Friday, May 31, 2013

GRADUATION

So we had our graduation at Carnegie Hall.

No matter how you feel at the end of the program, I highly highly recommend you go.

Even if only your friends, or boyfriends, or girlfriends, or dog, or pet chicken can come and see you walk.  

It is well worth it!

A wonderful experience!  

Carnegie Hall is beautiful.  They have trumpeters in the balconies.  The faculty gets dressed up in jazzy outfits with cool hats.  

And there is a $40 charge to your tuition bill for spring whether you were thinking about going or not.  So you might as well.

Personally I only went for grandmother's sake.  But was so glad I went in the end.

They give you tickets about a month before graduation.  Just go ahead and  request extras even you don't need them so you can give them to classmates who want to invite a lot of extra people.

And despite the seating numbers it is first come first serve.

Thursday, May 30, 2013

The Right Books? The Right Classes? The Right Way?

This is where you can go to quickly check and make sure you enrolled in all the right classes.  There was a good bit of confusion at the end of the program about what classes we should be enrolled in.
http://sls.downstate.edu/registrar/nursing/program_study/accelerated_nursing.html


This is where you can go and check to see what books you need.  It's under course book lists.  They update it for each semester.  College: Nursing.  Program :ACCEL
http://www.downstate.edu/fsa/booklist.html

For some odd reason the school schedules classes on a daily or weekly basis.  So your regular classroom could possibly shift around.  Check your downstate e-mail in the a.m. and have your class reps get the cell number of the professor teaching the class.  It is a right of passage in this program to, on rare occasion, wander around the hallways for 45 minutes as you try to figure out what classroom you are in.  I don't think that only nursing students go through this either.

In the hallway between where the Basic Science Building and Educational Building meet, there is a wall where they list each classroom, for each class, for each program, for each day.  I would go in the a.m. and just check it before heading to class.

BLS Class

This is the place I went to:

www.training4life.org
877-876-4543

The class is held in a building near City Hall and Pace University.

I get no kickbacks for recommending this place.  

I'm recommending it because they just skip over the stupid DVDs, show you whats important, you get your practice in, and then they let you out early.  

Some of my classmates took their BLS class at other places and spent more time than I did to fulfill the requirement.

Group Projects

I have no advice here. 

 But I will say this for sure.  The point at which we were assigned our first group project was the point at which people started disliking one another.  And with each new group project this cycle continued.

Some folks don't do enough work.

And some do too much and just want to take the whole thing over writing everyone else's part.

It wasn't all gloom and doom.  Some friendships were formed, but personally I remember it being more of a negative experience than a positive one.


I will leave it at that...

FOOD AROUND DOWNSTATE

The only thing I'm up for eating in the Downstate cafeteria is the double Danielle.  

I've had one of their sammiches once.  It was okay.

People gripe that the salad bar is expensive.

Oh!  A double Danielle is two orders of french fries.  It costs $2.00- plus tax of course.  I named  it after my classmate Danielle who won't eat anything out of the school cafeteria except french fries.

The cafeteria does have kosher sammiches as well.  They are fresh and they are expensive.  About $8.00 per sammich.  Will have some more kosher vittles in a bit if they exist.

OTHER PLACES TO EAT
I ate at the same place day in and day out for the entire first summer session.  Soldiers Restaurant.  It is a Jamaican buffet style restaurant.
http://www.yelp.com/biz/soldiers-restaurant-brooklyn

There is another Jamaican restaurant right by the corner of Nostrand and Church Ave.  Exquisite Express.   It is one of the better Jamaican restaurants in the Crown Heights/Canarsie area.  
http://www.yelp.com/biz/exquisite-delight-brooklyn

There is Subway, Popeyes, Dunkin Donuts, and Baskin Robbins on Clarkson Avenue.  These places are right across the street from Kings County Hospital.

You can call and order food for delivery from the following places:

Heads up on these spots for all you folks dorming!!!

Gino's Pizza 718 287 8800   
831A Flatbush Ave Corner of Linden Blvd.

Bay Leaf Indian Cuisine  They serve HALAL Food.   www.bayleafbk.com
718-576-6937   718-576-6938 561 Flatbush Ave Corner of Beekman Place.

King Wok Chinese and Mexican Cuisine 718-282-3688 718-282-3699  Compaints: 267-262-3028
1250 Nostrand Ave bet. Winthrop and Parkside Ave.

Yummy Thai         www.yummy-thai.com 
718-398-3298   718-398-3297
383 Flatbush Ave.

Agra Classic Indian Restaurant
 718-282-7012   718-282-7016
2032 Bedford Ave between Parkside Ave. and Clarkson Ave.

Sushi Yu 718-832-8688   
718-832-9393
214 Prospect Park West

Haru Sushi & Thai 
718-398-3299   
385 Flatbush Avenue

Thanks Phil for hooking me up with flyers for these restaurants on that miserable night when I was stuck in the basement studying for some exam.



CLASS REPS

So at the start of the semester you have to vote for class reps and at some point you have to vote for people for student council.  Can't remember when that takes place again.

When you choose to hold your elections try to make sure every member of you class gets to put their vote in.  Account for those that are absent and try to hold off on announcing a winner until they can put a vote in.

The class reps change every semester, just like friendships.

Know that if you choose to run and get voted in as class representative you will get tons of emails from your classmates about all types of issues.  Some important.  Some not so much so.  Some folks like asking questions about things that could easily figure out themselves.  Especially around test time.

The idea of having class reps is that when you have issues with faculty you bitch to your class reps and then they go, and calmly discuss your issues with faculty members.  

If you are voted in as class rep, then try to follow the chain of command, starting first with the individual you have the issue or issues with.  If you can't resolve the issue then you can take it from there going up the line.

If you are voted in as class rep make sure you are doing that.  Rep is short for representative.  So you are  representing your class.  Before you take actions as class rep be sure that your actions represent the sentiments of your fellow classmates who voted you in or much anger, and confusion, and arguments, and bad blood will follow.

Nursing student council is a bit different.  You vote them in and they get a budget to work with.

Our class president gave a speech at graduation in front of the entire faculty, your classmates, other departments, and everyone's guests.  The Dean picked her apparently.  So there is a good chance the same will happen with your class.  So when you vote for your rep, make sure to choose wisely.

Monday, May 27, 2013

Urine and Feces and Bed-Baths

If you are considering becoming an RN and you can't handle the smell of feces.  You may want to consider another line of work.

As a student you will absolutely be cleaning up feces and urine.  And maybe even changing feminine pads.  

I'm here to debunk the myth that these tasks are solely the PCT's job.  

That nurses don't have to wipe people's bottoms.  

They do from time to time! 

And it can be messy.  You can find patients lying in a puddle of runny feces if their bowel movements are loose enough.  

I have classmates that are leaning way more towards working in OB/GYN and Peds  because the smell of adult feces bothers them.

The patient care technician or PCT is primarily responsible for cleaning soiled patients, changing their linens, and giving them bedbaths.

In an ideal world the PCTs will do all of these tasks all the time, but in reality you will find yourself helping them or sometimes doing it yourself.  A part of being a good RN is helping the PCT when things are busy.  A part of dealing with a bad PCT is doing more than what you should to cover for them.  A part of being a bad RN is ducking helping the PCT with cleaning tasks.  You should ideally work together as a team.  

When you get to MedSurg clinicals, make sure to learn how to clean incontinent patients, give bed-baths, and change their linens.  Offer to help PCTs now and again so you can get these skills down.  

Patients that are in a vegetative state are the best individuals to practice on!!!

As an RN you will have to help patients on and off of bed pans.  
http://viewingcorners.files.wordpress.com/2008/05/bedpan.gif

As an RN you will have to help patients onto and off of bedside commodes.
http://www.unique-medical.com/steel-drop-arm-bedside-commode-with-padded-seat-arms-11125pskd-1/?gclid=CPichcOAt7cCFY-e4AodtnwALA


Only lucky students get to insert foley catherters into patients.  But you will likely end up emptying them and measuring the quantity of urine.
http://www.medicalexhibits.com/medical_exhibits.php?exhibit=09087_02X&query=foley%20catheter%20placement%20female%20pelvis%20bladder%20urethra 

Sunday, May 26, 2013

HIPAA TRAINING TAKES LONGER THAN THEY SAY...

They have this online HIPAA training thing that you have to fill out.  Like read about how not to violate HIPAA, and then answer a bunch of questions.  

After doing so, print your certificate, and give it in at the nursing office on the 8th floor.  

They make it sound like you will knock it out 1-2-3. 

Don't be like me and leave it for the last day.  

It takes longer than they say it takes, and completing it is about as much fun as sitting in a wheelchair watching oil paint dry.  

I already had HIPAA training at Mt. Sinai, and it was more serious than than this online one for school, so I pretty much skimmed over the reading part and just answered the questions.  

That being said it was still time consuming. 

Friday, May 24, 2013

NCLEX Exam? $343 Please!!!

 2 THINGS YOU NEED TO DO TO BE ABLE TO SIT FOR THE NCLEX EXAM:

1. As soon as you graduate you need to fill out and submit this application for licensure:
http://www.op.nysed.gov/prof/nurse/nurse1.pdf

2. You also need to create an account through PearsonVue:
http://www.pearsonvue.com/nclex/

Once you have completed both, Pearson will email you your authorization to test (ATT).  This takes roughly 2 weeks.

You can then schedule your exam.

You don't have to take the test in the state that you would like to be certified in.

When you submit the form to the government you are charged $143.  Pearson will also charge you $200.

There are a few testing sites in the metro area.  Tests are generally scheduled once per week.  

Some dates can fill quickly.  

You are always able to reschedule up to 24 hours in advance.

This info was provided by: Aimee Clark my Robert Woods Johnson mentor.  Thank you Aimee!!!!!


Questions, comments, suggestions: ramonbritt@gmail.com

Unemployed??? 599 Program

If you were recently unemployed and are receiving unemployment insurance in NYC, you may be eligible to get into the 599 Program. 

There were students in my class that qualified for it and the Nursing Department supported them in filing the paperwork.

First contact the department of labor and make sure you qualify. 

If you do then get the necessary paperwork and take it to the Dean so she can sign off on it.

If you get in, the city will give you your unemployment benefits for the remainder of the time you're in the program.  

No more going to meetings.  Or proving you're looking for work.

Check below for eligibility:

http://www.labor.ny.gov/ui/claimantinfo/599program.shtm

Questions, comments, suggestions: ramonbritt@gmail.com

Thursday, May 23, 2013

When Your Molars Start Aching...


This is the go to place in the event you need some dental work done:

http://www.nyu.edu/dental/patientinfo/index.html

Most native New Yorkers are familiar with NYU Dental School, but maybe you just blew in from Wisconsin or something.

Anyway check them out.

Very affordable!!!


Medicaid!!! Save Big Bucks !!!

In order to enroll in the nursing program you must have health insurance.  

It's not optional!


But!!!  You do not have to use the school's insurance.

If you qualify for medicaid it could save you thousands of dollars over the next fifteen months.  

My classmate sent out an e-mail out about this.  
I thought I would share it with you guys and gals:

I wanted to send around some information regarding public health insurance for anyone who is unaware of this alternative to purchasing insurance through the school. 

The law is that you must receive notice of approval or denial for Medicaid within 45 business days. 

General information regarding Medicaid can be found here http://www.health.ny.gov/health_care/medicaid/


As full-time students, it is my understanding that your savings will not cause you to be denied Medicaid, and that student loans, grants, work study and scholarships do not count as income. 

The best thing to do if you have any questions is to visit a facilitated enroller. There are several located at Kings County Hospital, as well as many public hospitals and clinics. There is also an online system for applying for Medicaid, but I found it very confusing. 

Kings County Hospital is right across the street from Downstate.

The schools insurance does not include dental or vision and NYS Medicaid programs do, if that is a concern for anyone.

$$$ SCHOOL LOANS $$$


No one from the Nursing Department will let you know how much money you are entitled to when you come into the program!!!

No one in the Financial Aid Office is going to let you know how much money you are entitled to unless you ask them!!!

I recommend anyone that's broke, struggling, or shaky to go to the Financial Aid Office and ask them about the Nursing Student Loan.  This is a loan that is offered to nursing students that oddly no one tells you about unless you ask.  It's a significant amount of money.  There is no interest until you graduate.  When you graduate there is a fixed 5% interest.  And they give you a 5 month grace period before you make your first payment!!!  But again no one will suggest this loan.  You have to walk in and specifically ask for it.


Questions, comments, suggestions: ramonbritt@gmail.com








Friday, May 17, 2013

Lace Up Your Boots Soldier!!!!

Left!  Left!  Left!  Right!  Left!

In the hospital, the drug dosing schedules run on military time.

My nurse preceptor has her cell phone set to military time.  If you can, I recommend you do this as well.

See the 24 hour clock below and that's pretty much how things go.

24-hour
clock
12-hour
clock
00:0012:00 a.m.*
midnight
(start of day)
01:001:00 a.m.
02:002:00 a.m.
03:003:00 a.m.
04:004:00 a.m.
05:005:00 a.m.
06:006:00 a.m.
07:007:00 a.m.
08:008:00 a.m.
09:009:00 a.m.
10:0010:00 a.m.
11:0011:00 a.m.
12:0012:00 p.m.*
noon
13:001:00 p.m.
14:002:00 p.m.
15:003:00 p.m.
16:004:00 p.m.
17:005:00 p.m.
18:006:00 p.m.
19:007:00 p.m.
20:008:00 p.m.
21:009:00 p.m.
22:0010:00 p.m.
23:0011:00 p.m.
24:00(midnight)*
(end of day)

Tuesday, May 14, 2013

NCLEX, MEDSURG, PEDS, AND PATHO


Welcome to the world of nursing school where a straight A student can easily become a B- student or worse.

I've seen this happen first hand.  Not pretty.

Why do people's g.p.a.s plummet from out of the sky?  

NCLEX style questions!!!

In nursing school there will be no more memorizing stuff and spitting it out on paper.  Those days are gone my friends.

The questions you will be asked will feel a bit like brain teasers.  

You have to think.  

You will get tricky select all that apply questions.

You will get questions where 2 answers are correct, but of the 2 correct answers one is more correct.

You will get hard midterm and final examinations where the class average is 84 sometimes even lower.   

It's not all gloom and doom though.

I am here to offer you some help so you don't have to go through half the headaches my classmates and I did.

These are the books we used and a website we accessed to get us through the stormy weather. 

It couldn't hurt to have the Saunders and MedSurg book for Patho as your professor will focus a bit more on signs and symptoms of the particular illnesses.

Saunders NCLEX Review     
The CD is killer!!! 
http://www.amazon.com/Saunders-Comprehensive-NCLEX-RN®-Examination-Nclex-Rn/dp/1437708250

Elselvier Evolve
These guys publish your MedSurg Textbook.  Sign up for an account and you can take their chapter quizes for free.  There are usually one or two questions on every exam.
http://evolvels.elsevier.com/section/default.asp?id=2631_global_0001&mode=

MedSurg Success
http://www.amazon.com/Med-Surg-Success-Applying-Critical-Thinking/dp/0803625049/ref=sr_1_1?s=books&ie=UTF8&qid=1368564857&sr=1-1&keywords=medsurg+success

Peds Success  
http://www.amazon.com/Pediatric-Success-Applying-Critical-Thinking/dp/0803620586/ref=sr_1_1?s=books&ie=UTF8&qid=1368564926&sr=1-1&keywords=peds+success

Website that helped us out a lot for Peds and OB/GYN.
http://www.gwhizmobile.com/gWhiz/CatalogDetail.php?tag=flash&key=0Asjsj1h3EV0bdFVXelV2N052eV9ORWdGREVDZ1h5VEE&action=view&title=302%20GSRN%20Exam%202&rating=0

http://www.gwhizmobile.com/gWhiz/CatalogDetail.php?tag=flash&key=0Asjsj1h3EV0bdDhsblE0cG82X2ZXRFROWDBXQUl3WFE&action=view&title=302%20GSRN%20Exam%201&rating=0


Question Comments Suggestions: ramonbritt@gmail.com

Thursday, May 9, 2013

The Downstate Dollar Van

So Downstate has a van that will drop you off or pick you up from Winthrop or Church Ave.  train stations 24/7.  

If you're departing from the school during the day time, the van comes around every 15 minutes or so and takes you to the parking lots and Winthrop Station.  

At night time you have to call up, and request a car.  

How do you call them?  There is phone by the security guard's desk at the Lennox Road entrance.

Who comes in the off hours to pick you up is not the van, though, it's the cops.  They come pick you up, and escort you to the train station like you are President Obama or something.

But the major difference between when you call for a police escort, and when Obama calls, is you will be waiting around for forever for the boys in blue to show up.  Especially if you're a guy.  

I've called on two separate occasions, got tired of waiting, and  went ahead and walked.

They will come pick you up from Church Ave or from Winthrop at night for you folks planning to dorm.  But again they are not reliable, and you may have to make several phone calls for them to come get you.  My classmate also experienced this.  And he was also a guy.

My Preceptor's Picks- Antihypertensives

I decided last week to take a copy of my 2011 Lippincott Williams Drug Handbook into the hospital with me, and ask my nurse preceptor to star all the antihypertensive drug she works with on a regular basis.  

My preceptor transitions daily between the Med Surg, Tele, and Stroke units.

The orange meds I feel like I've seen the most.  Especially metoprolol.

Try to be familiar with some of these before going into MEDSURG I if you can.  

If not then try to learn them little by little while you're in MEDSURG.  

Aliskiren
Captopril
Clonidine hydrochloride
Diltiazem hydrochloride
Enalapril Maleate
Furosemide
Hydralazine hydrochloride
Hydrocholorothiazide
Labetalol hydrochloride
Lisinopril
Losartan potassium
Metoprolol tartrate
Nadolol
Nicardipine
Nifedipine
Nitroglycerin
Quinapril hydrochloride
Valsartan
Verapamil hydrochloride

Wednesday, May 8, 2013

MASK FITTINGS ARE IMPORTANT MY DUCKLINGS!!!

Quack! Quack!  It's time to get fitted!

You will most likely be exposed to patients with TB and Measles at some point before you are finished with the program.  But don't be scared my little ducklings you will be protected.

One day they will corral all of you into a room and fit you for a particulate mask.  Probably around the time you're wrapping up your OB clinicals.

They will put a mask on you, then put a big plastic bubble over you head, spray something inside, and ask if you can smell something.  If you don't smell anything it means it fits properly.

Make sure you don't smell anything.  Don't let the big stupid plastic bubble and your classmates laughing at one another distract you.

Once you say you can't smell the spray, they will give  you two masks that are your size, and send you on your way.  Check the size.  It will be small or regular.  It's written on the mask.

That way when you go to your independent study and the nurse says lets go in the isolation room with the patient who has TB, you know for sure you are grabbing the right sized mask out of the box.

No one is really going to stress that to you when you get fitted.

For those of you wondering what the duck references are about.  Check the link below:

http://www.buyemp.com/product/kimberly-clark-tecnol-fluidshield-n95-particulate-filter-respirator-and-surgical-mask

Knowing Your Vitals Is Vital


For about a month the first thing I did after I got up every morning was test myself on all these values. 

I wish I had of done it sooner than I did.  During the break between the second summer and fall semester you should make sure you learn these values if you didn't memorize them already.  You will be starting Med Surg I and you will be in specialty areas like the operating room, post anesthesia care unit, telemetry unit, intensive care unit, emergency room, and other areas as well.   

You will absorb way more information if you understand your vitals and where the patient is at.  

Knowing your vitals is also very important when giving meds.  You don't want to give a patient anti-hypertensive medication if their BP is 90/50, or their heart rate is below 60 beats per minute.  They can bottom out and code on you.  And if you are implicated in accidentally killing a patient you can get the daylights sued out of you.  Even as a student.  They don't require you to have insurance for no reason.

I have all these values in a little notebook I carry around with me at all times when I'm in clinicals.  

I got these values from out of the assessment textbook, but organized them in a way that makes sense.  This should be a help to students in the first summer semester as well.  These values are important for your Physical Assessment Class.


TEMPERATURE

Axillary       36.0-36.5 C   95.0-98.9 F
Oral             36.5-37.0 C   96.0-99.9 F
Rectal          37.0-37.5 C   97.0-100.9 F
Tympanic    37.6-37.8 C  97.4-101.3 F  

Stick the thermometer in the patients mouth before you start on anything else.  This will save you time. 

When you're in clinicals some hospitals use 3M brand disposable thermometers.  Be sure to read it within 10 seconds of taking it out of the patient's mouth.  Some nurses will say to wait.  That's wrong.  The temperature reading on the dots will begin to change once exposed to the cooler air.  For all the nerds out there, you can click on the link below:  

http://solutions.3m.com/wps/portal/3M/en_EU/Healthcare-Europe/EU-Home/Products/InfectionPrevention/SingleUseThermometers/





RESPIRATORY RATE     12-20 breaths per minute
Older Adult                        15-22 breaths per minute



PULSE RATE/HEART RATE  60-100 beats per minute


In a previous post I recommended you get a semi-decent watch.  This is what it's for.  You need an old school watch with the hands that count seconds.  30 seconds for pulse 30 seconds for respiratory rate.  Double both those values and you've got your times.



BLOOD PRESSURE
Hypotensive:   < 90/60 mm HG           Low Blood Pressure
Normotensive:    90/60-120/80            Normal Blood Pressure
Prehypertensive:  120/80-140/90         Borderline
Stage I HTN:      140/90-160/100          High
Stage II HTN:   >160/100                       Very High

After you graduate from the program you will likely never use that BP cuff again.  Actually scratch that.  After you are finished with Assessment class you will likely never use it again.  All the hospitals have electronic machines.


Questions, comments, suggestions: ramonbritt@gmail.com

Tuesday, May 7, 2013

Library Printers??? Cant Trust em'!!!

It's costs 15 cents per sheet to print in the library.  And no.  There is no place cheaper on campus to print things out.

Never put yourself in a position where you have to rely on a library printer to print something.

Like coming in early in the morning and having to print something out or else you're screwed.

You could get caught out there if you do.  Sometimes the entire printer system doesn't work.  If it's off hours, then no one can help you.

Weekend library staff don't know how to fix glitches in the printer system.



Question, comments, suggestions: ramonbritt@gmail.com

Get a Library Safe!!!

In case you didn't see my post on the freezing classrooms.  Get a library safe.  

How do you do that?

Go in the library and ask them for one.

You can charge your cell phone in the library safe or stash a sweater.

A book or two.  Nursing school books tend to be big and chunky, and the library safes are tiny, so you can't fit too many at one time.

None the less.  Get a library safe and get it early if you can.

You Need $800+ Extra For ATI!!!

I tried to come up with a cool acronym for ATI, but I couldn't.  If I did, the acronym would be something about how ATI costs you that A.  For all of you obsessed with getting an A, this will consistently be the biggest wall blocking you from success.  Want to get into a CRNA program?   These exams will be the bane of your existence.

Why!!! Oh!  Why do they put me through this????

Well after they incorporated ATI into the curriculum the NCLEX pass rate shot through the roof.  And so it's here to stay forever...

ATI is a set of nursing textbooks with online coursework that goes along with it.  The textbooks cover pretty much the same material you are learning in your MEDSURG, PEDIATRICS, and OB/GYN lecture courses.  

There is an online ATI exam that is given after you take every Med Surg, Peds, or OB,  final exam.  

The ATI exams count for 10% of your letter grade.  And in case it didn't really sink in the first time I mentioned it.  I'm going to say it again.  The ATI exams are given after the finals.  As in the same day.  So you essentially take two final exams for every class.  One for the lecture.  And one online ATI exam.

ATI costs $800+.  Don't forget to have your accountant deduct it from your taxes at the end of the year.  The ladies in the nursing office let you you pay them over time for ATI.  Like you make a bunch of installment payments as you go along.  So for the start of summer semester I would budget about $300.  I can't remember the exact amount.  Once I find out I will post it.  They will want that dinero from you pretty much right away.  ATI is not optional.  It's not really mentioned anywhere on the Downstate website.  You find out about it pretty much at orientation.  It was a big surprise for all of us to say the least.    

The books are good though.  They are helpful at times when the textbook can kind of suck.  It can also confuse you sometimes because it has some information that contradicts what's in the MedSurg textbook.  

When the values for say electrolytes or BUN are different, go with the Med Surg textbook as these values will be closer to what you will encounter on the NCLEX exam.


Question, comments, suggestions: ramonbritt@gmail.com

Monday, May 6, 2013

Books! Books! Those Expensive Books!

Before you go crazy blowing your dough on books.  Wait!!!  Your upperclassmen will sell them to you way cheaper than Amazon, and some will even give you books for free. 

So save those dollars to pay for things the upperclassmen can't pass on to you like ATI access.  Yikes!!!


Kicking yourself because you read this too late?


Keep an eye out for the RN-BSN students coming in a couple of months after you do.  You can sell some of your books to them.



Uniform, Stethoscope, BP Cuff, Penlight

Okay so the uniform.  I got the top from the bookstore.  You will need it.

Make sure you don't wait to the last minute to order your top like I did.  The guy in the bookstore takes orders at the start of the semester and pays one shipping price to have all the uniforms sent in one shot.  So if you order after that, you have to pay an additional shipping fee.

Do not buy the pants.  They are horrible and don't fit right and made out thin material.  I didn't get a pair because I asked someone from the previous class about what to buy and what not to buy.  Some classmates bought it and regretted it.  Get a pair of white scrub pants that have pockets and fit comfortably.

I bought the Downstate patch, but never had it sewn on.  I intend to give it away to a student in the incoming class.  I was the only one who didn't sew mine on.  Some professors won't let you get away with that.  So I recommend getting it and sewing it on.  

I didn't get that blue tote bag with knick knacks either.  The students from the previous class told us not to.  I'm not telling you what to do on this because they ask you to take the items out during preclinical labs.  90% of us didn't have it though.

I bought my BP cuff from the bookstore.  It will run you about $25-$30.  Unless you are in extremely dire straights, I recommend you buy it and practice with it.  If you don't get one you can always use a classmate's for the final exam as you will be doing your final exam in groups of 2 or 3.  You will assess one another. You will need it later for Community. 

Penlight.  I bought the cheapy $3.00 penlight from the bookstore.  It was disposable.  I didn't realize that at the time of purchase.  Honestly I think it's a crime to sell them because it creates so much waste.  The disposable penlight doesn't last very long.  Mine last for 7 months, but I didn't use it that much.  I paid $4.68 for my new penlight.  It is brighter, slightly bigger, and the batteries are replaceable.

I bought a $2 watch from a 99 cent store.  It fell apart fairly quickly and I found myself using my cell phone.  Some professors will not let you get away with that.  I was lucky.  I would recommend spending a little money and get a semi-decent old school watch with second hands that tick.  

Go across the street and buy the $20 stethoscope from the bookstore.  I think I actually paid less than $20 for it.  I curl it up and stick it neatly in the right pocket of my uniform.  

When you get in the hospital you will see nurses using disposable stethoscopes as a lot of patients are on contact precaution.  They are not high quality and a lot of contact precaution patients have serious health issues, so unless you are a cardiologist, it's not that big of a deal to get a cheapy stethoscope.  

THE CLASSROOMS ARE FREEZING!!!!!

So if you didn't see my post on getting a library safe.  Get yourself a library safe.

In the library safe, you are to put a sweater and maybe even a long john top.

No joke!!!  In the summertime the classrooms are absolutely freezing, unless you have a really high tolerance to cold.  A couple of my classmates did.  But most of us were freezing our butts off.  

I would have to go outside and warm up in the middle of lecture because it was too cold.  Especially in July and August.  
The hotter it is outside the colder it is inside!!!!

Library Coffee Nazis

So if you walk in the library with a coffee, make a sharp right and sit the coffee on one of the tables in the front. Do not walk into the library with it.  Not for a second.  Not to just go to your library safe.  Not to just go hand someone something.  

If you walk past the front desk with the coffee the library staff will descend down upon you like harpies and start yelling at you.  

Save yourself the headache and auto-program yourself to just leave your coffee in the front.

Social Media and Classmate-Classmate Social Issues

Your nursing career began the moment you stepped foot inside of nursing school.  I repeat.  Your nursing career began the moment you stepped foot inside of nursing school.  I repeat.  Your nursing career began the moment you stepped foot inside of nursing school.

Think before you open your mouth.


Your classmate today could be your nurse manager tomorrow.

People start out friends in June and end up bitter enemies by the end of the program.  Be careful what you tell people because it could come back to haunt you.  I have witnessed this with my own eyes.

You don't know who I am and I don't know who you are.  You don't know who in the health care industry I know, and I don't know who you know.  Engaging people in open battles could cost you headaches down the road.  



Library Fines!!! Ouch!!!

I borrowed a book from the library and forgot I had it.  The book sat on my floor for a month beyond the due date.  The library fine for one month was $40.  Ouch!  

The library will let you carry the date semester to semester until you reach the end of the program.

I'm coming up on the end of the spring semester, and I still haven't paid the fine.  But I will have to soon in order to get my cap and gown for graduation.  

If you end up in the same predicament.  And you shouldn't because I'm warning you.  But if you do.  Go to the supervisor at the library desk and beg for mercy.  They will likely give you a break in the price.  This was the advice given to me.  

Working While in the Program???

Yes!  You can work!  And many of my classmates do work!  

If you are a financially strapped student, know that it is possible to both work and get good grades.

 The program begins in June, and is pretty busy through August, so  I don't really recommend working until September.  The second summer session is kind of hellish actually.  People managed to work through it though.

One of my classmates worked as a PCT (Patient Care Technician) through the entire program.  Start to finish.  Many students got jobs working as waiters, bartenders, or baby sitters.  Another classmate was a unit clerk at a hospital.  One classmate worked as a valet, parking cars.  Another classmate worked as a lifeguard.  

Downstate doesn't recommend that you work while in the accelerated program.  And some professors will be totally inflexible with you, but still more than thirty percent of the students in the program started working by the start of the new year.



Sunday, May 5, 2013

Don't Trash Your Program In Clinicals!!!

I would like to share this bit of advice given to me by one of my clinical preceptors.

During one of my clinical rotations a group of us were standing in the hospital hallway talking.  A couple of students were busy bad mouthing our program.  Our preceptor heard the students, and said that when students stand in the hallway talking badly about their school the nurses on the unit hear you.  And when the nurses on the unit hear that kind of talk, your school gets a bad rep.  And if a school has a bad rep then the students get a bad rep.  And if students from a particular school have a bad rep then nurse managers won't want to hire them.  There is a kind of snowball effect.

There's nothing wrong with bitching about school with your classmates.  Everyone that has ever stepped foot in the door has done it.  Just try to be selective about where you do your bitching, and who you are doing your bitching in front of.

Lighten Your Load Before the Program!!!

Take Pathophysiology before you enter the program.  It will make life a lot easier for you during the first summer semester.  One less class on your plate.  Not to mention that if you take Patho at Downstate you will be subjected to NCLEX style questions.  NCLEX style questions turn straight A students into B- students. 
I've seen it happen.  You will too.  If you get in.  

If you do take patho before coming into the program be sure to review during summer session I, as you will need the information fresh in your head for the MedSurg classes coming in fall.

Take a research class and do some research before you enter the program.  You can place out of Research class, and will only have to write a critique at the end of the semester.

If you have a masters degree in education you can place out of the Teaching and Learning class.  If you didn't take graduate level teaching courses you will have to take the class anyway.  I had a classmate who was a former art teacher in the public school system that wasn't able to place out of the class because she didn't have a graduate degree.

You can also take pharmacology before entering the program and place out of that as well.

Library Hours and the After Hours Code


While the library is a 24-hour facility, you need a special code to get in at certain times of the day.  It will be given to you when you get the library tour on orientation day.  Be sure to store the after hours passcode in your cell phone. It's a couple of numbers with a # at the end.  
The reason I say to store this number is you don't want to be one of hoardes of annoying people at the start of every semester who comes over banging on the glass doors, trying to get people to let them into the library because they are walking around passcodeless.   


And if you go to the library early in the morning, I recommend sitting at a mac computer waaay over on the far side of the library so you can get away from all the annoying door banging.
As of May 2013 these are the Library Service Desk hours.  Off hours is when you need to use the passcode.


Main Desk Hours
Mon-Thurs. 8:30 a.m. - Midnight
Fri 8:30 a.m. - 5:00 p.m.
Sat 9:00 a.m. - 5:00 p.m.
Sun Noon - Midnight

Question, comments, suggestions: ramonbritt@gmail.com