Category: Reflection

Transition to Professional Practice

As I moved through the semester, I noticed that I was able to move through the questions faster than I had previously been able to. Over time, I became more familiar with the exam question format and assessment techniques and was able to recognize what the question was asking me.

I felt that the ATI assessment questions were very difficult and tested very specific content, so I felt that ‘mastery’ came with repeated exposure to questions and forming association between disease states and unexpected/expected outcomes. I chose to test myself with practice questions, which gave me more experience with the topics, and helped me identify patterns in question styles and content. I used to feel very overwhelmed when faced with an ATI exam, but I have become more comfortable after doing many of them.

Work/life balance has been a huge part of my strategy to maintain my good mental health, because while I am serious about my studies and preparation for professional practice, I would not be mentally well if I didn’t see my friends, take a walk, listen to music or read a book once in a while.

I will keep the same study strategies while I prepare for the NCLEX, as I feel that ATI questions are very helpful in testing content and forming good test-taking habits. I will continue to incorporate relaxation and extra-curriculars into my life when I start my job, and I’m sure that as I grow older and get more comfortable at work, I will find new ways to excel in the nursing profession.

Attaining and Protecting You License

I plan to get licensed in the state of Maine, which is a Nurse License Compact state.

The Maine application is web based, and requires a transcript, school certification form and a criminal background check. The criminal background check is fingerprint based, and is done electronically through the maine.gov website.  

There is an ‘Impaired Nurse Toolkit’ linked to the maine.gov website which details the mandatory reporting process, which includes information about mandatory reporting about substance abuse or alcoholism, receiving an allegation, conducting an investigation, progressive discipline, and training tools for supervisors and employees. The ‘Resources & Links’ tab on the Maine Board of Nursing website also has a wealth of information about Mandatory Reporting.

I think the best way to avoid legal issues like informed consent, malpractice, negligence, etc. is to be well-educated about state-wide nursing laws, as well as the individual institution’s guidelines that I am employed by. While there are systems in place to protect nurses, I am responsible for my own actions regarding my license, quality of care, and mandatory reporting. Nurses should not rely on malpractice insurance to prevent them from facing consequences, and instead should be focused on providing the best care they possibly can with the resources and tools that they have.

Career Development

Evan Carrell

2/6/2022

Career Development

The nurses and other speakers in the video demonstrated so much compassion for their patients and are clearly very devoted to excellent patient care. Their commitment allowed me to realize that I need to develop the ability to leave work at the door, learn how to avoid compassion fatigue, and be truly invested in a patient’s emotional, physical and spiritual wellbeing. It’s also important to understand the privilege we as nurses have of being a part of the end or beginning of someone’s life. I can imagine that it’s a very humbling feeling and I hope to carry that humility with me for the entirety of my career.

Over the course of the video, I saw a few different patient populations that I have not yet had a chance to serve, including indigenous communities and pediatrics. What was far more striking was the home health nurse discussing her experiences in rural areas serving Native Americans. Home health nurses see a wide variety of clients, many of which have no access to healthcare. Their clients may be of any age, stage of life or background and may suffer from any kind of illness.

Many barriers to patient care are seen in the film. This is especially true during the discussion about home health care. Barriers mentioned include; geographical location of the patient, weather, language differences, lack of cell service, difficult road conditions for EMS, religious or traditional beliefs, education, and health literacy.  

The practice of cultural humility also applies to this scenario. In order to successfully care for diverse populations, healthcare workers must leave the concept of western medicine superiority at the door. Nurses should not force anyone to believe that western medication is ‘better’ than the healing process that the individual believes in or practices. You must leave their decisions and ideologies up to them. Of course, the process of patient education is still very important and cannot be left out of a conversation, but it is important to validate traditional medicine practices, if that is what the patient feels comfortable with.

On a similar note, in my own practice I plan on working toward a communicative relationship between my patients and myself, so that I am able to meet their needs as best I can. I think it’s very important to meet a patient where they’re at, rather than expect them to change their ideologies and opinions to suit the rest of the world. The best way to ensure equity is to create a learning environment for both you and the patient.


Reflecting on the guest speakers and recorded Career Services presentation:

In order to set myself apart from other applicants, I will be sure to practice answering difficult questions, be confident, but show that I am adaptable and willing to learn. I will talk about my experiences and how they have given me a unique set of skills to be able to excel in a nursing position.

My strengths include my experience as a phlebotomist over the past 3 years, as I have had the opportunity to work at a level 1 trauma center on every unit. I am trained to be able to draw blood from anyone that walks in the door, from newborns to the elderly. I have also always worked at least two jobs, and my resumé shows that I am capable of keeping a job, but also successfully managing my time well enough to work while being a full-time student.

My challenges include my tendency to expect excellence from myself. I find that I get very frustrated when I can’t do something well right away, but I plan on working toward being patient and kind to myself.

Prepare for Transition

After graduation, I am most excited about having a set work schedule. I have been in school for ~18 years now, and I came straight from my first Bachelor’s Degree to the ABSN program. I’ve spent so much time planning what my career will look like, and I’m so excited to start working and have my focus shift from assignments and due dates to actually mastering skills and making a salary. I am fortunate enough to have a group of friends that are in nursing school with me or are in school to be health professionals, so I’m sure we will all have a big celebration once we’re done with school in May. I will be honest; I am anxious about getting the job I want and passing the NCLEX. In preparation for that, I will be using ATI as a study tool as well as UWorld, which I’ve heard is helpful for preparing students. In general, I tend to procrastinate, so I will be sure to stick with a regimented and scheduled plan of attack for when and how long I study.

The NurseLogic modules stressed the importance of quality improvement, and I found that I learned quite a bit about the processes of how changes are implemented and modified. I also learned that there are so many different variables involved in patient education, and we as nurses are responsible for evaluating a patient’s ability to learn, as well as to determine how patients best learn, which are both impacted by their individual barriers to learning. Finally, the information regarding the NCLEX on the ‘Testing and Remediation’ module was very enlightening. We haven’t learned much about the actual format or focus of the exam, and it was helpful to hear and learn about the resources available as well.

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