Q&A: RN to BSN program

Hello! I have officially been back to blogging consistently for a month and I have to say it feels good to be back! I graduated Medical University of South Carolina’s RN to BSN program in August 2019. I loved the program and had a great experience there and I am proud to call myself an MUSC alum! I did a LOT of research of different programs before I started MUSC so I wanted to share some general information on RN to BSN programs that I found in my research as well as a little bit of my experience in one to anyone who may be thinking of taking this path. Sorry this post turned out to be longer than anticipated, but I was trying to answer a lot of the questions I know I had before starting this journey. Let me know if you have any questions!

What is a RN- BSN Program?

A RN-BSN program is a transition program for Associate of Degree Registered Nurses to become BSN (Bachelor of Science in Nursing) prepared nurses. The actual program is typically one year if you go full time, although part time and self paced programs are also an option. Upon graduation, you will be awarded the Bachelor of Science in Nursing degree. Classes include gerontology, physical assessment, leadership, and research.

Are prerequisites required?

Yes. Most bachelor degrees require at least 60 hour of core classes- math, science, english, arts, etc. I completed my classes at the community college I attended for my ADN (RN) program. I was able to earn an Associate of Science Degree and complete all the pre-requisites required for my program. Make sure you check the program you are interested in for required pre-reqs before you start taking classes! Most have specific classes that are required. Part of the reason I chose MUSC was because I had all the classes and wouldn’t need to take any more. A lot of the other programs I looked at I would have had to taken an extra semester of classes because I needed a specific science, math, psychology, etc.

What type of time commitment is required?

RN to BSN programs vary in what type of classroom attendance is required. The program I attended was 100% online and did not require any specific check in times, which I really liked. Some programs are hybrid, where you attend class or lab weekly/biweekly and the rest is online. Other, may be 100% in seat, although I don’t think those are as common. As far as coursework and studying, I would say I spent at least 10-15 hours a week completing assignments.

What was the coursework like?

Papers, papers, and discussion post. You will write, “Great post! Thanks for sharing!” more times than you can count. And you will spend a lot of time researching, writing, and editing papers. HOWEVER. Don’t be afraid. I personally like to write and research and don’t mind papers, but I know not everyone is this way. Even if you don’t like writing papers, it can be done. If you are super worried, look to see if you program provides any type of writing help or resources. Also, Purdue OWL APA guidelines + an APA manual are absolute MUST.

Do I have to take the NCLEX again?

Nope! An RN is an RN, whether BSN or ADN prepared! No more NCLEX!

Why should I get my bachelors?

I think their is a lot of disagreement on if nurses should have to obtain their BSN or not, especially with the push for programs to only be BSN, magnet status wanting hospitals to house 80% BSN prepared nurses, etc. I think it’s a very personal decision to go back to school and varies among the individual. It is a big financial and time commit to return to school, but you can find ways to help with that. My hospital reimbursed me for part of my tuition in exchange for me staying one year as a RN. Going online and having a flexible class schedule allowed me to work and live without school (completely) ruling my life.

Most hospitals are requiring nurses to complete BSN to keep your job unless you are grandfathered in, I had to sign a contract I would have mine within 5 years of hiring. BSN also opens up a lot of job oppurutnies both in and out of the bedside/hospital. Things like case management, leadership, program coordinations, public health, education, etc. all either require BSN, or you will be more likely to get the job with the added boost. It also sets you up for grad school and continued education if you decide that is the route for you.

What was your personal experience with the program? 

First day of “class”

I really did love my BSN program and had a good experience. It was all online and didn’t require any set log in times so I could keep my schedule and not make any changes at work. I went to school full time and worked full time and still felt like I had time for fun and hobbies. A lot more time than I ever had in my initial licensure program. I understand the exhaustion and burn out that follows completed nursing school, but honestly, RN-BSN is not nearly as stressful. Don’t get me wrong, there is a lot of papers, discussion post, and research- but the stress and amount of work is way less. I was busy but it was manageable.

I will be honest and say that I do not feel the program necessarily helped me grow a lot clinically as a nurse- all of that growth has come from my time as a nurse. However, the research and discussions I engaged in really helped me to see nursing in a big picture kind of way. And to be honest, it made me see a lot of the issues with nursing. Systemic issues involving leadership, staffing, burn out, disparities in healthcare, and more all came to light and really changed my perspective on some things. It could be discouraging at times but it also helped me to grow as a nurse and person and helped to shape and guide my beliefs and passions as well as career goals and aspirations.

Have you or do you plan to attend an RN to BSN program? Do you have any questions for me?

Burn Out & Journey to Recovery

I love nursing. Becoming a nurse is one of the best decisions I have ever made. I love my fellow nurses, caring for my patients and their families, and precepting new graduate nurses. I found a passion in cardiac nursing and love taking care of sick hearts. Even with all this, burn out can still strike and leave you feeling down.

Recognizing my Burnout

I have been feeling depressed (between the death of my fur baby, winter blues, life changes in general) and burn out at work. I still enjoy what I do, but I feel a dread before I go into work. My stress and anxiety are high all the time. On my days off, I do nothing but sleep and eat. I don’t want to leave the house. My self care is non existent.

I thought I shouldn’t write this post, because blogging and IG and all the things I follow are about how they fixed having this problem. How they may have bad days, but generally life is great. They have a whole box of tools to get through the bad days. And that just isn’t where I am right now. I miss Southpaw terribly. I miss my family. I don’t know what direction I want to take on my nursing journey- stay in place? Go to day shift? Go to grad school? Try a new unit? All I know is now is not the time for me to make a change in my career.

Burn Out is Inevitable

I decided that someone else out there may be feeling this, and I should share my current experiences and not be ashamed. Nursing is HARD. No matter how much you love it or how much you were made for it, I believe burn out is inevitable. This isn’t my first experience with it. In my BSN program, I did a lot of research about burn out and nurse retention. These are two subjects I’m passionate about and also topics that I feel are not discussed enough in the nursing professions. Burn out is something we should learn about in nursing school along with coping mechanisms. It’s something that should be discussed in our workplace and support should be readily available. The our coworkers are friends bring up these feelings, they should be met with support and love. Burn out is real and hard but it doesn’t have to be the end of your job or nursing career.

Journey to Recovery

I’m going to be honest- the past few months I just have been going through the motions. I go to work, I do the bare minimum at home, I’m just existing. This isn’t a great way to live. I have good moments and happy days, but overall, I see a major difference in how I felt 6 months ago. I finally feel ready to start working on making it better. I’m going to start small- beginning to do self care again. Working on finding what can bring me joy. Sunday, I took a step. I cleaned my house & car and went for a walk outside. Today, I traded post-night shift sleep for a 1.5 hour nap, hair therapy, lunch, and blogging at a coffee shop. These are small steps, but a lot more than I have done for myself lately. I hope to share with you my journey through a series of post on burn out and self care, including research I am doing to learn more about burn out and what we can do to prevent it. My hope is maybe this series of post and vunerability will make even one person feel less alone, and maybe even encourage someone to join me on this journey.

Are you or have you ever experienced burn out? What did you do to feel happy and fulfilled again?

Three Tips for Nursing School

It’s that time of year- where a new semester begins and the hustle and bustle of school is underway. Although I have had periods of time off during my journey to my Bachelors, it feels weird to not be packing up a backpack and heading back to school. However, I have learned a thing of two during my four degree programs I have completed (LPN, ASN, ADN, BSN.) Today I’m sharing three tips for success in nursing school and also linking to some of my other nursing school related post.

1. Get Organized & Stay That Way

I am not naturally the most organized person. I had to WORK to learn to be organized in nursing school. But with so many due dates, clinical, classes, projects, and more- you have to get organized in order to be successful. One missed assignment or clinical could cause you to fail an entire class. A few key elements to staying organized and on track:

  • Use a planner! Whether digital or paper have all these due dates in writing!
  • Keep your papers together! I had a 3 hole punch and ALL my papers and notes went into the binder for each class. I would print the course calendar out and put in the clear sleeve of my binder so it was easy to see.
  • Find a buddy who you can check in with about assignments, etc. They don’t have to be you best friend, but if you have someone you can text if you have a question about something that was said in class you will get a response a lot quicker than an email from an instructor.
  • Have all your stuff ready the night before! If your trying to pack your backpack or dewrinkle your scrubs the day before clinical, that’s a recipe for disaster.

Being diligent with your time and schedule will lead you to success (and cause you a lot less stress.)

2. Self Care is MANDATORY

You WILL burn out in nursing school if you don’t take care of yourself. The amount of work, pressure, and stress of nursing school makes it feel like you have no time to take care of yourself, but you do. Sleep, eat well, move you body, and do something you enjoy every week. That one hour of self care will be more beneficial than an extra sleep deprived stress meltdown hour of studying. Choose something that makes you happy- and make time for it every week.

3. To be early is to be on time, to be on time is to be late, to be late is NOT TO BE

Guys, you do not want to be late to ANYTHING in nursing school. Ever. I have seen people get locked out of tests, classes, and sent home from clinical. I know things happen and there are things in life that cannot be controlled. But you HAVE to leave early for class. You need to go and find your clinical site the night before. I usually was at clinical (in our meeting spot!) 15-30 minutes before we had to be there. I was always at least 10 minutes early to class (seated in class 10 minutes early, not sprinting across campus.)

A few more post to help you be successful in nursing school:

Nursing School Prep

Success in Clinical

Tips for Surviving Nursing School

My NCLEX Test Day Experience

I hope you all have a great semester! Good luck and take things one step at time. I remember feeling so overwhelmed at the amount of assignments on the syllabus every semester, but then at the end, you always somehow made it through!

What classes are you taking this semester? Do you have any questions or ways I can help you?

A look back at 2019

Photo credit: Stephanie Culbertson

Hello there, friends! It’s been a while! I can’t believe 2019 is coming to an end! 2019 was a weird year, it was one of the best and worst years of my life. There were amazing times- all the wedding celebrations, marrying the love of my life, and graduating with my BSN. However, the ending has been full of sadness and hard times, so I am ready to see a new year and fresh start.

Here we go, a quick look back at 2019!

Marrying my best friend

The biggest (and happiest) thing to happen this year was definitely our wedding! Marrying Bradley and celebrating with family and friends filled my heart with so much joy. Our fur baby, Southpaw, was the ring bearer and dog of honor. He stole the show and looked so dapper in his tux. The day was just perfect. So many happy memories (I may have to do a more detailed blog post on the wedding celebrations 🙂

Photo Credit: Kylie Marie Photography*

Photo Credit: Kylie Marie Photography*

Photo Credit: Kylie Marie Photography*

Kylie Marie Photography

Honeymoon

Our honeymoon was BY FAR one of the BEST vacations we have ever been on! Seriously. I don’t know it was the newlywed bliss, or that we just can plan a great vacation ;), but Bradley and I have never had such a fun and relaxing trip! We took a cruise to Grand Turk and Amber Cover- which was simply AMAZING! We snorkeled, sailed the Caribbean on a catamaran, went to a private beach and resort, enjoyed amazing food and drinks, days on the beach and nights on the deck in the hot tub. We then returned to Florida and stay at a condo on the beach for 3 nights. Seriously, the best honeymoon with the best husband.

Boarding the ship and ready to sail away with my husband!

Grand Turk- The most gorgeous beach and water we have experienced

BSN Graduation

Megan Weaver (errr… Culbertson), BSN, RN looks and sounds SO GOOD! I started this journey TEN years ago when I graduated high school. I graduated MUSC’s RN to BSN in August with a 4.0 (Magna cum laude!)

Good Music

Bradley and I love to go to concerts together- it’s one of our favorite weekend getaways and date nights. This year we saw Mumford & Sons (and got to spend the weekend at the beach!), Vampire Weekend, and Sublime with Rome. It was a great year for concerts, can’t wait to see what concerts we see in 2020!

Sublime With Rome in Charlotte, NC

Our first kayaks

Bradley and I purchased our first kayaks this summer and it was a worth while investment so far! We are still new to the kayak life but we enjoyed taking them out on the lake this summer and look forward to many more water filled adventures as a couple and with friends.

4th of July kayaking with friends

Day on Lake Jocassee

Time with Friends & Family

I was able to see my friends and family SO much this past year and it literally meant the world to me. I had people travel 500 plus miles for dress fittings, bachelorette parties, bridal showers, and the wedding. It just meant so much to me to have them here and spending so much time with them was such a joy. I am so blessed to have so many wonderful and beautiful people in my life.

Dress shopping with my girls

Bachelor/Bachelorette party tubing trip- so much fun!

First tiny home experience

In January I surprised Bradley with a trip to our first true tiny home for his birthday! We stayed in a Tumbleweed tiny home in a local tiny home community. Bradley and I have dreams of someday going tiny to travel so this was such a fun experience!

Ran a 5k

I haven’t ran an (official) 5k in a looonnnggg time. Probably since early college. Bradley and I have been saying we were going to run one for a long time but never did. In May, we finally stepped up and took the plunge. We had a lot of fun and I hope to run some more in the coming year together.

Swamp Rabbit 5k

Southpaw

I hate to end the post on a bitter note, but it just doesn’t feel right not to mention one of the biggest and most heartbreaking parts of the year. Our sweet fur baby, Southpaw, was diagnosed with a mast cell tumor (cancer) in August. After a four month battle with an aggressive cancer that included four different chemotherapies, radiation, hospitalization, aggressive medication regimens, and surgery- he passed peacefully in Bradley and my arms with the assistance of our amazing oncology vet.

Our hearts are broken and the pain can feel unbearable at times. I hope to write a post with more details of his journey and as a memorial to the sweetest, most loved pup. The past four months were so sad and stressful (for us, Southpaw was a trooper and kept his happy spirit until the end) with all the treatments and vet visits, but also full of happy times. Southpaw enjoyed walks, car rides, treats, and lot of time with the people he loved. Bradley and I loved Southpaw more than words can say. He left his little paw prints on not only our but so many peoples’ hearts. We love you Southpaw, I know you are running free of pain and disease, and eating all the burgers, ice cream, and puppocinos.

Waggin’ at the Waterpark

Post-Op Starbucks Date

Photo credit: Stephanie Culbertson

Annabelle & Southpaw napping- touching paws <3

That wraps up the highs and lows of 2019. I am spending today reflecting on the love and loss of 2019, and looking forward to growth and clarity in 2020. What was the highlight of 2019 for you? I would love to hear!

And friendly reminder, as you peruse IG stories and FB post, remember people typically like to relive the highlight reel of the year. If your year feels gloomy in comparison to others, know that we all have hard times. Some years it’s just more than others. Sending everyone hurting this New Years Eve lots of love.

Have a safe and happy new year, cheers to a new decade!

*If you are local and looking for an amazing photographer- check out Kylie Marie Photography ! We absolutely loved her. She was professional, had a fun personality, and delivered AMAZING photos we will cherish forever.

When you don’t get the “dream job”

The “Dream” Job

I had clinical on various labor and delivery units and instantly fell in love! I was the first to volunteer for every delivery, c-section, bathroom call. I was eager and loved every second of it. At one hospital, I spoke to the nurse manager. She let me shadow her at clinical. In my practicum, I tried my best to be as helpful and enthusiastic as possible.

Loving every second of labor and delivery clinical as a nursing student

I asked my preceptor if I could use her name on my application if I applied for a RN position. She said yes. However, I quickly realized that the culture of the unit did not fit what would be the best learning environment for me. It also was a 40 minute drive from my house- longer with traffic. I would not be hired full time, I would be hired per diem and the could transition to full time when it opened. I also would have to sign a two year contact or pay the hospital a lot of money if I left. I did not plan to leave, but I knew sometimes things happen in life. All of this lead me to explore other options.

I decided to go out on a limb and apply at another hospital’s labor and delivery unit. I applied.. twice. I stopped by the unit to introduce myself to the nurse manager- the one I had shadowed in clinical. I was never allowed past the front desk . When I asked if I could come back or wait, I was told she probably would never have time to see me. I left a handwritten note explaining my interest and love of labor and delivery. I sent an email. I never heard from her. I understood. I was new, no experience, and probably seen as a pest. I did what I had read so many other people suggest and have success with but I never heard a word. It was very discouraging.

The Job Meant for Me

Now, I loved cardiac nursing in school and knew starting on a telemtery/step-down type unit would be something I would enjoy, and also give me excellent experience if I decided to try another specialty in the future. I applied for two cardiac/telemetry units at seperate hospitals- and received two job offers on the same day. It was the boost I needed. I was so excited and realized maybe this was actually where I was meant to be. Something in my heart felt so right about one hospital- something I had never felt with the other tele unit or even labor and delivery units. It felt like I place I could learn and grow as a nurse- a place I would always have a team standing behind me. I eagerly accepted the job. It was one of the best decision I have ever made.

Excited for my first night on CV/Tele!

I truly LOVE cardiac nursing. I love caring for sick hearts. The people I work with are amazing! They are supportive and kind and funny. I did not get the “dream job” I thought I wanted but I found something so much better. Another area of nursing I truly love and am passionate about. A unit with a culture that has allowed me to learn and grow. A nurse family that has supported, encouraged, and taught me so much.

Don’t Be Discouraged

If you want to start in a specialty or a specific unit, but all means, GO FOR IT. Apply, email, use connections- whatever you can do! I am not here to discourage you. I am simply here because social media and blogs are filled with people who got their “dream jobs” right out of the gate. Lists of tips and tricks to help you land that job. Listen to them, utilize them. If you get the job, CONGRATULATIONS!

However, if you don’t get the job. CONGRATS to you as well and please know it will be okay. To be honest, as a nursling, you only have had a small taste of nursing. You don’t even truly know what each unit holds. Even after years of nursing, you still won’t know the truth behind a specialty unless you experience it. Go in with an open mind and find the positives in your experience. And maybe- if you are as blessed as me- you’ll find a passion, a nurse family, and learn something new every day.

Our Engagement Story

We are about to hit the double digit mark in the wedding countdown, today is 100 days until wedding day!

Photo Credit: Stephanie Culbertson

I am so excited to marry my best friend and start the next chapter and adventure in our lives! I’m taking a break from the nurse talk to share my engagement story today! If you have no interest in this, feel free to skip this post and check back next week for some more nurse related fun! Also, I apologize for how long it is. I can be a tad long winded. 🙂

For my birthday last year, Bradley gifted me a weekend in the mountains. Going to a cabin in the mountains in the fall is one of my favorite way to travel. If I’m being honest, I had a feeling that this weekend may be the weekend he proposed. We have been talking about marriage for years, and it was not a matter of if but a matter of when. We had gone to look at rings. We had discussed marriage and weddings. This seemed like the perfect time!

Arbor at Lake Lure Cabins- HIGHLY RECOMMEND! The owners are fantastic and we loved the cabin!

We went to Chimney Rock, NC- the cutest little mountain town that is next to a gorgeous state park. If you ever have the opportunity to go, I highly recommend it! The first night we arrived we went to dinner at a local Italian restaurant. Bradley pulled out a gift and the second he handed it to me, I realized it was an Apple Watch (this wasn’t the first time he gifted me one!) When I opened it, sure enough, it was the new Apple Watch. I loved it and had been wanting an upgrade, but my mind immediately thought, “if I am getting an expensive watch, there is no ring this trip.” A little disappointed, but still so excited to spend the weekend with my guy, I knew it would happen when it was meant too.

The next day we spent most the day relaxing in the hot tub at the cabin. That evening we decided to venture out for a wine tasting at the winery in town. Again, Bradley tells me he has a gift. As we sat sipping our wine overlooking the mountains I thought, “could this be it?!” He pulls out Mumford and Son tickets. Again- so much excitement! This is a band we both loved and have wanted to see forever! But also, DEFINITELY no engagement now! Cabin + concert tickets + Apple Watch = NO RING.

Burntshirt Vineyards Tasting Room

The next day Bradley was insistent we go hiking. It was 50 degrees, gray, and had been raining. We love to hike, but I would have been fine sipping wine in the hot tub all day. He was really excited, so I decided to go. We enjoyed a beautiful hike at Chimney Rock State Park full of so many gorgeous mountain views. We would go to a look out point, talk, and then keep hiking. At the end, he even set up his tripod to take a picture and I thought for sure this was it! Nope, we took the picture, packed up, and hiked down to the end of the trail. At this time he looked at me and said “you ready to go get a post hike beer!?”

 

Views from our hike- it was all so beautiful!

The Tripod Picture

At this point I was cold, tired, and hungry. He decided if we were there were should walk up to actual Chimney Rock. An absolutely beautiful place to go, but I was ready for some food. However, I decided he was right. It was only a few more steps. At the top I pulled out my phone and started taking pictures and putting on Social Media, I figured the proposal wasn’t happening and we had spent the past 4.5 miles relatively phone free and I wanted to share these views! I KNEW it would not happen. The top has a lot of people and we always said he would never propose with an audience! Bradley put his backpack down, kept patting his pocket, pacing back and forth, and I am totally oblivious to what is going on, because again- it’s not happening!

Me, totally oblivious to what is about to happen

The next thing I know, I hear a “Hey Megan!” and turn around to see the love of my life, my best friend, on one knee! And my reaction was not the cute, cup your face, teary eyed reaction you see in pictures. I throw my hands in the air and scream “WHAT ARE YOU DOING!?” Not in a mean way, in a totally shocked way. It wouldn’t be Team Bragan (our self made nick name, judge if you want) without me being really awkward. Ha.

Chimney Rock where he proposed! We were standing at the top of the rock near the flag pole.

Bradley on one knee, look at that view!

He gave a short but beautiful speech, with a slightly shocked expression due to my reaction. Then the tears came. And the OMG is this REAL!? And then he put this beautiful ring on my finger!

All the heart eye emojis over this ring!

Thanks to my sister for suggesting I should paint my nails, “just in case” 🙂

We went to a brewery in town at the entrance of the park for a post hike brewski, then back to the cabin where Bradley made us a steak dinner, we had a champagne toast, and basked in the happiness of the fact we were ENGAGED!

Hickory Nut Gorge Brewery at Chimney Rock

I couldn’t have asked for a better proposal! It was so perfectly us. We love to hike and be out in nature and I couldn’t think of a more beautiful place to propose! 100 days until the next adventure begins! My heart is so full.

Photo Credit: The Talented Stephanie Culbertson

Happy CNA Week!

CNA week was actually last week (June 13-19). Unfortunately, life has been busy with wedding, school, work (& overtime) so blogging kind of hit the back burner. However, I couldn’t let another day go by without sending out my love and appreciation to all the CNAs (certified nursing assistant), STNAs (state tested nursing assistant), PCTs (patient care technician), HUCs (health unit coordinator), secretaries, and monitor techs! You all are part of a caring, hard working , and often thankless profession. The work you do is so important to patient care and should be honored every day of the year!

Thank you for being a shining light during your patients or residents darkest days

Thank you for providing your patients and residents with dignified and compassionate care

Thank you for reminding me of a patient’s request I may have forgotten

Thank you for explaining to the patients when I am behind that I do care and I am coming with their request

Thank you for being a second set of eyes and ears to help find critical changes in patients and saving lives

Thank you for watching monitors and answering phones and call lights and calling consults and for keeping the unit running smoothly even when the rest of us feel like everything is up in flames

I cannot put into words how much appreciation I have for all the amazing and hard work PCTs do during a shift. CNAs and PCTs have helped me grow as a nurse and have taught me so much in how to care for a patient. I hope if you work in healthcare, especially as a nurse, and have the privilege to work with any of these amazing people, that you take the time to love and appreciate them. Happy CNA week to all the amazing and caring CNAs of the world!

XOXO,

Megan

 

NCLEX 101: How to pass your NCLEX and earn your credentials

Congratulations, you graduated! It is such an exciting time, but also a stressful and confusing time. You have passed all the classes, test, clinical, papers, but now is one of the most important test of all. The NCLEX. The test that will make you an official LPN/RN. The test that will give you a license and allow you to start practicing your craft. I have written a few different blog post about this subject back when I was a new grad and have linked them in this post. I also wrote some helpful tips, resources, and left some encouragement to all of you about to embark on the NCLEX experience!

Let’s get started!

What is the NCLEX?

NCLEX stands for National Council of Licensure Examination. This is a national exam given to nursing school graduates for state licensure. Everyone takes the same NCLEX, but you will only be licensed in the state to which you apply. You also can take you NCLEX at any Pearson VUE testing center, regardless of what state you will be licensed. For example, I was testing for a SC nursing license but completed my test in NC. There is an NCLEX-RN for Registered Nurses and NCLEX-PN for Licensed Practical Nurses. The NCLEX-PN ranges from 85-205 questions with a time limit of 5 hours and the NCLEX-RN ranges from 75-265 with a time limit of 6 hours.

Computer Adapted Testing

Computer Adapted Testing is why the NCLEX has a range of possible number of questions. In order to give appropriate questions to each test taker the computer re-estimates your ability with every question answered. Therefore, each question you receive is based on your performance of the previous question.

There is no grade for the NCLEX. The computer will decide you have pass/failed when:

  • You have completed the maximum number of questions allowed
  • 95% confidence rule
  • You exceed the maximum amount of time.

The 95% confidence rule is when the computer will stop giving you questions because it is 95% certain you are above or below the passing level. Think of the passing level as a line. You start on the line, every time you get a question right- you go a step up. Every time you get a question wrong, you take a step down. When the program has determined with 95% certainty that you are above or below the passing line, the test will end. It also can end if you meet the maximum number of questions or if you meet the maximum amount of time.

Get Registered

This is one of those things in life that if you wait until you feel you are ready, you’ll never do it. Once you get you ATT (authorization to test), go ahead and book that exam! Having a deadline will help keep your studies on track and will also ensure you take the test in a timely manner. I took my NCLEX 3-4 weeks after graduation and felt this was enough time to study. I would suggest taking it within 4-6 week, while you are still fresh from school.  Remember, you can go to any testing center. If the one closest to you is booked, look at other areas around you. You have the knowledge, you just need a few weeks of practice before you take the exam!

Questions, Questions, Questions 

Seriously, I can’t say it enough. I think the absolute best way to pass the NCLEX is through question review. You have already had two years of nursing education. Lectures, powerpoint, flash cards, clinicals, studying for hours on end. Now, the focus is to learn how to appropriately answer NCLEX style questions. This is not to say you don’t need to review the rationals for the questions. Understanding why an answer was right/wrong is just as important as getting the answer correct.

Create a Study Plan

Decide what study tool you are going to use and create a plan. The first 2 weeks of my studies- I chose certain topics to answer questions on. The last 2 weeks,, I mostly did comprehensive exams to better prepare for the actual test. When I missed things, I read the rationale and wrote things that I found to be pertinent in a notebook. Do not spend you whole day studying! It is unnecessary and will lead to nothing but stress. I suggest completing 100-200 questions a day and limiting your studying to no more than 2 hours.

Uworld

I used Uworld for my NCLEX-RN prepped and loved it! I felt the questions were similar to the NCLEX questions and I really love the rationales they gave- they are very detailed and they tell you why answers are right but also why the other answers are wrong. They also have an app on your phone which is nice for if you have a few minutes to spare while you are out. You can pull up the app and do some questions. You can find a blog with a more detailed account of my Uworld experience here.

Kaplan

I used Kaplan Review and Test Prep for my NCLEX-PN and really enjoyed it. The review class was helpful and they also have a large bank of questions with rationales.

Do not study the day of the test

Seriously, don’t do it. Studying or questions the day of the test will do nothing by stress you out about things you think you don’t know. Your focus on the day of the test is to remain calm, get checked into the test center, and ace that test.

Pass with 75 questions on the first try

Everywhere you look someone is talking about how they passed the NCLEX on their first time in the minimum number of questions. And this is great! It is something to be proud of. I passed both my PN and RN NCLEX in the minimum number of questions (85 PN, 75 RN) on the first try. However, I decided not to include any of this information in the title of this blog post, no matter how intriguing it may be. Let me say this, it does not matter if you pass in 75 questions or 265 questions, first try or third try, YOU CAN STILL BE AN AMAZING NURSE! It has no bearing on your knowledge, compassion, or skill. I do not want to lead anyone to believe that if question 76 pops up they are a failure. Before I submitted my 75th, I took a deep breath and told myself that if another question popped up it would be okay. I suggest you do the same and believe it!

Don’t base answers on past experience

The NCLEX world is a perfect world. There is adequate staff, resources, and disease processes are always text book. The NCLEX world is black and white while the nursing world is full of grey. Answering based off things you have seen or done could get you in trouble, so answer based off what you have learned in your studies.

The Experience

Both of my experiences with the NCLEX involved a lot of anxiety and not being confident that I passed when I left (I think this is common for a lot of people!) You can read a more detailed post on my experience here.

Know where the test center is and arrive early

For both my NCLEX, I went and found the testing center the day before! I tested out of town for both and chose to get a hotel for the night before. It was a little extra money but knowing I was close to the testing center and being able to locate it the day before was very helpful.

Walk in and do you best!

In the end, remember the NCLEX is just ONE test and it does not define who you are as a person or a nurse. Follow these tips, study, and just do the best you can do. Good luck! Let me know when you pass that test! 🙂

Where are you in your nursing school journey? Are you preparing for the NCLEX?

 

Happy Nurse Week 2019: Thank you, Nurses

I truly believe nurses are the heart of healthcare. We are the beings that put all those orders and medications and interventions into action. We constantly monitor and assess for even the most subtle changes. We discuss those gut feelings and changes with our colleagues. We work to always be steps ahead of a crisis. And when a crisis does hit, we call the rapid or the code. We begin the lifesaving interventions. We become a well-oiled machine as we work side by side with other healthcare professionals to save a life. Nurses work to better the community.  We serve the underserved. We perform research. We educate the future of the profession.

We all have stories. Patient lives we have touched and patient’s that have touched ours. It is a privilege to be apart of people’s best and worst moments. The most intimate and scary times. Nurses hold not only am immense amount of compassion and care- but knowledge and critical thinking skills. They know how to save a life.

Thank you for showing your patients love and compassion

Thank you for working to better our community.

Thank you for having excellent critical thinking and communication skills

Thank you for finding life threatening problems and starting intervention to save a life

Thank you for holding the hand and caring for the dying and their families

Thank you for welcoming new life into the world

Thank you for educating and keeping the new nurses and student nurses safe

Thank you for supporting and inspiring your fellow nurses

Thank you for being a patient advocate

The things in this list just barely brush the surface of what we do in a day. My love and appreciation for my fellow nurses is endless. To keep it short, from my nursey heart to yours- THANK YOU.

Happy Nurses Week,

Megan

Second Semester Wrap-Up: RN to BSN

I completed my ADN (Associate Degree in Nursing) in March of 2017. In April 2017, I secured my first RN job on a Cardiovascular/Telemetry Unit of a local downtown hospital. Upon hire, I signed a contract saying I would be enrolled in a BSN (Bachelors of Science in Nursing) program within three years of hire and complete obtain my BSN within 5 years of hire. In compensation for this, the hospital would provide me with a set amount of yearly tuition reimbursement (with the agreement I work for one year after receiving the money.)  This August, about 1.5 years after starting my job I decided I was ready to return to school to complete my BSN. Some people go straight back to school. I decided to wait a year and become comfortable in my new roll and save money (nursing school took all my pennies.)

The Program

I am enrolled in a completely online RN to BSN program through a traditional brick and mortar school. Some schools in my area have an option of attending class once a week and the rest of your work is completed online. I chose online for multiple reasons but flexibility was the main one. I loved the set schedule I had with work and I did not want to have to change my schedule. I also did not want to have to try to balance a work and school schedule again. That being said, my classes are not self-paced. I have set deadlines. However, I don’t have to schedule days off because I have to be somewhere at a certain time. Typically, my classwork is due on Sundays (with the occasional weekday due date.) I really like this set up and it allows me time on my days off to complete my work.

First Semester

In my first semester I took two 15 week classes and two five week classes. I took a research class, a geriatric nursing class, advanced pathophysiology, and an introduction to the program. Research and geriatrics were 15 weeks, patho and the introduction class were 5 weeks. To be honest the beginning of the program was a little overwhelming with the amount of papers and work and getting back into the swing of APA papers/academic life. However, once I found a routine it was not as bad as I anticipated.

Second Semester

Second semester was easier. I only took at the most 2 classes at a time. My classes were community health (15 weeks), nursing informatics (5 weeks), and health assessment (5 weeks). The most challenging aspect was a semester long group project. When you are in school, your group is kind of forced together. Online, not only are you not together, you may not even be in the same area! My school is 3 hours away from where I live, therefore meeting with other students in person was not a feasible options. We met through a group video chat room and communicated through email. Coordinating four nurses schedules to find time to meet was difficult but my group was great and we made it work. We did several projects that we combined at the end of the semester into a presentation.

Comparison to ADN

I have to say that my BSN program is SO much less stress than my ADN program was! I am able to work full time (with 1-2 call/overtime shifts a month), go to school full time, plan a wedding, and still have time for things I enjoy and my family and friends. It still requires discipline and time management but is a much better balance of life than an initial licensure program.

Although I cannot say that I completely agree with the push for everyone to go back and complete their BSN, I am enjoying my program and highly encourage you to consider continuing your education if you are an ADN nurse. Obviously, time, money, specialty, age, life plans, location, etc. are all factors that would affect this decision and you should do what is best for you. For me personally, I knew to stay in the hospital I had to go back. I also wanted to further my knowledge and eduction with my BSN, and ensure I am a good candidate for any future jobs or opportunities. I have potential plans for grad school in the future and a BSN is an important step for that goal.

Are you in school? What are your educational goal? 

Thanks for reading, friends! I hope you have a fantastic weekend! My best friend is here so my long weekend is starting off great! 🙂 See you next week!

Megan