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NCLEX did not fail the students, the Canadian Nursing Association and the regulating provincial bodies did.

I’ve been a nurse for under 5 years and I still remember all too well studying for the CRNE (Canadian Registered Nursing Exam) and the stress and anxiety I felt from it.  I  also knew that CRNE for the most part attempted to  reflect on what I learned in nursing school as well as how our Canadian Health Care system operated.

Then all of a sudden arrived the NCLEX.

A number of years ago, the CNA (Canadian Nursing Association) and the rest of the provincial nursing regulating bodies in Canada were being proposed of a new exam called the NCLEX (National Council Licensure Examination) that would serve as a uniform way of testing all nurses both in Canada and the US (the  US has had this testing since 1994.)  This year was the first year that graduating Canadian Nurses wrote the exam.

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And unfortunately many of them failed.

Questions and possible answers immediately started to arise as to why this was the case.  Blames to the type of school and programs immediately surfaced as many tried to find an answer.  Many schools however have proved that statistically prior to the NCLEX they were had successful rates with the CRNE.  So the real reason is not because these students were not smart enough.

The real reason is that simply these unfortunate students were used as guinea pigs in a failed experiment that did not prepare them.

It seems the one thing that was often overlooked and what some organizations such as the RNAO (Registered Nursing Association of Ontario) had chanted for years is that simply nursing in Canada is different from the nursing in the United States.   Nursing up here tends to be more psycho-social where in the United States it is more bio-medical and pathophysiological.  There is no argument as to which one is better or worse but it is also unfair to subject a test to nursing students who essentially spent four years if not more studying and learning nursing in a Canadian health care system to only be subjected to a licensing exam that does not reflect this at all.

Furthermore, a lot of nursing schools did not have enough time or prep for these graduating students to take the NCLEX exam.  Most of the prep exams for students are based on the CRNE format.  A brand new curriculum would have to be implemented to prepare these students and usually preparing such curriculum can take months if not years.

What I always found quite odd (and also a waste of money) is that though the NCLEX is an American standardize test, as Canadians if we want to practice in the United States, we have to take yet another NCLEX just to practice in the few states that we are allowed to if we chose to practice south of the border.

In my department where I currently worked, we hired 8 new graduate nurses who all took the new NCLEX.  Out of the 8, only one passed.  This is a staggering number considering in the past, most if not all of our new grad nurses d passed the CRNE.  As a new graduate nurse, I can only imagine  how detrimental this must feel, especially if this was your first nursing job to only have taken away from you because of this botched exam.

I wish I could give advice to these new students but because I have not written the “Canadian NCLEX” it would be like the blind leading the blind.  But more importantly I wish the CNA and the other regulating bodies across the country can see that this was not implemented or planned properly and perhaps was a big mistake.

And most importantly…….If ain’t broke…..don’t fix.

Medsoulbrother

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Posted by on August 26, 2015 in Uncategorized

 

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Life of a Murse Episode 4: Family Matters

Saturday night.
Pretty much that is all I have to say to sum up my shift. Saturday nights in the ER I have learned to realize can be quite entertaining. In fact so entertaining that there are times where it seemed more entertaining than actually going out to a bar or a club. On one of my many busy crazy Saturday nights, it was the beginning of summer, school was out, people were on vacations and the summer parties started.
This one particular summer party that I was about to learn about was more than just exciting.
In the early part of my shift we got a radioed call from EMS of a stabbing victim. He was a 23 year old male who got into altercation at a large party and ended up getting stabbed once in the chest, as well as a couple of cuts and bruises on his face.
Everyone got prepared.

IV

Sharon turned to me as she gowned up. “Typical kids. Not behaving themselves and doing stupid things.”
I shrugged my shoulders.. “Well it’s summer in the streets, the weather gets hot and people get into trouble.”
“They need to get with the lord and be saved.”
“Uhm…it’s Saturday night…not Sunday.”
“Well by the time we will be done with him it will be Sunday and he needs Jesus.”
I shook my head. “Good grief.”
“Don’t you good grief me. You young people need guidance.”
“We young people? Uhm are you forgetting that I am in my 30s?”
“And you ain’t married with kids yet? What’s wrong with you?”
“Oh lord here we go again.”
“Listen, you need to get yourself a grown woman who goes to church, and appreciates the lord.”
I looked at Sharon with a raised eyebrow. “Are you done yet?”
“No I am not.”
“Well I am.” I said smirking at her.
Our conversation was cut short when the EMS rolled in and brought the patient into one of the resuscitation rooms. Everyone including myself swarmed the patient but in a calm collective order as we tried to assess and treat him. Two uniformed police officers were outside jotting notes.
“I want to beat that asshole up!!” the patient yelled. His hair was disarrayed. His face was bloodied and he obviously had too much to drink. His blood soaked LA Lakers jersey and white t shirt underneath told a story of a typical fight that had gone wrong.
Within minutes two people rushed in the room.
“Oh my god Johnny!” the woman yelled.
One of the nurses stopped her in the midway. “Sorry, mam you are gonna have to give us sometime here.”
“But that’s my baby!” she yelled.
I was putting a blood pressure cuff on the patient as I attempted to peep around the corner to see what the commotion was about.
The ER doctor quickly examined the patient’s chest noticing the deep clean edged puncture wound and immediately asked one of the nurses to grab him a chest tube kit.
“Johnny!” the woman yelled.
The patient, turned to the corner hearing his name. Slurred speech, crying in his drunken state, drooling and incoherent he jumbled the words, “Let her in! Let her in.”
The doctor nodded. “Let her come in.”
The woman and a man walked in and approached Johnny. “Johnny, oh my god! What happened to you? I am so scared for you. I’m worried.”
There was a brief pause, serenity filled the room for a brief second before Johnny’s eyes glistened and uttered his first words to his mother: “Mom, get out of here you fucking bitch!”
Everyone eyes widened.
Johnny’s mother gasped. “Johnny! Why are you swearing at me like that?”
“Get the fuck out here you old haggard bitch! I hate you! You never cared for me!”
I stood there biting my lip looking at the other nurses and staff members who were all somewhat shocked.
The doctor intervened. “Johnny calm down, I don’t want you getting aggravated and making your situation worse than it is.”
“Get this fucking bitch out of here!”
“Boy!” The man yelled beside her. “You don’t talk to your mother like that!”
“Fuck you! You are not my real father!!! You are just another fucking douchebag small dick gold digging asshole who only wants my Mom for her money.”
One of the nurses inadvertently dropped a suture tray.
Sharon glarred at Johnny and then looked at me and muttered under her breath. “Oh no he didn’t”
I looked at her and mumbled. “Oh yes he did.”
“You both were never there for me! None of you !!! Fuck off!!”
The man raised his voice. “Johnny we did our best. We are here in the hospital because we are worried for christ sake.”
“Don’t talk to me you asshole!! Hey mom, do you know that your so called boyfriend here goes downtown and picks up prostitutes? That’s how he gave you fucking herpes!!!”
Everyone froze for a split second.
“Lord father Jesus.” Sharon said to herself quietly as she tried to put an IV in Johnny’s arm.
“I fucking you hate you both!!! I hate you !!!! You bitch and fucking asshoole!! Get the fuck away from me!!! You don’t fucking care!!!”
The doctor intervened. “Ok this is not working, Mom and Dad I am gonna have to ask you to step outside while we treat him.”
The mother stuttered “But…that’s my son I want to…'”
Another nurse intervened. “I think its best right now you both step outside he is really riled up now and we want him to be calm. Once everything is calm and done I will have the doctor talk to you.”
“YOU SLUT! YOU WHORE OF A MOTHER!” Johnny yelled from the curtain.
His mother and father left and sat in a next room perplexed.

I looked at Sharon as we were getting Johnny who was now passed out from his drunken state prepared for a CT scan. “Yeah, wanna remind me again why I should rush off and have kids?
Sharon shook her head and shot me a look.
As we were getting the patient ready and transporting them to CT, we passed another stretcher with blond hair guy with a dirty white T jeans with his baseball hat on backwards.
Johnny immediately noticed him and raised his hand. “Yo Chris what’s up man?”
Chris looked up. “Johnny? What the fuck? What are yo doing here?”
“That asshole stabbed me. I am gonna get that motherfucker! But yo, that party was crazy man!!”
Chris nodded as we continued moving Johnny to CT. “Yeah it was!!”
Sharon shook his head. “You see, how the devil can play games?”
I looked at Sharon. “What now?”
“His friend Chris who said hi is my patient who is being treated for a cocaine overdose he got at this party.”
“Wow, what kinda party was this?”
Sharon shook her head as we both arrived to the CT department. “I don’t know but in 3 hours it will be midnight which means it will be Sunday. These young boys need to repent.”
I shot Sharon another look and shook my head.

“What do you mean you’re moving out?” My mother asked while sipping on her tea.
“Mom I’m moving out.”
“But that makes no sense.”
“Why?”
“I thought once you started working full time you would help pay for the bills around here.”
“Mom….uhm no. I need to move out. I am grown ass man. You know the only reason why I was still at home was because of school. You knew this day would come.”
My mother remained silent.
“Mom I did not go to nursing school for four years to all of a sudden help pay the bills. If you need help I can help you but I don’t have to live here to do that.”
Again she remained silent and continued sipping her tea.
“You’re upset with me aren’t you?”
“You know it’s just your father you and myself? Right?”
“Mom, please stop. We are not gonna further press this anymore. I am moving out.”
“If you loved me you’d stay.”
“Really? You’re really are gonna go there with that?”
My mother rolled her eyes and sipped on her tea.
“Mom, I can’t believe that…..”
“I don’t want to discuss this anymore.”
“But mom…….”
“I don’t want to discuss this anymore. End of discussion. I am upset with you. You are abandoning me and your dad. I do not appreciate that. I am not talking with you.”
“Are you serious right now?”
My mother got up from kitchen table and went upstairs.
I was too exhausted and tired to finish the argument. All I wanted to was shower and go to my bed I needed to move out. I was way too old to be living in the house and the only reason why I was still at home was because of school. I needed my independence once again. No more than 2 hours while I was in my deep sleep, I was awaken by my father.
“So you are just gonna leave us like that? High and dry?”
“Dad I am sleeping, leave me alone.”
“No answer the question.”
“I just came off from a nightshift and I have to be at work again tonight…can you please just let me be?”
“No. You think you are all high and mighty now because you now this big time so called nurse that you can just abandon and leave your own family like that?”
I was too tired to answer him back and did not want to have another argument with him. I was so through.
“Answer me.” my dad persisted.
With fiery that came out of now where I yelled at my dad. “Get out of my room now!”
“Excuse me? Who the hell do you think you are talking to ?”
“DAD I AM TRYING TO SLEEP LEAVE ME ALONE!!!”
“Boy!!! You have no manners!!”
“And you are not respecting my time now. Now please leave!”
My father muttered a couple of words before he shut my bedroom door. For the next four hours, I would not be able to shut my eyes. All I could hear were my parents in my mind yelling why I was abandoning them. Why I had let them down…..again….one more time.

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Posted by on June 24, 2015 in Uncategorized

 

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Life of a Murse (Episode 4 coming soon and why it has been delayed for so long)

To those who were reading my blogs and wandered why I have not made a new blog episode in two months, I would like to apologize.

The last couple of months I had to deal with a family medical urgent matter which has now consumed most of my life. I won’t get into the specifics but I have decided to reveal this in the future later blogs of life of a murse just to show how sometimes you have to be a nurse 24 hours a day 7 seven days a week even when you are not at work (those who follow me on instagram and twitter will know what family illness I have been dealing with.)

To those who have given me great feedback, I thank you dearly. For those who have sent me questions and I have taken decades to reply back I apologize (wordpress does not really do a good job in my opinion of notifying when you get new messages or alerts…but that could just be me.)

Though I have not blogged in two months there has been still some crazy exciting and heart felt events that I have experienced which I am excited to share with you all.

Stay tuned!!

Medsoulbrother

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Posted by on May 29, 2015 in Uncategorized

 

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