The ATI pharmacology practice A went pretty well for me! I really tried to make educated guesses on the questions that I did not know. Those educated guess came from eliminating answers that did not make sense and then choose the one that seemed to be the most logical. This strategy went well for me and I plan to use it in practice B also. I feel that after remediating the questions for this practice test, I will be more prepared for the pharmacology practice B test. I do feel that I need to work on studying my pharmacology over all. Although I will well on this exam, I got lucky in some of the guesses of what the medication in the question does. Once I take the proctored ATI, I want to be sure that I feel prepared with the medications that we have already learned so that I am able to choose the best answers.
Month: March 2022
I liked my theme that I had before. I definitely needed to clear off some of the pages so that it was easier to navigate. I feel like it looks better now!
Following nursing school, I plan on moving back home for a few years to pay off student loans and save some money. Home is in Massachusetts, and I plan on hopefully working in Boston. I will be taking the Massachusetts NCLEX examination. Massachusetts does not issue temporary licenses and does not take part in the Nurse Licensure Compact. To practice in Massachusetts, you must be licensed by Massachusetts Board of Registration in Nursing. An application for the Massachusetts RN by first time exam can be done either web-based or manual/paper-based. The application requires a certificate of graduation and official final transcript. This must be sent directly from the education program or school to the Profession Credential Services. Applicants for initial nurse licensure by Massachusetts Board of Nursing must comply with the “good moral character” requirement. This requires applicants to answer “yes” or “no” to questions related to criminal or disciplinary history to provide specific documentation for this evaluation directly to the Board.
An impaired nurse is defined as the inability to practice nursing with reasonable judgement, skill, and safety by reason of alcohol, or drug abuse, use of other substances, a physical or mental illness or condition, or any combination of the foregoing. Any nurse who holds a valid license and who directly observes another nurse engaged in abuse of a patient, substance abuse impairment, or diversion of controlled substances must report it to the Board. When evidence is shown of violation of conducts or law that could pose a risk to patients, the board may sanction a nurse’s licenses. Disciplinary measures depend on what the Board believes in necessary to ensure that this situation does not happen again. External resources that are available for impaired nurses in Massachusetts include Massachusetts Nurses Association Peer Assistance Program, weekly nursing support groups for substance abuse, Massachusetts Board of Nursing Substance Abuse Rehabilitative Program, self-help groups, SMART Recovery, faith based recovery programs, and detoxification and rehabilitation facilities. Practicing as an impaired nurse or observing someone practicing as an impaired nurse is a serious issue and must be reported.
With this in mind, I will always be sure to go by the book during clinical practice. Even though it may take more time, I must protect my license at all costs so that I can continue doing what I love. I do not intend on putting myself in any position that would impair my nursing practice or put it at risk. If I have any questions during clinical practice where I am unsure about something, I will be sure to check with a supervisor or charge nurse prior to making any action. When it comes to mandated reporting, I will live by the motto, “expect the unexpected.” When hearing from the individual who shared his story about diverting medication, he expressed that he was well known throughout his unit and even won awards for his exceptional practice. Nobody suspected that he was diverting narcotics. With that being said, it was not for a while until he was caught. Even the best nurses can suffer from substance abuse. As a nurse, it is my job to keep the patients safe as possible. If I suspect there is a colleague is jeopardizing the safety of any patients, it is my responsibility to report this issue and I will stick by that.
Through this interview with a nurse that I know who I feel encompasses all the characteristics of a leader, I learned that there are multiple different types of leadership. I would consider this individual a “silent” leader, who leads more by example. A leader does not have to be loudest or most controversial person in the room. Her characteristics line up pretty similarly with mine, so it was interesting to hear how she sees herself as a leader. This individual has been working at the same hospital on the same floor for around 20 years. Over that time, she created strong bonds with her coworkers, creating a close-knit unit. She expresses to me that this has both positive and negative effects on her role as an informal leader on the floor. In times of conflict, she explains that it can sometimes be difficult to confront such a great friend. In that case, she communicates her concerns with a formal leader on the floor including the nurse manager or nurse educator and they can address the situation. On a positive note, having colleagues that double as friends make work more fun and allow for easier collaboration.
This nurse has adequate social and self-awareness both in and outside of the workplace. She is always considering the feelings of other individuals which I expect carries over to practice with both coworkers and patients. Although she is self-aware in the fact that she is aware of how her actions will affect others, I do not believe she understands how positive her impact in on others. She does not give herself enough credit when it comes to being a leader. I was surprised when I had to elaborate on questions that were specific to being a leader. However, I believe that the best leaders are the ones who don’t even know that they are leader. She portrays herself in a way where others want to follow in her footsteps and be like her.
Her timid responses about considering herself a leader resonated with me and is something that I will remember once I enter clinical practice. It showed me that these informal leaders who leader more by example need to be told about their impact on their peers because they may not even know that they are seen as a leader. I am going to make a point to acknowledge individuals like her. It is important that these individuals understand how they are portrayed and valued in the workplace. Following this interview, it strengthened my respect for this individual even more than it already was. Her humbleness about being a leader in the workplace is something that I admire. I hope to work more closely with her as I approach clinical practice to leader even more from her. Leaders come in all different forms. It is important that we recognize this and do not discredit the “silent” leaders like this extraordinary individual that I interviewed.
This ATI adaptive quiz went well for me! I really enjoy the maternity information that we learn in class so doing this ATI helped me to learn more. This content is all new to me so taking this quiz allowed me to test my knowledge that I am retaining. Because I am currently in maternity class and have not learned all the information yet, it was difficult to get all of the answers correct. Taking this quiz helped with applying the information that I am learning and using my critical thinking skills. In contrast with the other ATI adaptive quizzes that I have taken, I feel that I did not rush through the maternity one. I was invested in really taking the time on each question to get the most information I can out of this quiz. Treating each quiz just as this one would help these ATI adaptive quizzes be more beneficial to me. Overall, I am proud of my performance on this adaptive quiz because I feel that I got the most out it in comparison to the previous quizzes where I tended to rush through questions and miss key words.
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