UNE BSN May 2022

Category: Self-care

Preparation for Licensure and Transition to Professional Practice

Looking back on my individual performance profiles for each ATI I took and looking over the preparation for licensure eportfolio posts, I realize that I have improved in my test taking abilities. I have set goals throughout this experience to make sure I keep my focus, to read each question thoroughly, and to prepare for any proctored ATI exams by looking over practice questions the week before. I noticed that I did work to achieve those goals, however I started to burn out toward the end because when we have a lot of ATIs at once, my mind has trouble staying focused throughout. I know that I will take all the goals I have set throughout the semester and apply them to our final ATI exams of the semester.

When it comes to remediation and looking over content gaps that I missed, I feel as though I improved on this. I improved by being able to know what information to look up when I am remediating. I figured out what key points I should be including to help me on my next ATI exams. It also made me realize if there were any content gaps that were consistent throughout multiple ATI exams, and I found that there were at times. That made me realize that I need to focus more when remediating on those topics or look at different information when writing my three points.

With self-care during the ATI exams, I would sit down and complete the whole exam and then feel burnt out by the end. I figured that taking breaks during the exam would help keep my focus, but I have learned that it takes my focus away. When I take breaks, I get pulled out of the groove and I will end up taking too many breaks. I am glad that I learned that through taking practice ATIs. When I am about to take an exam, I will sit in a quiet area and put all my focus into the test for as long as I can. I also would plan ahead and pick a day and time that I would take the ATI in order to mentally prepare for that. For example, the ATI comp practices are very long, so I made sure to plan ahead and pick a time where I would have focus throughout all 150 questions.

As tedious as the ATI remediations and eportfolios can be, I learned a lot from completing them and really being able to reflect back on my performance when taking exams. The NCLEX is a big exam that we have to take to get our license, so being able to better understand yourself as a test taker prior to taking that exam is very helpful. I will use what I learn when I am practicing for taking the NCLEX to make sure I get all of the information I need to succeed.

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.

Prepare for Transition!

After being in school for many years with the goal of graduating college with a degree, I am VERY excited to graduate, get my nursing license, and finally start my nursing career. I am most excited about the feeling I will get when I complete my last assignment/ exam for school. Turning in the last assignment or exam will feel like a million pounds lifted off my shoulders. Another thing I am excited about is passing the NCLEX. Passing the NCLEX will be a very big accomplishment and will feel amazing, but it will also make me anxious as well. As of now I am most anxious about finding a job that I love. I understand that there is a nursing shortage and that I will get a job, but whether I like it or like the area I am in is something that I will not know until I start. I am also excited about graduation and the pinning ceremony, and I am glad that I will be ablet to have my family there to see my accomplishment. I will celebrate with my family and my roommates afterwards, and that is something I am looking forward to as well.

            When it comes to preparing and planning my weekly study to stay focused and on track, I will use the SMART goals. With all the assignments we have this semester, I will need to be setting goals for each week or writing down what is due each day of that specific week. For the most part my goals will be what needs to be done for that week and I will make that measurable because I will be able to cross off what I have completed. It will be achieved when I submit them and get a grade and it is time based because that is within the week.

            The ATI Nurse Logic 2.0 modules will help me gain and improve my nursing knowledge and how I think as a nurse. It helps with what we should be doing to prepare, like creating a schedule and good ways to study. I will use those lessons on how I approach the ATI assessments as well as the NCLEX-RN exam.

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