As the COVID-19 pandemic continues to take an enormous toll on human health across the globe, its impact is felt significantly in other industries as well. Higher education has been upended with most institutions sending nursing students home to complete the rest of the year online.
If you’re a nursing student, the impact is being felt even more keenly. Clinicals have been canceled while hospitals and healthcare facilities grapple with an overwhelming number of severely ill patients. But many nursing students will still be able to continue on as best as possible by completing the academic courses they have.
If you’re a nursing student who’s now trying to finish the rest of the year by taking all your courses online, it all might feel nearly impossible. Remember you’re not alone. Your peers and even many of your professors are trying to manage this new normal.
Wondering how you’ll manage the rest of the year as an online student? Here are a few tips:
Commit to a Class Schedule
Even if your online classes don’t require a specific meeting time, block out your schedule as if they do. Scheduling time when you log in or do the work or meet with a study group will give your days and weeks structure. Write it in your schedule and plan your days around those fixed times.
Ask for Help
If you find the online format is challenging or you’re struggling without the face-to-face contact, reach out to your professors or to your school. Asking for help early will ensure that you aren’t falling behind. They might offer different perspectives to nursing students on how to work in this new format.
Stick to a Routine
You’ve probably heard this, but keeping to a regular daily routine will keep you focused. Get out of bed at the same time every day and set aside time for specific free-time activities—exercise, reading, watching TV, hobbies, or video chatting with friends and family. Try to go to bed at a regular time as well. Carving out blocks for your work and your leisure helps you set boundaries so you don’t find you’re spending too much time or not enough time on either.
Take Care of Yourself
These times are stressful, chaotic, scary, and unsettling. Accept that you aren’t going to continue on with life as you know it. Plan to make adjustments. Try to eat nutritious food and get sleep at regular intervals. If you tend to eat three meals a day, keep doing that. If you prefer to spread out your eating, eat smaller meals, but at similar times every day. Again, the routine can help you feel like you have a schedule and give you structure. If stress is interfering with your daily functioning, reach out for help either with a therapist (many are offering telehealth appointments) or a close confidant or member of your faith community.
Keep Focused on the Future
Remember why you started nursing school and keep that end goal in mind every day. Remembering your goal, and working toward it, will give you purpose and help ground you in the day-to-day business of living your life. This virus is changing the world as we know it, and it will not always be as troubling as it is now.
Good luck, nursing students—you’ve got this.
If you’re a nursing student, this time of year generally brings a schedule full of midterm exams and projects. Many students say this time of year is the toughest for studying. The weather is still chilly, and everyone’s ready for something, anything, than what they have to get done.
Being a nursing student is stressful and pretty busy in general. You’ve got a lot of work to do, a limited amount of time, and haven’t shaken off the winter hibernation mode yet. If that sounds familiar, here are a few ideas to help you power through this tough time.
Block It Out
The news is full of upsetting events. Coronavirus. Politics. Climate change. Influenza. If you have a fear or an anxiety, there’s probably something about it in the news. You’ve got work to do and world events are overly distracting—but you also can’t just pretend it’s not happening. Set aside specific times to check in with daily events. Don’t scroll through on your phone every hour. Resist the urge to check the news on TV when you’re making dinner or eating with friends. Being in control over the way you consume the information will make it less distracting and leave you time to focus.
Find Your Study Sweet Spot
You might find studying in the library is not the best location for you. Maybe you prefer studying in the gym with the rest of your gym buddies or your team. Maybe a coffee shop is for you or a lounge in your school’s campus center. Or maybe your best study spot is a comfy corner in an academic building. Wherever you can focus on your work and get the most done is the place for you to go during midterms. Find that place and set yourself up with snacks, a water bottle or some coffee, and get your work cranked out.
Time to Relax Isn’t Wasted Time
Endless studying is actually going to work against you. Your brain needs to take breaks to help it process what you are learning and what you are trying to get done. The key is to plan it into your day. A couple of hours of cramming deserve to be followed by a short walk with a friend or some time listening to your favorite podcast or watching funny cat videos. Plan a dinner in which your only company isn’t just a textbook. Connect with your family, friends, or pets. Take time to eat. Watch a movie. You’ll actually give your brain a much needed rest so it, and you, can perform best.
Pay Attention to Self-Care
You probably are going to skimp on sleep during midterms. There’s a lot to get done and only so many hours in the day. But try to keep as much to a schedule as you can. Fit in short naps during the day if you’re really dragging—they will refresh you. In this time of flu and colds, be sure to wash your hands frequently with soap and water—even when you feel like you’re washing your hands all the time. Stay hydrated with lots of liquids (water is always best) or even fruits and veggies like watermelon and cucumbers. Get outside when you can because sunshine and fresh air are refreshing to tired bodies.
If you feel overwhelmed by the academics or the life overload, get help. Tutors, student success centers, study groups, or even reliable online help can give you a better understanding of work that you’re having difficulty with. Many schools offer counseling centers where trained therapists can help you manage the stress and anxiety many nursing students feel during midterms (or at any other time as well). The help is out there and taking advantage of it can help you through this tough spot.
Remember, midterms will be over soon enough and you’ll be on to the next great challenge that nursing school brings. This is part of the road to a career that will be rewarding to you and will make a huge impact on humanity. Good luck—you’ve got this!
Critical care transport nurses work to keep patients stable and healthy while they are being moved, and every February 18, their work is honored. The day recognizes how critical their work is to the healthcare organization.
Critical care transport nurses work in diverse and constantly changing conditions. They might be Med-Flighting a critically injured patient from a car accident or they may be moving an ill elderly patient from a nursing home to a medical facility. Those two fairly typical scenarios show just how prepared critical care transport nurses must be for whatever situation a day at work brings.
Founded nearly 40 years ago, the Air & Surface Transport Nurses Association (ASTNA) is the professional organization for nurses in the field and sponsors this recognition day. According to the ASTNA, this career path is one that relies on skills build from a solid foundation of education and practice around nursing and trauma care.
The ASTNA offers the following education and experience requirement guidelines to become a critical care transport nurse:
- Registered nurse standing in the state you’ll practice in
- Two to three years of critical care/emergency experience or applicable acute care nursing environment
- BCLS – Basic Cardiac Life Support
- ACLS – Advanced Cardiac Life Support Certificate
- PALS – Pediatric Advanced Life Support Certificate
- NRP – Neonatal Resuscitation Program
- A nationally recognized trauma program such as TPATC (Transport Nurse Advanced Trauma Course (TPATC), BTLS (Basic Trauma Life Support), PHTLS (Pre-hospital Trauma Life Support), TNCC (Trauma Nurse Core Curriculum)
- Certifications such as Certified Flight Registered Nurse (CFRN), Critical Care Registered Nurse (CCRN), Certified Emergency Nurse (CEN) may be required within six months to one year of hire
- Some states may require nurses to have EMT-B or EMT-P (Paramedic) certification.
These requirements show the broad knowledge critical care transport nurses must have as they can be called on to use each skill at any given moment. They could be treating patients who range in age from newborn to centenarians. Their trauma skills need to be current and precise, and they also have to develop the ability to provide critical care in a moving vehicle or in flight. That means critical care transport nurses need to be able to react with exceptional speed and in with a calm and controlled manner.
If you’re a student nurse thinking of this role, know you’ll need to have an agility to simultaneously assess
- the situation (a neighborhood with a mom who is in labor to a dangerous industrial accident site)
- the patient (taking into account the location could be a home, highway, medical facility, office building, forest, or even a battlefield for military nurses)
- the conditions (normal, blizzard, hurricane, flooding)
- the transport vehicle (ambulance, helicopter, medical transport plane)
The work is exciting and satisfying for nurses who are willing and able to work in many layers of changing conditions. Critical care transport nurses often bring a sense of calm and relief to a patient who understands someone is now there to help them, provide care, and bring them to safety.
Critical care transport nurses deserve the recognition they get today – thank a critical care transport nurse in your life!
With medical errors making national headlines, it is no secret that both training and experience are integral to success as a new nurse. Almost all nurses enter the field with a college degree, but recent research shows that novices make a large percentage of the errors caused by nurses. To avoid mistakes and build a strong foundation for your nursing career, here are three essential skills to prioritize during your first year as a nurse.
1) Developing Strong Instincts for Patient Safety
Patient safety is one of your primary responsibilities as a nurse. Safe medication administration is an imperative skill to master in your first year. You are the final check between the prescribing provider and the administration of a medication to the patient. If something feels “off”—maybe the dose seems too high based on doses you have given before or the medication doesn’t seem to fit your assessment of the patient—take a timeout and ensure the prescription is accurate. Mistakes happen even in computer-driven processes, whether a decimal point is missed, a duplicate therapy is accidentally prescribed, or a medication is placed in the wrong slot of a medication dispenser. Before giving any medication, ask yourself, “Are all of the correct pieces in place for me to give this medicine right now?”
Learning to safely calculate medication dosages goes far beyond a textbook. Learning tools like UWorld’s Clinical Med Math allow students to practice and perform dosage calculations without the risk of patient harm if they make a mistake. This tool is meant to be a hands-on resource to help students study for drug calculation exams during school, but it also provides fantastic experience to prepare you for real-world nursing.
Another major safety concern is patient falls. Precautions here may include rounding on older patients more frequently or enabling a bed alarm for high-fall risk patients. You should also utilize a mental checklist every time you walk into a patient’s room, such as:
- Is the floor clear, especially the path to the bathroom?
- Can the patient reach the call light?
- Is the bed in the lowest position?
Adding these seemingly small things together develops a strong instinct for safety so when you enter a room, you automatically sense if something is out of place.
2) Forming Clinical Judgment
Your first year as a nurse builds clinical judgment on the foundation of all the knowledge you acquired in school. The ability to recognize potential or current complications that could cause harm is a strong asset to cultivate. This skill involves understanding the pathophysiology behind different disease processes and identifying the signs of improvement or decline. From there, the priority is determining the most important action you can take in the moment to ensure the best outcome for your patient. A textbook cannot teach you how to anticipate patient needs or develop clinical reasoning. You develop clinical judgment by applying your classroom knowledge to the actual patients in front of you.
As you refine your ability to assess patients and interpret clinical data, you reach the point where you can look at a patient and know something is not right—the monitors might look fine, but your assessment and instincts say otherwise. This is an important part of clinical judgment, and it is your job to dig deeper and advocate for your patients. Of course, this critical thinking must occur while also keeping up with scheduled medications at the same time that you are admitting a new patient and discharging another. Developing clinical judgment to juggle these moving pieces takes time.
3) Mastering Time Management
Time management is another key skill to learn in your first year of nursing. You should be able to look at your whole shift and plan a timeline based on medication schedules, planned procedures, and provider rounds. If all four of your patients have medications due at the same time, how do you organize your time so everyone receives their medications within an appropriate window? Many nurses have their own system of handwritten notes that they keep in their pocket to help organize their day. Asking to see your preceptor’s note system is a great way to get ideas during your clinical rotations in school or during the internship at your new job.
Structuring your day in the most efficient way possible helps develop a “clustered care” mindset where you complete a few tasks together so you don’t leave a room, only to return 15 minutes later. These organizational choices help you accomplish tasks in a seamless, resourceful way. The skill of effectively planning an entire shift comes with time. Do not be afraid to ask questions and learn from other nurses. Pay attention to colleagues who seem particularly organized and solicit their advice—even the smallest tip or trick can make your nursing practice stronger!
If you’re a nursing student, now is a good time to start thinking about your post-college budget. Believe it or not, finding a budget plan that works for you now will help you stay on track financially after graduation.
What can you do now that will make a difference when you are out of school? Educating yourself and trying out different methods of saving (and, yes, even spending) money is the first step in a successful post-college budget. There are many approaches to budgeting and what works for your parents, your best friends, or your classmates might now work for you.
Here are a few things you can do now to help get you ready.
1. Know Your Student Loan Amounts
This means more than knowing you have a certain dollar amount that you will owe once you are done with this round of school. You’ll need to take a look at your loans to understand when you need to start paying them back and what kind of interest you’re committed to. Some loans are fixed, meaning the interest rate you pay will remain the same for the life of the loan. Others are variable, meaning the interest rate can fluctuate over the course of the loan, and that means your monthly payments aren’t always going to be the same. Know the total amount you owe, when your payment begin, and how many months your loan is expected to take to pay back. Even more importantly, understand how much money it is going to cost you every month to pay your loans.
2. Think About Cost of Living
Once you know how much you’ll owe every month, start planning for other costs for your post-college budget plan. Think about what you spend money on every month now and if that will change. How much will it cost to find a place to live (including utilities and parking)? Figure out how much you will need for necessities like groceries and transportation (public or a car). There’s also the less fixed costs of entertainment, travel, clothing, and toiletries and household supplies to consider.
3. Plan for an Emergency
Unexpected costs happen. Cars break down, Living situations change. Health issues crop up. It’s a good idea to have the equivalent of three to six months of living expenses in a fund you can access. It’s probably hard to think of getting that amount now, but starting to build up that emergency fund now is good. Even five dollars a week will add up.
4. Consider Job Options
What’s the job market like in the area you plan to live? If you’re in an area where there are few options, consider looking at other locations. Decide how much of a commute you’re willing to have or if you want to move to an area where you can have more choices at jobs and salaries.
5. Estimate Your Salary
Now that you have a target amount of your costs, that helps you decide on how much of a salary you’ll need to live without going into debt. You should be able to make enough money to cover your expenses, have some savings, and (hopefully) have some left for fun. If you’ve got sticker shock from the first amount, this gives you some time to think of alternative ways you can still have the life you want. If you live in a high-rent area, getting a place with roommates can drastically reduce your living costs. With rent and utilities divided among many people, the savings is likely significant. Is there a way you would get a second job to make up the slack if you need to? What would work for you?
6. Look at Budget Styles
Get online and poke around to see what kinds of post-college budget plans are out there. From Pinterest to Debt.org to Money Under 30, you will find plenty of options to try out.
Budgeting isn’t the most fun task, but it makes an enormous impact on your life. The more you know before you graduate, the more control you’ll have over your choices.
With their state-of-the-art medical technologies and outstanding nursing programs, the United States has long been one of the most desirable destinations for international nursing students to enroll. As an international nursing student studying in the U.S., you’ll have the opportunity to receive a top-notch education that provides hands-on experience under the guidance of world-class nurse faculty members.
But before you can begin learning from leading experts in the field, there are a few important things that all international nursing students should know. Below, you can find out the crucial skills you need before enrolling in a U.S. nursing school, and how to set yourself up for career success.
1. Strong English skills are a must.
One of the most frequently asked questions of any international nursing student is, “Do I need to have good English to succeed in my program?” To put it simply: Yes, you need to have a good grasp of the English language to enroll in a U.S. nursing school.
Most nursing school programs will require you to take the Test of English as a Foreign Language (TOEFL) to ensure that you understand the language well enough to complete the coursework. This is true whether you’re a first-year nursing student or an experienced RN enrolling in graduate-level studies in the United States.
2. You need to complete prerequisite coursework first.
Before you can apply to nursing schools in the United States, you need to show proof that you have completed the necessary prerequisites for the program. International nursing students must fulfill these prerequisites in order to obtain an F-1 visa, which allows you to take up foreign residence in the United States for the duration of your program.
Once you’re accepted into a nursing program, your school admissions office will issue you an I-20 application form. The next step is to fill out this form and take it to the U.S. Embassy or Consulate, where you will pay a fee to submit your application for a student visa.
3. Take advantage of scholarships and financial aid programs.
Even for in-state students, the cost of nursing school in the U.S. can be steep. In-state nursing students can expect to pay anywhere from $3,000-$8,000 per year, depending on the type of education, location and the type of school (i.e., public vs. private).
As an international nursing student, you can expect to pay more than an in-state American student. Don’t forget to factor in the cost of housing, food, and all the basic nursing supplies you’ll need for nursing school. To help ease the financial strain, be sure to apply for financial aid and scholarships that are available to international nursing students. You can find out which financial aid opportunities are available to you by getting in touch with the admissions office of any nursing school you’re considering.
4. Buy everything you need in advance.
Studying in the United States for the first time can be overwhelming. With so much to take in, it’s easy to forget all the supplies you need before your first day.
Depending on when you arrive, you’ll want to figure out which medical supplies for nursing students in advance and order them sooner rather than later. This includes at least a few sets of scrubs, a good pair of slip resistant shoes and compression socks, note-taking supplies, a stethoscope, and a clipboard, just to name a few.
5. Study groups are key to your success.
Though you may prefer to study solo, don’t immediately dismiss the idea of joining a study group. As an international student, being part of a study group can make all the difference in your success. Studying in a group can help you retain more information from class, improve your test scores, and provide you with moral support from your fellow classmates. Additionally, working with a group builds teamwork and social skills, which are highly valued in the field of nursing.
6. Don’t be afraid to ask for help.
Nursing school is challenging even for those who are accustomed to U.S. teaching styles. If you’re struggling to keep up with the coursework or to understand a certain concept, don’t hesitate to reach out to your nurse educators. After all, they were once nursing students as well and have been in your shoes.
Though they may not know the exact challenges of being an international nursing student, they can help make your life a lot easier in several ways. Be sure to make use of their office hours and let them know what you’re struggling with. They may post their lecture slides online to help you study or work with you one-on-one to help you better understand the lesson.
7. Get comfortable with NCLEX-style testing.
Don’t wait to begin preparing for the NCLEX test. Instead, start studying for it while you’re enrolled in nursing school. This challenging test—which is required to become a nurse in the United States—can throw many students off with its different styles of questions. The format ranges from multiple-choice, order response, calculation questions, and select-all-that-apply questions, which can take some getting used to.
Fortunately, there are ways for international nursing students to prepare for the NCLEX test early. In addition to challenging yourself with a daily NCLEX-style question, you can also invest in practice resources offered by Kaplan, NRSNG and UWorld.
Being an international nursing student can be challenging. On top of social and cultural barriers, you’re also faced with undergoing a rigorous program that will put your skills to the test. Don’t let this dissuade you from pursuing your dream of studying nursing in the United States. By keeping the above things in mind, you can ace your nursing school program and go on to become a successful nurse.