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	<title>My Nursing Education &#187; New News in Nursing</title>
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	<description>Nursing Education &#38; Pass the NET™ Education Store</description>
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		<title>The Nursing Entrance Test Can You Pass?</title>
		<link>http://mynursingedu.com/new-news-in-nursing/the-nursing-entrance-test-math-content/</link>
		<comments>http://mynursingedu.com/new-news-in-nursing/the-nursing-entrance-test-math-content/#comments</comments>
		<pubDate>Mon, 23 Nov 2009 10:00:58 +0000</pubDate>
		<dc:creator>kimmel52</dc:creator>
				<category><![CDATA[Can you Pass the NET]]></category>
		<category><![CDATA[New News in Nursing]]></category>
		<category><![CDATA[HESI]]></category>
		<category><![CDATA[hesi test]]></category>
		<category><![CDATA[nursing entrance exam]]></category>
		<category><![CDATA[teas test]]></category>

		<guid isPermaLink="false">http://mynursingedu.com/?p=298</guid>
		<description><![CDATA[Nursing Entrance Test, An Introduction One of the biggest hurtles that aspiring nursing school students must face is the Nursing Entrance Test. This is a nationally standardized test that is administered prior to placing students on the long waiting list for nursing school. Even if the student has passed all the prerequisites required for admission, [...]]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>The NCLEX Test Preparation</title>
		<link>http://mynursingedu.com/new-news-in-nursing/testing-day-for-the-nclex/</link>
		<comments>http://mynursingedu.com/new-news-in-nursing/testing-day-for-the-nclex/#comments</comments>
		<pubDate>Wed, 12 Nov 2008 00:18:11 +0000</pubDate>
		<dc:creator>kimmel52</dc:creator>
				<category><![CDATA[New News in Nursing]]></category>
		<category><![CDATA[Testing Day for the NCLEX]]></category>
		<category><![CDATA[nursing]]></category>
		<category><![CDATA[Nursing boards]]></category>
		<category><![CDATA[nursing school]]></category>

		<guid isPermaLink="false">http://mynursingedu.com/?p=612</guid>
		<description><![CDATA[By Nancy Lydia Kimmel R.N., Ph.D., C.H.M.M. This is the day that you will sit for your nursing boards, and take the NCLEX.. Be sure that you have you ATT, (Authorization To Test) form with you. You will not be able to test without this form. You will also need to present picture identification. Of [...]]]></description>
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		<item>
		<title>Did You Pass The Nursing Boards?</title>
		<link>http://mynursingedu.com/new-news-in-nursing/so-you-finally-passed-the-nursing-boards/</link>
		<comments>http://mynursingedu.com/new-news-in-nursing/so-you-finally-passed-the-nursing-boards/#comments</comments>
		<pubDate>Wed, 12 Nov 2008 00:16:37 +0000</pubDate>
		<dc:creator>kimmel52</dc:creator>
				<category><![CDATA[New News in Nursing]]></category>
		<category><![CDATA[So You Finally Passed The Nursing Boards]]></category>
		<category><![CDATA[NCLEX]]></category>
		<category><![CDATA[nursing]]></category>
		<category><![CDATA[nursing school]]></category>

		<guid isPermaLink="false">http://mynursingedu.com/?p=610</guid>
		<description><![CDATA[By Nancy Lydia Kimmel R.N., Ph.D., C.H.M.M. Congratulations! So you finally passed your boards, and now you are a real Registered Nurse. How does it feel, to have passed the final test of all tests? Great? Absolutely! Now what? Well, to begin, you need to celebrate. There are many loved ones that are also looking [...]]]></description>
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		<slash:comments>0</slash:comments>
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		<title>Traveling Nurse, an Exciting Career</title>
		<link>http://mynursingedu.com/new-news-in-nursing/traveling-nurses-have-more-fun/</link>
		<comments>http://mynursingedu.com/new-news-in-nursing/traveling-nurses-have-more-fun/#comments</comments>
		<pubDate>Wed, 12 Nov 2008 00:13:08 +0000</pubDate>
		<dc:creator>kimmel52</dc:creator>
				<category><![CDATA[New News in Nursing]]></category>
		<category><![CDATA[Traveling Nurses Have More Fun]]></category>
		<category><![CDATA[nursing]]></category>
		<category><![CDATA[nursing jobs]]></category>
		<category><![CDATA[nursing salaries]]></category>

		<guid isPermaLink="false">http://mynursingedu.com/?p=608</guid>
		<description><![CDATA[By Nancy Lydia Kimmel R.N., Ph.D., C.H.M.M. Today is an exciting time for nurses. The job market is plentiful with positions including the demand for traveling nurses. To be a travel nurse takes a special person. The individual who is a travel nurse is one who likes to see new places and meet new people, [...]]]></description>
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		<slash:comments>0</slash:comments>
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		<title>Nurse Salaries For Different Nursing Fields</title>
		<link>http://mynursingedu.com/new-news-in-nursing/nurse-salaries-for-different-nursing-fields/</link>
		<comments>http://mynursingedu.com/new-news-in-nursing/nurse-salaries-for-different-nursing-fields/#comments</comments>
		<pubDate>Wed, 12 Nov 2008 00:00:04 +0000</pubDate>
		<dc:creator>kimmel52</dc:creator>
				<category><![CDATA[New News in Nursing]]></category>
		<category><![CDATA[nursing]]></category>
		<category><![CDATA[nursing salaries]]></category>

		<guid isPermaLink="false">http://mynursingedu.com/?p=596</guid>
		<description><![CDATA[By Nancy Lydia Kimmel R.N., Ph.D., C.H.M.M. Many new graduate nurses are readily offered jobs prior to graduation. The positions that they are offered are usually those with the title graduate nurse or GN. For the most part, new graduates are looking for employment near their home. Since the general nursing student is now in [...]]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Nures Salaries Increasing</title>
		<link>http://mynursingedu.com/new-news-in-nursing/what-criteria-determines-nures-salaries/</link>
		<comments>http://mynursingedu.com/new-news-in-nursing/what-criteria-determines-nures-salaries/#comments</comments>
		<pubDate>Tue, 11 Nov 2008 23:58:13 +0000</pubDate>
		<dc:creator>kimmel52</dc:creator>
				<category><![CDATA[New News in Nursing]]></category>
		<category><![CDATA[What Criteria Determines Nures Salaries?]]></category>
		<category><![CDATA[nurse salaries]]></category>
		<category><![CDATA[nursing]]></category>
		<category><![CDATA[nursing jobs]]></category>

		<guid isPermaLink="false">http://mynursingedu.com/?p=594</guid>
		<description><![CDATA[By Nancy Lydia Kimmel R.N., Ph.D., C.H.M.M. In today&#8217;s economy with declining employment in many fields that require degrees, the profession of nursing is as solid as it ever was. People with prior degrees are looking to enter the nursing profession. Nursing careers are appealing for many reasons. One positive aspect of nursing careers is [...]]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Nursing Jobs</title>
		<link>http://mynursingedu.com/new-news-in-nursing/nursing-jobs-are-on-the-rise/</link>
		<comments>http://mynursingedu.com/new-news-in-nursing/nursing-jobs-are-on-the-rise/#comments</comments>
		<pubDate>Tue, 11 Nov 2008 23:55:22 +0000</pubDate>
		<dc:creator>kimmel52</dc:creator>
				<category><![CDATA[New News in Nursing]]></category>
		<category><![CDATA[Nursing Jobs are on the Rise]]></category>
		<category><![CDATA[nursing jobs]]></category>
		<category><![CDATA[nursing salaries]]></category>

		<guid isPermaLink="false">http://mynursingedu.com/?p=592</guid>
		<description><![CDATA[It has been predicted that the baby boomer generation will be the most effected by the changes health care system with regard to nursing care. The current health care system is in a state of flux. With insurance companies constantly raising rates and premiums, and the hospital stays becoming less frequent, the end result is [...]]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Should Nurses Be Unionized?</title>
		<link>http://mynursingedu.com/new-news-in-nursing/calling-all-nurses-do-you-want-a-union/</link>
		<comments>http://mynursingedu.com/new-news-in-nursing/calling-all-nurses-do-you-want-a-union/#comments</comments>
		<pubDate>Tue, 11 Nov 2008 23:46:54 +0000</pubDate>
		<dc:creator>kimmel52</dc:creator>
				<category><![CDATA[Do you want a Union?]]></category>
		<category><![CDATA[New News in Nursing]]></category>
		<category><![CDATA[nursing]]></category>
		<category><![CDATA[nursing salaries]]></category>
		<category><![CDATA[nursing school]]></category>

		<guid isPermaLink="false">http://mynursingedu.com/?p=584</guid>
		<description><![CDATA[By Nancy Lydia Kimmel R.N., Ph.D., C.H.M.M. Since the days of Florence Nightingale, the profession of nursing has been viewed as a career consisting of self sacrificing individuals who, with caring and compassion have devoted their lives to easing the pain and suffering of those in need. Such noble and honorable individuals would surely never [...]]]></description>
		<wfw:commentRss>http://mynursingedu.com/new-news-in-nursing/calling-all-nurses-do-you-want-a-union/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>What You Need to Know Before you Take the NCLEX!</title>
		<link>http://mynursingedu.com/new-news-in-nursing/what-you-need-to-know-before-you-take-the-nclex/</link>
		<comments>http://mynursingedu.com/new-news-in-nursing/what-you-need-to-know-before-you-take-the-nclex/#comments</comments>
		<pubDate>Tue, 11 Nov 2008 23:45:01 +0000</pubDate>
		<dc:creator>kimmel52</dc:creator>
				<category><![CDATA[New News in Nursing]]></category>
		<category><![CDATA[What You Need to Know Before you Take the NCLEX!]]></category>
		<category><![CDATA[NCLEX]]></category>
		<category><![CDATA[nursing]]></category>
		<category><![CDATA[Nursing boards]]></category>

		<guid isPermaLink="false">http://mynursingedu.com/?p=582</guid>
		<description><![CDATA[By Nancy Lydia Kimmel R.N., Ph.D., C.H.M.M. NCSBN (National Council of the State Board of Nursing) does not have established guidelines for graduating students as to when to register. However, registering for the NCLEX examination and licensure during the month of the student&#8217;s graduation is common. Note that registering to take the examination and applying [...]]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>How To Choose The Right Nursing School for You!</title>
		<link>http://mynursingedu.com/new-news-in-nursing/how-to-choose-the-right-nursing-school-for-you/</link>
		<comments>http://mynursingedu.com/new-news-in-nursing/how-to-choose-the-right-nursing-school-for-you/#comments</comments>
		<pubDate>Tue, 11 Nov 2008 23:42:23 +0000</pubDate>
		<dc:creator>kimmel52</dc:creator>
				<category><![CDATA[How To Choose The Right Nursing School for You!]]></category>
		<category><![CDATA[New News in Nursing]]></category>
		<category><![CDATA[nursing]]></category>
		<category><![CDATA[nursing school]]></category>

		<guid isPermaLink="false">http://mynursingedu.com/?p=580</guid>
		<description><![CDATA[By Nancy Lydia Kimmel R.N., Ph.D., C.H.M.M. In considering going into the nursing profession, there are a few priorities that are crucial to determining future success. When individuals look at all of the criteria it becomes clear which schools would be a better choice. The first criteria that many people face when going back to [...]]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Continuing Nursing Competency</title>
		<link>http://mynursingedu.com/new-news-in-nursing/continuing-nursing-competency/</link>
		<comments>http://mynursingedu.com/new-news-in-nursing/continuing-nursing-competency/#comments</comments>
		<pubDate>Tue, 11 Nov 2008 23:38:43 +0000</pubDate>
		<dc:creator>kimmel52</dc:creator>
				<category><![CDATA[Continuing Nursing Competency]]></category>
		<category><![CDATA[New News in Nursing]]></category>
		<category><![CDATA[nursing]]></category>
		<category><![CDATA[nursing school]]></category>

		<guid isPermaLink="false">http://mynursingedu.com/?p=576</guid>
		<description><![CDATA[By Nancy Lydia Kimmel R.N., Ph.D., C.H.M.M. For those student nurses who are about to graduate, their main priority is to pass the NCLEX-RN examination. The practice of nursing is regulated according to licensing authorities in each state jurisdiction. Each jurisdiction must ensure that each nurse has the minimum competency to practice nursing in their [...]]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Nursing Scholarships and Your Ethnic Roots</title>
		<link>http://mynursingedu.com/new-news-in-nursing/nursing-scholarships-your-ethnic-roots/</link>
		<comments>http://mynursingedu.com/new-news-in-nursing/nursing-scholarships-your-ethnic-roots/#comments</comments>
		<pubDate>Tue, 11 Nov 2008 23:35:09 +0000</pubDate>
		<dc:creator>kimmel52</dc:creator>
				<category><![CDATA[New News in Nursing]]></category>
		<category><![CDATA[Nursing Scholarships and Your Ethnic Roots]]></category>
		<category><![CDATA[nursing school]]></category>
		<category><![CDATA[nursing school scholarships]]></category>

		<guid isPermaLink="false">http://mynursingedu.com/?p=572</guid>
		<description><![CDATA[By Nancy Lydia Kimmel R.N., Ph.D., C.H.M.M. Have you ever considered finding out if you are eligible for a scholarship? If not, my advice to you is to try. Why? Well, for one, you would be surprised at how much money is actually out there for you. It is certainly worth the effort, instead of [...]]]></description>
		<wfw:commentRss>http://mynursingedu.com/new-news-in-nursing/nursing-scholarships-your-ethnic-roots/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Alternative Medication Therapy</title>
		<link>http://mynursingedu.com/new-news-in-nursing/alternative-medication-therapy/</link>
		<comments>http://mynursingedu.com/new-news-in-nursing/alternative-medication-therapy/#comments</comments>
		<pubDate>Sat, 08 Nov 2008 01:12:32 +0000</pubDate>
		<dc:creator>kimmel52</dc:creator>
				<category><![CDATA[Alternative Medication]]></category>
		<category><![CDATA[New News in Nursing]]></category>
		<category><![CDATA[medication]]></category>
		<category><![CDATA[pharmacetuicals]]></category>

		<guid isPermaLink="false">http://mynursingedu.com/?p=450</guid>
		<description><![CDATA[Alternative Medication Therapy Alternative medication can be defined as those compounds that are intended for use in the treatment, prevention or diagnosis of disease but are not approved or recognized as medication by the Food and Drug Administration (FDA). Included in this definition are compounds that are commonly referred to as herbal medicines, nutritional or [...]]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Patients Require Information Related to Their Medications</title>
		<link>http://mynursingedu.com/new-news-in-nursing/patients-require-information-related-to-their-medications/</link>
		<comments>http://mynursingedu.com/new-news-in-nursing/patients-require-information-related-to-their-medications/#comments</comments>
		<pubDate>Sat, 08 Nov 2008 00:34:21 +0000</pubDate>
		<dc:creator>kimmel52</dc:creator>
				<category><![CDATA[Medication Teaching]]></category>
		<category><![CDATA[New News in Nursing]]></category>
		<category><![CDATA[hospital pharmacy]]></category>
		<category><![CDATA[patient medication]]></category>
		<category><![CDATA[pharmacetuicals]]></category>

		<guid isPermaLink="false">http://mynursingedu.com/?p=471</guid>
		<description><![CDATA[Patients Require Information Related to Their Medications By Nancy L. Kimmel R.N. PhD CHMM October 25, 2008 Patients are often prescribed medications for different diagnoses that they may have. Having multiple diagnoses and or aliments is not uncommon. However, in this day and age of specialization, patients are required to see a different doctor for [...]]]></description>
		<wfw:commentRss>http://mynursingedu.com/new-news-in-nursing/patients-require-information-related-to-their-medications/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Reality Shock For Graduate Nurses</title>
		<link>http://mynursingedu.com/new-news-in-nursing/reality-shock-for-graduate-nurses/</link>
		<comments>http://mynursingedu.com/new-news-in-nursing/reality-shock-for-graduate-nurses/#comments</comments>
		<pubDate>Fri, 10 Oct 2008 22:10:23 +0000</pubDate>
		<dc:creator>kimmel52</dc:creator>
				<category><![CDATA[New News in Nursing]]></category>
		<category><![CDATA[Reality Shock For Graduate Nurses]]></category>
		<category><![CDATA[nurses salaries]]></category>
		<category><![CDATA[nursing]]></category>
		<category><![CDATA[nursing jobs]]></category>

		<guid isPermaLink="false">http://mynursingedu.com/?p=407</guid>
		<description><![CDATA[By Nancy Lydia Kimmel R.N., Ph.D., C.H.M.M. So now you are close to graduating from nursing school or you have graduated recently. Whichever the case, you will be in for a reality shock when you begin your career as a Registered Nurse. What do we mean by the term, &#8220;reality shock&#8221;? Well, like the term [...]]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Nursing News</title>
		<link>http://mynursingedu.com/new-news-in-nursing/nursing-news/</link>
		<comments>http://mynursingedu.com/new-news-in-nursing/nursing-news/#comments</comments>
		<pubDate>Fri, 19 Sep 2008 02:22:55 +0000</pubDate>
		<dc:creator>kimmel52</dc:creator>
				<category><![CDATA[New News in Nursing]]></category>
		<category><![CDATA[Nursing News]]></category>
		<category><![CDATA[nursing]]></category>

		<guid isPermaLink="false">http://mynursingedu.com/?p=45</guid>
		<description><![CDATA[http://w14.easy-share.com/1My Nursing Education
                 FUTURE NURSES HEADQUARTERS FOR EDUCATION INFORMATION
•	Home Page
•	mynursingedu.com
•	Nursing School News
•	Passing Nursing School
•	Perquisites for nursing
•	Daily Diary of a Nurse
HOME PAGE 
September 16 2008 0900 welcome all student nurses!

Today September 16th, 2008 0900 EST
The Nursing Entrance Test, 

Why is it so hard to pass?

The Real Scoop on the Reading Comprehension?

What you need to know!

Learn About the Resources Available That Work!
______________________
Daily Nurses Diary. find out what happened on today’s visit....a sad but happy experience. 

GRADUATION DAY, ARE YOU PREPARED 

How to deal with difficult nursing instructors!




  
Medication Calculation Tests, Learn the right  method!
How to pass the first time.



Find out how to Successfully Pass Medical Surgical Nursing with an A+

Constantly Changing Prerequisites, How to keep on top.







70142049 My Nursing Education
FUTURE NURSES HEADQUARTERS FOR EDUCATION INFORMATION
•	Home Page
•	mynursingedu.com
•	Nursing School News
•	Passing Nursing School
•	Perquisites for nursing
•	Daily Diary of a Nurse
MYNURSINGEDU.COM
 September 16, 2008

            The Nursing Entrance Test, Can you pass it?
One of the biggest hurtles that aspiring nursing school students must face is the Nursing Entrance Test. This is a nationally standardized test that is administered prior to placing students on the long waiting list for nursing school. Even if the student has passed all the prerequisites required for admission, such as anatomy and physiology, English 131 and 132, Sociology, Pharmacology, and Chemistry, this doesn't guarantee admission to nursing school. 

Although there are required passing grades, of a C at the least, the Nursing Entrance Test must be passed to be put on the list for admission to nursing school. This is by far the most nerve racking test that students must face. The main reason for this anxiety is that many students have come into the test either unprepared or just overconfident. Unfortunately, the preparatory literature that is currently available does not do complete justice to covering all that is necessary for the Nursing Entrance Test. 

Most of the prep books cover a plethora of topics associated with various exams offered in the many fields of health care. This is insufficient for the knowledge that is required for passing the Nursing Entrance Test. Those who feel that the test is simply a remedial exercise in review are surprised when they sit for the test, because many have forgotten some basic math and algebra principals. Unfortunately, there are those who have been away from school for such a long time that when they sit for the exam they do very poorly. Some students have never learned math skills efficiently enough to be able to apply them in a test setting. The key to remedy much of this stress is to provide those students that are going to be taking the test with materials that will prepare them for exactly what to expect in the same method that the test is administered. 

There is another level of stress that has been added to the test recently. That is, that the student is now only allowed to fail up to three times. After which, the student can no longer enroll in the nursing program at that particular school. For instance, Henry Ford Community College has now adopted this rule. This is very annoying and frustrating to those students who have taken all of their prerequisites and are on their last chance. They are faced with having to transfer their credits to another nursing school program and take the test again at another school. This prolongs their admission to nursing school which is usually a two to three year wait at the minimum. Some students have opted to take a refresher math course. However, this is in no way a guarantee that they will pass the Nursing Entrance Test. Much of the math in a remedial math course is not sufficient to pass the Nursing Entrance Test. 

To help the future nursing student avoid all of this unnecessary stress; the Nursing Entrance Test Study Guide has been developed. The Nursing Entrance Test Study Guide is a comprehensive review of the Nursing Entrance Test. It is set up exactly like the actual test, allowing the student approximately one minute per question (although for practice purposes they can take as long as they want), and three answers to choose from, and includes all of the content necessary to achieve a passing score. The Nursing Entrance Test Study Guide includes a complete tutorial in all of the math and reading comprehension that the student needs to assure that not only will they pass the Nursing Entrance Test, but pass with a score that is higher than the national average. Some schools require a passing score that may be higher than another school.  

The developer of The Nursing Entrance Test Study Guide software, Dr. Nancy Lydia Kimmel devoted much time and effort in making sure that the student is well prepared. In this aspect, Dr. Kimmel has been able to help those aspiring to go to nursing school the advantage of being able to jump the greatest hurtle, passing the Nursing Entrance Test, the first time. 

To learn more about this program go to; www.nurseslearningcenter.com

_____________________________________________________________________




August 27th, 2008

Men in Nursing Today



Nursing Scholarship: Men In The Minority 

By Nancy Lydia Kimmel R.N., Ph.D., and C.H.M.M. 

Where are the scholarships for men in going into the field of nursing? Far and few between in comparison to those that are offered for women and minorities. Wait a minute. Men are the new minority in nursing. Therefore men should take advantage of the minority scholarships that are available. Better yet if you are a man with an ethnic minority. So how does a man go about looking for a scholarship for nursing school and where do you begin. There is a most wonderful nursing scholarship just for men which are offered by the American Assembly for Men Foundation Scholarships. Their web address is; www.aamn.org/aamnfoundationscholarships. This would be the first place to begin. Next, would be to take advantage of the entire minority nursing school scholarships that are available. The web address for minority nurses can be found at the web address; www.minoritynurse.com 

Let's face it, as a man you are indeed a minority in the nursing field. Men represent only about 6% of those in the nursing field according to (www.menstuff.org). Actually, men in the nursing field are not new. Men have been nurses since the time prior to the Benedictine Monks in the fifth century. More and more literature is surfacing in regards to men in the nursing field. There is currently a magazine dedicated just for male nurses entitled Male Nurse Magazine. You can learn more from the site at: www.malenursemagazine.com 

The first nursing school in the world was started in India in about 250 BC. Only men were considered "pure" enough to become nurses. The Charka (Vol I, Section xv) states these men should be, "of good behavior, distinguished for purity, possessed of cleverness and skill, imbued with kindness, skilled in every service a patient may require, competent to cook food, skilled in bathing and washing the patient, rubbing and massaging the limbs, lifting and assisting him to walk about, well skilled in making and cleansing of beds, readying the patient and skillful in waiting upon one that is ailing and never unwilling to do anything that may be ordered." Source Information 

During the Byzantine Empire nursing was a separate occupation practiced primarily by men. In the New Testament, the good Samaritan paid the innkeeper to provide care for an injured man. No one thought it odd that a man should by paid to provide nursing care. Story of the Good Samaritan found at: Luke 10: 35-36 Source Information 

Men first began to enter the nursing profession in the late 1950's. Today, approximately 5.4% of the 2.2 million nurses are men. However, a 2000 survey found that almost 13% of the students enrolled in nursing school are men. Dwight Elliott is the only black male in his graduating class at East Carolina University. "It has been kind of tough being a black male in a predominantly white female profession." Another black male nurse said that he had gotten questions like "Are you an orderly?" There are certain areas in hospitals (such as labor and delivery and nursing units) that are still closed to most male nurses. However, Ramon Lavandero, Director of the International Leadership Institute of Sigma Theta Tau International, had a very positive experience working in obstetrics. He was offered three positions in women's health care after graduation. The American Assembly of Men in Nursing is a fairly new organization which is open to both men and women who share "our beliefs that nursing is a profession, not a gender-based profession," said Gene Tranbarger, President-Elect of the organization. Source Information 

The above excerpts should inspire confidence if anything to those men who are contemplating becoming nurses. At www.nurselookup.com is a good site to go for men to talk about nursing issues and nursing school. This is a type of chat room for the male nursing student and other medical personnel. 








Today August 26th, 2008 0900 EST

Is nursing right for you?  How to determine if you have what it takes to be a nurse.

  So you want to be a nurse.  Your in school taking all the courses that you need. You can imagine a great salary and a fulfilling life time career.  Right? Well, yes.  Now ask yourself how do you feel when bathing grandpa or cleaning up vomit, blood, diarrhea, being pinched, bitten, and stuck with a needle, not to mention being called names that you never thought you would be called.  You may be saying right now, what kind of job is that?  That my friend is nursing, oh, by the way, you are supposed to do all of the above with a 
smile.  A bit too much drama, well maybe, but you already knew all this.

    It is always a good idea to get a feel for the profession by working as a home health care aide, volunteering at local hospitals, or working as a nurse’s aide.  You will not be shocked liked those who have never been exposed to the human condition.  The main question that you have to ask yourself is, "how much do I care that someone is in pain, needs to be comforted, cleaned, fed and feel protected?" If you can say that you care about others as much as you care about those closest to you, and then go into nursing.  People like you are rare and are very needed in this world.






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 September 16, 2008

           Are you ready for graduation?
    
        It has been a long hard road for you.  Now you are about to graduate and embark on a wonderful career helping to heal others.  The suspense is unbelievable, but are you ready?  The most important step that you can take to be sure that you are ready for graduation is to be sure that you have all of your prerequisites out of the way.  Stay on top of things.  Don't expect your teachers to do it for you.  They have way too much to worry about, and besides, you are an adult student, so you are expected to know what courses you need.  It is hard sometimes to follow everything to the letter, but you have to if you want to graduate.  The best resources that you have would be the director of nursing and the registrar’s office.  These are the people that you can count on to give you the real scoop on your courses.  So take some time to make an appointment with them.  It will be the well worth the time.
-________________________________________________________________________

How do you deal with difficult nursing instructors successfully?
August 31, 2008


     If nursing school isn't hard enough, it becomes worse when a particular nursing instructor singles you out.   How do you handle it tactfully?  First of all don't throw in the towel.  You have come too far.  There will always be those nursing instructors who get along great with some students but make you feel like the evil step child.   There is no concrete answer as to why this is, and it wouldn't do you any good to try and psychoanalyze the situation.  However, you have paid good money for your education and deserve to be treated with the dignity and respect that you would give anyone else.  The best way to handle this situation is to go directly to the instructor and ask them politely why they are treating you in such a way.  If this is not an option then put everything in writing, documenting time, place, what was said and any witnesses.  Also make an appointment with the director of nursing.  It may well be that the director of nursing is unaware that the teacher is behaving unfairly.  By doing this you are demonstrating that you care deeply about your career and your learning experience.



Hats off to Los Angeles Harbor College for a 100% pass rate on the Nursing Boards.
According to the California Board of Registered Nursing, 100 percent of Los Angeles Harbor College (LAHC) 2006 Nursing Program June graduates passed the National Council Licensure Examination (NCLEX).
“We take great pride in our nursing students and it is wonderful to be recognized for our sterling program,” LAHC President Dr. Linda Spink said.  “As our program expands, with the help of our instructors, staff, donors, community medical partners and the campus construction projects, we can only foresee more excitement in the future of nursing here.”
All 67 LAHC students who received their degrees in June passed the exam.  Only four other California undergraduate schools had 100% pass rates, but they achieved that rate with fewer students.



-___________________________________________________________________

Posted
August 26th, 2008






How to balance nursing school and family. 
By Nancy Kimmel R.N., B.S. Ph.D.

    Many nursing students are moms and dads with children and jobs.  Due to the hard economic times one parent has to be the one to go back to school.  Also there are many single parent households.  Thanks to government grants and loans many people can afford to go to school.  It is never the less very stressful to be in nursing school and try to keep the same responsibilities to your family.  Something has to give.  Don't let it be your health.   It is important to realize that your are not Superman or Wonder Women, though you may be.  You need time to relax and take a breather.  This means that you have to have a support network in place.  Before you get into your heavy clinical hours and studies, sit down with the family and have a long heart to heart talk.  Let everyone know that you won't be there for every little thing.  Remember, making the grade in nursing school is not easy. Some schools consider an 80% a failing grade.   You need the time to study.  If they are in your corner then they will understand.   Let the kids go to a friend’s house one night of the week, even if you are home by yourself.  You must take care of yourself if you are to get through nursing school successfully.  In the end it will all be worth the time and effort.  Be kind to yourself.  

________________________________________________________________________

August 25, 2008 

Passing the National Boards;

    Congratulations goes to Jefferson School of Nursing in Pennsylvania.  
"The PA Board of Nursing report indicates that Jefferson School of Nursing had the highest pass rate on NCLEX among all PA nursing schools in 2007."

The pass rate was a remarkable 97%.  Wow!

Passing and Preparing for the Nursing Boards
By Nancy L. Kimmel R.N., Ph.D., C.H.M.M.

The final step after graduation from nursing school is to sit for the national nursing board exams, termed the NCLEX. This is a very grueling test. It behooves all who are going to sit for the exam to get as much information as possible. The more information the better and the less stress there is going into the exam. The first step is to be prepared with the necessary information needed to pass. This comes from everything that has been taught in nursing school. However, that is not sufficient. Practicing test questions that are similar to those from the NCLEX is a very good way to increase scores. Although nursing school tests are designed to help students pass the NCLEX, they are not always sufficient in building the necessary critical and analytical thinking skills necessary to pass the boards. There are many NCLEX study guides on the market. Choose the ones that are recommended by nursing instructors. 

The process of obtaining licensure as a Registered Nurse is governed by authorities within each state. The NCLEX is developed by the National Council of State Boards of Nursing. The purpose of the exam is to test the candidate to be sure that they are capable of the width and breadth of knowledge to practice nursing safely, in accordance with the Nurse Practice Act of each state and the Boards of Nursing act. More information is available at their web site at www.ncsbn.org 

Although the exam is considered a national board exam, each state offers it separately. The fee for the exam is about two hundred dollars. Upon graduation the nursing school will send all of the information necessary to the state of issuance. Once the state is in possession of all of the student’s information, then the state will notify the National Council of Licensing Exams for Registered Nurses. Therefore the student needs only to fill out the application and pay the fee. The fee and registration are only good for one year from the date of acceptance. Once the student has exceeded that time frame, they have automatically forfeited their opportunity to take the boards and then must reapply. This is a time consuming process, since all paper work must be once again submitted to various licensing authorities. It is highly advisable that all graduate nurses sit for their state boards soon after graduation. Research has shown that the scores of state boards go down dramatically the longer the applicant waits to take the exam. According the a 2003 report from the Oklahoma Board of Nursing research task force, it was concluded that the negative factors effecting the graduates scores were the following:: employment hours and family responsibilities, English as a second language, delaying taking the exam five months or more and the limited knowledge by the nursing faculty not adequately preparing students with sufficient practice at answering questions requiring critical and analytical thinking skills. 

Toward the end of the students graduating semester, the nursing department will send candidate information to the State Board of Nursing. It is important that the student follow up to be sure that all information that is being sent is accurate and up to date. One omission can mean a set back of several weeks. The organization that administers the exam is Pearson Vue. Their testing centers are centrally located so that students don't have far to drive. For a list of centers and scheduling times their web site address is www.pearsonvue.com. 

It is always good to arrive at the testing center at least thirty minutes prior to the test. Be sure to bring with you driver license and any and all important papers, such as graduation transcripts, birth certificate and social security card. Like any test, it is beneficial to get a good nights rest, have a healthy breakfast, and think positive. The student should feel confident that they know the material. The many practice tests that nursing schools make the students take online throughout nursing school are all part of the preparation to take their boards. 
Today August 31st, 2008 0900 EST
All Material Contained in this website is copyrighted.   Permission is needed to reproduce any works contained herein. 2008 mynursingedu.com





  




sy-sMy Nursing Education
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=========== er 16, 2008




                   Medication calculations, hate them, right?   You don't have to fear medication calculations.  It seems as if there are no two teachers that explain the math the same way.  Don't forget the stress associated with the tests.  You only get two to three chances and you are out of the program if you don't pass.  Below you will find some sample medication calculation questions solved using dimensional analysis. If you can get a handle on using this technique you will sail through the hardest test.  Good Luck.
Medication Calculation
 
1.	The doctor’s order reads, give Tylenol® grains X every 4 hours prn for pain.  This amount is equal to which of the following? 
A.	365mg 
B.	Two tablets at 325mg each. 
C.	One tablet of 500mg.
 
 
2.	The order reads: give 75mg of Metropolol Tartrate (Lopressor®).  On hand you have 50mg tablets that are scored.  How many tablets will you give the client?
 
A.	1 ½ tablet 
B.	2 tablets 
C.	You can only give 1 tablet of the 50mg.  Call pharmacy and ask them to fill the prescription for 75mg tablets.
 
 
3.	The order reads: Give 0.5 mg of Ativan I.M. every 6 hours for agitation.  The bottle reads; 2 mL equals 2 mg.  How many mL’s will you give the client?
 
A.	2 mL’s 
B.	0.5 mL’s 
C.	1.5 mL’s
Answer: using dimensional analysis the problem can be set up as follows:
What you need to what you have:
0.5mg x 2 mL/ 2 mg = 0.5 mL

 
1.      The order reads: Give I.V. of  1000 cc’s 0.9 Normal Saline to run over 8 hours.  If the tubing is equal to15 gtts/mL what will be the drip rate per minute? 
 
A.     31 gtts/min
B.     30 gtts/min
C.     31.25 gtts/min
Answer: [1000 cc/8hr] x [1hr/60min] x [15 gtts/mL] = 31.25 gtts/min = 31 gtts/min
Notice that the units cancel from numerator to denominator leaving drops per min.  Also notice the rounding rules.  The two is in the tenths place, which is of course less than five, so the one in the ones place stays unchanged.
 
2.      If the above I.V. has infused 435 cc after four hours, what would be the new rate in gtts/min for the I.V. to finish on time?
           
A.     36 gtts/min
B.     35 gtts/min
C.     38 gtts/min
Answer: Only 435 cc’s or mL’s have infused after four hours.  The question that you need to ask yourself is how many milliliters should have actually infused?  Since 1000 cc have to infuse over 8 hours, then after 4 hours, 500 cc’s should have infused.  However this is not the case.  Less than 500 cc’s have infused.  Now calculate how many milliliters you have left to infuse, which would be 500cc – 435 cc = 65 cc’s + 500 cc’s = 565 cc’s left to infuse over the next 4 hours.  Now recalculate the drip rate.
[565 cc/ 4hr] x [1hr/60min] x [15gtts/mL] = 35.31 gtts /min or rounding, 35 gtts/min









Question for the day;
Chemistry Question
 
 145,000 kg of Iron dust (Fe) is to be transported via freight car. The dimensions of the freight car are 5meters x 15 meters x 3meters.  Will the freight car hold the iron dust?  
Solution: This is a problem of volume.  Let us first calculate the volume of the freight car.  Since the freight car is a rectangular box, we multiply length times width times height. 5 x 15 x 3 = 225 cubic meters.
Next we must calculate the volume of iron.  To do this we need the density formula which is, density = mass/volume.  Given the mass, and the density we can find volume by,
Volume = mass/density 
Volume  = 145,000 kg/ 7.87 g/cm^3, notice that the units of kg, and g do not agree.  We must convert grams to kilograms or vice versa.
145,000,000 g/7.87g/cm^3 = 18424396.44 cm^3
Now we must convert cm^3 to m^3…..
 < 225 m 
The answer is, “yes”, the freight car will hold the iron dust.
Tips from the pros on passing nursing school tests.
    Passing nursing school tests with an A is almost unheard of in nursing schools today.  What does it require?  Let's face it, one has to be intelligent just to get into nursing school.  So why is it so hard to get A's?  The answer can be summed up in two words, "critical thinking".  You can memorize an entire text and fail an exam.  How does one learn how to critical think?  Practice studying NCLEX books.  The practice exams in the numerous books on the market will help prepare you not just for your boards, but for your nursing school exams.  Try the sample test below and see how you do. Keep studying.
Medical Surgical Nursing
 
1.	Gerentologic changes that occur in normal aging include all except which of the following?
 
A.     Fat and collagen increased
B.     Heart muscle decreased
C.     Vessel rigidity increased
D.     Total lung volume decreased
	
Answer is D.  Total lung volume does not change with normal aging, although lung compliance is decreased as well vital capacity.
 
 
2.	During an assessment of an 82 year old female, you notice that she is not alert and oriented.  Her daughter tells you that she was fine just the other day.  She appears healthy otherwise.  Your first assumption would be which of the following?
 
A.   Stroke
B.  Urinary tract infection
C.  Dehydration
D.   Pneumonia
Answer is B.  Since older adults have an depressed immune system, they do not exhibit the natural signs of infection that would be more noticeable in younger people.  The most likely cause of the woman’s dementia is a urinary tract infection.  With proper administration of antibiotics her symptoms will disappear.
 
 
3.	You walk into a room and find a patient lying on the floor.  The patient is alert and oriented times three.  After taking the patients vitals, and notifying the doctor and nursing supervisor, you would chart all except the following.
    
a.	A detailed explanation regarding the incident without using blame in clear and understandable terms. 
b.	The vital signs of the patient. 
c.	That an incident report was completed. 
d.	The time, place and statement of the patient.
 
Answer is C.  Never chart that an incident report was completed.  Incident reports are not and do not become part of a patient’s chart.  They are used for Quality Control measures only.  
 
 
4.	You notice that one of the geriatric client’s has been confused and is wandering the halls and going into other patient’s rooms.  The most therapeutic nursing action would be to do which of the following?
           
a.	Engage the patient in conversation re-orientating client to person, place and time. 
b.	Place a sign on the patent’s room with her name in bold letters. 
c.	Escort the client to bed and put up all four side rails. 
d.	Give the patient a prn dose of Ativan.
 
A is the most correct answer.  The key to this question is, “the most therapeutic nursing action”.  Any therapeutic nursing action indicates some type of interaction between the nurse and patient.  Placing a sign on her door may be an action to take later, if her confusion does not clear up, but it is not a therapeutic action.  Placing the client in bed and putting up all four side rails is false imprisonment and battery.   The nurse could loose her license, for this is abuse.  Administering Ativan for simply walking the halls is considered a chemical restraint and is also a form of false imprisonment and abuse.  
 
5.	A client tells you during an interview that he is taking corticosteroids.  Upon inquiring about his other medications he tells you that he is also taking over the counter Echinacea.  What is your main concern?
 
a.	There is no reason to be concerned. 
b.	That it is dangerous to take Echinacea in conjunction with corticosteroids. 
c.	Echinacea causes platelet aggregation. 
d.	Echinacea is beneficial to use with corticosteroids.
B is the most correct answer.  You should inform the patient that taking over the counter Echinacea can interfere with corticosteroid use.  Echinacea does not cause platelet aggregation.
 
6.	A patient is two hours post-op for a hip replacement.  You notice that her pain shot will be due soon. The client rates her pain at a 6 on a scale of 1 to 10.  The best nursing intervention would be to do which of the following? 
a.	Inquire if she would like her pain medication to prevent having the patient subject to breakthrough pain. 
b.	Tell her to wait until the pain is at a 10 and then call for her pain medication. 
c.	Ask her if that is a tolerable level for her. 
d.	Help her get up to go to the bathroom.
 
Answer is A.  Around the clock pain management is better at treating pain than waiting for breakthrough pain to take over.  Severe pain can elevate blood pressure, heart rate and respiration.  The patient’s comfort is the most important goal.  You also want to be sure to medicate the patient for pain prior to any procedure or activity such as getting up to go to the bathroom or dressing change.
 
               
 
 
 
7.	A client who has been receiving opioids would most likely complain about which of the following side effects?
 
A.     Headache
B.     Insomnia
C.     Constipation
D.     Nausea
 C is the most correct answer.  Constipation is the most common opioid side effect.
 
 
8.	A client was recently medicated with an opioid.  Upon checking on them 30 minutes later you notice that their breathing is shallow, their heart rate is 50 beats per minute and they are not responding.  The most likely order that the doctor will give for your patient is which of the following?
                        
A.     Epinephrine 
B.     Tylenol
C.     Stadol
D.     Narcan
Answer D is most correct.  Narcan is the drug of choice to reverse the sedative effects of narcotics.
 
9.	You are assessing a patient in the emergency room and they are stating that they are in pain.  They rate their pain at a 10 on a 1-10 scale. You assess the client.  The patient does not appear to you to be in such pain, since they are sitting up and speaking calmly.  The best nursing action would be which of the following?
 
A.     Ignore the patient’s plea for pain medication and continue with other work.
B.     Believe the patient and treat their pain.
C.     Offer them pain medication in placebo form.
D.     Ask them why they are not grimacing if they are in pain.
B is the best answer.  Always believe the patient.  Never give a placebo; you are violating a patient’s right.  Answer D is a condescending response and is not acceptable behavior for a nurse.
 
 
10.	A patient arrives in the Emergency Room complaining of chest pain.  In administrating Nitroglycerine you would give which of the following?
A.     Administer 1 nitroglycerine for chest pain and then another 10 minutes later.
B.     Administer 2 nitroglycerine tablets five minutes apart.
C.     Give 1 nitroglycerine sublinguinal, if chest pain does not cease after 5 minutes, administer 1 more dose.  If after 5 minutes, chest pain continues, give 1 more dose, for a total of three doses maximum.
Answer C is correct.  Give one nitroglycerine, if chest pain persists, give one more at 5 minute intervals.  Give only three tablets maximum, then treat as a myocardial infraction if chest pain persists.



 
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PREQUISITES FOR NURSING 
September 16, 2008 0900


Learn how you can pass medical surgical nursing with an A!

    So how do you pass medical surgical nursing with an A?  Well, one of the keys that even your nursing instructors won't tell you is to use the various NCLEX Study Guides on the market.  Another good resource can be found at www.nurseslearningcenter.com.  To be successful at medical surgical nursing requires a lot of study.  However, since many of the nursing tests rely on similar material to tests nursing students so that they can pass their boards, it stands to reason that NCLEX tutorials would be an excellent resource.  Also, join study groups, the groups that get the good grades, go to supplemental lectures.   Those few hours that you spare to go to a supplemental lecture may make the difference between an A and a failing grade.  Oh, and by the  way, study, study, study.

 September 16th, 2008

 Perquisites for nursing keep getting harder and harder.  How can you be sure that you are taking all the right courses?  The best advice is to sit down with your nursing advisor and get the low down of exactly what you will need to get into the program.  Don't assume anything.  Remember what assume means?  Even if you have previously taken classes at another college they may not transfer.  You do not want to find yourself in the position of being near graduation and being short a class that will postpone your degree another semester.  Be on top of your courses and keep in touch with program directors.   The registrar will also assist you in being sure what classes transfer or not.   Don't take courses that you don't need, they might bring your grade point average down.  Stick to the program.  There are jobs just waiting for you.


______________________________________________________________
September 16, 2008
Nurses Education 

By Nancy Lydia Kimmel R.N., Ph.D., C.H.M.M. 

Nurse education is how nurses are prepared to engage in the delivery of nursing care. Nursing students are educated by teachers who are usually dual qualified, being both experienced nurses and educators. Almost all countries worldwide offer nurse education courses relevant to general nursing, mental health nursing and the nursing of sick children. Courses leading to autonomous registration as a nurse typically last three years. Nurse education also provides post-qualification courses in specialist subjects within nursing. 

During recent decades, in many parts of the developed world, the emphasis on education has replaced the more practically focused, but often ritualistic, training structure of conventional practitioner preparation. Educational pathways stress a broader awareness of other disciplines allied to medicine, often involving Inter-professional education, and the utilization of research when making clinical and managerial decisions. Orthodox training can be argued to have offered a more intense practical skills base, but emphasized the hand maiden relationship with the physician. This is now outmoded, and the impact of nurse education is to develop a confident, inquiring graduate practitioner who contributes to the care team as an equal. However, not all qualification courses yet have graduate status. It is possible to link recent developments in nurse education with feminism and the rising status of women in professional roles elsewhere. 

Traditionally, from the times prior to Florence Nightingale, nursing was seen as an apprenticeship, often undertaken in religious orders such as convents by young females, although there has always been a proportion of male nurses, especially in mental health services. In 1860 Nightingale set up the first nurse training school at St Thomas' Hospital, London. Nightingale's curriculum was largely base around nursing practice, with instruction focused upon the need for hygiene and task competence. Her methods are reflected in her "Notes on Nursing", (1898). 

Some other nurses at this time, notably Ethel Bedford-Fenwick, were in favor of formalized nursing registration and curriculum that were formally based in higher education and not within the confines of hospitals. 

In contrast, nurse education in the United States has almost exclusively been conducted within university schools, although it is unclear who offered the first degree level program. So far as known Yale School of Nursing became the first autonomous school of nursing in the United States in 1923. In Europe the University of Edinburgh was the first European institution to offer a nursing degree in 1972. 

Within the profession of nurse teaching, arguments continue about the ideal balance of practical preparation to do the job in a hands-on way with the need to educate the future practitioner to manage healthcare and to see "the bigger picture". To meet these requirements, nurse education aims to develop and nurture a lifelong learner who can adapt effectively to changes in both the theory and practice of nursing 



The Pre-Nursing Experience 

What are the requirements to gain admission into nursing school? Actually, they differ from one school to the next but all have certain main pre-requisite classes that are required for students to take. These include courses in Anatomy &#038; Physiology, Social Sciences, Biology, English I &#038; II, Psychology, Life Span Psychology, a Pharmaceutical course and a Chemistry course. Most nursing schools require a grade of C or better for each of the above named courses. 

If this isn't enough stress, the student must complete the Nursing Entrance Test prior to getting their name on the nursing school admission list. Consequently, for the associate degree nurse, the entire program can be expected to take up to three years to complete. The up side of this is that many four year degree granting institutions offer a one year curriculum to graduating Associate Degree Nurse (ADN) for completion of a Bachelors of Science in Nursing. It is quite likely, that when the ADN graduates and finds employment, that the hospital where he or she is employed will pay their tuition for their Bachelors Degree completion. All of this sounds very enticing to many who wish to pursue nursing careers. 

The nurses pay is also an incentive to enroll in Nursing School, though it should not be the main reason. Hence, with the occurrence of the mass lay offs from many of the automotive industries, those without jobs are entertaining the thought of going into the field of nursing. There is a huge influx of people who are in the nursing program or who plan to enroll in the nursing program ranging in ages from 32 to 52. Many of these students bring with them a vast life experience base. Therefore it is not surprising to find nursing students that have one or two Bachelor Degrees, previous careers in engineering, science, secretarial fields, emergency medical technicians and teachers. 

This type of cross section was not the norm twenty or thirty years ago, when most of the nursing students were in their early twenties. There are quite a few current nursing students that are holding full time jobs and juggling kids and spouses needs. The responsibilities that the new nursing students must bear become at most unbearable when actual nursing school begins. So, the nursing student is faced with a stressful road map right at the beginning. 

Why are nursing classes so difficult? Time and time again nursing students have said the same thing, which is, "how do you study for these tests?" The frustration for the nursing student culminates when they get a poor score on their exam. Usually this low score is in the C range, which is a failing grade for most Nursing Schools. When a student gets a 79 on an exam, they know that they have to make up those points on the next test. Worst case scenario is that they go into the final with a grade of 79% or 80%. Final exams are always much harder than the exams throughout the semester. So, when a student goes into the final with a failing grade or on the cusp of failing they become unnerved. Most nursing instructors will tell their students not to take the final if they have below an 80% and just drop the class instead of chancing a failing grade. 

With nursing courses ranging in the 5-10 credit hour brackets, one can imagine how much a grade point average could be affected by a failing grade. Yet, nursing students do it all the time. They sit for the final exam and throw caution to wind. The results are that some of them do indeed pass, while others fail. Those that pass the final start the next semester with renewed stress. The nursing tests are what put so much stress on the students. 

Although clinical rotation can also be very grueling, most student nurses will agree that it is the nursing tests that they fear. Nursing students must be prepared to handle the stress ahead of time. Friends and family should be aware of how much stress that their loved ones have to endure while in nursing school. They can assist by helping with the children such as picking the kids up from school, or bringing over dinner a few times a week. Just being there to listen to their concerns and offering a shoulder to lean on can help a great deal. 
To submit articles and items of interest please send e-mail to Nancy Kimmel at nltaji@hfcc.edu




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DAILY DIARY OF A NURSE

September 16, 2008  0900 Welcome all student nurses!
Today September 16, 2008 0900 EST
Daily Diary of a Home Care Nurse

    




Entry, Today September, 2008


                    Well I'm back, and I hope that you are all still with me.  I went to my patients home to do an admission.  Remember that I am re-admitting her.  As it turns out she had her whole family there.  She is wheel chair bound due to her weight and dependent edema.  Her weight exceeds over 300lbs.  She has an incontinence problem and sits in her urine most of the time.  The red flag in my mind is raised because I know that if her family doesn’t take care of her she will have skin breakdown.  As it turned out, I had asked her if we could go into her room, where I could clean her up and inspect her skin.  However she declined and said to me, "next time, next time".  I found it strange that with all of the family that were sitting around in ear shot of our conversation that no one got up to offer to clean her, or encouraged her to go with me.  What an akward moment.  When I arrived back at the office my supervisor told me that this admission was not complete unless the skin is inspected. She also stated that I could not write what I suspect; only what I actually see.  So back I went.  This time she was in bed and I was able to clean her up and inspect her skin.  Yes, she had decubitus ulcers as I suspected in stages I and II.  I asked her family if they had any antibiotic ointment, cornstarch, baby powder, anything at all.  Her granddaughter stated,”Look, I don't clean her up.  My cousin does that, and I can't help it if she isn't around, I have enough to do around here taking care of my kids."  I felt bad for my patient, because she said this right in front of her grandmother.  What could I do?  I felt so bad and so helpless.  This wasn't my first episode with this family.  I made sure that social work, physical therapy and a home health aide were on the case. But what then, after the certification is up.  She lies in bed in her own urine for hours.  They leave window open and she gets cold. I cleaned her up and applied A &#038; D ointment to her skin.  There were a lot of boggy areas and ecchymosis over most of the gluteal area.  I reported back to my nursing supervisor the situation.  She notified Adult Protective Services.  I feel bad.  That is her home.  Why, tell me, with so many family members can the matriarch of the family neglect her.  I mean, they have a nice home, good jobs and so forth.  So tell me why?

                         Next Patient.
        Did I tell you that this is a wonderful job?   Yes, it is.  This next patient is another elderly client.  His home is not in a very good area, and no I am not afraid.  There is something about being a medical professional that transcends all of the bad that is out there, that you don't get harassed or approached.  Or maybe it’s my neon green scrubs with yellow flowers.  So any way I pull up into their driveway.  I see women who appear to be in her mid fifties standing at the door.  She greets me with a smile.  Mmm, perhaps it is my patient’s daughter.  I walk up the steps and she holds the door for me.  Once inside I hear a frail voice call out, "who is in my house? Come in here so that’s I can see you with my own eyes."  I stood in the living room looking around the home.  I was a simple home, old, lived in and clean. It was as if time stopped in 1975 by the velour furniture and velvet paintings.  As I gazed around further I saw a generation of pictures gracefully and lovingly displayed on the tables, walls, and T.V...  There was my patient, I said in my mind, as I looked at large photograph of a WWII soldier, proudly displayed in the center of the livening room wall for all to see.  I walked into the room where I heard the frail voice.  There in bed lie the WWII veteran and his wife.  The frail women looked up at me and said, "Who are you?"  Upon introducing my self as a registered nursed with the home care agency, she beckoned me to sit at the foot of the bed.  As I sat there she said, "Oh dear, what has happened to me?  I am in such bad shape.  Dear Lord help me."  I asked  her what was wrong, and without saying a word she pulled her covers back to expose her tiny frail legs and pointed to her toes that were twisted tortuously from arthritis.  Before I could say anything her husband woke up next to her and said hello.  I could recognize him from the pictures on the wall.  I could see the soldier in him, proud, strong and brave.  Just then, the woman who had greeted me at the door walked into the room and went over to the wife’s bedside commode and proceeded to carry an entries night’s bladder and bowel contents to the bathroom.  As she walked by me in the tiny room, I asked if she was their daughter.  Before she could reply to me, the elderly wife said, "Oh no, she is my angel, our neighbor.  She takes care of us and makes us breakfast every morning."   I turned to look at the women who was still holding the bathroom pot, and said,”Pleasure to meet you."  She wryly looked at me with just a twinkle of mischief in her eye and said, "You may think differently if this pot spills on you, now could you please give me some room to get by?"  I stepped out of the way.  As I began to do my paper work at the foot of their bed, I realized just how comfortable I felt.  Here I was sitting on someone’s bed, while it was occupied and I felt like a kid in my parent’s room.  The next thing I knew, the neighbor came back into the room carrying a tray of breakfast which she lovingly placed on a bedside table next to the elderly women and her husband and as quickly as she came in she was gone.  I turned to my right and began to get my supplies out of my bag when I noticed a leg prosthesis in the corner of the room, then I heard the frail voice , "Dear Lord, We come before you this day, and give thanks for being able to see another day.  A day that we will never see again.  We thank you for all of your blessings, and I pray that you will take care of my husband in your special way Dear Lord, and please bless this nurse and take care of her, help her Lord to  your work, and  bless this food that you may strengthen our bodies that we may yet see another day.  Amen."
Tears began to fall from my eyes, as I bowed my head with them.







Entry August 26th, 2008

Good morning student nurses;

                               

        "I am driving on the road heading toward a patients home.  I have been trying to get in touch with her for over a week now without any success.  According to state guidelines you have only 48 hours from the time of receiving a case to open it.  I  am not sure how they are going to handle it back at the office but right now I'm  concerned with seeing her.  You see she just got out of the hospital a week ago. I sent her there, well not me, but her doctor,  after I  called him and informed him of her symptoms.  She could barely breath, I knew that I couldn't leave her that day.  I had to do something.  So I called the doctor and he suggested that she go to the hospital.  So here I am now on the road going back to do a re-open.  I  have to tell you the money is not bad.  I get $45 for a revisit and $75 to open a case and $100 to do a recertification.  It is a lot of work and a lot of driving.   But you know, I like it better than being in one place for 8 hours, although I also work at the hospital on the weekends.  Well, here I am...I  will fill you in tomorrow."
                                        Nancy Nurse





  



  

   
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		<title>Difficult Nursing Instructors</title>
		<link>http://mynursingedu.com/new-news-in-nursing/how-to-handle-difficult-nursing-instructors/</link>
		<comments>http://mynursingedu.com/new-news-in-nursing/how-to-handle-difficult-nursing-instructors/#comments</comments>
		<pubDate>Wed, 17 Sep 2008 02:34:20 +0000</pubDate>
		<dc:creator>kimmel52</dc:creator>
				<category><![CDATA[Difficult Nursing Instructors]]></category>
		<category><![CDATA[New News in Nursing]]></category>
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		<category><![CDATA[nursing school]]></category>

		<guid isPermaLink="false">http://mynursingedu.com/?p=50</guid>
		<description><![CDATA[If nursing school isn&#8217;t hard enough, it becomes worse when a particular nursing instructor singles you out.   How do you handle it tactfully?  First of all don&#8217;t throw in the towel.  You have come too far.  There will always be those nursing instructors who get along great with some students but make you feel like [...]]]></description>
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		<title>Pass Your Nursing Boards</title>
		<link>http://mynursingedu.com/new-news-in-nursing/pass-your-nursing-boards/</link>
		<comments>http://mynursingedu.com/new-news-in-nursing/pass-your-nursing-boards/#comments</comments>
		<pubDate>Sun, 23 Mar 2008 00:05:56 +0000</pubDate>
		<dc:creator>kimmel52</dc:creator>
				<category><![CDATA[New News in Nursing]]></category>
		<category><![CDATA[Pass Your Nursing Boards]]></category>
		<category><![CDATA[nursing]]></category>
		<category><![CDATA[nursing school]]></category>

		<guid isPermaLink="false">http://mynursingedu.com/?p=600</guid>
		<description><![CDATA[By Nancy Lydia Kimmel R.N., Ph.D., C.H.M.M. Preparing for the national boards begins as soon as a nursing student begins nursing school. Licensure as a Registered Nurse is granted upon a student passing the national boards or NCLEX. Passing scores are based on the amount of questions that the nurse gets correct in relation to [...]]]></description>
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