NURSING.com Podcast — NCLEX Prep for Nursing Students23 Loka

Trial by Fire: New Nurse Stories | First Shift

"Eight weeks of orientation. A wonderful preceptor. And then... her first day... on her own. Six patients. Three on heparin drips. And the minute she got report... all heck broke loose."

Her first day by herself on step-down: six patients, three on heparin drips, one on a Cardizem drip, four diabetics, two on contact precautions. A patient got up when he'd been told not to, fell, and fractured his ankle — on a heparin drip. Another started bleeding heavily and needed blood STAT. A third was signing himself out AMA. A fourth waited on dialysis. With one tech on the unit, she ran to the pharmacy herself. She ran to the blood bank herself. She wheeled the fracture patient to the ER for his X-ray herself. In her words: "Between hanging drips, calling MDs, stat EKGs and X-rays... I thought whatever hair I had left after nursing school... it was gonna fall out."

In this episode of First Shift, Jon Haws, RN — founder of NURSING.com — tells her story, then gets honest about his own: he dropped out of nursing school ten weeks from graduation... and came back a year later to finish. Three things for the trial-by-fire days: asking for help IS the clinical skill. When everything explodes, line it up — sickest first, one thing at a time. And don't quit on day one: the doubt is the proof you care enough to be good at this.

If you're a nursing student or a new nurse, this one's for you. New episodes of First Shift drop every Friday — real stories from nurses' first shifts, and the honest talk that gets you through yours.

Studying for the NCLEX? Try SIMCLEX — the adaptive practice exam that tells you when you're ready: https://nursing.com/simclex

It's time to go out and be your best self today. Happy nursing, y'all.

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LAB VALUES IN 5: Bilirubin for NCLEX

Bilirubin — the must-know liver lab value for the NCLEX, covered in 5 minutes. In this episode: what bilirubin measures, the normal reference range of 0.3-1.2 mg/dL, why bilirubin matters — a byprod...

10 Marras 5min

MED OF THE DAY: Bupropion (Wellbutrin)

Welcome to Med of the Day — new episodes drop every Monday. It's Med Monday! Bupropion (Wellbutrin) is an antidepressant and smoking deterrent (pharmacologic class: aminoketone) for depression, smok...

9 Marras 2min

The 3 A.M. Spiral: New Nurse Stories | First Shift

"I survived, somehow." Her first night on her own. Five patients, meds on time, chart checks ahead of the orders — and then all hell broke loose: IV pumps beeping, call bells nonstop, ten antibiotic...

6 Marras 4min

QOD: Nosey Cup | NCLEX Practice Question

Today's NCLEX Question of the Day: The nursing category is neuro. The NCLEX category is basic care and comfort. A nurse is caring for an 80-year-old client who is in rehabilitation after having a st...

5 Marras 2min

K Up D Down Acidosis and Alkalosis | Nursing Mnemonics for NCLEX

Welcome to Nursing Mnemonics — new episodes drop every Wednesday. Which side of the pH scale is which? Remember: alkalosis has a K, so it's kicking the pH up — acidosis has a D, so it's dropping the p...

4 Marras 1min

LAB VALUES IN 5: Aspartate Aminotransferase for NCLEX

Aspartate Aminotransferase (AST) — the must-know liver lab value for the NCLEX, covered in 5 minutes. In this episode: what AST measures, the normal reference range of about 8-40 (ranges differ slig...

3 Marras 3min

MED OF THE DAY: Bismuth subsalicylate (Pepto-Bismol)

Welcome to Med of the Day — new episodes drop every Monday. It's Med Monday! Bismuth subsalicylate (Pepto-Bismol, Kaopectate) is an adsorbent antidiarrheal/antiulcer med for diarrhea, heartburn, ind...

2 Marras 2min

The Baby Who Wouldn't Wait: New Nurse Stories | First Shift

"She was trying to place a catheter. She almost delivered a baby instead." A new L&D nurse, still orienting. Her preceptor steps out for lunch — and in that window, a routine in-and-out cath turns i...

30 Loka 4min