Students blog

I wish I could say I have an extraordinary story to tell about why I wanted to be a nurse. Where I saved someone’s life on a random day, or I was impacted a certain way when at the hospital. Truthfully speaking, the reason why I concluded to become a nurse was because of anatomy and physiology. When I was in high school taking anatomy and physiology for the first time, I was captivated by the beauty of the human body, specifically the heart. I was entranced by the simultaneous complexity and simplicity of the structure of the heart. From here, I entered an endless cycle of wanting to learn more.

I knew I had many exams ahead of me before I could finish my nursing journey. However, the first step was to prepare for was the TEAS (Test of Essential Academic Skills) exam. The TEAS is a standardized entrance exam used at my nursing program to judge how competent you are to enter the nursing program. It covers areas such as reading, math, science, anatomy and physiology, and English. Considering that my strongest suits had been reading and math, I primarily focused on studying for the science portion of the exam. This accounted for my many trips to the school library alongside my anatomy and physiology textbook. Each day I would set aside 3-4 hours of studying where I really focused on the foundation of the various systems in the body. Practice questions were my lifeline. As humbled as I would be when I got an answer wrong, it made me realize that I needed to look over the material and figure out what I was not understanding. With the assistance of the Mastering A&P questions, I was able to have a trusted guide to develop my weaker areas.

Soon enough I received my score from the TEAS and got into the nursing program. Now came the hard part: passing nursing school. I cannot describe in words the culture shock I had when entering my human assessment and fundamentals class. It required a different level of understanding and analyzing practice questions, since the course transitioned from straight forward questions to critical thinking analysis. From the whirlwind of late-night study sessions, clinical rotations, and the weekly exams, nursing school has been nothing but a rollercoaster ride. However, I believe the reason I am able to comprehend and pass every exam is my solid foundation of anatomy and physiology. Once you understand how an organ is supposed to function, you can understand where it is going wrong. For example, veins take blood to the heart while arteries take blood away from the heart. Now, a patient comes in with pain in their legs that worsens with exercise, pain eases with rest and reports numbness and paresthesia. As a nurse assessing this patient, I can suspect maybe there is a problem of circulation either between the veins or arteries and can expect a certain level of care for this patient. Nonetheless, I would not be able to come to this conclusion if I did not know the way our bodies receive circulation.

On top of having a good foundation of anatomy and physiology, I have found it critical to pair that with practicing NCLEX-style questions to prepare for the NCLEX-RN (National Council Licensure Examination for Registered Nurses) exam. The NCLEX-RN is a computer adaptive exam that has to be passed in order to establish licensing for an individual to work as a Registered Nurse. This dynamic combination is a powerful tool for not only passing the NCLEX exam but becoming a competent nurse. As I am passing the last hurdle of the program, I focus my energy on completing and revising practice questions. Nursing students at Miami-Dade have to take an exit exam that calculates our probability of actually passing the NCLEX. This exam covers all the principles that we have been learning from the beginning. Having questions that mimic real world scenarios requires us not only to recall information but also apply it. It is the bridge that connects our theoretical knowledge of anatomy and physiology with the practical nursing interventions required to be competent. To give an example, prioritization questions help us understand which patient should we designate care to first in critical settings. As you may know, nurses will have multiple patients at a time, but it is up to the nurse's critical judgment to decide which patient takes priority over the others. A patient going into cardiac arrest will take priority over a patient who is vomiting blood. With the recurrent practice of this style of questions I will be able to go into the real world and identify which one of my patients has the higher risk of getting hurt and who I have to assess first.

To sum everything up, nursing school is not about just passing a test. It is the foundation of our nursing care and having reassurance in knowing that we are well prepared to provide safe care to our future patients. Combining a strong foundation in anatomy and physiology with consistent practice of NCLEX-style questions will provide the smoothest pathway to succeed in the nursing field. I know that the first few years of being a nurse will be the most difficult transition in the beginning. Learning the hospital's policies and the way to ease communications with different patients and hospital personnel will be something I learn on the job. However, I can sleep comfortably knowing that I have the knowledge to provide safe and competent care to any patient that comes into my hands.

Washing your hands is one of the basics of hygiene that we often do without thinking. It was heavily emphasized during the pandemic and continues to be a major prevention of contamination. Handwashing is critical in healthcare careers since many personnel come into direct contact with the patient. The personnel must be trained in handwashing technique to ensure that all areas of the hand are cleaned. This makes learning the skill an important step in a person’s career. That is why Pearson has taken extraordinary measures to make an excellent handwashing simulation.

Handwashing Education

During the Fall of 2021, still in the height of the pandemic, I was taking Microbiology I and training to be a certified nursing assistant. Every day I learned about ten new diseases that could be on my hands at any given moment. Simultaneously, my nursing instructor would stand over my shoulder timing me while I washed my hands. The ticking of the watch made me so nervous that I was shaking all over trying to take a deep breath. I tried to remember every area of my hands and make sure I was scrubbing for just enough time.   

Handwashing is a simple skill, but this semester it was taken to an extreme level. I was taught to first turn on the faucet with a paper towel. I then squirt antibacterial soap on my hands and scrub for at least 20 seconds. It is important to scrub the palms, back of the hands, in between the fingers, and all fingertips. Observe fingernails and make certain that there is no grime stuck under the nails, as this is a common site for bacterial growth. Ensure that all surfaces have been scrubbed with soap. Don’t forget the wrists! Rinse the hands off completely without touching the sink and do not shake hands to dry. Grab a paper towel to dry hand. Turn the faucet off with a paper towel.   

The Cause for Cleanliness

He emphasized over and over again how important it was to have excellent hand hygiene. The examiners who preside over my state exams would observe my handwashing technique just as meticulously. If I did not wash my hands well enough or long enough, I could not continue with the exam. I would have had to still pay for another exam, come another day, and test once again. It would go on my records that I did not pass the exam the first time and the reason would be noted too. There was a lot to lose if I did not wash my hands correctly.

Anti-Protist Protocols

This rigorous routine would continue in my Microbiology labs. Weeks of experimentation would go in the garbage if a slide got contaminated with my skin in the Microbiology lab. If I did not wash my hands after the experiment, I might take home fragments of whatever that bacteria, fungi, or worm was to my family. Microbiology forced me to think like a germaphobe. Clean the counter, clean the slides, clean the microscope, sterile procedures, inoculate the loop, wear gloves, don’t breathe on your specimens, and many, many, MANY more hygienic precautions would loop through my brain.

Handwashing Never Goes Away

That was my fall of 2021. I knew that all of this was important as I was taking my first steps to becoming a nurse on the field. In nursing school and in the hospitals for my clinical rotations, hand hygiene is still meticulous. I continue to be tested on it in my exam questions and in my skills labs. Handwashing never goes away. I have must wash my hands 100% so that there is 0% chance of anything spreading.

Handwashing is always relevant. Repetition is key which is why it shows up at the beginning of the virtual labs. This is why Pearson devoted lots of time and technology to making a proper simulation for handwashing for each lab. Professors, clinicians, students, and designers all worked together to make this product a reality. Having this handwashing simulation on the virtual labs is crucial to maintaining excellence, accuracy, and relevance. There is a proper order to wash hands that needs to be maintained. The entire hand to be cleaned well with soap and water. Sticks for removing grime from under the fingernails are a notable task in the routine. Many other actions must be performed in the specific order to complete the whole routine. This is a skill that a person carries with them their whole life, but especially when they are in the medical field and have direct contact with patients. No matter the major, all are responsible for keeping their hands clean and decreasing the spread of diseases. Whether one is at home, in the office, at the hospital, or labs, everyone needs handwashing to be a regular hygiene habit to maintain cleanliness and health throughout society.