In two more weeks, I begin the battle to the end. Two more semester stand between me and the NCLEX. I know I can pass the NCLEX. I just have to get there (I’m trying to go in with confidence, knowing I will be a lunatic waiting for the results of the test to come back). In two more weeks, we start an eight week class followed by a week off and then another eight week class.
The best part of this semester is that we get Mondays off, so it’s only four day weeks. That makes my life a lot easier. Then if I have my preceptorship I won’t do clinical for at least part of the time because I would have to be at the hospital. We’re actually kind of in limbo about how the precepting works because we haven’t been given a lot of details yet. So patience is key here.
One of the things I’ve been contemplating is where I want that experience to be. We’re limited in where we can go, so labor and delivery is off limits, for example. This makes some sense but at the same time is limiting because that’s one of the places I’d like to get more experience. It’s not something that I have any control over though, so I’m moving on. We’re supposed to pick three places that we’d like to go and rank them in order. Currently, my thoughts are: 1) ED, 2) ICU, and 3) pediatrics (or PICU if that’s an option).
My decisions are based on a couple of things. First of all, they are all places that have critical care components and I really think I would enjoy that. I also feel like if I wanted to interview in an ED and I had experience in an ICU that would be better than just a regular med-surg floor. Secondly, they are all places that I feel like I would thrive. I generally do better with higher stress environments than I do in typical environments. This was apparent to me this semester when I had experiences off of med-surg and felt far more competent in those situations than I did on the regular floors. I don’t know why that is though. Am I just trying harder? Is it that those nurses didn’t know me and expected more (but the ones on the floor don’t know me either, so…)? Was I simply more engaged because there was more going on around me? No idea. All of these things are things to consider though. For the record, I don’t feel like I didn’t do well on med-surg, but rather I felt like I had a better grasp on what I was doing off of med-surg.
Either way, the time is approaching where we are going to have our little selves tossed out of the nest, so to speak. In one sense, I can’t wait. I want to get a chance to really experience working, especially in those environments. On the flip side, it’s a little unnerving to be told we’re going to be kind of on our own and expected to do this. I guess if you’re not a little bit afraid of that, you’re probably a fool.