UNE BSN May 2022

Month: March 2022

Attaining and Protecting Your Professional Nursing License

I have been applying to hospitals around Massachusetts, and that is where I intend to become licensed by examination. Massachusetts is not a Nurse Licensure Compact state. People can apply for the RN examination through an online application found on the Mass.gov website, it can also be done on paper. The state needs to see a certification of graduation and a final transcript sent directly from the school.  Nurses in MA will need to comply with the Good Moral Character requirements and will ask for the persons consent at the time of the application submission for a background check. The background check will be conducted by the Department of Children and Families (DCF) database. A CORI acknowledgement form is required for all nursing applicants and advanced practice authorization.

In Massachusetts, there are laws and regulations put in place for nurses to report suspected patient abuse, child abuse, elder abuse, and abuse of a disabled person as mandated reporters. Nurses also have a duty to report to the board if they see a nurse practicing while impaired by substance abuse or if they see diversion of controlled substances. There is a disciplinary action put in place if a nurse is caught doing any of these things. The MA Board of Nursing may impose on any license to inhibit that nurse from practicing in MA or APRN authorization and the right to renew the license. The disciplinary action would go to a national disciplinary data reporting system. On the mass.gov website, there is a list of actions that the state could take as well as a list of definitions regarding the disciplinary actions. The MA Nurses Association provides a free and confidential Peer Assistance Program to nurses that are seeking recovery. There are numbers online to call in order to get help through the MNA.

I feel as though it is very important to understand all of these topics talked about. It was very helpful having zoom classes where the Attorney General’s Office and the Medical Professionals Health Program spoke with us. Aside from them speaking with us, I have also heard stories from nurses of times their license was put at jeopardy when they did nothing wrong. This makes me nervous and extra cautious to protect it when I get my license. When I am a nurse, I will always make sure I have the patient’s consent before doing anything. When I care for my patients, I will explain all the care I am doing and each medication I give to them and ask if they have any questions. I will make sure to investigate before I report an issue or suspected abuse, but I will make sure that I do report it because it would benefit the patient whether it is for the patient or another nurse that I am reporting. Having good communication with each one of your patients as well as the unit in the hospital you work for will be beneficial and decrease the chance of any legal issues happening. I will always hold myself to a high standard as a nurse and make sure to think of my license with anything I am doing.

Preparation for Licensure (ATI Pharm Practice A)

            Taking Pharmacology ATI’s are always more challenging for me. However, in this case I feel like taking the ATI Pharmacology CAT practice exam prior to this helped me do better. I was thinking back to the questions that were asked on the previous exam and any remediations I did that may have helped me answer questions for this exam. Since there were only 60 questions I felt as though I was able to keep my focus for the whole exam without losing any. That is something I felt went well and something I hope to carry with me for the next ATI exams I take. In general, I would like to improve on my knowledge of pharmacology. I will take practice exams and retake previous ATI exams prior to our proctored ATI exam in class. I do not have any input on course adjustments at this time, I feel as though this will help with our proctored exam overall. When it comes to my SMART goals, I continue to strive to keep my focus for the whole exam time in order to do my best work. This will be measurable based mostly on how I felt I did, and it should be attainable by the next time I take an ATI exam. This is relevant to taking ATIs, but also to nursing in general. We need to be able to keep our focus for 12-hour shifts and for the NCLEX, so this is helping me with that.

Post-Interview Reflection

During this interview I learned so much about my grandma’s time as an oncology nurse. She shared many stories explaining all she has done for the nursing community, which gave me a greater insight into how much of a leader she really is. My grandma said she knew she wanted to be a nurse since she was 5 years old because she always loved to care for people. Once she fulfilled her dream of becoming a nurse and realized she wanted to do oncology, her love for it pushed her to get more involved. At Cooley Dickinson Hospital my grandma started a cancer care support group, cancer care fund, and a celebration of life. The cancer support group was held in the hospital, and she would have patients and families come and surround themselves with people going through the same thing. She wanted to do this to make the patients and their families feel less isolated and alone. In the hospital, patients would have to pay to watch TV and other activities they should not have to pay for. When they are in the hospital for a long-time getting cancer treatment, they are going to want to do anything they can to distract themselves. With that my grandma created the cancer care fund where people or past patients would donate to the fund and it would cover any of those types of expenses in the hospital. The celebration of life was held in her back yard, and she would have patients and families come who have beat cancer and are on the path of recovery. Also, outside of the hospital she would tutor new grad nurses to help them pass the NCLEX. She was also once the women of the year in Northampton MA while all of this was going on. I am very honored and proud to have her as my grandma.

            When I asked my grandma to describe what she feels a leader is, she said she felt her views were much different from some of her peers and most of her superiors. She felt that her superiors would say that a “good nurse” would get all their care and paperwork done within a timely manner or before the time that it is due. She feels a “good nurse” and a leader is someone that fights for the patient’s and their families’ rights, advocate for them to collogues, and stay true to your own beliefs as a nurse. With that being said, this has led her to come into conflicts in her work life. During most of her time as a nurse, she would stay late after her shift is over to hold the cancer support group and would spend hours unpaid at the hospital trying to make patient’s lives better. While she was at work, she would make sure to spend free time getting to know the patient and their family and making sure that they were always satisfied and felt heard. She has had to report other nurses for treating patient’s poorly and she would always be on the lookout. Eventually, the hospital hired a new oncologist who would get angry with my grandma for staying past the end of her shift and coming in on her days off. She would also get angry at my grandma for not getting her paperwork done fast enough when she was in with patient’s trying to form relationships with them. Due to this situation and her beliefs, my grandma thought it was best to step away from nursing. She felt that if she could not be in an environment that would allow her to be the nurse that she wanted to be, then she could not be there at all.

            My grandma is very strong willed and always stood up for what she believed in. She was always self-aware and socially aware when it came to the hospital and management. I was surprised with some of the stories she was telling me just because I did not know them, however I am not surprised that she did any of that because she has the biggest heart and is the most selfless person. I have always looked up to my grandma and I will continue to look up to her. Her story has motivated me to want to get more involved in whatever unit I end up working on. This has also reminded me that the patient and their families are the priority when you are at work and better care will be given if I take the time to develop a relationship with them. I hope to be half the nurse that she was one day.

Preparation for Licensure ATI Maternity CAT

Out of all the ATI CAT exams I have taken so far this semester, I feel as though this one went the best for me mentally. It was helpful that I am currently in the class, so it allowed me to think back on what we have learned. I feel most confident with maternity information than the other subjects, however there were still some questions that I had to guess and use my best judgement on. Throughout the ATI exams I have taken, I have been trying to improve on keeping my focus and using my critical thinking skills for questions I am unsure of. My SMART goal from the last exam was to be able to identify when I need to take a step back and regain focus before I continued with the exam. I feel that I am improving on that, however there are times where I should have taken a break even if it was for a few minutes or to get up and stretch. I am getting better at recognizing when I need a break and when I am losing focus, I just felt motivated to get this exam done. I need to improve on figuring out when the best time to take the exam is, so I would be able to take it with no distractions or having to stop. I want to try to take the test as if I were taking the NCLEX with no distractions at all.

Regarding SMART goals for my next assessment, I want to be able to figure out the best time to take the exam, so it can mimic the NCLEX. I will measure this by looking back on my experience taking the test once it is completed. I would figure out if I took it in the right place and at a time where I am able to put 100% of my focus in. This seems like a reasonable goal, and I will implement this in the next exam that I take. I am hoping that acting like I am taking an NCLEX exam will motivate me to do my best.

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