UNE BSN May 2022

Month: February 2022

Pre-Interview Reflection

When this project was announced, I immediately knew who I would want to choose to interview as a nurse leader. Throughout nursing school, and even before I came here to school my maternal grandmother has been supporting my love for nursing. She has been the biggest support system for me as I went through school especially these past two years. She has helped me with assignments, given me confidence, and has been able to calm me down when I was left feeling like I should give up. The stories she has told me regarding her experience as an oncology nurse and how she would help new nurses study for the NCLEX, made me look up to her even more. It is very interesting hearing the stories she shares because of how much health care and hospital settings have changed since she was a nurse. She is an amazing person and was an amazing nurse and I hope that one day I could be half the nurse that she is.

Since I have had the honor of growing up with her in my life, I have been able to observe qualities and characteristics that she has that makes her a leader. She is a mother of 6 children and has many grandchildren. She puts all of us before herself and has so much compassion and empathy for everyone. She is hard working and did everything she could to support her 6 daughters as they grew up. If any of her children or grandchildren have a problem, she is able to critically think and step in to try to help fix it, she is a natural leader. As an experienced nurse, she would tutor new grad nurses to help them pass the NCLEX and get them as prepared as she could. My grandfather would say that she taught them so well that even he could take practice exams and pass them. I find that so inspirational that she went out of her way to help new grad nurses in my position succeed. I feel as though she is a perfect example as a nurse leader.

Although I have talked to my grandmother about some of her experiences as a nurse, I am looking forward to learning more. We have yet to dive in on how culture and structure in a clinical setting has changed over the years, and I am very interested in learning more about that. I am also excited to learn more about how she was a leader in her own workplace. I want to ask her about a time she felt hopeless due to a situation or an accumulation of situations at work and how she got out of it. I would also like to know if she ever helped a colleague who is struggling in the workforce and how she did it. These are all situations I may encounter, and I am so honored to be able to have this conversation with her and learn from it.  

She never had a formal leadership position where she had structure, authority, or power over anyone in a clinical setting. She was an informal leader that made a difference in the nursing/ clinical world when she did not have any authority over anyone in her setting. She genuinely loved doing what she did and loved and still loves to help people wanting to get into the field. I have no doubt that she will continue have my back throughout my job search, studying for the NCLEX, and beginning my new job.

Preparation for Licensure (ATI Pharmacology CAT)

            I was nervous to take this ATI adaptive exam because there are so many medications and we had taken pharmacology so long ago. I was surprised to see how many medications that I remembered and recognized. Even though I may have recognized some drugs, it did not mean that I knew the correct information needed in order to answer the question. I need to work on looking over medications and the information that goes along with each one. When thinking about the medications I find myself getting overwhelmed due to all the information but based on the questions asked I feel as though I should focus on any big take aways from each medication. For example, some medications have major side effects, and some have major contraindications or react with a certain drug. These are the topics I will try to focus on when studying drugs. I also feel as though my preceptor experience has increased my knowledge on medications, as I found myself recognizing them from knowledge obtained in the hospital setting. I started to lose focus during the end of the exam, so for the next test I take I will make sure to take a break if I am losing focus.

            Regarding SMART goals for my next assessment, I want to accomplish taking the full assessment with 100% of my focus, so that I know that my grade is the best I could get. I will measure this by how I did on the assessment along with how I feel afterwards. I can accomplish this goal by recognizing that I am not able to put 100% of my attention into answering these questions in order to realize I need to take a step back and reset. This seems like a simple and achievable goal, and I would like to be able to do this for my next assessment.

Preparation for Licensure (ATI Med-Surg CAT)

            It is hard to prepare for when we take adaptive ATI exams because we never know what type of information we will be testing on. Because of that fact, I have tried to focus on using my critical thinking nursing skills when taking these exams. If I am confused or unaware of the content that I am being tested on, I will use other skills to decide which answer I will choose. I get nervous when taking the exam since the remediation is so time consuming. I do not want to get a lot wrong because I spend so much time on remediation. I feel as a course adjustment the remediation could be less tedious, that way I would not feel the need to rush through it. I do feel as though ATI’s will help with the NCLEX, but when we have other classes and exams it is hard for me to spend the amount of time I should on the remediation. I find myself rushing through, and that is also something I want to work on. Using my SMART goals, I will strive to take my time on the exam as well as the remediations to further my knowledge. I will know if I have attained this because of the score on my proctored and practice ATIs. If I do better on those then I will know that taking time on the remediation paid off. With each ATI adaptive assessment, I will figure out ways to make test taking easier and I will try to figure out a routine while doing remediations and find ways to split it up.

Career Development

Reflecting on the movie NURSES, there was so many different types of nurses that take care of different patient populations. We were able to get an inside look on what it is like to be in their position and what they think while doing their jobs. The nurses exemplified a love for their job that I have yet to see in real life. They are so selfless and care so deeply for their patient population. I would love to continue to develop my love for nursing and have the attitudes that the nurses in the movie have. I understand that attitude will have to grow as I grow in my career, but I would also love to let go of some of the fears I have and think of that movie and the good things that come with nursing. We have learned in class that all care is centered around the patient’s and what they want, and you really realize that in the movie. However, it was nice to see that every nurse loved the people they took care of and wanted to take care of them and their family. I am excited for that part of nursing.

In the movie there was different patient populations and different locations that had specific type of patients. The one that stood out to me the most was the rural population where the nurses had to travel to their houses even though the rides were sometimes challenging. The nurses that do that love their job, but they explained that it could be challenging at times. A barrier to their care is the challenge to get to their house for their home health checkups. The nurses were saying that there is muddy paths and narrow sandy paths, and an ambulance may not be able to get there if they needed to come. The nurses would have to meet them or bring them a certain distance to where the ambulance could get there. It also seemed like they did not have any cars, so if they needed to get medical treatment themselves or were in an emergency then it would not be easy for them to receive it. You could tell by how the nurses spoke that they had cultural humility. One nurse was explaining that even though some of these people may need specific care, if they don’t want it or it goes against their culture then she understands that and will not try to push the care on the patient.

I do not have much knowledge on different types of patient populations, however as my knowledge grows, I would like to find ways to help the homeless population with health care. There is homeless population in almost every area of the world no matter how big it is. It is hard for them to get health care or even feel like they deserve the care. I would like to figure out the best ways of caring for them and making sure they get checkups and not waiting until they are sick to get help, which is usually what happens.

Our nursing class had the honor of having guest speakers from different hospitals along with past and current UNE students share their knowledge when it comes to beginning ones nursing career. The speakers as well as the career service presentation helped prepare us all for our future interviews. I enjoyed how there were speakers in many different positions because it gave an even better insight. They gave advice on good and bad things to do in an interview. The biggest thing is to be prepared and to be ready to answer questions. I will prepare by looking over my resume beforehand, understanding the hospital and unit, and have questions I want to ask. A lot of times things slip your mind during an interview so being prepared is very important. Things that we were told not to do is talk about not liking past jobs and being negative. They gave advice on having a positive attitude throughout the interview, which I agree with. I want to make a good impression on whoever is interviewing me, so I will be thinking about their advice as I prepare.

I would like to have a conversation regarding my experience from coming into the UNE Nursing Program to where I am today. I have grown a tremendous amount knowledge wise and overall, as a person. I would really like to touch upon my UNE clinical experience. Looking back on my first clinical day to now, I have realized that I have grown so much and developed bed side nursing skills. I feel like I have learned the most throughout my preceptorship especially being in the float pool and seeing many different floors and patient’s. The first day I shadowed my preceptor then I gradually worked my way up to being the “primary nurse” and giving report for a whole patient assignment. I felt by the last day that I had built up so much more confidence that I had before, which is a very important part of being a nurse. I learned different forms of teamwork and communication through watching my preceptor work on different units as well as being part of that myself. I was able to see what worked and what did not when it came to communication, and I will take that with me to my job.

A challenge that I face is dealing with my level of confidence. Obviously it would be nice to start a career and already feel comfortable and have knowledge on everything, but that is not how it works. I need to understand that my confidence will grow with experience and that I will hopefully get a job at a hospital with a supportive team. I already am addressing this challenge, and I remind myself that it is okay not to know everything. I will be able to ask questions and receive help when I need it. The hospital unit I end up on will want the same as me for all of the patients and that is optimal patient care and safety.

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