NURSING SCHOOL CLINICAL | Tips For Success
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- Опубликовано: 4 июл 2024
- NURSING SCHOOL CLINICALS | Tips for success . Nursing school clinical are both exciting and terrifying. In this video I’ll share with you my tips I’ve learned from working with countless students so that you will have a great and educational clinical experience. We will cover how to prepare for the day, what to wear and bring, what Not to do, How to communicate with your nurses, and how to win over even the crankiest of preceptors.
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If you are new here, Hello! I’m Liz, a Family Nurse practitioner, former pediatric nurse, and new(ish) mom. I’m about to start my new career, and plan to share it with all of you!
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***Goes to Amazon wishlist and removes foldable clipboard***
hahahaha. If you love that clipboard life you do you!
🤣🤣 meee
hangs head in shame after purchasing a super cute mint clipboard :( lol
😅😅
HAHAHAHA
I’ve actually started using some of these tips as a CNA while working at the hospital, like asking questions, and offering to help with procedures or asking to observe if I know it’s outside my scope of practice and the nurses love it! They always ask if I’m a student and ask how much time I have left til I graduate and they’re always shocked when I say I’m still doing pre reqs! I’ve started to have nurses remember me and find me when they want to do a procedures!! It’s a wonderful feeling. Although my best learning experiences have been at skilled nursing facilities because the nurses really do need every ounce of help they could get since they were almost always short staffed. I even once had a nurse (probably one of my top faves I’ve ever met who used to be a teacher) teach me how to identify internal bleeding vs bruising, how to insert foleys correctly, and how to identify mottling on patients close to death. Another nurse from the same place taught me how to chart really well (he had gone through a law suit where the family or hospital tried to blame him for the death since he was the only one charting on the condition), and since there was an elderly woman who refused to take any medications from men (on nights there was usually two males for majority of the week), allowed me to pass the med while he stood in the hall. I’m so thankful for all the wonderful nurses I have met.
That's so awesome that you can get all of that experience while working!!
When are you starting the program? You’ll be set
Unique Lewis with luck it should be next year in the fall
Clipboards can be too much...my classmates and I used a small pocket notebook to make notes on our residents, data on vitals, medications etc. Clipboards pick up germs, so ditch it, lol. Scrub pants with multiple pockets are a must. Have a water bottle to sip on when you take a bathroom break as well. Oh, in addition to making sure patient/resident isn’t NPO, if they can receive liquids read their chart to find out if they are at risk for aspiration. You don’t want to give someone thin liquids if there chart says thickened! Good stuff Nurse Liz 👩🏻⚕️!
Excellent tips!!
Thank you so much for your tips and positivity. I had a clinical instructor tell me today that she didn't believe I was cut out to be a nurse b/c I cried after my first clinical day in the NICU. It is one of the rudest and most discouraging judgements I've received. I can only chalk it up to her deflecting her own issues or inadequacies. Your video definitely helped to perk my spirits and work around those negative nurses.
I'm so sorry that happened! You've got this! 💜💜
You got this!! A couple years ago I was working in the UK as a health care assistant on a hospital ward. They threw me in the deep end and were given no training or education. The first day I was in tears. 3 weeks later I quit not wanting to go into nursing. But here I am starting nursing school in the fall. I didn't want to give up my dream.
3 minutes in and I’m laughing so hard! I was definitely clutching a clipboard last semester during my med-surg clinical. I’ll try not to do that anymore lol.
Happy New Year, Liz! You’re great.
If you love the clipboard life then you do you! Hope clinical goes well this semester :) Happy new years to you as well!
Great tip for code. I am a scrub tech in the OR seen my share so helping the call lights is an awesome tip. I'm 48 and I got accepted into the nursing program starting this fall. I feel like I know nothing lol thank you so much for your tips
So glad it was helpful!
Beth Maciaszek I Beth I am 43 and about to start my nursing this September. I feel supper conscious about my age and worried if I will keep up with the younger students. Any tips
@@aletiahamilton7686 I have a ton of young nurses that told me do not worry about age it is so mixed now. I have been watching registered nurse RN and any videos relating to starting the nursing program. I am most terrified of pharmacology as my entire class was open book she stayed because in the real world you have access to computers, books, other nurses. I taught myself dosage calculations and still feel lost.
@@aletiahamilton7686 I'm 41 and start nursing school in the fall. It has been 3 years since your comment how is nursing school?
i watched this when she first posted it almost two years ago and now I'm rewatching it as I'm preparing for my first day of clinical tomorrow!!!!
You're gonna rock clinical!!!
"Lesson of the day: Don't be me. Never be me." - I need that statement on a t-shirt. It fits. =)
I’m going into my last semester, but I still have so much to learn so this is such a good refresher and confidence booster! The confidence thing is SO true. I saw a huge change in how patients and the nurses I worked with saw me. I was scared my first semester, and it showed. Last semester was completely different in the best way possible. I said yes even when I was afraid, and asked for the chance to do things that I hadn’t done before. Some nurses refused to let me perform skills that I really wanted to try for whatever reason, but I was glad that I took the step to at least put myself out there. I’m so nervous, but excited to be so close to the finish line (at least for now)!
go you! Saying yes to that stuff is definitely hard but so so beneficial! Best of luck in your LAST SEMESTER! so exciting!
Nurse Liz thank you!
Norma Ruiz i am starting nursing school in a week and i have social anxiety ): i’m so scared.
@@deergreentea2847 I can identify with you and the anxiety, but I say be scared and do it. That's my plan. I started two weeks ago on the first step of the journey.
@@deergreentea2847 this was three years ago. How are you doing today in your studies?
Nurse Liz, your information and delivery is absolutely top shelf. I'm starting my pre recs for nursing school but it's still a couple of months away before my classes begin. It's probably due to the over excitement, but I've been seeing so many advertisements for Lecturio so I went ahead and scoped out the website. The second I saw your face on the site, I signed up for a membership. You're amazing and I look forward to the rest of your content and your own future. Thank you!
Love your energy and awesome tips! Thanks for being so transparent!
I love watching your videos. They’re so helpful and you’re just such an upbeat person
Aww thanks for the encouragement!
Saving this video to refer back to. I start nursing school in the fall & I’m SO excited!
Ugh I need these videos in my life!! They are so bomb and inspiring! Thank you for this!!
Thank you for being so cheerful and encouraging! Putting a new student at ease while giving me excitement!!❤️
Hope your clinicals go well!
Thank you so much for this video, as well as all of your other helpful Nursing Student videos! Your overall attitude and kindness is so refreshing and so comforting for this soon-to-begin Nursing School student!
I'm so glad it was helpful! Thanks for watching!
WHY do you not have a million Subscribers? 😩😩 wow. I love your videos. Straight to the damn point & some humor. 👏🏽💕
I like your line of thinking! haha.
Thank you, so much, for the love and attention you put into providing resources for us trailblazing the profession. I’m beginning nursing school this fall, and watching your videos has encouraged me, grounded me, and given me realistic expectations for school. Your upbeat attitude and genuine encouragement is seriously THE BEST! I can tell you love what you do, and love being able to pay it forward with your experience to help us newbies get the most out of our school and nursing journeys. You are my favorite nurse RUclipsr to watch and I’m excited to laugh and cry alongside these videos as I go through school! Haha. Thanks for what you do, Liz!
Aww thank you for the encouragement! Best of luck on your journey! Congrats on your nursing school acceptance!
You are so refreshing! There are too many adorable little nursing students buying all the nonsense, telling me I should too; whereas you are REAL and provide advice base on actual experience. THANK YOU!!! You are my favorite authentic RUclipsr/Nurse ♡♡♡
Happy new year, this was such an awesome video! I have had some of those grumpy nurses in my clinical experiences and the kill them with kindness definitely works. The goal setting for each clinical day and writing down goals/ competencies is such a great idea and I will absolutely be implementing them this semester.
So glad it was helfpul! Fingers crossed you don't have any grumpy nurses this semester!
Hi Liz! I just recently started watching your videos and I love them! Thanks so much for all of the advice. I just got accepted into nursing school and start clinicals this semester. I’m really nervous but your videos help build some confidence!
Congratulations on your acceptance!!
This was SO helpful! Thank you Nurse Liz
I am starting my first clinical this semester and this video was so helpful! I will definitely be setting goals for myself to get the most out of my clinical hours.
So glad it was helpful! You'll do great in clinical!
I always watch your video but now I’m about to start nursing school on Monday I am so nervous but watching you it been help a lot I’m so ready to do my best .
Thank you so much !
Congrats on starting! You're gonna rock it!
This should be required viewing for nursing students! I wish I had watched it prior to my first clinical! Even finishing up my third semester, I'm not great at several of these things, but I'll definitely be applying as much as I can from your tips going forward!
Hi Liz. I'm so glad I found you. I start my pre recs next week. I'm a mom of 4 boys ages 10-3 and crazy nervous about going back to school. I have a Master's degree in education but I did that before having kids. Life is now moving me on to nursing. Long story short it is so amazing for me to hear you say that I can do this. Thank you for your faith in me. There will be days when that is what I cling to for sure. How can I be so terrified and excited at the same time. Thank you for putting me on the right track 😘😘😘
what an amazing background to have going into nursing! You will do wonderfully!
That pep talk at the end was everything for me. Thank you. :D
I've been super nervous about what to expect in clinicals and how to learn the most from it - so so helpful thank you!
Glad it was helpful!
This is so amazing! I start my first clinical next week and I just felt so under-prepared. I wasn't sure what was expected of me or how to run through the day but you just reassured me and made me feel a bit more comfortable.
Thank you Liz!
So glad it was helpful! Hope clinical goes well!!
The beat advice and videos on nursing school. Not one of those “omg my mascara omg so my lip color” or the “I circled my hair the previous night and I wear pink bra”.
Love you. Thanks for being real girl.
This video was super helpful and you were very reassuring! I start clinicals in the fall and to say I’m nervous is an understatement, but you brought the excitement out!
So glad it was helpful! Clinical is where it gets good!
You're the best online guru! Thanks, master. /bow down
"It's the Sahara dessert and your lips will dry out and fall off" LOL Geez I love you :)
😂😂
I just have to say, you are amazing. You changed my mind of what i was going to be, i am going to be a nurse! I cannot wait, thank you so much!
Awesome!!
This little black notebook has been my best friend throughout all of undergrad thus far! I am so glad that you suggest it, because I was already planning on bringing it with me everywhere. lol I start nursing school in October this year! I'm so excited.
Isn’t it awesome?? So glad you discovered it early!
Goodluck
@@stephanienyann5574 Thank you!
Thank you for this video Liz! I needed it! I am excited to start clinicals this month:)
Yay! It is when school gets fun! You'll do great!
omg, you are so adorable and motivating, I appreciate the encouragement!
You got this! Thanks for the encouragement.
Hi! Thank you so much for this video!! I am so nervous about my first clinical day tomorrow and this genuinely eased my mind. Early morning but now I am excited. Really appreciate all the tips (I have a clipboard but I promise I won’t be clutching it or taking it everyone :) )
Yaaay! I just got accepted into Nursing School today! Hopefully will be a RN in two years!! Your channel is AMAZING and I’m obsessed! Thank you so much and PLEEEAASE keep the videos coming!!!
congratulations on your acceptance!
You're so awesome. Listening to your videos as I prepare myself to begin nursing school in the fall is really putting me at ease. I'm excited but also scared of failing at my responsibilities as a nurse 😞
You'll do just fine!
Thanks so much.. Sunday I have my first clinical. I'm so nervous. This helped me mentally
Thank you so much! I have back pain so I'm always trying to lessen the load I have to carry around and all these videos were stressing me out. 😬
Thank you so much liz you are amazing and your videos helped me so much. I am 48 years old and and going back to school to become a nurse super nervous but also super excited and after seeing your videos I am more excited than I am nervous so thank you so very much.
Best of luck with your journey!!
Your videos are fabulous!you make nursing look so easy!I am starting Bsc Nursing in October!a little nervous though.
Thank you for all your tips!! Love your videos!
Glad it was helpful!
This video was so helpful and calming! Tomorrow i begin my medsurg clinicals and I’m so nervous and scared!! Thank you for how thorough this video was! ❤️
You’ll do great!
I'm starting on-site clinicals tomorrow and this video took my anxiety all the way down. 😭You made it way less intimidating than it seems so I'm going to try and stay positive and confident throughout this process. Thank you so much for this!
Are you still in school?? How did your clinicals go??
You're just the best. So helpful.
I love u!! You make it so attainable
i am taking the entry exam next month i have watched many videos your are so encouraging and positive thank you for being you
Awww thank YOU for your kind words! You're gonna rock that exam!
Thank you for saying the perfume thing! I’m in nursing school but I also have a Mast Cell Disorder and it is beyond frustrating when I’m in the middle of an allergic reaction and a nurse/ doctor comes in drenched in perfume that makes my allergic reaction 10 times worse!
Ugh that would definitely be so so frustrating. It always amazes me when people in healthcare wear fragrance
Yes yes very helpful. Thank you 😊
Well be starting a Nurse Auxiliary soon. Doing some research and thank you for the info. I am naturally helpful and boy do I love asking questions ....ahhh (relieving exhale). It's true mean nurses melt with kindness especially if you make them talk about themselves (hint* hint*) me as a patient.
Such great tips Liz! Going into my last semester of nursing school I really wish I would have been a bit more confident during my 1st semester simply because now my clinical days are numbered and we learn so much during clincials that I might say one day that I will miss them! Haha again such great tips! Look forward to more videos
Last Semester!! So exciting!
Liz - this is such a wonderfully timed video for me! I begin my third semester of my accelerated BSN on Monday. What is expected of us can be so confusing - this really cleared up a lot!! Thank you for all your tips, you are so honest and helpful :)
So glad it was helpful!
Great tips and very helpful. Thank you.
So glad it was helpful!
Such a helpful video! Going into 2nd semester med surg clinicals next week and i’m beyond nervous.
You’ll do great!
you are such a great, inspiring role model. thank you so much for these informational vids. im a senior in hs and am interested in nusing school! your videos have influenced me so much!!
Thank you for the encouragement! Best of luck as your deciding what path to choose!
@@NurseLiz updates! I am starting my first semester of nursing school and i still come back to your videos ALL THE TIME. thank you for these videos!
I am excited but scared and anxious at the same time. But thanks so much for this video.
both totally valid emotions! You'll do great!
very helpful!!! like you said, i dont feel prepared for clinincal and although thats fine on a certain level, I get scared because i know i'm being evaluated. I'll try me best to keep the attitude ur encouraging and giving advice on in here :) thank youuuu!!
Nobody will be evaluating you too closely yet! You’ll be fine 🙂
I Love this cant wait to go back to school. Fixing to retest for CNA license. Passed my RMA test in August before I had my knee replacement surgery. Just got released from my doctor. So job hunting I go.
Awesome!! Way to go!
Perfect, I start my internship next week👌🏼💁🏻♂️
Exciting! Best of luck! You’ll do great
I'm super excited and nervous! More nervous about putting my son in daycare for the first time ever, but we will get through it. Thanks for the great advice!
I feel you! I was a mess putting my daughter in daycare but she did great! I was far more upset about it than she was
Yeah, I think that's the case for me too. We saw some day cares today and he is so excited! haha@@NurseLiz
True on not asking so many questions to a nurse, you don't want to overwhelm nurses
I graduated as a midwife here in Belgium back in 2017, looking at this video now I wish I had seen this before my internships because sooooo many of the tips you gave sounds so familiar. And I unfortunately had to learnt hem along the way on my own, making it so that I wasted quite a lot of time sometimes.
love midwives! Thanks for doing what you do!
Thanks so helpful 💖
Needed this! Starting in January! 🤗
You will do great!!
I just got accepted. You are helping calm my anxieties so much. Thank you! By the way, your glasses are so cute. Where did you get them?
Congratulations!! And thank! They're from Warby Parker! There is a link to them in the description box of the video :)
This just made me feel soooo much better
I'm so glad!
Hi! I love watching your videos! I have a question what nursing school did you go to?
CNA here. In my facility, CNAs are responsible for taking vitals every shift, as well as recording intake and BMs. For some reason, I seem to be the only one who carries a notebook. The others use the folded paper to record vitals, and somehow just remember who ate and drank how much until they can find a computer. Personally, I think keeping an actual record as things happen is much superior.
1. My first few days of clinical, I had my clipboard, but only to hold papers my clinical instructor handed out, different charting papers, and a list of NANDA nursing Dx. 2. I wish I could say telling my instructor what I was comfortable with worked. She had students tell what they do not like or would they don’t want to do and made them do that. 3. I’ve had patient’s tell me they don’t want to work with a student nurse. I had to switch patients 3 times in one day. One nurse saw me in the room taking vitals on her patients and disappeared. Never saw her again until the end of clinical day. 4. I was the one that could never keep still and went to all the nursing asking if I could do this, If I could do that. I was able to change a tracheal tube and change dressing on a stage 4 decubitus ulcer.
If you love that clipboard life go for it! haha. Sorry your instructors weren't the best. Hope they improve! So glad you were able to see some cool stuff!
Trachtubes would make me gag! I understand about pressure sores. I did have a nurse teach me to change a colostomy bag.
@@susanmurphy8022 Oh gosh. Trachs. SO NOT MY THING. Sputum is my weakness
@@NurseLiz Oh no. I had the clipboard for the 1st 3 clinical days for handouts. Afterwards, I kept it at the nurses station or conference room. Our instructor helped me build my confidence and encouraged us to not use the pre-made patient profess/assessment sheet. I began using the little note pad the size of your palm. btw, your previous video on how to use "your nose brain", was a great refresher.
As a nurse wannabe but also someone who has many health issues, all of this is overwhelming. I’m hoping that someday I can live out of my dream of being a nurse. Especially in the NICU.
Happy New Year Liz!!! You just saved me from buying a clipboard cos I was wondering how i am going to function by Fall this year my first semester in nursing school. Question: I heard it’s better to be a cna before going into nursing school, will that affect me as I am not one? I’ve been hearing a lot of things so I’m confused and trying to get the best ones before I start in August.
I wasn't a CNA and I was able to get a job just fine! I think it definitely can give you some awesome experience, but other jobs can as well. I was a waitress and that was actually what my hiring manager hired me for!
Thanks. so I shouldn’t bother much then. I’ll be great 👍
When I started nursing school, I was not working as a CNA. We were required to take the CNA class but not required to take the certification. When I started clinical, I quickly found out that I wish I had the experience. If you can take an optional part time position (4 shifts per month) as a CNA it’s going to help you get used to working with patients and if you are strategic about it, you can position yourself in a department that you would like to work as a nurse upon graduation. I was able to do this cardiology/cardio thoracic and it helped greatly.
Super helpful thank you so much!! Also a question: what are your thoughts on greeting patients with a handshake in COVID times? I’m starting my first clinical in two days and want to be prepared with at least a nice greeting! 😅
I just got accepted to my dream nursing program today and so here I am, binging everything
Congratulations!! That’s exciting!
@@NurseLiz Thank you! I absolutely cannot believe it yet.
Yeah! My first clinical is in the next 6 hours
I think this last semester of my senior year I’m going to study terminology and practice with small note books. Work on note taking and understanding. I feel like I will be comfortable with administering oral meds, vitals, and POSSIBLY shots. Blood work and IV’s may be what I will want to observe and learn. I want to be more comfortable with them.
Awesome goals!
Can u link where you got your black notebook. I didn’t see it in the info section. Thank you.
Ty
Where can I get a drug reference book and which is the best? Do they make a pocket sized one? Also, this video is so helpful!
Ok but the foldable clipboards (one that fits in your pocket!) are good! I love your videos btw. Are you from Minnesota? Or somewhere in the Midwest? I’m from Minnesota and your voice kind of sounds Midwest!
I lived in Michigan for several years, so I have have picked a bit of an accent up there!
It's like you've been with me at clinical and made a video on what I shouldn't do anymore lol. Except for the clipboard, that I can pride myself on not having.
😂 hope they help a bit! You are doing great!
Hey Liz I was wondering when I do a full head-to-toe assessment for every patient I see I am very thorough and check PERRLA, pulses, all lung fields etc. but I never see nurses using the pen light or doing a full assessment. I am just wondering how much of this is necessary as a nurse? I don't expect to have time for 8 min assessments for 4-5 patients every shift but of course we are expected to as students and it is good to have a baseline but sometimes I am like is this realistic? Do you just make time for it even if you are busy or how does this work in real life? lol
I didn’t do full head to toe’s, just focused! Sometimes in school they have you practice full ones so you know how to do all the parts. But in reality you’ll only do focused assessments based on the problems at hand!
@@NurseLiz Thanks for your reply Liz this is good to know! :)
Great video ♥️
Thanks for watching!
You should do a video for nurses on how to teach students and give them the best experience when they have them on the floor
Thats a good idea! Thanks!
Was it hard to get into the pediatric specialty. I got a job on a tele floor and when I tell others I want pediatric, they say that it’s oversaturated and I’ll never find an opening. Was that your experience?
I was unable to get one straight of of nursing school because they were pretty competitive. So I took a job in the health system associated with the children's hospital, but my job was on an adult med surg floor. I worked there until I had enough seniority to get a job at the peds hospital! Hang in there, you'll get there!
Hey Liz I'm not yet into the nursing program at my school yet but finishing pre rec any books or studying to get me a head start you could recommend it would be greatly appreciated!!
Just narrow down how you study and what methods are effective! I wouldnt stress about starting to learn stuff until you have the materials in school! You'll be fine!
Happy 2019 new year Liz. Does these advice also apply to FNP clinicals? I am starting clinicals in March and I do not know what to expect and I am super nervous. Any advice for us FNP students? Maybe a video? Have an awesome day.
Here's my video for NP school clinical tips! ruclips.net/video/xh5VJJ-4ZM8/видео.html You'll do great!
Happy New Year! Two questions... How did you divide the small notebook (notes and questions in the front and patient overview for the clinical of the day)? Also, what’s a good length to have your hair for clinical ( my hair is super long and I’m thinking of cutting it when I start in May)?
I wrote the questions in the back, and in the front I organized it by day. Just wrote the date and then all the patients I saw. Kinda in the middle I wrote notes. It wasn't overly organized, but it worked! Whatever hair length you want is fine! As long as its out of your face. a braid or bun worked for me!
Thank you :)
Hi Liz! I’m about to start nursing school and I plan on going to np school also. I am very interested in nutrition and how a healthy lifestyle can affect health, but I’m a little worried that I might only be able to help people once they have already become sick. Has it become easier to prevent illnesses and educate patients since becoming an np? Thanks!
Primary care is definitely a great opportunity to do teaching like that!
re: Clipboard. I just feel more confident with my clipboard. My memory is not very good and I try to organize things there otherwise I get overwhelmed and confused and forget stuff. Which, in turn, does wonders to hammer your confidence into the ground even more. Yay learned helplessness.
Then use it! If you find it helpful for your confidence then go for it! We are all different ❤️
So.... there I am wondering how to organize myself in a more efficient manner this semester and was contemplating using a foldable clipboard that I saw other students use. Yep.... not going to do that. Need to find a system to track multiple patients, labs, vitals, etc. Any advise would be greatly appreciated.
Look up videos on organizing report sheets!
Oh my gosh!! The ulcer thing. 🤢🤮😖 That is the # 1 thing that freaks me out about nursing. The gross things that I will come in contact with. I am so sensitive to smell and things like what you said. I could watch a gruesome surgery or babies being born. Even see a mutilated limb. BUT...throw a nasty like that out and ugh!!!!! I would LOVE some tips on how to get through the down right gross things. I haven’t started nursing school yet. But weighs on me. Sometimes I question why the heck I want to be in medicine.
Put some toothpaste or vicks vaporub between two masks! That eliminates the smell and makes everything so much better!
LIES!! I loved my foldy clipboard. It fit in my pants pocket, kept all my sticky notes organized and the sheets I had to fill out for turn-in to my instructor after the shift. I'm also the derp that wears a tiny fanny-pack under my clothes.
If you have never worn compression socks what measurement do you recommend starting with?
I used 15-20mmHg compression, and it worked quite well! Those were the first and only type I ever used.
I’m not sure the notebook thing would work best for me. The reason I like my clipboard was so I could have different papers in my clipboard. I could have a notes page, a head-to-toe assessment layout... etc. with a notebook it would all be stuffed into a tiny little book that I would probably not be able to keep organized. Any tips for that? Sticky notes or bookmark type things?
I would put each patient on a different sheet of paper then fold the papers all together and put them in your leg pocket! That’s what I did for my patients and it worked super well!
Kellie you can get a folding clipboard..... it work perfectly and can easily fit in your pocket.
stephanie nyann a folding clipboard that’s that small? I’ve never heard of it. But thanks I’ll have to check it out!
Yes Kellie the folding clipboard fit well in the pocket of your scrubs.....
on my 2nd round of Psych and Mat: didnt make it the first time by 2 pts... any tips
I just came to your videos from this other nurse that just kinda scared me.
I am in my early 60s am I too old?? I love nursing and an for 18 years. Thank you