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Files and Skype

Hey there! I am going to start upload my collection of worksheets, subject outlines, study tips, study images, and various other study materials. I have uploaded a "test example" of the nursing process. This was just something quick I put together. I am just getting the word out that more materials will be available shortly! If there are any topics in the realm of nursing, pharmacology, pathophysiology, or anatomy and physiology that you would like addressed, please let me know and I will do my best to assist you!    Here is the link to the example/test document: http://www.wyzant.com/resources/files/262100/overview_of_the_nursing_process   I am also now available for Skype sessions! Therefore, distance and location are not limiting factors! Thank you! Happy studying :)   Please visit my profile page here: http://www.wyzant.com/Tutors/TX/Spring/8057262/

Overwhelmed by nursing textbooks

In my years of tutoring, one recurring theme among my students is "these textbooks are too much for me. Am I really supposed to read and memorize all this information?" My first student refused to even open the textbook, preferring to use lecture notes, review books, and YouTube videos. She's now a gainfully employed registered nurse. To each her own. While I generally don't condone completely ignoring the textbook, I sympathize with students who are overwhelmed. Here are some tips I give them: 1. Start with a review book. Every nursing student should have at least one. It'll give you a great framework for what's to come in the textbook, as well as telling you what you should focus on. Textbooks should fill in the gaps. 2. When you do crack open the textbook, focus on what you as the nurse needs to know. Ask yourself: how will I use this information? Do I need to know the ins and outs of the pathophysiology of this disease? Probably not, but you will need to... read more

Nursing student in despair!

I was one of the altruistic nursing students. I wanted to HELP people. I wanted to SAVE LIVES and STAMP OUT DISEASE! It came as a huge surprise to me that I was going to have to digest and metabolize a plethora of information and then regurgitate it, processed through my common sense filter on nursing school tests. Any student who has taken a test in a nursing program will commiserate with this: nursing tests are not normal. THEY ARE TESTS ON STEROIDS! To make matters worse my school graded on a bias. This meant anything less than an 82% is failing. I was under prepared and overwhelmed. In walks Ms Noreen. In all honesty she kind of looked like a deranged Teletubby. I was mired in my personal discouragement and the last thing I wanted to hear was the New Jersey transplant talk about my fated career. She droned on for a while as I tried to hold back my tears of frustration and inadequacy. Then she said exactly what I needed to hear. She said,... read more

DOSAGE CALCULATIONS

Many nursing students believe that their studies are going great until they come to pharmacology. It is difficult trying to learn and understand all of those drugs and their side effects. However, dosage calculations really put fear into many students.  So the next few blogs will be looking at this topic. Few of us are mathematical wizards, but using dimensional analysis to solve your dosage problems make the process easy.  If you want to calculate a dosage, or the rate of a drip, this method is very useful. Let us first examine the steps of dimensional analysis by working on a simple problem   The MD prescribed 50 mgs of a medication. It is stocked in a concentration of 100mg/ml. What dose should you give in milliliters     1. GIVEN -identify the given quantity -50 mg   2. WANTED -Identify the wanted or unknown quantity - x ml   3. CONVERSION- Write down the equivalents that are needed to convert between... read more

Planning ahead

The beginning of a new school year is always exciting, however there is an end to that year as well with final exams, possibly graduation and NCLEX exams as you prepare to become a professional nurse. Now is the time to put a good study plan in place.  Your plan should be built on a solid foundation of a positive attitude, the belief that yes, you can and will achieve your goals, and measures for control.  You should also make a list of realistic short and long term goals with manageable time frames and outcomes.  The nursing process can be used to help guide you in preparing a plan for success:    Assessment - Make a thorough assessment of you - where are you in your program- how are your grades - what                     are the problems or difficulties that you are facing - what are the things that you need to change-                     improve... read more

Going to School with Small Kids

One of the challenges that women in particular face is the challenge of balancing family life and school work.  I've totally been there and done that.  When my son was just three months old, I returned to school for my nursing pre-requisites.  It wasn't easy, but I did it.  After a few short months, I was enrolled in an accelerated BS to MSN program with a deployed spouse and no family nearby.  Although it was terribly difficult, it was a learning experience, and I survived.  If I can do it, anyone can do it.  Please allow me to share a few tips with you if you are like I was, trying to be a supermom and super student. 1.  Your daily planner is your life.  Seriously, if you do not have a daily planner, then you need to get on the bandwagon and buy one.  I recommend and use a Vera Bradley student agenda.  It has both the monthly views as well as a two page layout for weekly views.  You write everything in that... read more

Heading Back to School

As the summer draws to a close, it is time to take out those nursing books, dust them off and begin preparation for heading back to the classroom. If you are a returning student, by now you should have developed a study plan to help you organize, comprehend and digest the large amounts of information that is required in your nursing subjects.  Here are some suggestions to help you: Make a list of your short and long term goals Make up a studying schedule - it should be realistic based on your other activities  Form a study group with others who are willing to study Keep a journal on your progress Remember to positively pamper yourself - healthy eating habits, exercise, relaxation Early outreach to a tutor for any problems you may encounter Happy Fall Semester Dr. H. B.

ENGLISH WRITING CONSULTANT - COLLABORATIVE UNIVERSITY PEER TUTOR WITH PROFESSIONAL EXPERIENCE

Proofreading and editing one's own paper for a high school or college English course can be challenging. Sometimes one just needs a second pair of eyes. A tutor will often see the weaknesses in a writing assignment and point them out to a student. Like any teacher, making red marks on a student's paper doesn't necessarily help a student improve his or her writing skills. Working side by side, one-on-one with an English tutor will encourage you to take what you already know and apply it to your assignments. Writing is a skill that is necessary in all disciplines, not just the humanities. Science majors must write well to explain laboratory experiments and correctly compose reports. Biology, Anatomy, Physiology, Microbiology, and Chemistry courses in college will require one to write either lab reports or essays, and possibly both. Pre-med students need writing skills just as much as pre-law students. Whatever the discipline, being able to properly convey your ideas, thoughts,... read more

NCLEX: Cystic Fibrosis

NCLEX Cystic Fibrosis Cystic fibrosis is caused by recessive mutations in the CF gene. CF transports chloride, when transortion of chloride is blocked, like in cystic fibrosis, mucous becomes abnormally thick. The thick mucous gets trapped in the lungs, pancreas, liver, intestines, and reproductive tract. Signs of cystic fibrosis: CF PANCREAS Chronic respiratory disease (inflammation, infections, mucous plugging) Failure to thrive Polyps Alkalosis, metabolic Neonatal intestinal obstruction Clubbing of fingers Rectal prolapse Electrolyte increase in chloride over 60 (sweat) Aspermia (in males) Sputum-bacterial infections S. aureus Cystic fibrosis is usually diagnosed in infancy or early childhood. Airway obstruction is the key feature in the presentation of CF. Treatment for cystic fibrosis includes: Anti-obstructive therapy (chest percussion, bronchodilators, mucolytics) Anti-inflammatory medications Antibiotics Pancreatic... read more

Heparin vs. Coumadin

Heparin vs. Coumadin Heparin is an anticoagulant that interferes with the activation of fibrin and keeps it from forming a clot. Heparin is rapid acting and used to treat these common conditions: prevent clots in deep vein thrombosis pulmonary embolism atrial fibrillation There are two types of heparin 1) unfractionated 2) low molecular weight (LMH) The most important labs to monitor when a client is on Heparin are the PTT and aPTT these should be 1.5-2 times the normal range. Because unfractionated heparin and LMWH increases the risk of bleeding, the client is monitored for signs of external and internal bleeding such as: red colored urine/stool abdominal pain nose bleeds bleeding gums bruising The antidote for Heparin is Protamine sulfate NCLEX tips: Heparin will not break up a clot Heparin is for short term use Heparin is given during pregnancy instead of Coumadin Heparin can be given IV or subcutaneously Coumadin... read more

The Teaching Philosophy of Dr. Charles C.

The philosophy of teaching I have embraced in thirty years of teaching medical students and college students is based on the belief that learning is student centered and that students need to be equal partners in the learning process. There must be present, a student mentor relationship of trust. There should, however, always be an authoritative presence in the mentor. This leadership should be omnipresent, whether in the classroom, tutorship, or online. The mentoring teacher’s role involves using his expertise to place necessary resources in the hands of the student and to train him to be not just knowledgeable in his chosen fields of study, but to become an expert at resourcefulness and seek the role of “teacher" himself. It is here where leadership is taught through example. Now that the majority of teaching is performed on an online forum, students now know that the teacher’s role in the online classroom is to be a facilitator, in addition to being a provider... read more

Calling all students

I'm new to this site and can't wait to help you. Got questions? I got answers! Whether you need some simple study skills and techniques or if you have very specific problems in a subject, I can help. Let me show you how all these subjects work together and are not isolated disciplines that you're never going to use. I'll show you the relevance of each subject and how they're all integrated. Learning is so much fun when you understand why you need to know.

Attention Nursing Students!

Hello, Nursing school can be tough! If you are having difficulty or would like assistance with your studies, please contact me. I have been a registered nurse for 17 years and will graduate this semester with my BSN. I have experience in education as well and have a heart for teaching. I would love to work with you to help you succeed in this program. I wish everyone the very best for the new year and happy learning! Dawn R.

Cultural Bias in Online College Courses: This Inequity in Higher Education Should Anger Everyone

My emerging tutoring passion is assisting ESL college students with their coursework. Most of them must also hold full-time jobs to support themselves and often their families as well. Many require online courses to get college educations. They could not earn a college degree any other way. Do textbook publishing companies realize how much cultural bias is written into their online ancillary (supplemental) materials? Do teachers of online college courses realize how hopeless these students feel about merely passing a class when their grades depend on online multiple-choice exams consisting of 60 items to be completed in 60 minutes (60 in 60), for example? This may be a subtle form of cultural bias, but bias it is. Frankly, as a native speaker of American English with a master’s degree in journalism from University of Wisconsin—Madison, I’m not sure I could pass a 60 in 60 exam. I would like to challenge the instructors who teach these online courses and college administrators... read more

Precepting nursing students

I am always amazed about how little "hands on experience" nursing students have received from local colleges. Two senior nursing students that I precepted had little experience with injections and absolutely no experience with the use of glucometers. The opportunities to teach and mentor were necessary and constant! The teaching methods that I used were repetitive demonstration with verbal instruction when caring for children and then the opportunity for the student nurse to provide direct care with supervision. The nursing students had never been provided with this instruction! When tutoring nursing students for exams, I understand that discussion of the material must include possible real time situations to make the material relevant. This reinforces the knowledge base of concepts in nursing.

A New Experience

Hello Everyone, My name is Casey. I am a Registered Nurse in Spokane, Washington, and while I am new to this environment, I have been tutoring for the last four years. I am proficient at tutoring math and science, though I am not necessarily limited to those areas. I am also skilled at teaching study skills and organization, which can help students in any subject. I am willing to tutor students of all ages, and I relate well with child, adolescent, and adult students alike. I believe that tutoring is a team effort in which the tutor and student work together to reach predetermined goals. The tutor facilitates learning by helping students to understand what learning style works best for them, and through teaching students how to organize their learning process. The student applies class content to the learning techniques, and the tutor helps the student to better understand concepts. My goal is to help students to become independent learners so that they can succeed... read more

Eponyms

If you are a medical provider or a nurse for any length of time, you will come across eponyms. Eponyms are diseases, disorders, procedures or equipment that is named for some person. You will not be asking for a indwelling urinary catheter, you will be asking for a Foley [catheter]. When a patient went to the operating room for a pancreaticoduodenenectomy, modified or not, it was not called that, it was called a Whipple’s surgery. If you were at your doctor’s and s/he said, your tests have come back, it would be unlikely for her to say you have an inflammatory B-cell lymphoma, rather she would say , "You have Hodgkin’s disease". There is a movement in health care to reduce or even eliminate the use of eponymous titles on the ground that eponyms do not describe but merely name, and they can be confusing at times. However I doubt that they will ever completely die out, so the student should be prepared to understand the more common eponyms in use today. Common... read more

It's Greek to Me

The language of medicine and nursing as it has developed over the centuries, is filled with difficult and obscure terms. For instance, what we call the common cold was once referred to as "catarrh", and heart failure was known as "dropsy". It can be a puzzle to figure out what is meant by those terms, not to mention innumerable new terms that are invented almost daily. For instance think about the following tongue-twister-- Idiopathic Hypertrophic Subaortic Stenosis -- the person who invented that is probably chuckling now about our inability to even pronounce it. But there is a way around the maze. And that is understanding that many of the toughest words are built from the blocks of a few common prefixes and suffixes, The commonest of these usually have a Latin or Greek root, since Latin and Greek were the languages of scholarship in the middle ages and Renaissance. So here are a list of some of the commonest Greek prefixes in medicine:... read more

With You I Can!

Well kind of...I want to major in nursing so that I could be a registered nurse and work delivering babies. :) I really appreciate all that you have done for me. If it wasn't for you, I don't know where I would be. Thank you. My family says hi and that they miss you. :) Yup, I'm still living in the San Fernando Valley. Nelly M.

For those who took NCLEX and failed - DON'T GIVE UP

So, you took your NCLEX and failed... Now is not the time to give up! The key is to focus, count your blessings and re-examine your approach. While failing the first time around (or second, or third) could make you feel as if you are never going to pass, you have to remember that you now know more than before, and for sure know more than anyone who didn't take the exam yet. Staying positive is vital to your succes. What doesn't kill you, makes you stronger. I find that applying nursing process works best. First, assess: 1. How many question did you have? 75? or over 200? If 75 - don't rush into taking the exam without a thorough review? If over 250 - you almost passed, you may choose to review your weakest topics and re-test. 2. How much time did it take you? Did you run out of time? If yes, what was the problem? Did you have difficulty understanding the questions? Was it picking between two final choices? Or did you "sit" on... read more

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