Preparation for Licensure and Transition to Professional Practice

As a final post, reflect on this semester’s preparation for licensure and future professional practice. Write a thoughtful post (categorized as “Reflection”, “Licensure”, “Goal-Setting”, and “Self-Care”) guided by the following prompts:

A. How did you use your Individual Performance Profiles for each ATI Assessment to improve your outcomes (slower testing/more thorough reading of questions & answers, changed testing environment, etc.)? Include any differences you noticed as the semester progressed.

Throughout the semester, my individual performance profile for each ATI assessment varied a bit. My biggest area to work on is to go slower on my testing. I have really tried this semester to work on that and although I have made some improvement, there is still more to make. I found that taking my time has certainly improved my grades, but even when I am aware of this I still rush on certain questions individually. This is definitely an area that I am continuing to identify and improve but it is getting better. I will catch myself going a little too quick, take a deep breath, and reassure myself of how much time I have. Every exam I always have so much extra time and telling myself this information repeatedly has been helping. Another area that I have certainly improved upon is my thorough reading skills. When taking an ATI practice quiz it can “help” you and highlight or underline important terms/words of the question and this helps me understand what to focus on more. I have now taken that skill into my own hands and during exams I too highlight focus words and key information to pay attention to.

B. How did you use content gaps identified through the various ATI assessments to gain content mastery and prepare for safe practice (use of ATI remediation/content resources, review of nursing course resources, meeting with faculty/instructors, etc.)? Include any differences you noticed as the semester progressed.

I continue to be confused by the ATI remediation/content areas of review. I understand that the areas of review are from the questions that you got wrong, but when using the website when you click on the topic you got wrong, the website brings you to an area of the book that does not correlate with what the question topic is. With that being said, I utilize the search bar and find the correct information in the book myself. I often found that the ATI remediation tool in the website never really helped my understanding and I found myself looking online for the information on the given topic. I am not sure if this is considered a glitch on the website or this is how they “teach.” My favorite form of identifying content gaps is taking the quizzes that tell you immediately what you got wrong or right and the explanations they write in there are extremely beneficial. This is also the case with adaptive exams too, making the adaptive exams very beneficial too.

C. What self-care strategies did you adopt or adapt to better prepare yourself for licensure and practice (better time management, mindfulness practices, better work/life balance, etc.)? Include any differences you noticed as the semester progressed.

I certainly could continue to work on balancing life and work but I feel that this semester I really grasped a good hold on it. This semester I actually got a gym membership and scheduled in when to go and stuck to it. I found that without scheduling in my calendar “me time” I would never actually have “me time.” Putting it in there allows me to work around the “me time” and work to get things done before or plan to do things after that time. I have wonderful time management and organizational skills so that was never an issue! During my work life I hope to continue this “me time” scheduling and even try and schedule more “me time” since I will not have the burden of school work.

D. How will you use what you’ve learned and skills you’ve gained this semester to continue your preparation for licensure and transition to professional practice following graduation?

To continue my preparation for licensure and transition to the professional practice I want to always be focusing on myself and my mental health. The amount of stress and anxiety I have had throughout my nursing school career has been tremendous but I continue to find new ways to cope with it daily. The nursing profession is a high energy, high stress, profession so maintaining the focus of myself on and off the job is most important. I want to continue my education but as of right now I plan to be out of school for a few years before I go back. I am overwhelmed with joy and happiness to know that in a few months I officially will be done schooling! I have so many plans to read books, get outdoors, and join social groups without the pressure of school.

ATI Pharmacology Proctored Assessment

I thought this exam was quite challenging and I felt like I did not know/remember any of the medications from pharmacology. Some of these medications I have never seen before and that worries me the most about NCLEX. I knew I always struggled with pharmacology, so going into this exam I was prepared for a low score. I already plan on studying pharmacology a lot before I sit for the exam so I am not too worried about not being prepared. One thing I did think about was the idea that the pharmacology course should not be as early in our nursing school program as it is. I feel that pharmacology should be in our senior year so that the medications are more in our heads. Not only for that reason, but we would be able to apply the medications more when in clinicals.

ATI Comprehensive Predictor Practice A

For this comprehensive exam I felt overwhelmed. I had not known that the exam was 150 questions and thought it was 60 so when I started the exam and saw that I had some anxiety because I do not like taking long exams. It is quite hard for me to sit still for that long and take that many questions. I understand we had a pause opportunity but I felt like I also wanted to get the experience of a long exam. I know for the NCLEX I could possibly have up to 175 questions and if that were my case I wanted to really see how I can handle that sitting time. I was impressed again by my grade but felt like I made simple mistakes when reviewing. I feel that these mistakes were largely in part of the time needed to take this exam and my anxiety/hyperactivity. For the next practice exam (B), since I now know that it is 150 questions I will plan more accordingly and I am positive I will do even better!

Attaining & Protecting Your Professional Nursing License

I intend on becoming a licensed RN in Massachusetts, and Massachusetts is not a nurse licensure compact state. The application process consists of two parts which are completed together. 

First, I must apply for a Massachusetts Licensure online and then register for the NCLEX-RN exam. The application for the Massachusetts board of registration in nursing can be submitted and completed all online. Applicants must graduate from an approved and accredited nursing program (diploma, associate, or baccalaureate degree) and pass the NCLEX-RN exam. My nursing school Director will need to complete the Certificate of Graduation form and need to send that to: Professional Credential Services Attn: MA Nursing P. O. Box 198788 Nashville, TN 37219. 

I must register to take the NCLEX exam in addition to applying for licensure, which can also be done online, or I can call Pearson VUE NCLEX. The application itself costs $230 and the NCLEX registration costs $200. Once the Massachusetts Board of Nursing provides clearance to test with Pearson VUE, I will receive an authorization to test. This notice allows me to schedule my exam within 90 days from the authorization date.

Massachusetts requires a criminal background check and only one fingerprint needs to be on file which is also renewed every three years. Massachusetts General Laws Chapter 112, sections 74, 74A, and 76 require you to provide specific documentation for GMC evaluation if you answer yes to questions related to criminal or disciplinary history. A notarized CORI Acknowledgement Form is required for all applicants for nursing licensure and advanced practice authorization. All nurses who directly observe another nurse engaged in the abuse of a patient must report that nurse to the Board. Massachusetts General Law, Chapter 111, Section 72G requires that nurses who have reasonable cause to suspect patient or resident abuse, neglect, mistreatment, and/or misappropriation of their property must report the situation. To protect myself and my licence from these legal issues I will stay up to date with the Massachusetts CMR and follow and obey all laws and never commit any actions of maltreatment/neglect/malpractice/abuse.

Attached is the Massachusetts CMR standards of conduct: 244 CMR 9 (mass.gov)

Prepare for Transition

As I look forward to graduation, licensure, and my first job, I am most excited to be out of schooling and start an “adult” lifestyle. It will feel so good to finish my schooling at twenty-two and be able to begin my dream profession. I will be able to get my own apartment and truly be on my own…without an educational schedule! I have to say, it is a relieving thought to know there is an end coming near and exams will be a part of the past (my worst nightmares!) To celebrate I will have my family around me at a party commemorating my achievements. It is typical in my family to have cook-out parties with everyone included and to just enjoy our time spent together and recognize the purpose of that day. One thing I am most anxious about is getting my dream position. Right now, I aspire to be a pediatric nurse in oncology but I know it is going to be a hard road to get there. The process of getting that first job is nerve racking and I know, just as college applications went, that there will be declinations.

To prepare and plan my weekly studies to stay focused and on track I plan to complete schooling five days a week. That allows me to have two days to work and focus on myself and my mental health. One thing I really want to incorporate into this semester is going to the gym with my friend at least three times a week. With all this studying comes a lot of sitting and I prefer to be more active. I have started to read textbooks more but also doing “quick-reads” where I am just reading on the information I do not understand and what is recommended by the professor.

The ATI Nurse Logic 2.0 Modules have taught me how to study for the exams (ATI assessments and NCLEX-RN) and what the test taking situation will look like. I need more help on the clinical judgement factor of exams and I found that these really help better my understanding on what the questions will look like. Most importantly it is preparing me for the NCLEX and I feel that it does a great job in doing so!

Transition to Practice

COURSE DESCRIPTION:

This course provides the student with the opportunity to engage in learning activities designed to facilitate the transition from student nurse to that of a professional registered nurse. Emphasis is placed on furthering each student’s knowledge and skills for licensing preparation, career development, and lifelong learning.

COURSE OBJECTIVES:

Upon successful completion of this course, the student will be able to:

  1. Generate evidence that supports the transition to professional registered nurse.
  2. Demonstrate the ability to translate theoretically guided evidence into practice.
  3. Investigate legal and ethical parameters of nursing practice.
  4. Examine data from a variety of sources to promote safe nursing practice.
  5. Address the impact of organizations and work environments on the nurse entering practice.
  6. Demonstrate personal and professional responsibility for continued growth and development.
  7. Analyze contemporary health care trends and issues and the impact on professional nursing.
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