NYU Accelerated Nursing Program FAQ’s Part II

I recently received an email from a prospective nursing student and thought that it was worth posting my answers.

Hi Jessica,
I came across to your blog while searching for NYU’s accelerated nursing program.  Reading your blog has been very helpful. Congrats on becoming a nurse. Currently I have my undergrad in a business discipline and I am really considering a nursing career instead. I just have some questions regarding nursing, it would be great to get your feedback. Thanks so much if you have the time to answer any of these questions!

1.       Does it matter whether you take your pre-reqs at a community college or 4-yr college when applying to NYU? Do pre-req grades matter? Will there be a higher chance if acceptance if pre-reqs are taken in NYU?

You can take your pre-reqs at a community college or a 4 year college. Pre-req grades matter a lot. Definitely do well on these. I don’t believe there’s a higher chance of acceptance of the pre-reqs are taken at NYU. Majority of students take pre-reqs at a community college or a 4 year college.


2.        What were your credentials when you applied to NYU (eg. GPA, experience)? And did you find NYU to be worth it after working in the field? Is there any other nursing programs you would recommend in NY?

My GPA was 3.84. As for experience, I volunteered at a hospital when I was applying. It’s important to highlight your feelings towards nursing especially after speaking to them and seeing what they do.
NYU is a great school and I’m glad I attended the school. The professors are top-notch and the students are helpful. There’s an interdisciplinary program so med students and nursing students learn about working together and each other’s roles. It is one of the top research institutions as well especially in elder care (NICHE Program http://www.nicheprogram.org). However, it is a really expensive program so I don’t recommend it to everyone.
The other nursing schools in New York / Long Island that I hear good things from include Hunter, Columbia, Stony Brook, Adelphi, Molloy and Pace.

3.       Difficulty finding a job? Did you work part-time while studying in the program?

After I passed the NCLEX, it took about 6 months to find a nursing position. A couple of problems I ran into included not knowing how to interview (because this is a skill you need to practice). I didn’t start my search until after I passed. Some students connected with nurse managers during clinical and were able to secure a position shortly after graduation.

I did work once a week as a swim instructor during school to help supplement the costs. Some students didn’t work at all while others worked 36 hours a week (a full-time job!!). The first and second semester are the toughest so give more time devoted to school before deciding to work.

4.       Do grades matter a lot to employers? Do I need to get straight A’s or can I afford to have a few B’s or even a C?

Some employers require a minimum GPA (3.4, 3.5) before they even look at your application. Some don’t. It’s how you present yourself and your mannerism that matter and whether you retained information from school and can apply it.


5.       What is the starting salary like and is it worth being a nurse practitioner? What kind of nurse do you think is best to become/specialize in if any?

Starting salary differs from location to location, ranging from $40-80k. In NYC, it starts around $70-80k if you’re working at a private hospital.

Becoming a NP is dependent on the person. While I’ve heard that becoming an NP is the greatest thing in the world (I hear a lot of positive feedback), there are still a few who are discontent with the position, as there is more responsibility that comes with the position. Some people don’t want to deal with the higher stress and responsibility but wanted to go back to school and ended up hating being an NP. This requires a lot of self-reflection. What do you think would suit you and are you ready for it?
Personally, I’ve explored many advanced nursing professions. Not only should you look at your duties but also the lifestyle. Where would you want to work, what would you do, when would you want to work, what income would you make, what mobility is there? The best advanced nursing profession depends on the individual and what they want out of life. I picked Certified Registered Nurse Anesthetist. I like the one-on-one direct patient care aspect requiring a high level of critical thinking and autonomy and teamwork.

6.       What’s life as a nurse? What are the difficulties and good parts of being a nurse? Expectations in the work force?

Life as a nurse differs between the environment that you work in. I work at the hospital where there’s 12 hour shifts (7-7:30am and pm), 3 days a week (for full time) and you can choose your schedule (with some limitations such as having to choose at least 3 weekend days, 2 Fridays, etc). Some people choose to do 3 in a row each week and have 4 days off. Other hospitals have it so you work 3 12-hour shifts plus 1 additional day every 4 weeks. Some units, especially in CTICU, PACU and ER, have other shifts from 11am to 11pm or 2pm to 2am.

It’s great having 4 days off because you definitely need it to recuperate and you’ll have time to do something else if you’d like.
Some places have day (7a -3p), evening (3p-11p), and night shift (11p-7a), especially in rehab and nursing homes, and require you work 5 days a week.
At work, you often need to have handoff communication about the patients. Then you assess the patient and pass out medications. You make nursing diagnoses about each patient and use critical thinking. You think to yourself: What’s the goal for the patient today? And then make it happen. You’ll speak to various disciplines to coordinate the care.
There’s a couple of tough parts about being a nurse.
1) Families – Some follow the unit policies and others do whatever they want. Communication is sometimes hard but trying to understand where they are coming from helps.
2) Physicians, MLP – your input is often crucial to the patient’s outcome but sometimes the provider will disagree with you.
3) Patients – some are nice and others are crazy, confused and not so nice.
4) Self- being able to let go everyday of the outcome is tough. At the end of the time, you have to set 1 small goal for the patient and as long as they meet that, you have to be satisfied with the care you provided. Nurses tend to be overachievers and want to always give more but with the number of things that must be done, it’s impossible to do everything you had in mind. You have to remember that nursing is a 24/7 job.
The good parts about being a nurse is knowing that you’ve made a difference is someone’s life. You get to think about an active problem and you get to take yourself and solve that problem. You get to hold someone’s hand and reassure them. It’s an amazing privilege to have to save a life, to have a better life, or to let someone die with dignity.
As for expectations in the workforce, there are several different angles you can discuss but I’ll discuss about your own expectations. There’s a nursing theorist named Patricia Benner who stated that the nursing career is based on the nursing model-
You really do start not knowing a lot, just the basics. You focus a lot on technical skills because it’s something you have to work on. Then as you progress, you build more confidence. Soon you’ll start to see areas in nursing where care can be streamlined or have protocols to standardize care. You’ll be in charge, take on harder assignments, be a preceptor, etc.

7.       Any general suggestions on what I should focus on or do to become a nurse/get into NYU program?

Do well on your pre-reqs, volunteer or work in healthcare, and get to know a few professors who will write a letter of recommendation for you. And write a killer personal statement answering every question asked.

I hoped that helped! Read my first post for more information on NYU’s Accelerated Nursing Program, find out if NYU Nursing is worth it, how to pick a good nursing school, and find out if you can afford an accelerated program. Or if you have any further questions, email me.

Jessica

Why Not Volunteer as a nurse?

USNS Comfort Navy Hospital Ship

USNS Comfort Navy Hospital Ship

Has it been difficult for you to find your first nursing job after finishing nursing school? Recruiters often say, “You need to get a year’s experience.” How are you supposed to get the year’s experience if no one is willing to take a chance on you?

Courtney Lenberg, RN, from www.fromnewtoicu.com, guest posts about her volunteer nursing experience prior to getting a paying job.

The most impressive thing that I did to beef up my resume was volunteer! I had always wanted to go abroad and help those less fortunate. Luckily for me I was able to get nursing experience that helped me professionally as well!

I tried to use my license in any way possible, even if I wasn’t getting paid for it. During my future job interviews, this showed that I was motivated to get my first nursing job even though it was difficult.

Volunteering on a Navy Hospital Ship

I volunteered for five months as a nurse through LDS Charities on the USNS Comfort, a Navy hospital ship that travels to Central and South America giving free services to the local people. The main activities I helped with were surgeries onboard the USNS Comfort; medical clinics with general practitioners, pediatricians, optometrists, and dentists; and education. Education topics included neonatal resuscitation, public health, water purification, amongst other health issues.

One of my most rewarding experiences was shared by LDS Charities: “In Colombia, Lenberg helped 12-year-old David with massive burns on his hands, face, arms, legs, and back; he also had a massive infection on one hand and contractures (shortenings of muscle, tendon or scar tissue that cause deformity) in his fingers on the other hand. Lenberg said she tried “so, so, so hard” to get the boy in for surgery the next day, but was unable to do so because the surgical area was overbooked.

To Lenberg’s surprise, David was the first patient admitted the next morning for surgery.

‘My eyes instantly welled up with tears because I was so thankful that this little boy was able to get his much needed surgery done,” Lenberg said. “I don’t know that I have ever felt so much intense gratitude in my entire life as I felt in that moment. David’s dad said that I was David’s angel because I had tried so hard to get him the surgery that he needed. It was such an amazing experience to feel such intense love for someone that I had only know for such a short time.’ ”

Volunteer Opportunities

Operation Smile

Operation Smile

What an amazing and rewarding experience this was for me! One of the other most prominent charities to provide volunteer nurses on the USNS Comfort was Project Hope. Project Hope provides many opportunities to educate those less fortunate in foreign countries; the next trips are scheduled for Haiti, the Dominican Republic, India, and more.

Another organization called Operation Smile is one of my favorite charities! They provide free surgeries for children in need of cleft palate or cleft lip repairs. Their mission trips are less than a month in length; they travel internationally to countries including China, Morocco, and Russia.

If you want to help with disaster relief in the United States, the American Red Cross is a good option for you. Other local opportunities can be found if you look search around your community. Talk with your public health department or local nursing homes.

If looking for volunteer opportunities lasting for longer amounts of time, the US Peace Corps provides “life defining experience in more than 60 countries.” These assignments last for approximately two years. Nurses volunteer in a variety of ways, but most missions revolve around educating and empowering people in poor communities. The Peace Corps Response is another alternative for nurses who cannot volunteer for quite as long. These assignments are approximately 3-12 months and are for nurses who have 10 or more years experience.

There are so many neat opportunities for medical professionals! These experiences will not only help you to grow individually, but it will help your resume to grow as well. If you are feeling stuck in your nursing situation whether it be as a new graduate RN or as a charge nurse of the same unit you’ve been at for a while, then try volunteering for a change of pace! Nurses change the world one person at a time!

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Courtney, RN from www.fromnewtoicu.com, guest posts to talk about her struggle getting her first nursing job and how she overcame it – she volunteered! Now, she works in the medical ICU. I personally thought that this was a great idea and wanted more people to know about it.

Her website is great too — its goal is to make finding nursing school information as easy as possible. This will make it faster for both high school students and high school counselors looking for nursing school requirements, such as the GPA requirements, tuition information, prerequisite classes and more. Go check it out!

Finally off of my critical care probation!

sim manYesterday marked the last day of my critical care probation. So what did I do to pass? Instead of being at the hospital, I went to the simulation lab with Mr. Sim Man.

While I did sign a confidentiality agreement not to discuss the specifics of the lab, I can briefly state that it was similar to being at work in the hospital. When you receive a patient, you do a Head to Toe assessment, and determine the next step in care. Is he stable or unstable? If the patient doesn’t respond to your care, what is the next step?

It’s exciting to be off probation now, considering that I’ve been on the unit since December 2013! Now I will have to float to the SICU or CTICU, stepdown, PACU and ER. I’m a little scared to not know everything is (again), but it should be ok!

It’s time to be a Strong Nurse

I was about to ‘boost’ a patient up in the bed with a colleague and I noticed how strong she was. I hardly did anything! Later that night, a patient coded and she started CPR. I noticed that she could do it for such a long time with so much force. She’d take a break just for a few minutes before she took over again.

When I took over, I realized how little endurance I had. I was wiped out after a minute.

After the code, another colleague mentioned how she heard pumping noises right before the code was called. She knew that it was that strong nurse doing CPR.

After I went home for the day, I felt my abs hurting.

This made me think about all the strong nurses there are. Especially in the ICU. Especially her. So she’s my strong nurse idol. I want to be a strong nurse.

I bought new running shoes and workout clothes yesterday from Adidas. I haven’t had a sports bra since high school (I’ve been swimming instead). I have to build my endurance. Do free weights. Etc.

It’s time to be a strong nurse.

And I’m bringing my boyfriend along for the ride.

Strong nurse!

At The New Grad Nurse Interview: Be a storyteller

how to get a new grad nurse job - be a storyteller Your interviewer loves stories. In fact, you love stories. Everyone loves stories. So it only makes sense to become a great storyteller. To secure your first job as a nurse, you have to perfect the art of storytelling. About yourself.

I royally screwed up telling the story about myself. Twice! My first interview, I wasn’t prepared at all and just said whatever came to my head. My second interview, I didn’t focus my story about being a clinical nurse and drifted off into ‘health policy’ –that was a no-no.

I got better after learning the hard way. For my third interview, I started to focus my answers and got the job at a nursing home. By the time my current employment interviewed me — my fourth and fifth interview — I had some real nursing experience and relied on that to come up with some great stories.

So what’s the difference between a tale and a story?

A tale is simply stating something that happened. People don’t usually care about what happened. However, a story has a moral, a meaning, a takeaway point to it. We care about the 3 major things – the ‘bad situation’, the ‘thing you did to make it better’, and the ‘aftermath.’

Here’s an example for a question: Tell me how you dealt with a difficult situation.

A tale: a women wouldn’t take her medications. Later she did after I convinced her.

A story: a women wouldn’t take her medications. After thinking about why she wouldn’t, I realized that she wanted more control over what was happening to her. Instead, I gave her a choice and asked her, “would you like to take your medications in 10 minutes or 20 minutes?” She replied, “in 10 minutes. Thank you.” 10 minutes later, I went back to her to give her medications and she took them like a champ. Giving her the options allowed her to gain some control but not complete free-reign. This compromise allowed me to accomplish my goal (to give her meds) and made the patient happy.

Here’s another example: Tell me about your greatest strength.

A tale: I ask a ton of questions because I always want to learn.

A story: As a new nurse, I know that I have a lot to learn. I understand that sometimes I will be asked to do something that I’ve never done before but I am not afraid to ask questions to make sure that I’m competent the next time it comes up. I wasn’t sure how to put someone on a bedpan so I asked the ancillary staff. The next time I did it with someone. Another time I wasn’t sure if I heard the breath sounds correctly so I asked another nurse to confirm what they heard. Asking questions is my strength and understand that this is key to learning fast.

Here are some common questions. Think of your clinical experiences and come up with a story for each question.

  • What is your greatest weakness?
  • “Tell me about yourself.”
  • What made you interested in nursing?
  • What do you like about nursing?
  • What was your favorite clinical rotation? Why? (please relate this directly with the position you applied for)
  • Tell me about a time when you had to prioritize.
  • Tell me about a time when you had to delegate.
  • Tell me about a time when you had to problem solve.
  • Where do you see yourself in 5 years?
  • Do you have plans on going back to school?
  • Tell me about ‘x’ experience that you wrote about on your resume.

Work on becoming a great storyteller and you’ll find that you’ll use this skill over and over again during every handoff report. And hopefully you’ll get a job offer! Good luck! Let me know if you have something crafted but would like a little help looking it over.

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I wrote this article as a part of the “Most Marketable Skills” Campaign on Webucator. I have to thank Bob Cleary for letting me be a part of the campaign! While I personally haven’t utilized their resources, they look helpful! Currently they are offering a free Microsoft Word 2013 class that involves learning about advanced formatting, using Word 2013 drawing tools, creating and managing tables, and working with column layouts. Each month they offer a new free course, so check it out even after this post is long done.

In case you missed the campaign, here are some of the other blogger’s input:

Achieving Success in the workplace – What is your most marketable skill? by @cjperadilla

What makes you marketable by @amandastrav

Self Brand Marketing : Social Proof To Boost Your Career by @CustomerRivet

Preparing for the workforce: Why learning to write well is worth your while by @moses_says

The Success of Mimicking by @Lbee27

Top 10 Things You Should Know About Nurses

According to a patient in the hospital, these are the top 10 things patients should know about nurses. I thought that this did a good job of summarizing what nurses do at the hospital from the patient’s point of view.

1. You have been placed in the hospital for nursing care.

2. The provider of that care is an educated individual who unselfishly dedicates themselves to your health and well-being. And even though you may not like being told what things are good for you and what are not, the nurse telling you does so to give you a chance to redeem your health and well-being.

3. That provider is proud to be a nurse.

4. That nurse does more than you know. She plans your care around your medical condition, emotional state, abilities to do for yourself (sorry, [nurse], I think you said “self care” in your rant), that nurse provides support to you and your family, she/he is the link between you and the doctor, [and] the everything in the facility.

5. That nurse does your bedside care, she knows what medicine you need when, and how to give it. She knows what all the tubes and stuff are and what they are used for and what to look at them for.

6. That nurse can hang an IV or hold your hand and reassure you.

7. That nurse watches over you and reads monitors and knows when [you’re] sleeping and when [you’re] awake and pulls strings to get you that cup of tea at 3 a.m.

8. That nurse is your lifeline, she can call a whole team of professionals together with her calm voice and make them work their [butts] off for your life with the flash of her/his eyes.

9. That nurse will wish you luck and give you all the instructions you need when you leave her competent care even if you were the biggest pain in the ass she ever met.

10. The nurse is why you are in the hospital and why you will go onward, be it home, perpetual care, or the morgue, she will insure that you do so with your dignity and rights intact. Why? Because it is what a nurse does.

How to care for the dying

CARES: How to Care for the Dying

Within the first four months of working as a new bedside nurse, I’ve encountered two patients who were actively dying. I wasn’t sure what to do. After coming across this article from Medscape though (btw you need a free login to read this article), I finally understand what the palliative care nurse practitioners were doing.

The City of Hope came up with a tool called CARES to help the nurse take care of those who are dying.

C stands for comfort. You aim to alleviate pain and suffering for the patient. Additional testing and blood draws should be questioned, as the aim is to comfort, not treat.

C: Comfort

A stands for airway. We used a scopolamine patch placed behind the ear. It’s used to help stop secretions from building up. While oxygen and oral secretion will not necessarily help, it may be comforting for the patient to have those things.

How to care for the dying

A: Airway

R stands for restlessness or delirium. It occurs in 25-85% of actively dying patients. It could be due to uncontrolled pain, a distended bladder, or it could be that the patient feels that there are unresolved issues with the family. Playing familiar music and providing a non-stimulating environment will help.

How to care for the dying

R: Restlessness or Delirium

E stands of emotional and spiritual support. Don’t underestimate a listening ear and providing clear and open communication. Whatever can be done to promote a comfortable and peaceful death should be considered.

How to Care for the Dying

E: Emotional and Spiritual Support

S stands for self-care. The nurse is often stressed and may need to debrief too.

CARES: How to Care for the Dying

S: Self Care

First Day Shift as a night nurse

Today was my first day doing a day shift. They were short during the day and over on nights so the manager asked if I wanted to do the day shift. I wanted to see what it was like so I agreed. Here are some differences:

    Insulin 3 times for those with diabetes – the timing for sugars is crucial during the day. You do the fingerstick around when they order meals and you give insulin humalog after the plate is in front of them. It’s not too hard when only one patient has DM but not as easy when you have more. I mostly crossed my fingers that their sugars are below 169 (typically).
    Admission/Discharge/Procedures — today my day wasn’t too bad because I didn’t have any of these happening except one cardiac procedure. But when there are many of these, I can imagine that the day is much more hectic.
    More resources more readily — more doctors, PAs, PT, RTs, more help from PCAs… It makes life much easier to get things done. You still have to think– tell the doctor or the PA? But at night, you nearly always consult the PA first. Doctors make more orders during the day so you have a better idea of what’s going on with the patient.
    Not worried about sleep — you don’t have to think about waking someone up. You can just proceed with whatever you have to do because they are supposed to be awake.

How to Sleep As A Night Shift Nurse

This was one of the first questions that I asked my mom who used to work nights as a RN. I also got some advice from a coworker who’s been working nights for a year and half and so far, it’s worked out. I followed their recommendations and I made it through my first three 12-hour night shifts in a row without being overly tired. I thought this was pretty helpful so here it goes.

There are three scenarios.

1) The Night Before the First Night Shift

Sleep in to about 9am-11am. Eat lunch, run some errands. About 3-4 hours before you plan on leaving home to go to work, take a nap. Get up about 1 hour prior to eat, get food ready, and change to go to work.

2) You Have a Back-to-Back Night Shift

This one is easy. Some people like to eat when they arrive home. I personally don’t. I come home, shower (to wash off all of the bacteria from the day — I don’t want to bring MRSA into my bed!!), set up my uniform and food for the next day, and sleep for 8 hours. I need 8 hours. Otherwise, I am a tired mess. But some seasoned nurses (such as my preceptor who is awesome btw) sleep for 5 hours so they can do other things. I wake up about an hour before I leave my home to eat my ‘breakfast’***.

***I thought about the definition of breakfast. Technically, after I wake up from an 8-hour sleep, I have to ‘break my fast’ by eating breakfast. But my sister claims that breakfast, lunch, dinner is defined by time of day. For example, if you sleep in until 10am and then you eat, then that is considered brunch (although my sister claims that brunch only exists on weekends. But how can that be??). I guess when I go on break, I’m either eating a 2am meal or a ‘lunch’. What do you think?***

3) The Day After The Last Night Shift

Sleep until noon (more or less). Try to stay up until 8pm-10pm. Get some errands done or just relax or go work or go to school or whatever you want to do. Then go back to sleep.

I hoped that helped. Besides sleep, probably the next important thing is what to eat. You have to fuel yourself with good energy so you can take care of others!

Nurses are Observers

One of the major reasons why I like to watch the new NBC show Elementary — a New York based Sherlock Holmes, is because Mr. Holmes is a great observer and can deduce so many things from his observations. I’m not sure if it is possible to be as finely in-tuned as him, but I do know that first, you have to completely aware of what you are looking at. Second, once you realize what you are observing, you have the obligation to take action.

One of things that I will face is having the courage to take action after observing something that I see is performed incorrectly. But I believe that if I base my reasoning for making a change on the fact that I truly care about the care provided for the resident — then I believe that I can do it. I have to think, “If she was my grandma, how would my grandma want to be treated? How would I want her to look?”