Event 16: Three Must Know Tips for Nursing School Success

00:01 Hello friends. Welcome to our very first YouTube live! Um, where I get to actually chat with all of you versus just putting videos up.

00:10 I'm very excited. Welcome.

00:11 If you are joining us live, let us know where you are listening in from.

00:15 We're going to have some interactive like post discussions, so be sure to you can like interact. That way you can ask questions. I'm really excited for us to like integrate it onto the platform this way, uh, so that we can like actually chat.

00:26 I think it's going to be fun if you're new.

00:28 Welcome. I'm Liz, I work at Lecturio nursing today.

00:30 We're going to be going over like the three most gigantic tips that I wish I had had as a nursing student. Like going through it. I'm going to show you the best tip for studying how to narrow down, like that enormous list of reading and all the stuff, and you're like, I don't even know what I'm looking at. And then going through that and taking that information with you and how to take it on a test.

00:52 So what you're actually going to do with the information, how you're going to use it in an exam, how to narrow down like select all that apply questions.

00:59 And then my biggest thing that I wish I knew going into clinicals, that you actually get the most out of clinical because clinical, a lot of the times can feel just kind of useless.

01:08 Um, we're going to be really honest during this. If any of you have any questions related to anything, feel free to let me know.

01:14 I will, um, give you a what's the I don't even know the colloquial term.

01:18 I was going to say like, shoot straight, but I don't even know if that's the right way to say that. I'll give it to you straight. There we go.

01:24 Um, because if you if you know of me at all, that's just the way we roll around here.

01:29 So I won't give you the PC answer, I promise.

01:31 Okay, so let me pull up.

01:33 We have some slides we're going to go through. Like I said, um, feel free to let us know in the chat. Like just what your what your concerns are.

01:40 And we can work with those because this is live. So that's beautiful. And if you're watching on the replay we'll go through it and we'll add timestamps. In case you're just interested in certain aspects of it you can jump straight to those.

01:51 Okay. Let's see if I can do this I did it I'm I'm proud.

01:55 Okay. Thank you everyone.

01:58 This is. I've never done this with two screens, so I'm excited. Okay, so surviving nursing school with myself.

02:04 Yay! All right. Um. Oh.

02:07 Okay. Perfect. So let us go through and see.

02:11 There we go. Here's me.

02:13 Welcome. I'm Liz, I'm a family nurse practitioner.

02:16 And I do things here on Lecturio and over on the YouTubes on my own as well.

02:20 Here. Um, just to, like, let us know who you are.

02:23 Uh, you can leave in a through an e in the chat.

02:26 Um, and do you have a membership? Or you can just tell us. Are you familiar with Lecturio at all? Are you brand new? You're probably on our YouTube channel, so you probably heard of us. Um, and where you are in nursing school, are you like, pre-nursing? Where are we in the process? Are you a second year, third year? Fourth year? Are you about to graduate? Did you already graduate and you're just here for fun? Let us know. Um, and if you've ever been in a live chat with us before.

02:49 Okay, so let's get started.

02:52 Goals. Because as in all good nursing presentations.

02:55 Right? We need to have something and know what we're going to get out of this. How to study effectively. The best test taking strategies for us going through school.

03:06 Your my favorite clips.

03:07 Tips from clinical finding your people.

03:09 Because we also have a brand new community thing that everyone can join.

03:13 Very descriptive. I know for all nursing students for free you can go hop over there.

03:17 It's actually linked right now on both Facebook and on YouTube.

03:21 You can join it. It's our discord server. We'll be talking about it more at the end.

03:25 Okay. So do you struggle when you're reading your book? This is just our general question.

03:32 Do you struggle when you're reading or you're assigned a textbook thing and you're like, I don't even know what I'm supposed to be studying out of this massive book, because if it's anything like my teachers, they handed you the whole textbook and they're like, just read this in your spare time and your test is next Friday.

03:46 And it was like, oh my gosh, save me, somebody save me.

03:53 Um. Sound familiar? Yes.

03:56 Hopefully. Hopefully. It's not just me. And I was not the only one experiencing this. We're going to learn today how to make a scaffolding of information so that your brain knows how to navigate through this chaos, right? Because right now your brain is just looking at this huge textbook and it's like, well, this is overwhelming and I don't know what to do with it.

04:14 So we're going to give you a way to kind of organize the chaos.

04:17 So instead of seeing a billion puzzle pieces, you're going to slowly have a picture that comes together and you're going to be able to navigate that and walk through it, both in your studying, into your exams and through your NCLEX, all in one like fell swoop, if that makes sense. Um, so today we're going to give you the full puzzle pieces because the dog is cuter than the pieces.

04:40 Okay, so let's go through your brain.

04:43 Um, if it's anything like mine, this list, when you're handed the list, it's like, I don't even know what to do with this information I don't have. Right. It's scattered all over. You're like, okay, great.

04:52 This is what happens when you take prednisone and you go through this whole list and you're like, well, that's a fun fact. I don't know what to do with it because I think I know it in the moment. Right. You would read through this if this was me, I would read through it and I'd be like, duh, I'll always remember that. Like, these are the side effects of prednisone. Um, how could I forget that? And then when I get to the exam, I'm like, well, I don't even know what I think. I read that once, but it's not actually going to stick.

05:14 Right? So going through here, it's not going to stick.

05:17 I want to show you today how you can actually take this information and make it something that makes sense. And we're going to do that by a process called chunking.

05:24 I know very, very eloquent term.

05:26 But basically we're taking the information.

05:28 We're going to train our brain to think through it a certain way, through repetition that I will show you, and it's going to make a picture for you.

05:36 So instead of thinking about this list whenever you think of, oh, corticosteroids, we're going to go, you're going to imagine a person who is maybe going to have brittle bones.

05:47 They're going to have right, that buffalo hump. These are their labs are going to be like this. They're, um, you know, steroids are going to raise your blood sugar. You're imagining kind of all of this in a person. And this lovely chart is how we're going to actually do that.

06:01 Okay. So when you go and you're studying, right, and you have this huge book and you're like, I don't even really know what this is, you're looking at it. I want you to for every single piece of information you learn, go through this process and you might be looking at this and you're like, Liz, that's overwhelming and ridiculous.

06:17 It is a little bit overwhelming.

06:18 But if you do it, I promise it's going to train your brain in a way that it can make this path and you are using you are studying at the same time as you are learning, right? Because nursing school, when it really comes back to it, nursing school is all about safety, right? They want to make sure on your nursing school exams and on your NCLEX that you are safe.

06:40 And in order to be safe, we have to ask ourselves a few questions.

06:44 Now, when you're learning information, it's just kind of all throwing itself at you.

06:47 And this is going to give you a scaffolding to learn it. So whenever you learn a new fact okay, we're going to turn it into a safety. Fun fact.

06:52 I want you to let's say we're learning about Addison's disease here. Right? Addison's disease. Um, when your body is not producing enough.

07:01 Right. We're having issues with our cortisol.

07:03 Right. So whenever you learn about this, you can make a chart in your notes.

07:06 You can do it however you would like.

07:08 But I want you to think Addison's disease.

07:10 Now what? How are we going to make this into a safety scaffolding? We're going to go to worst case scenario. That's what stands for is worst case scenario. I want you to put on your your hat, your grumpy hat and think, what is the worst possible thing that can happen to this human if Addison's disease is happening? Right. If any of you know what that is, let us know in the chat.

07:29 Um, and then I want you to think about after that.

07:32 So when you're studying, you would fill in, it would probably say like here's a little bit about as a distance disease. And worst case scenario, we're thinking addisonian crisis, right? Addisonian crisis is what you do not want with Addison's disease.

07:46 And then we would go through the rest of the chart. So how we have addisonian crisis.

07:50 Right. You're not making enough adrenal hormone.

07:53 Um, we don't have enough cortisol.

07:55 We don't have enough aldosterone, epinephrine, all of that. How would I.

07:59 So that's worst case scenario. So whenever you're reading a learning about anything and you realize like, okay, we have Addison's disease, immediately think.

08:06 And when you're studying immediately fill in worst case scenario.

08:09 Okay. And then we move on.

08:10 And we have to say okay.

08:12 That information is only useful if I know how to identify it.

08:14 So what would the human in front of me look like if they were in a worst case scenario for Addison's disease, what would their vital signs be, right? Um, we would be looking at low blood pressure.

08:28 We would be looking at low blood sugar.

08:31 Um, and we can remember that because and we'll sort of like with all of these, you can it'll all play into each other eventually because you have a bunch of different schemas. Right. So say you can't remember.

08:42 I don't remember if blood sugar is high or low.

08:45 With Addison's disease, you can take a step back and say, but what do I know about Addison's disease? Right? Or I know that the cortisol is low.

08:53 I know that cortisol, which is a steroid, increases blood sugar.

08:57 So I bet with Addison's disease it would be low, right. So this is just going to. And the more schemas you make and the more of these you mentally fill out, the more you're going to be able to like walk through these and figure them out. And now once you figure out how you would recognize it, I want you to think, what would I do? What would I do in this situation to keep this human in an addisonian crisis safe? Right. And this is how you are going to go through every single disease process, every single fact, everything you encounter when you're studying, you're going to fill it in this way.

09:28 So it's actually effective, right? You're not just reading through a list. You're making an entire schema.

09:33 So when you go back to review it, you're looking at a whole human.

09:36 You're saying, okay, Addison's disease, this is what's really bad. This is how I would identify it, and this is how I would fix it.

09:43 So you're no longer looking at a million puzzle pieces, right? You're looking at a person and you're figuring out how to give safe nursing care, which is what the questions are actually asking you.

09:54 Okay, so now let's take that information and let me know if you are, um, overwhelmed by exams, by liking the video.

10:02 Um, it also sends it out and it tells like YouTube and Facebook, like, oh, this is helpful, let's do this. But let us know if like, overwhelms or overwhelming by if exams are overwhelming, just, uh, we can like the video so we can all feel camaraderie and feel like, okay, yes.

10:16 It's not just me. I was not a great student.

10:19 Um, which is ironic that I now work here, but I was a very, very, very average student.

10:23 And exams were really, really difficult for me.

10:26 So I wish. And my biggest arch nemesis was choose all that apply questions.

10:31 Right. But I want you to learn this scheme today that we're going to learn which you already half of it did, because you just learned how to fill in all the information from the other from when you're studying, right? And when you show up to the test, we're going to apply that knowledge to this knowledge. Okay. And you can since this is going to live on YouTube, don't worry about like writing this down.

10:52 You can always come back later and get this slide.

10:55 It's also available on our discord server, which we'll talk about at the end if you just want like a picture of it.

11:00 But for when you're taking an exam and you find a choose all that apply question or really any question, if you go through these four questions, it's going to help you break down the information. So you're not sitting there going, oh my gosh. Um, is this, um, I don't know if this is true.

11:16 It's going to help you decrease second guessing because it's going to help you break down the question, which is sometimes the hardest part. Right. Who else has read a nursing school exam question? And you're like, is that in English or whatever your native language is? You're like, because I don't think it is because I don't understand it. It doesn't make sense to me. When you go through an exam question, okay, to make it less overwhelming and seem like it's less in like French, if you speak English and you're like, I don't know what this means.

11:41 Go through and find these four things first, particular context.

11:45 So when you're reading the question, don't even read the real like don't look at the question as a whole.

11:49 We're going to pick it apart first and make it easier to understand.

11:52 And goodness gracious, do not look at the answers yet, because that's overwhelming. Again, this is going to take more time in the beginning. But as you get used to this pattern, you're going to do it automatically and it'll save you so much time first.

12:03 So underline, highlight whatever you want to do, uh, on your exam paper to make these stand out, I would just use different things, maybe underline with a straight line the context particular. So that's your patient in your setting.

12:15 Is this a um you know, so like an elderly male in the ER or at are they at target, are they at um, a park.

12:24 Where is this human? Um who are they.

12:27 And then we'll go through maybe underline that with a straight line and then with a squiggle line or whatever you want to do, write down the diagnosis or procedure.

12:35 Okay. That is mentioned because they're going to give you some context clue, right? In the question, they're going to be like so and so has Addison's disease.

12:42 And they're in the emergency room.

12:44 You're going to squiggle under that or a procedure maybe they're having, I don't know, their blood sugar checked or something like that. Great.

12:51 Perfect procedure. Squiggle line under that.

12:53 So now we know who they are.

12:54 And kind of a little bit of background around them next.

12:57 Does it give you assessment numbers.

12:59 Not all questions will but some questions will.

13:01 They'll say hey their blood sugar for any number it gives you for any assessment number, blood sugar, vital signs, any lab work right next to it.

13:10 High with a little high like up arrow, low or normal.

13:14 And this is going to keep you from having to store the information in your brain where, you know, like, oh, that's a normal lab value or that's an abnormal and it's going to barf it back up on the page for you so you can see it.

13:23 And you don't have to store normal abnormal in there.

13:26 That's how this is all working is it's putting your brain down on the paper so you don't have to store it in there and have it work extra hard.

13:33 So for every single one Just right.

13:35 High low normal okay. For typical ranges.

13:38 And then go to your assessment data if it has it.

13:41 And this is going to be what does their abdomen look like.

13:44 Is their abdomen super distended. Do they look like can you not wake them up.

13:47 That's not good. That's an assessment finding.

13:50 Are they confused. Are they.

13:52 What is this. And is this normal or abnormal.

13:55 So if they tell you, hey, the baby's belly is soft.

13:58 Um, and, you know, soft and squishy, is that normal? Is that abnormal? And they might tell you, hey, the baby's abdomen is super hard, like and like just like like a board.

14:11 Is that normal or is that abnormal? Again, write it down and let like just so you it's on the page and it's in your brain.

14:17 So we'll go through all four of these for all the questions we run into.

14:21 And you already pretty much have the answers to the questions.

14:24 You just just do not know it yet.

14:27 Um, and hello, Zoe. Zoe Bent says hi, my name is Zoe.

14:30 Hello, Zoe, senior nursing student at Drexel in Philly.

14:33 Awesome. We're like sort of neighbors.

14:35 Love your videos. Thank you, I appreciate you. Thanks for being here today. Um, so let's see.

14:40 Oh, use the wrong computer to try to advance the thing.

14:43 Go, Liz. Uh, so safety all of this, we're going to go through all four of those questions, remembering that all of this comes back to safety.

14:50 That is what the question is going to be ultimately asking you about. Okay. Going to go through. Here's some more examples of what particular patient variables are age, gender symptoms complaints, medication diagnosis and procedure.

15:02 Okay. So what is happening to this human.

15:04 We're going to be looking at things like their setting um, which again is going to be the er a med surg unit, the ICU target very different.

15:15 You will perform different actions in different places, which is why those are very important. Right. The safest thing for that patient in target is going to be very different than the safest thing for that person in an ICU where you already have all the stuff. Right. So that's why we need to consider all of this.

15:30 So also remember, when we're reading through all of this in each setting, what do they need right now to be safe? Again, this will change based on the setting, which is why the setting is so important. What is the imminent danger? Usually death. I'll just let you in on that.

15:45 Airway, breathing and circulation is then the thing we're going to prioritize. Okay. When we're looking at what steps should I do next.

15:52 Because again going back to safety that's what we're always prioritizing.

15:56 Okay. So you're going to want to be nitpicky when you read through these questions.

16:00 Right. Because they're going to also throw out things like different context questions right where it's like, hey, this person.

16:07 And you can easily get distracted by some of these other like, well, this would also be correct because in nursing school, remember there's always more than one correct answer, which is like the worst thing ever.

16:18 Be very particular and remember that even though that might be correct, that is not the most imminent danger because we always want to be really depressing.

16:25 And, um, we want to be real eeyores here when we're approaching any exam, okay? We're we're not thinking like, oh, well, it could go well.

16:33 No. Welcome to nursing school where everything is always like.

16:36 But what could go wrong? Okay, this is now your your worldview and your family members are going to be like, what happened to my optimistic, um, Sarah or Zoe out there? What has replaced them with this? Like, actually, I know what can go wrong with you and you will become the hypochondriac type of person who then everything you read, you're like, well, um, my liver is failing all the time.

16:57 So welcome to nursing in case you haven't hit that stage yet.

17:00 Now let's take an example.

17:02 We're going to go through two examples here. Just to make this a little bit more real for you. If you are looking at this question you can do this now live.

17:08 You can do this later. Pick out for me really quick the particular patient, the particular setting, um, a diagnosis and anything that is particular about this patient going through with the framework that we just added.

17:24 Okay. So I'm seeing um, nurse is admitting, which probably means we're in a hospital setting. A 56 year old female.

17:30 Great. I'd underline that and say this is my particular patient to the emergency room.

17:34 Okay, great. So we are in the emergency room, so we have a lot of equipment available to us, right? The patient states they did not take their insulin this morning.

17:42 So we also know a particular about the patient is they take insulin right.

17:46 So what else can we infer from that.

17:49 Just thinking from a safety standpoint okay. This patient is likely someone who has diabetes right. And if they don't have their.

17:58 So before we even like are kind of looking at even more about it, we can just kind of think in our brain like going along with safety.

18:05 We know they have diabetes, right? And so immediately, um, David Rojas yes.

18:10 So it's always important to think of worst case scenarios to be prepared in the profession. Yes, yes. Welcome to healthcare.

18:16 Uh, it's a it's a mind twist, but yes, worst case scenario, we'll keep your patient safe. Okay.

18:21 Um, so we're thinking worst case scenario with someone we know now has diabetes.

18:25 What's our worst case kind of scenario? We're thinking an alteration in blood sugar.

18:29 High or low, right. Because those are the extremes that usually hurt us.

18:33 Imminently. We're not thinking kidney failure.

18:35 We're not thinking those things, remember? Because that's a far away problem.

18:38 And nursing likes to keep things worst case scenario in front of your face.

18:42 So we have someone with that did not get their insulin.

18:46 Um, so what would their blood sugar likely be right, if they did not have insulin? And then we can think, okay, so insulin is going to go in and help us, right. Bind the sugar and bring it in.

19:01 So they if they don't have the insulin they have no way of binding the sugar.

19:04 So it's all accumulating in our bloodstream. This person probably has high blood sugar.

19:08 Um, it would be low if they took too much insulin.

19:11 Um, so this we're looking at someone who might have high blood sugar, and we've kind of thought through all of this just by reading the question.

19:17 Right. And applying those frameworks that we created when we were studying of diabetes.

19:24 Worst case scenario, lab values.

19:25 What would we expect and what would we do? Right.

19:28 Okay, so we know they haven't had their insulin. Um, we've now decided that they might have high blood sugar. It doesn't give us blood sugar in the question, but I would just write a note on the side and be like, I'm kind of worried about high blood sugar. And they have been feeling nausea and tightness in their chest for the last four hours. So we have symptoms nausea and tightness in their chest.

19:45 And the duration is 4 to 5 hours.

19:47 Okay. So this is a new problem. This isn't an old problem.

19:49 This is a new problem that they're coming to the emergency room in. So the next thing that I would kind of do with this question is put it in my own words, okay, so I have a 56 year old showing up to me in the emergency department.

20:01 They have diabetes. They have not had their insulin. I'm worried their blood sugar is high. They have these new symptoms of nausea, and their chest doesn't feel good for the last few hours.

20:11 And you can phrase that however you want, and it's going to help you conceptualize it by putting it into your own words.

20:16 Okay. So let's go through and we'll see.

20:19 Good. We got a 56 year old female.

20:22 Um, these are all the particulars that we want to pull out of this.

20:26 All of our symptoms. We're going to rephrase it however you like.

20:30 You can even draw a table like we have over here.

20:33 If you are someone who looks at data better in a table form, we could say, okay, let's just list out all of these symptoms.

20:40 Whatever is the best way for you to look at information and understand it without having to hold it in your brain.

20:46 That's what we're going to want to do here. Okay, so now we have this person, we have all the particulars, and we would be ready to then go through the question and analyze it.

20:55 Okay. Going through each question saying is this true? Is this false? Knowing what I know now, you can actually read all the answers.

21:01 So let's do this again.

21:04 And this time we'll go through it with some questions okay. We're just practicing here a client has been diagnosed with.

21:09 So client we don't know what a particular about them is yet with Addison's disease.

21:14 So they have Addison's disease.

21:16 And remember when we applied our framework from before we already know without having to, like, stretch too much.

21:22 You can, like, briefly think back and be like Addison's disease. Um, immediately. Worst case scenario.

21:26 Right. Because, David, we're thinking in worst case scenarios, right? Because we've trained our brain to just be sad and depressed and go down here, um, into a worst case scenario land.

21:37 Um, yay, healthcare. We're going to go in and we're going to think Addison's disease, worst case scenario is going to be that addisonian crisis and, you know, the lab values and such.

21:46 So they were diagnosed ten years ago. So this is not new.

21:48 Um, but it is something in their history they're being admitted to a med surg unit.

21:52 Okay. So they're in the hospital.

21:54 That's helpful to know what symptoms might the nurse expect for this client when experiencing extreme stress.

22:00 So if you did not create a schema, you're looking at this and you're trying to remember that list, right? That we saw in the very beginning of this presentation where we saw this list and we were like, oh my gosh, this is overwhelming because I just have a list of facts. But fortunately for you, you studied using that framework and you can immediately be like, okay, I can do this, I have because this is how I trained my brain, right? I trained my brain to look at Addison's disease and go through this tunnel of worst case scenario.

22:27 This is what it would look like, and this is what I would do. And I practiced that a few times. So my brain automatically goes there.

22:32 Because the more you do this, the more your brain automatically does it right. So the particulars in this case Addison's disease, which is chronic, and med surg experiencing extreme stress, um, because we're worried what happens with them when they have extreme stress.

22:46 So this is what we know we have. No, we have someone with Addison's disease.

22:49 They're in a med surg unit and they're quite stressed.

22:52 What is the worst case? Worst case scenario in this procedure? Addisonian crisis. We remember that from before.

22:58 Um, because we filled it out when we were studying and we trained our brain to remember it this way. Okay. So we're pulling that all back from there.

23:06 Um, and we can go assessment numbers.

23:09 They did not give us any, but we can kind of fill them in on our own and be like, hey, before I even read the question, I'm going to say I expect their blood sugar.

23:17 Like if they were in a crisis, their blood sugar would be low.

23:20 Their blood pressure would be low. This is what we'd be looking at.

23:24 And then go through the same thing with assessment findings.

23:26 Right. Like what would this person look like and what would we find.

23:30 So you can kind of fill those in before you even read the question and have that in the back of your mind. Right.

23:35 They did not give us any of it, but I would just kind of go through it a little mentally and be like, this is what I'm prepared now.

23:41 We'll put the question in our own words, right? However you want to say it.

23:45 Um, and then we'll go through however you want to to summarize like question your own words. Mine, for example, would be like, okay, I have someone with Addison's disease. They've had it for a while. They're in the hospital, so they're going to be exposed to more stressed. I am worried that they're going to go into an addisonian crisis.

24:01 Now let's go through and look at all the questions, the possible answers to see what would stress.

24:08 What would this look like? Like what signs would show me that they are in addisonian crisis, right? A would we expect an increased inflammatory response and high blood sugar levels? Well, we already know that they wouldn't have high blood sugar. They would have low blood sugar. So we can immediately cross off a and we don't have to worry about it. Okay. Two increased blood sugar, blood pressure and increased eosinophil response. Maybe you don't know a out the eosinophil response. You're like, I have no idea. But I do know that they would not have increased blood pressure.

24:36 They would have lower blood pressure. So we can mark that one off.

24:40 Next, would they be extremely tired? Yes. And go through and like it says say why.

24:46 Okay. Say why this is not right.

24:48 And then you can take that information with you down to the next one. So the next one I'm waiting for my there we go. My computer was like I like this slide.

24:56 We'll stay here. Extreme fatigue and increased blood glucose levels.

25:00 Well, we kind of already know they would be very tired and they would have lower blood glucose levels. So it's not three which leaves us four.

25:07 But don't just say automatically oh well four is right. Just make sure right.

25:11 We're going to go through and we're going to say, I think four is right. Low blood pressure. Correct. I would expect that in a worst case scenario, addisonian crisis and low blood sugar.

25:21 Perfect. That's also what I would expect. Not perfect for the patient understanding, but perfect for this question because it wants to know what symptoms might the nurse expect from this patient experiencing extreme stress, which is worst case scenario, which is addisonian crisis. Okay, so when you go through, just go through and it's true or false for every single one and then say why.

25:40 And that will help you as you go through the next one.

25:44 Okay. So this is how we're going to think of every single question we're going to go through. And we're going to methodically think through it that way. And it's going to give you less of the like, oh my gosh, should I pick the right choice with choose all that apply? It's going to really help you to to know like, okay, it's this one, it's not this one.

26:03 And it will help you narrow it down and pick the most threatening thing.

26:07 Right. And how to intervene with it.

26:10 And that make sure when you're going through this is very important. So you get two tips on this one, not. One. Um, read the last sentence really carefully.

26:16 Don't be me and be like, oh, I'm always looking for the worst case scenario. I'm going to give you the information about the worst case scenario, because they might be asking you to indicate that the patient understands questions.

26:27 Right. So this would be yes, the patient is correct.

26:29 They could also say which indicates the patient does not understand, in which case you're looking for incorrect information in the problem.

26:37 Right. So just be very, very close attention to how the question is actually asked. It's all about the same information.

26:44 It all goes through that same schematic that we showed you.

26:48 But the actual answers will vary differently.

26:50 And you do not want to be the person like me who takes the exam and you know the actual information. But you read the question wrong because you were flying through it. Yeah, don't be me on that. So clinical tips my thing for clinical, right? My biggest thing is as a student, I felt like I went in and I learned the same thing and let me know if this was your experience as well.

27:10 In clinical, I learned the same thing like 20 times.

27:13 I was like, I really know how to hang an IV piggyback now, but I have no idea how to put meds through a g-tube, right? And the problem with that is they don't.

27:23 Your nursing the people you're with, the nurses you're with, your clinical instructor, they don't really know what you know and what you don't know. And that is for you to know.

27:34 So I want you to at the beginning of the semester, because you also don't want to overwhelm yourself. List out every single skill that you need to learn this semester, and then some fun ones that you just kind of want to learn, right? Like be like, oh, I've heard of this. I actually do want to access a central line port, make the list of all the things you have to know, and then you want to know, maybe separate lists so that you can definitely hit all the ones you have to know and keep a tally next to it or something, like, okay, once I've done this three times, I'm going to cross it off and present that list to the nurse that you are working with that day and say, please pick one out of the patients that we have on our roster off of our assignment.

28:11 Which one of these skills can you teach me today? Right. And one seems like, oh, wow, I'm only learning one thing, but learn that one thing really well.

28:19 And it allows the nurse to not feel so overwhelmed.

28:22 Right. Because we know a lot of nurses don't want nursing students. Right. I mean, if we're just being totally honest because they're already kind of overwhelmed. But if we come to them and say, hey, I want you to teach me this one thing that is so much more manageable than like, hey, I want you to teach me everything you do today, which feels wildly overwhelming.

28:37 As a nurse and having precepted and worked with many nursing students, it's so much more manageable. If I'm like, I can really teach you how to do this one thing really well. Keep your list.

28:45 At the end of the day, if you feel good about it, cross it off and the next day bring it to your nurse and be like, hey, I learned this already.

28:52 Um, what? What new skill can I learn? You have a lot of days in clinical.

28:56 You're going to learn a lot of clinical skills. That way you'll repeat things less and it puts it in the nurses hands to kind of say, hey, this is what I can actually do with this.

29:05 Let's look at it. So clinical.

29:07 Um, pick your one. Communicate with them and let them know.

29:11 And that's my biggest thing for clinical that makes life so much easier.

29:15 Really? Okay, so if this type of information was helpful, hopefully it was. Let me know in the comments.

29:23 Like if you have other questions, anything like that. But I wanted to let you know that there we just put a new course.

29:28 I think it's obviously the best because I wrote it and made it so very biased.

29:32 But there is a whole new course on information like this that's not like patho specific, anything like that where it's not like content content, it's more of like how to survive, you know, like nursing school.

29:43 What are all the questions? What happens when I get in fights with my instructor? What happens when I like they come in and on the first day they're like, hey, all your relationships are doomed to fail. Are they really? What kind of job is helpful? What are the pros and cons of working as a CNA? What are the, um, how should I plan out my semester? All of these types of questions I've put in this course that lives in Lecturio.

30:05 If you want to check it out, I do have a link down below.

30:07 Um, it's in the chat right now, and it's in the description on YouTube and Facebook and that will just take you through.

30:14 And should I kind of created it as like your I called it your survival guide.

30:17 So you can just kind of like pick and choose and go through and be like, I have this question I tried to teach you from all of my mistakes, um, because I, I made a lot of them.

30:27 So you can go and check this out there.

30:29 Um, like I said, if you have any questions today, we can tackle them here.

30:34 But this I made as a big I kind of took all the questions that I get the most on YouTube, like I said, and then the questions I had when I was in school and I put them on here.

30:42 So I hope that's a helpful resource for you.

30:44 Um, and we also just came out with our discord server.

30:48 So if you have never used a discord server, it's fairly straightforward.

30:52 It's kind of like slack over on the left hand side here you can kind of see everything is broken down by topic. We created this.

31:00 I created this again. Well, I had help, but I'm very biased here.

31:04 I'm just showing you all of my favorite things, so bear with me.

31:07 This is new. I'm pretty excited about this because this is kind of like a place where you can go and talk with other people.

31:16 This is not a faculty place.

31:18 This is not a place where Lecturio is going to be like highly involved. We kind of like built the house for you. It's like a study lounge and we're handing it over to nursing students. I broke it down by, um, you can talk by subject.

31:29 So if you have a question about farm and you're like, um, how on earth am I supposed to remember this specific thing? Or, hey, what was your favorite, um, study app for pharmacology? You can go to the pharmacology tab under subjects.

31:42 You can ask it there. We have tons of different like I did clinical must haves.

31:46 So like hey what shoes did you like to buy for this? Hey, how did you handle Cranky nurses? A place where you can go and ask each other questions and just have community.

31:53 There's chats for pre nursing students first year, second year, third year. So you can just go and vent invent as well. If you have like like, oh my gosh, is third year killing anybody else? Like are we also struggling? Go and chat there. There's study lounges in it.

32:07 We are going to be having different events within it.

32:10 So, you know, we might coordinate a med surge study session and someone in there could be like, hey, I have an exam this Friday on cardiovascular stuff.

32:17 Does anyone else? And you can go through together and make those schemas that we just went through and you can all, like, do it together in Audio chat rooms.

32:25 So this is really like your place to go.

32:28 Maggie Miller said. How do we get to the discord server? There is a link in the description as well as I will plop one in right here.

32:37 You can go over here. You sign up with your email and you verify it.

32:41 If you are having any issues going through and you're like, oh, I can see the information on the discord server, but I can't chat. It's because you haven't verified your email.

32:51 I just put that in there as a safety step.

32:53 So as soon as you verify your email and go through like the yes, I agree to, you know, not be the worst person ever on the internet.

32:59 You will be able to comment in here.

33:01 Um, and kind of just like run free under the, um, there's a section under there called Nursing School Survival Guide. And in there I included the pictures of the, um, the schemes that we kind of went through the, the chart for how to study and then the how to actually go through exam questions.

33:20 I included that in there if you want those pictures. People have been chatting. I think it's going to be, uh, hopefully a good experience where you can just kind of go and like chat and it's not monitored, like, you know, you know, your teachers aren't in there, you know, like things like that. So, um, I guess your teachers could technically get in, but, you know, we don't we we haven't told them about it.

33:39 Um, and it's mostly it's guided for nursing students to give you kind of a place to feel safe. So and just chat and have community.

33:48 Okay. So if you have any suggestions, we also have recommended or suggestions tabs under there. Um if you have if anybody here does have any questions about anything related to nursing school, um, we can hang out for a couple of minutes and just. I'm happy to answer any of those, but do go and check out, um, like, my biggest thing with all of this is, uh, like Lecturio, if you're not familiar with it is very, very helpful. Um, for a lot of the, um, academic studying things.

34:20 So if you're like, oh my gosh, like, I don't even know how I'm going to get, like, I have all this stuff I have to learn about Patho if you're a visual learner, um, or you just need help structuring your studying, what Lecturio does, um, that they really shine with is they go through and they hang on.

34:37 We're going to pull it up. Give me one moment. This is impromptu.

34:39 So Lecturio I'm going to take this.

34:44 Um, give me a moment. We will go find the website and we can walk through it.

34:51 If any of you are in school right now and need help with a particular subject.

34:54 Um, let me know and we will use you as a case study.

34:57 So we'll go through and I'll kind of show you how it can be helpful.

35:03 Um, if any of you are in school right now and you have a subject that is making you want to pull all of your hair out.

35:10 I will show you how it might be able to help.

35:12 Basically, it's a study resource. You can go in and has a ton of videos on every topic you can think of within nursing school.

35:20 It has, um, you watch the videos at the end, it gives you a quiz.

35:24 So you can it'll tell you like, hey, I know this topic well and we can move on or hey, we should maybe focus on something else related to this.

35:32 Let's come back to it and I'll ask you about it in a couple of days. It does that for you.

35:35 It has like a smart learning whatever in it.

35:38 You can set up practice exams.

35:40 So when it's time for your exam, you can say, hey, I have a exam on all of the anti-infectives coming up next Friday.

35:47 You can take a practice exam and it will then tell you, hey, you should study more on this because you're really solid on this one area and you really need a little bit of improvement on this other area.

35:56 Here's the videos you should go watch.

35:58 It'll give you the notes for everything. If you have the app, which you can download on the App Store, you can download all the lectures like podcasts and listen to them while you're like walking around campus or driving to and from school or doing the dishes or, you know, going on a walk, it is. You can also have it go into study planner.

36:15 If you're like me and you're overwhelmed by everything, and you can just type in like, hey, I have to know the whole cardiovascular system for med surge by the end of two weeks from now, and it will literally tell you what to do every single day.

36:27 You tell it how long you have to learn it, and it'll go through and it'll tell you how long, like what to do every day.

36:33 So this is kind of what the interface looks like.

36:35 So I'm in the nursing one.

36:37 Um, so we can go over uh, here's our question bank.

36:41 I'm pretty behind. Um, I have 3810 questions that I'm supposed to answer. So, um, rough spaced repetition, that.

36:48 And that is just saying like, hey.

36:50 Of your question, banks, you've told us you have exams on this topic.

36:54 You should probably get studying.

36:55 We have our study planner over here. I had told it that by September 29th I needed to learn, um, some pharmacology and some nursing things.

37:03 It's telling me I'm in the red because I haven't been studying.

37:06 But if we click on these, you can see, okay, this is kind of the study schedule that I should follow, right? It's going to give you these paths if you want to.

37:16 So let's use a pretend scenario okay I'm going to say that just to kind of show you how to use it from start to finish.

37:23 Let's say you have um, I have an exam on respiratory disorders.

37:29 Okay. And I am overwhelmed by it.

37:31 And they just handed me the whole book and I'm like, I don't know what to do with this.

37:33 I'm going to go over to my learning paths.

37:36 You can do this via learning paths, or you can come over here to all of the different topics because there are, as you can see, all of your different nursing school topics are right over here.

37:46 So you can click whichever course you can access it through here, or you can go to learning Paths. Learning paths are pretty cool. So I'm going to go over here and say I have a um, actually let's do clinical skills because that one's pharm we'll do med search.

38:02 We'll stick with respiratory. We'll be consistent. Um, let's go to over here and I say, okay, I have an exam on do, do do you have cardiovascular respiratory disorders.

38:13 Um, we can do we'll just do the basics of it.

38:17 I have to know this by kind of give it a date and it will literally go through and it will teach you. Here's all the things that I have to know here.

38:25 Watch all these videos.

38:27 It'll give you the quizzes.

38:28 And then afterwards we can make a test on it.

38:30 And you should be ready for exam day. So I think it's super cool.

38:33 Um, I actually discovered Lecturio because they, I was doing a sponsorship with them on my own YouTube channel.

38:40 And then I was like, this is actually really cool.

38:43 Um, and everything that I kind of wanted to create on my own.

38:46 But you already did it. So can I just come work with you? And I just kept asking and eventually they said yes. So that's how we ended up here was because I thought it was like everything I wish I had had as a nursing student right here.

38:58 So, okay, let us see if I think we have a question in here and if you have any other ones, then let us know. And if not, we'll call it a day and leave us a comment.

39:07 If you leave a comment, um, I'm also the one that answers all the comments on the YouTube channel, so that's another way to reach me here.

39:14 Um, David Rojas said, do you choose what kind of nurse you want to be? So after you graduate, at least in the United States, everyone graduates with a general nursing license, and that allows you to practice in any setting, but you will get specialized training based on the unit you work on, and you can later go and take exams to kind of prove your proficiency in that subject area. So essentially when you graduate, no, you don't have to do anything if at least in the United States, in other countries, I know it's a little bit different, but in the US you graduate.

39:43 You are either you take your LPN or your RN exam based on what kind of nursing license you are acquiring, and you can work in any setting.

39:54 Your job will usually train you.

39:55 So I for example, worked in pediatrics for many, many years. I was then eligible to take my pediatric, um like nursing exam to kind of put on my resume and look fancy and say, hey, I have worked with PEDs for a long time.

40:09 I know have all this specialty information about them. I've taken this course to show that, like, yes, I'm an expert in this subject matter.

40:16 And, um, that is kind of the way you specialize within nursing in the US.

40:21 But you can go into whatever you can change your mind, which is the beautiful thing. You can say, hey, I actually want to go this way and do this instead.

40:27 And yeah, it's kind of cool.

40:29 Monty Barnes, would this video be on your YouTube channel to be, uh, view later? It's going to be on Lecturio YouTube channel to view later.

40:38 Um, so that you can always find it here.

40:40 So it's going to be in our nursing school study tips.

40:43 Um, I think I might have called it nursing school Tips in General playlist.

40:48 And if you guys ended up liking this format, um, depending on like, yeah, I guess just your feedback, we can do more like this.

40:55 We can do them on specific topics.

40:57 Um, I know Prof. Laws really wants to get like, would love to probably come on here and answer some of your questions from a faculty perspective. Um, or just do like little study sessions, answer your questions on like difficult topics.

41:09 So let us know. Um, you can like the video that tells us that you like it.

41:13 Um, leave a comment, interact with it in some way to let us know if you did like this format that you liked this.

41:21 I really like doing these live discussions because we actually get to chat and interact, and I can give you the information that you want, but if you hate it, then there's no point in me doing it.

41:29 Like there's no I can entertain myself all day by doing live streams, but if they're not helpful for you, then we don't want to waste your time or fill up your screen with spam that you don't actually need. Um, so if there are any questions, then we can go over them.

41:43 But if we got to everything, then I will let you off and go free with your day. Um, also, if you do enjoy them, let us know what time is best for you because we're also trying to figure that out of like, what time is the best? Um, are people in the class in the morning? Are you in class in the afternoon? What time? Here is the best.

42:01 Um, and we can accommodate to that.

42:03 If you, um. I appreciate all of you for being here today.

42:06 Definitely go check out those links.

42:08 Join the discord server.

42:09 It's totally free. Um, I think it's going to be a cool place to have community, and we'll see where that kind of goes.

42:16 And then definitely check out Lecturio.

42:18 They can create a free account just if you want to try it out and see some of the videos and like get a vibe for it.

42:24 Um, and then we have the premium subscription, which will give you access to like the study planner and absolutely all the videos.

42:30 I think it is hands down wildly worth it and everything.

42:37 Um, that I wish I would have had.

42:40 George says hi. Medical and nursing are different or the same program.

42:44 They're going to be different. So when you go to the main web page, let me pull it up. Um, it is going to give you the option of letting you know what specialty that or what type of program that you are in.

43:01 Um, and it will you can just choose your own adventure here.

43:07 Um, when you're going through it.

43:09 And let me see. So. Okay.

43:13 Perfect, I found it. I didn't want to.

43:15 So when you're going through it, you go to the Lecturio website.

43:18 That one's linked down below, and you just tell us, are you a medical student? Are you a nursing student? And let's say you click.

43:26 So you'll click, um, you know, medical and then it's going to take you through all these different things. If you say you're in nursing, um, It will ask you for like a little bit more information. It'll want to narrow it down usually. Either way. So are you a registered nurse? Are you a nurse practitioner? Um, other nursing career? Uh, we have like an LPN program in here.

43:47 Um, and so you're going to be able to go through it this way and tailor it down, um, and get the program that applies to you, because medical and nursing are pretty different. Um, the NP platform has most of our medical is on.

43:59 You can access it through the nursing side, but it actually is like medical content because as a nurse practitioner, you're doing mostly like the same like you're learning more of that path.

44:08 So we did try to tailor it for each one.

44:10 We have a PA program. We have one for medical students.

44:14 Um, there's a lot of different, uh, different things to go in and check it out. Wonderfully made.

44:18 Said I missed this. Um, we missed you, but you can watch it on the replay. Um, and it will live on YouTube forever, so. Hooray! Um, and wonderfully made.

44:27 Said. I want to start a free trial.

44:29 That's excellent. Um, let me give you the link right here in the, um. Let's see. It is in the description on Facebook and on YouTube.

44:37 And I just posted it again right in the chat.

44:40 Um, and that will take you over to the website where you can sign up for a free trial or check out the full version.

44:48 Um, if that is what you would like to do.

44:51 Um, like I said, this is everything.

44:53 This would reduce so much stress because it just kind of takes it out of your hand. And it's like, here you go. I will plan this for you.

44:59 And it's wonderful. And it has all the information.

45:01 No longer have to like YouTube your way through nursing school like I did. It's kind of like, um, when I describe it, it's like Quizlet and YouTube had a baby for nursing concepts and medical concepts, which is pretty cool.

45:12 All right, friends, I appreciate all of you being here today ever so much.

45:16 Um, let us know how our first live went.

45:17 I think it went okay. You let me know.

45:19 And if you guys like them, then maybe I will see you next time in another one. Let me know what you want us to chat about.

45:26 Um, I'll see you in the discord server.

45:29 Bye, friends.