Completing Pharm Practice B assessment is definitely increasing my confidence with pharmacology questions. There was only a handful of questions that I hadn’t heard of the medication in question. Scoring a 90% on this makes me feel good, there were still a few questions that I guess I took a lucky guess on but for the most part I knew the right answer right away. This was the last assignment that was pharmacology focused, so I know that I want to still develop and increase my confidence for this subject area so I will set a goal to work on this during my NCLEX prep. I was really excited to notice that I got the select all that apply questions right, as that was a sore spot on my last adaptive quiz for Med Surg. I notice a lot that I’ll initially pick the right answer and then I’ll let my head think through the other options and possibly change the answer from correct to incorrect, so I need to not do that. Looking forward to more practice questions over the next month.
Month: June 2021
Medical Surgical Adaptive Quiz Reflection
This week we had the last adaptive quiz assigned to us for this class and the subject was Med Surg. I went in pretty optimistic, however that optimism really dwindled quickly. I kept passing the amount of questions my previous adaptive quizzes had went and I also wasn’t feeling my best after a night of bad sleep. I ended up having to complete all 265 questions and had an average time of 30 seconds per question. I know this isn’t close to the NCLEX average, at a certain point I just needed this adaptive quiz to be done so I was just going at a faster than normal rate. Despite the amount of questions, I ended up with a 69% which I’m happy with. A weak point that I noticed within my remediations were the high amount of select-all-that-apply questions that I got wrong and think this should be a priority for me for NCLEX prep. Some of the content that I got wrong I now realize is wrong because we just learned it this week in Adult Health 3, so I feel better that I will know even more after this class is over. My mindset really needs to improve if I get a high number of questions in any other adaptive quiz or my boards. I did take several breaks when I felt myself losing concentration and don’t think that I would’ve been able to complete this with the number of questions without a few breaks.
Career Development/Florence Nightingale Movie Reflection
- How did the movie affect you (feelings, inspiration, concerns)?
This movie echoed to me the reasons as to why this profession is so special and how I am excited to be entering this profession full of incredible people who want to help others. It was really inspiring to see the pediatric nurses in the beginning do little things to help make the hospital experience for children as less scary as they can. Wearing outfits with fidgets on ID badge, fun clothes looking like a superhero and even an animal covering over the stethoscope are such little things that all add up that aren’t necessary for the job, but they go out of their way to do anything they can to help improve the care of their patients. This also showed me how many different areas of nursing there are and how nursing can quite literally get into any corner of the globe, from the public health nurses having nursing knowledge they also will be asked on for help in everyday tasks like changing a tire. Each nurse that was allowed to tell their story about their passion spoke so highly of their area and their experiences, with this of course comes hard experiences but nursing school so far has showed me that there will be so many more better days than not. Being a nurse is a privilege because we enter the lives of those that are at their lowest moments, our interventions and collaboration with the client and the care team to help them balance all areas of their life to help them get back to living a healthy and happy life.
- What did you learn from the video (skills you need to develop, connection to your learning)?
Some things that I learned from this video is that there are going to be experiences that it is going to be hard to experience. I am already seeing this at my clinical this semester on R5. For the past two weeks I’ve been assigned to provide care to individuals with history of extensive substance misuse and this is hard for me to see and feel like I am able to provide effective care because I don’t know how to help them. These patients were in extensive pain while on extremely high continuous doses of multiple pain medications, they were advocating for themselves to us (me and the staff nurse) and working with the charge nurse, the pain team and physicians on their case on ways that they could be able to have their pain be decreased to a more manageable level. I felt like I was unable to make a difference through my actions in those moments with the patients, but I was there listening to them advocate, I let them know that we were listening to them and that we would continue the conversation with the rest of their medical team and validating that we can see that they are in pain and we will try and do what we can for them. I need to work on my confidence with interacting with patients that aren’t the most compliant with their behavior and I know that with practice and time that skill will come. Another thing that I learned from this video was how special of a profession nursing is, sometimes the most you can do for your patient is to listen to them, have them trust you and confide in you by meeting people where they are in that moment and see how you can make a difference. As a nurse, you have the opportunity to make a difference in someone’s life through the valuable moments you spend with them.
Career Development
- How will you prepare for the interview to set you apart from other applicants (research the organization’s mission, priorities, practice model, specific job responsibilities; questions for the interviewer; career goals; interview skills to make a good impression)?
A way that I plan on preparing for interviews is to: make a word document and type out my answers for potential problems that the recruiters and nurse managers will potentially ask me, review the job listing and know what the requirements are in terms of shifts, message nurses from that organization on linkedin and inquire about the interview process and their experience with it, practice my answers out loud and prep a list of questions to ask the interviewer. I have found nurses at hospitals I am interested in that went to this ABSN program so I use that as a way to make a connection and then inquire more about their job and how their transition was. A way that I want to improve since my last phone interview would be to have the prepared list of answers and know the talking points I want to address, prep a list of questions about how I would fit in the organization, what the turnover is like in the unit, what the nurse residency program entails, what a typical day is like on the unit, and ratios of nurse: patient.
- How will you describe your strengths, supported by evidence (knowledge and experience gained from the UNE Nursing Program and extracurricular activities, teamwork, communication)?
I plan on describing my strengths by trying to show the interviewer who I am in a short period of time. I want to portray my work ethic on how dedicated, detail-oriented and committed I am to what I do, each thing that I decide to do and pursue has intention and is not merely a fleeting thought. I would like to share the unique experiences I have had throughout my entire UNE education especially the dedication that my cohort has had to stick through this program during COVID and having limited clinical experiences but still making the most of our 16 months. I am very happy that I participated in the Interprofessional Honors program and completed a project with students from 6 other healthcare professions and take that experience into my clinicals now and will apply it in my jobs. My leadership opportunities and positions I believe sets me apart because through these I was able to make a wide variety of connections personally and professionally and worked on my skills to do that, I am a much more confident and outgoing person than from when I stepped on foot on campus 5 years ago. Through many opportunities I have worked with people who have a different work ethic and personality and through each time there was a slight learning curve but we worked together on how to support each other and learned how to approach challenges together as they arose. Being specific but to the point and emitting my passion through my answers will be how I would like to show my strengths.
- How will you describe your challenges and plans/steps taken to address them?
As for challenges, I believe coming up with an example of how I acted when I was with a ‘difficult’ patient or didn’t work well with a coworker initially would be the best way to describe it. Having concrete answers and utilizing Whitney’s STAR framework I believe will work well especially with highlighting how the situation occurred and what I did and how I learned from it now and am more aware of that mistake to not do it again in the future. Framing my challenges in a way that it was a learning experience and how I recognize those mistakes now while I am a student and in a learning environment will allow me to show that I am not perfect and that I want to improve and am grateful for the chances that I did mess up.
Pharmacology Practice A Quiz Reflection
This week’s transition to practice assignment gave a nice break from completing adaptive ATI quizzes and instead moved into the first of two Pharmacology practice exams. Having completed an adaptive pharmacology quiz last week, that gave me more confidence into this week’s quiz and believe I did well. I got 10 incorrect including one math problem and my average time on this quiz was faster than adaptive completing 60 questions in 22 min. I felt like these questions were more straightforward than the adaptive questions. Going into the second Pharmacology practice quiz next week, I will try and slow down and take my time more on the questions and my goal is to not have an incorrect math question on this next quiz. During the quiz as I am reading the questions most of the time I have remembered hearing the medication that they are inquiring about but can’t correctly identify the right answer. This shows that I need to focus more on this area of the NCLEX and dedicate more time to reviewing medications and their uses, contraindications and complications.
Pharmacology Adaptive Quiz Reflection
This week’s assignment for Transitions to Practice was to complete the Adaptive Quiz for Pharmacology as the start of review for pharmacology content that is to come over the next couple weeks. Admittedly I was not as confident going into this quiz since it has been some time since our pharmacology course in the fall, but very important to start to review. My timing taking this exam wasn’t the best idea, I took it after getting home at a day at clinical and I was quite tired so I will not make that mistake next time when deciding to start to do an adaptive quiz at 7pm. My average time for each question was 30 seconds, which has gotten faster again since my last adaptive, and I think I can attribute this to when if I wasn’t familiar with a medication, I just took a guess when I really didn’t know the answer. I’m hoping that with more review and practice for pharmacology section I will be able to improve my average time per question for this subject. I believe my thinking has improved regarding the number of questions that the adaptive quiz will take, I just am expecting it now to go past 75 and then this time when it stopped at 82 I was happy. On this adaptive quiz, there started to be more hard rated questions and I would like to improve on my percentile of correct questions. One area of medications that I know I need to re-visit is insulins and the time of onset and patient education surrounding each type. Looking forward to getting more review on pharm questions these next couple weeks.
Pediatrics Adaptive Quiz Reflection
Completing this next ATI Adaptive quiz was for Nursing Care of Children this week. My quiz was 100 questions in total and scored 58% with a total average time of 47 seconds and ranked in the 72nd percentile. I felt good throughout this quiz while completing it and took a very short break around 50 questions for around 3 minutes and then jumped right back in. Once I reached around question 80, I didn’t feel fatigued as compared to previous adaptive quizzes and I think it’s because of the very short break and I am trying to change my mental framework not to get disappointed if it goes past 75 questions since it almost always does. Most of the content on this adaptive quiz could be related to identifying important nursing interventions for surgical procedures that are commonly done to children and developmental stages and fine and gross motor skills to expect at each age. I have noticed by the remediation that this is an area that I need to review more on to feel more confident and improve on those questions. For my next adaptive quiz to complete, I would like to improve on my timing even more again, I keep going up by 10 seconds for my average. Additionally, I would like to have a good mindset going into the next couple adaptive quizzes since I don’t feel as confident with the subject matter as I have with maternity and pediatrics.