurdles. There were several times throughout my schooling that I did not know if I could honestly say that I could become a good nurse and it does give me a boost of confidence to compare my skills to the lack of skills and lack of confidence I had the first year of nursing school.marian_blog_social-256x300

Protected: Sooo Far…

This content is password protected. To view it please enter your password below:

Protected: T-174 Days

This content is password protected. To view it please enter your password below:

Protected: reflecting….

This content is password protected. To view it please enter your password below:

Protected: Senior Year

This content is password protected. To view it please enter your password below:

Nursing School…Second-to-Last Semester Thoughts

My first thought about the blog question was about how every day in nursing school I encounter more and more topics, specialties and vocabulary to learn…and that the journey seems endless. It is amazing to me that I have spent two years now in nursing school and I can’t believe there is an end!

Other thoughts have crossed my mind as well: Should I have done an ADN degree instead of BSN? Can I manage the debt of student loans? How long will it take to be a RN? How long will it take to get a job? What specialty will I be doing?

One big question and concern I have always had is whether or not I should have pursued an ADN degree instead of spending more money on a BSN degree. One always wonders, especially when money is concerned. Santa Barbara City College offers a program whose tuition is a mere 10% of CSUCI’s tuition costs (Goleta). On the other hand, one doesn’t receive a BSN degree as quickly…downside of the BSN degree is that the student loans are quite hefty, so it’s a trade-off. Graduate not in debt without a BSN degree or graduate with more credentials/degrees, yet spend time paying back thousands of dollars. This is a tough decision, and one that has already been made for me now. Paying back student loans it is…

So now that there is my student debt to be concerned about, I do also wonder about the possibility of getting into a new grad program. I thought I would look up exactly how my (future) BSN degree may benefit me. According to a survey and study by the AACN, approximately 30% more jobs are being offered and claimed by BSNs than RNs. This is somewhat reassuring!

NRS420 pic 1

One of the other revelations I have experienced during my time in nursing school so far (besides the state of my debts) is how much I’ve gotten to know parts of myself. The evolution of what I knew about nursing as a profession then vs now, is legion. When I first started, I really had no idea of the scope and depth that nursing as a field, encompassed. As I learned about the many aspects, specialties and professional opportunities, I found that I needed to fine tune where I wanted to be. It was no great surprise that I found my principal interest in surgery/OR and SICU, but surprisingly, I also found a large interest in psychiatric nursing. Initially, when I entered nursing school my vague idea was to work in critical care or hospice. I have since opened my mind to all experiences and rotations at school and have tried to evaluate my reactions to each one.

This semester has by far been my favorite semester at school. I think it’s due to the fact that all classes are focused on a main theme (critical care) and gives me more opportunity to experience immersion in a field of personal interest. Although I had an idea of what unit I preferred, I was taken by SICU in particular this term, so much so that I requested an additional day there. I truly feel that all the semesters of nursing school have prepared me for critical care…all the med-surg classes, clinicals and studying have accumulated to assist me for this particular semester and it feels good to combine it all together.

In critical care all previous knowledge really comes into play. I see this in our mind maps that we do for homework. All the critical thinking and knowledge that we have been stuffing in our heads is now flowing onto graphic pictures to show our thought processes. A year ago I don’t think we would be as good as we are now in creating those. Seeing the mind maps makes the fruits of our labors seem so tangible and real…just not the same as seeing words on a page. I would have liked to have seen a mind map from me a year ago compared to now…I’m sure the growth would be measurable.

I am looking forward to the final semester, as it includes two subjects that I am interested in: leadership and community health. As a nurse, I look forward to what I can contribute to the community, as helping out/volunteering and providing for the less fortunate is important to me. As to the leadership class, I look forward to learning about how nurses can lead, move forward to create progress and be role models. One thing I am positive about: those classes will only serve to enhance my current knowledge and make me a better nurse.

Overall, I know that the difference between then (beginning of school) and now (second to last semester) seems likes more years than it has been. When I look at my library of textbooks, and the myriad amount of material there is to review at all times…I can see that the nursing school experience will probably never end. The learning process is an ongoing one and luckily I have an insatiable curiosity about life and enjoy learning…because it is obvious nursing involves an evolution and utilization of knowledge that will last my entire life.

References

Employment of New Nurse Graduates and Employer Preferences for Baccalaureate-Prepared Nurses. (2013, November 1). Retrieved November 19, 2015, from http://www.aacn.nche.edu/leading_initiatives_news/news/2013/employment13

Institute of Medicine. (2010). The Future of Nursing: Leading Change, Advancing Health. Washington, DC: National Academies Press.

Protected: Med/Surg Review

This content is password protected. To view it please enter your password below:

Protected: Final Reflections

This content is password protected. To view it please enter your password below: