Showing posts with label Reflections. Show all posts
Showing posts with label Reflections. Show all posts

Friday, July 20, 2012

Reflections on My NCLEX Experience

As promised, here are my thoughts, tips and suggestions related to NCLEX.

Testing Location | The Lynchburg, VA PearsonVue testing center was AWESOME! Relatively easy to get to and the two women staffing it were very kind and friendly. I am so glad that I switched from the Richmond location to the Lynchburg location. Rumor has it the Richmond location has room for over 50 people to test at their center (maybe even 75?), whereas the PearsonVue testing center in Lynchburg has room for only NINE people. While smaller does mean there are fewer available spots/times available on the schedule, the reason that smaller is better is that there are far less people making noises and creating distractions during the exam. PearsonVue administers over 100 different types of tests/exams and so there's no telling who you will be seated next to. Some of these other tests/exams require essays, so there could be extensive typing noises -- imagine that in a room with over 50 people. While waiting to be registered/admitted to the exam room, I learned that the nine of us were all scheduled to take the NCLEX-RN exam...so minimal noises coming from each mouse. PearsonVue sites offer earplugs...so take advantage of them if you are stuck testing at a location with lots and lots of people.

Scheduling/ Time of Day | When I signed up for the Richmond testing site, the only available time was 8am around the dates that I was looking for. Since it was going to take me about 1.5 hours to get there...plus I needed to be there at least 30 minutes early... I was looking at trying to leave my house at 6am (at minimum)...and so that meant waking up at 4:30am. Uh, no thanks! I could've gotten a hotel room... but who wants that extra expense and the possibility of a poor night's sleep in an unfamiliar, possibly noisy environment? So I was really happy that the Lynchburg site had an afternoon slot available when I checked their availability.

Scheduling/ Day of Week |  I did enough research in advance, that I learned that it's best to schedule early in the week and not right before a holiday. The reasoning is that you don't want to have to wait any longer than necessary to get your results. After taking the NCLEX, all you can think about for the rest of day is whether you passed or not. Do you really want to wait all weekend? Probably not. In Virginia, you are supposed to be able to call a phone number and get results the next business morning if you used your social security number at the time you applied with the Virginia Board of Nursing. Being the ever-conscientious me, I didn't want to use my SSN and therefore used my driver's license ID number to apply for licensure. I discovered several weeks before my exam that I'd have to wait until the second business day after my exam to find out my results over the phone.  WHAT I DID:  I scheduled on a Friday. Yes, exactly what I don't recommend. But my options were limited and my priority was to get an afternoon slot - even if I was going to have to wait all weekend (and possibly longer) to get my results. WHAT HAPPENED:  Well, I got my results on Monday via the Virginia Board of Nursing's website (so much for having to wait a second business day!) I also was not freaked out all weekend primarily because I was distracted with the big storm that blew through our area. The derecho hit Friday night and out went my lights, water, air conditioning, internet, etc... So I ended up packing up and heading over to my parent's house (45 minutes away) on Saturday to avoid the unrelenting 100+ degree heat. So I was at my parents house all weekend and the disruption to my normal routine was all the distraction I needed. And it was fun to be able to get my NCLEX results and be able to tell my parents right away and in person. So it worked out for me, but I'd definitely recommend scheduling for early in the week (also avoiding holidays like Memorial Day or July Fourth).

Mock Run |  I totally recommend doing a dry-run to the testing site. Ideally done at the same time of day and same day of the week that you are scheduled to test. I planned to go the Friday before my Friday exam, but something came up and I couldn't. So while I still made the drive (using Googlemaps and my GPS for directions) and got a rough idea of the time it would take and knew I could find the location, I still didn't absolutely know the timing on a Friday afternoon. However because my test was at 2 pm and I knew it would take roughtly 1.5 hours, I decided I would eat lunch in Lynchburg in advance of my test, and allowed myself an hour to do that-- which provided plenty of buffer time in case traffic was bad (accident) or if there was unexpected/new road construction. Another girl from my same school did not do a test run and she arrived several hours ahead of time to make sure she could find it... and then proceeded to camp out at the testing site. Boring, stressful, etc... I arrived 30 minutes before my assigned testing time - as instructed - and I was glad that I was not any earlier. A lot of the girls taking the test with me were really anxious and stressed out. You generally want to avoid that - it's not going to help you stay calm. If you arrive early...just wait in your car (unless a 100 degree day like it was for me!).

Here are some other thoughts:
  • Take the Kaplan course, or at least buy access to Kaplan's Q-Bank. Doing 50+ questions in one sitting builds endurance. And you will need endurance for the NCLEX!  I feel that Kaplan's Decision Tree was very helpful--especially when I wasn't sure of the answer. And I'm not sure I would've really understood or used the Decision Tree if I had had to learn it myself. I'm SO GLAD I took the Classroom Anywhere (online) class!  I did not complete every QBank question, only about 750-800 qeustions. I simply ran out of time, but I did do all the QTrainers. While taking the Kaplan course, I posted about my experiences each day: Day One, Day Two, Day Three, Day Four, and then posted my scores here.   Also, Kaplan's QBank and Qtrainer formatting and questions look EXACTLY like the NCLEX. So while taking NCLEX...you can calm down and pretend you are just doing Kaplan questions. :)
  • Take NCLEX before starting your RN job. Starting may not even be a possibility for you as some hospitals require that you get your license before you start orientation (too expensive to begin orientation of a new grad only for the new grad to fail NCLEX). My hospital is not that way, they are willing to allow new grads to start without their license (which is permitted by the state of Virginia, of course!) Yet I knew myself enough to know that I would feel better having it out of the way. Orienting to a new job is stressful enough, not to mention 12 hour shifts! I'm relieved to have it behind me and to be able to start orientation without having NCLEX hanging over my head. However, I understand that some folks need to start work right away because of finances and in that case... just make a plan for studying for NCLEX. Pick a test date and work towards it...don't put it off. Get it over with as soon as possible.
  • Before exam day, READ all materials on the PearsonVue and NCSBN sites related to NCLEX and testing center...especially the rules. No sense in being caught off guard that you can't chew gum during exam or that you cannot take lip balm in with you! No surprises...take responsibility and know the do's and don'ts and what to expect! 
  • Don't study/cram the day of your exam or even the day before your exam. I found this particularly helpful in de-stressing. Reality is that you only know what you know. No amount of cramming is going to help! Also, looking back, there is NOTHING that I would have chosen to study that would have helped me on any of the questions! The material is to vast to even have a clue what you should cram for!
  • Take deep breaths from time to time. There were times when my eyes glazed over while taking the exam and I ended up re-reading several questions multiple times - simple because I was having a hard time focusing mentally! I was aware of every little thing: the clock, the video monitors, the audio recording (yes, they do audio recording of you taking your test!) and the sounds of other test takers... and of course the voices of your head saying "what happens if I don't pass?" (despite trying to avoid that type of self-talk). So when I would catch myself being distracted, I consciously took a few deep breaths and tried refocus.
  • Select your answer, then REREAD the question. No sense in getting a question wrong because you failed to read the question correctly. One of the things that doing endless Kaplan questions does -- is that it reinforces the need to really understand what the question is asking. It is looking for a positive or a negative answer? Is it looking for a psychosocial answer rather than a physical answer? While doing Kaplan I regularly went back and reviewed the questions that I got wrong and there were always a few questions that I failed to read the question correctly.
  • The PearsonVue Trick (PVT) DOES work. Essentially by trying to sign up to take the NCLEX again, you can find out if you passed or not. I did the PVT trick within an hour of taking my exam. Here was my "good pop-up."  You can read more about the PVT here
  • Other thoughts about NCLEX that I posted are here and here.
I hope there's something here that you might find helpful. I can only talk about it from my point of view and to   point out what I've read online (mostly at allnurses.com) that influenced me and my experience.

Whatever you do... keep a positive attitude. It will take you far and reduce your anxiety about NCLEX! Best wishes for those who still have NCLEX on the horizon. You can do it!

Saturday, July 14, 2012

An "Ah-ha" Moment

 During my recent interview process and through reading of various hospital documents, I have become more aware of the importance of developing a professional nursing portfolio. A nursing portfolio is basically a snap shot of one's career. It is now expected and/or required when applying for jobs or when challenging the clinical ladder within institutions. I've been told and have read in multiple places that it's never too early to start working on your portfolio.

The past couple days I've been doing some internet research and information gathering (so grateful my school doesn't cancel my access to online journal articles through the library) on nursing portfolios. I am a very visual person and so I want to SEE an example, what's included, and to understand how it's presented or submitted.

While searching for articles and examples on-line, it occurred to me that I had already started a nursing portfolio, except mine was created and then subsequently forgotten after NUR 100 (my very first nursing course two years ago). At the time, my instructor, who was requiring it, did not call it a portfolio. I have no recollection of what she called it or how she framed the assignment, but I do not remember the word portfolio being used. But at the time, we were all pretty clueless about why we were being asked to develop a website. It made absolutely no sense to us at the time and even a year or more later we were still joking about the assignment - still clueless! If you are curious, here is mine.

Obviously it was created without regards to professionalism. I'm not kidding, on the "About Me" page under Factoids, I actually include "I can touch my tongue to my nose. My tongue regularly palpates my tonsils."  Oh boy! At the time I was just looking for filler and looking to amuse my instructor. I remember that I proudly went above and beyond the requirements for our assignment.  Definitely a little too far.  Anyways, my website is desperately out of date and not even close to the professional portfolio that I would actually create and submit. But it's good for a laugh now.

One year from now I will be gearing up for my first performance evaluation and at that point I will  automatically be bumped up from RN-Clin I status to Clin II status. But to advance further on the Clinical Ladder, I will need to submit a portfolio for consideration. It could be a couple years before I would pursue Clin III status and that's time enough to misplace important documents or to forget stories that might be appropriate as an exemplar of my clinical and/or leadership skills. My thinking is that by simply collecting and writing supporting documents over the next couple years, I will have much less work to do when the time comes to prepare and finalize it for submission. It seems overwhelming now because I'm at ground zero, but over the next year or two I can certainly spend time working on it (once I know what MY hospital is looking for). And then the point it is to never really let it get out of date.

Looking back, I really wish I had understood the reasoning and rationale behind that website assignment. It makes sense now. Perhaps it wasn't sufficiently explained or maybe it was explained but it just went over my head? Either way, I'm sure there will be a lot of "ah-ha" moments in the coming months and years as I connect the dots between my education (and what we thought were bordering on ridiculous, time-wasting assignments) and my actual practice. Life is funny that way.

One of the most significant things I learned in nursing school is that the majority of people/patients need a rationale in order to fully embrace the need for change (or to do homework). It's one thing to inform a man with high cholesterol that he needs to change his diet and lifestyle and something else all together to explain WHY he must work to lower his cholesterol levels. Preaching rarely gets you the same results as teaching.  Well, at least that's true for me. I need to understand the rationale and the bigger picture before I'm able to embrace new information or change.