Life Is But A Dream

I'm so glad to be embarking on my second cruise on the Carnival Dream this December. We will be doing a family cruise from December 26 to January 3 and ringing in the new year on the high seas!

My first cruise on the Dream was fantastic. It was my first cruise and I was slightly uncertain of what to expect; my best experiences in the Caribbean had always taken place far from the cruise ship ports and in my past travels i had avoided the cruisers at all costs. I saw it as a less authentic experience of what the island had to offer and felt I got a better experience off the beaten path and have discovered some amazing less touristy beaches. But it was a family trip and I am not one to turn down a trip to the islands so I packed my bags and embarked upon the Carnival Dream.

Being my first cruise, my boyfriend, whom I will call MR, wanted to make sure it was a good experience and we started by securing a room with a balcony. On the Dream there are multiple options for a balcony. They have extended balconies (many of which I believe are on the Cloud 9 Spa level), regular balconies, and cove balconies.  MR's parents had stayed in an extended balcony in the past and although they didn't dislike it, they didn't want to stay in one again. The cove balconies are low and very close to the water which to us was a downside but if have a fear of heights it might work for you. I have been told that they are very small and more like a narrow step out than a true balcony. Also, they can be closed during rough seas and you might not be able to access them. We opted for a regular balcony.

Next choice was the deck. We chose the Panorama deck and loved it. It was one level up from the Lido deck so we had easy access to the action but felt able to escape the noise and crowd. We stayed in 11256 which was right by the elevators but we were bot at all bothered by outside noise. The view from the balcony was amazing and it was a relaxing escape. When we woke up in Nassau we were facing the island but another ship was obstructing our view. Upon arrival in St. Thomas and St. Maartin we were also facing the island and woke up to amazing views. We have chosen to stay on the same floor for our trip in December.

The food was good and what you would expect for a basic all inclusive vacation. If you are a foodie, don't expect to be blown away, but overall the food was good. In the back of the ship we discovered an Indian food station and ate there for most tot our lunches because the food was fantastic and there was never a line. Dinners were pleasant as we selected the 'late' dining time in the Crimson Dining Room. Our server was friendly and the entertainment was fun. 
During the day it was pretty difficult to find a good lounge chair on the main lido deck and by the pool. If you were open to a chair on a deck without a pool you could find some quiet spots on more secluded decks. The serenity deck was a relaxing escape from the lido deck but chairs can also be hard to come by, however, not impossible. 

More to come.



Pure Barre

I took my first Pure Barre class and all I can say is I have a new found respect for isometric muscle conditioning! The crux of the barre practice is isometrics with small movements. One inch lifts, small contractions, and it feels amazing. If you are heading into your first barre class expect your body to shake like a leaf but know that this is a GOOD thing as it means that your muscles are reaching their point of fatigue.

If you are new to barre don't fret because there are small modifications you can do to some of the moves as you work your way up to expert. Gradually you will be able to go deeper in your movements and higher on your toes.

I stopped to thank my instructor after my class and she recommended starting at twice a week with classes and told me I should expect to start feeling stronger after about a month.

Time To Pump, Me Up

Ladies and Gents, I HAVE JOINED A NEW GYM.

It is on the medical campus of the University of Colorado and it is the bee's knees. My first day will start with a thorough assessment that will provide insight into my physical fitness, metabolic fitness, diet and nutrition, sleep, stress, and quality of life. I have scheduled a personal trainer, who at this facility happens to be a PhD in molecular biology. I can't wait to learn more about physiology and fitness! Talk about motivation :)

I am most looking forward to trying their Barre classes, which are known for delivering quite the ass kicking.

Additionally, the Wellness Center houses a dermatology and plastic surgery practice and I certainly plan on some aesthetic self improvement.

Josie Maran Moisturizer

Josie Maran Argan Daily Moisturizer SPF 47



It's 1a.m. and once again I find myself wrapped up in QVC. Makeup, makeup, makeup, more makeup!!!!! This time Josie Maran is on to share her line with an emphasis on the Argan Moisturizer with SPF. Well, you've gotten my attention with SPF and I do love the luxurious Argan oil. Sounds like a no brainer, right? So I head on over to the trusty 'ol Sephora. I want to touch it, feel it, smell it, talk to someone about it. You know, bask in my obsession a bit. The lady at Sephora tells me the Moisturizer has been one of their best sellers ad that for a while they had trouble keeping it in stock. She pours me a generous sample to take home and try and I am happy as a clam.

I wanted so badly to like this moisturizer. But sadly, it did not work for me. The lotion goes on thick and white like a sunscreen. This is actually a good thing. Your sunscreens should always go on a thick white and then absorb. The whiteness of the Josie Maran lotion faded but I was left with a heavy tacky texture on my skin. All day long I felt like my skin was incredibly oily and I couldn't wait to wash it. Pieces of hair would stick to my face and was certain the shiny glare of my skin was blinding.

As much as I wanted a little bottle upon my counter-top, I won't be returning to purchase any.

Multi Purpose Guest Room

When MR and I moved to Denver last month we so excited to finally have a larger apartment with more SPACE! You see, I had moved into MR's cozy one bedroom bachelor pad and with our combined belongings we were busting at the seams. Hence the upgrade to a spacious two bedroom. We had so many hopes and dreams for this room: an office, a movie room, a guest room, a place to do activities, a meditation space, a zen room...the possibilities were endless. It was fun to talk and plan what the future room might be, until we arrived at Ikea and the task of furnishing the room became a reality. A decision had to be made as to how to use the space, and after much deliberating, we think it turned out pretty grand. We found a rug at Home Depot for $149 that gave us a calming color palate. Two chaise lounges bolted underneath with a c-clamp provide a cozy place for reading or watching a movie and with the cushion removed makes about a full sized bed (we also have nice air mattresses). We found a simple desk to put in the corner and threw in a 65" TV for movie time.


Here is the side with the desk and TV


And here is the room empty




What Is Lipstick Made Of?



A basic lipstick is made of waxes, oils, and pigments. They have fillers such as mica, corn starch, and rice starch. Bismuth oxychloride can irritate skin and is found in mineral cosmetics. Carmine, which is an insect derived pigment. Many lipsticks contain titanium dioxide which can block harmful sun rays but most glosses do not.

How Does Lush Fresh Handmade Cosmetics Make Their Products?





Good Question!!! Here is a really cool video showing how the Brazened Honey Fresh Face Mask is made.

When Should You Start Using Anti-Aging Products?




Wrinkles and signs of aging are a result of the breaking down of collagen in the skin. Collagen is the protein responsible for giving skin it's structure. As we get older our collagen, or scaffolding, starts to degrade and we see wrinkles and drooping where smooth and perky used to be.

This process usually starts in the late twenties to early thirties depending on lifestyle and genetics.

The old adage "A stitch in time saves nine" truly applies here and prevention is key. Start treating skin at the first signs of aging with retinols, antioxidants, and collagen boosters.

Beauty Products: Why Less Is More



If you are anything like me, a heaping pile of skin care products warms your heart. I love to try new products, experience the different textures, and revel in the glow of a good purchase. But the truth is, less is more when it comes to products. Have a million lipsticks, but keep your skin care regimen to a limited number of products.

Why to minimize the number of skin care products you use:

  • If you have irritation or a reaction it is easier to identify the offender
  • The less steps (products) in your skin care regimen, the more likely you are to use the products and stick to your regimen
  • Less products means less opportunity for adverse reactions
  • You'll be able to tell what is working and what isn't 
  • You'll save heaps of money

Intrinsic vs Extrinsic Aging

Intrinsic aging is determined by our genetic code. Without the proper products and health decisions intrinsic aging can be somewhat mitigated. The components of intrinsic aging are:

  • The outer barrier of skin weakens
  • DNA repair slows
  • Blood flow decreases
  • Chronic inflammation increases
Extrinsic Aging is determined by environmental factors. Photoaging (sun damage) is the number one cause of extrinsic aging. Components of extrinsic aging are:
  • Sun damage
  • Smoking
  • Stress
  • Poor nutrition
  • Sleep deprivation
Don't fall into the play now, pay later skin care mentality. I was recently on a cruise and saw two young early twenty somethings slathering on the oil and tanning accelerator, their skin already dark crispy brown. It took everything I had not to lean over and tell them how much they would regret all this sun exposure once they reach their thirties!

The 4 Types of Moisturizers

Creams:
  • white and thick, oil-in-water emulsions made with mineral oil or lanolin

Lotions:
  • light and translucent, these have lots of water and an extra ingredient (usually a silicone, hydrogel, or PEG) to give them a nice smooth feel
Vaseline Intensive Rescue Clinical Therapy has a high water content and glycerin

Gels:
  • clear and thick, made up of polymers, hyaluronic acid is a common ingredient that helps to hold moisture


Serums:
  • clear, translucent, or creamy, can be very thin even runny. Serums are an incomplete mixture of oil and water or cyclic silicones.

Only those with severe acne and extremely oily skin should skip moisturizers. As with cleansers, there are many moisturizers that have been around for generations and work quite well, just ask your Great Aunt Ethel. Also, many of the more expensive products offer a way to combine skin care regimen steps into one product, for example, by combining a moisturizer with sun protection.

Recommended Reading : The New Science of Perfect Skin

















5 Step Skin Regimen



Step One: Cleanse
  • Clean skin gently with a mild cleanser to avoid stripping skin of necessary oils.
    • Skip the costly cleansers and go with the economic choice from the drugstore here. All you need is something to clean your skin. After a few moments on your face you are literally sending your money down the drain.
    • For dry sensitive skin use a cleanser that is fragrance-free, nondrying, and noncomedogenic (noncomedogenic simply means it will not clog pores)
    • For oily or acne prone skin use an exfoliating cleanser with salicylic acid to remove dead skin cells and bacteria from the surface of the skin.
Step Two: Moisturize
  • Keep skin hydrated and protected
    • Hydrate while skin is still damp from the shower
    • Invest in a quality moisturizer; a good one will hydrate skin, treat wrinkles, increase strength, and give an overall healthy glow
Step Three: Reprogram DNA
  • Slather on that fancy anti-aging potion you spent your last paycheck on
    • a good DNA enhancer combined with antioxidants with improve cellular functioning, increase collagen production, and improve blood flow to the skin- all in the name of preventing and reversing wrinkles. Can I get an amen!
Step Four: Sun Protection
  • Use sun screen to combat the damaging effects of sun exposure
    • this should be done DAILY and YEAR ROUND
Step Five: Brighten (optional)
  • Using a combined brightener, retinol, and exfoliator can even skin tone
    • brighteners should not be used more than twice daily
    • retinol and exfoliators should not be used more than once daily
    • always apply sunscreen before going outside










How To Control Asthma Triggers
















[Source: Healthy Times Blog]

Not all of my random knowledge is self taught. Shocking, I know. I am a Certified Asthma Educator and spent years in one of the nation's highest volume pediatric centers for asthmatics in Washington, DC.

Asthma is all about control. By identifying, avoiding, and managing triggers, along with knowing when and how to take breathing medications, asthma can be controlled. What may be a trigger for one person may not be for others and it is important to know what irritates your airways. This is  a list of common environmental triggers and how you can control them.

From the National Asthma Education and Prevention Program's Guidelines for the Diagnosis and Management of Asthma

Tobacco Smoke
  • If you smoke, ask your doctor for ways to help you quit and ask family members to join or support you in your efforts.
  • Do not allow smoking in your home, car, or around you. If you are the parents of asthmatic child that is exposed to caregivers to smoke, ask them to speak to their doctor about trying to quit. If this is not possible ask that they smoke outside and that they wear a coat while they smoke and take it off before they come back inside.
  • Be sure no one smokes at a child's daycare or school.
  • Secondhand smoke is not only associated with asthma in children but also in an increase in ear infections.
Dust Mites
  • Dust mites are tiny bugs you cannot see that live in carpet and cloth.
  • Encase your mattress in a dust mite proof cover
  • Encase the pillow in a dust mite proof cover or wash it weekly in water hotter than 130 degrees to kill the mites. Cooler water with bleach is another alternative if washing in hot water is not possible.
  • Wash the sheets and blankets each week.
  • Reduce indoor humidity to less than 60%, ideally 30-50% by using a dehumidifier or central air conditioner.
  • Try not to sleep or lie on cloth covered furniture.
  • Remove carpets from bedroom and those laid on concrete if possible.
  • Keep stuffed toys out of bed, or wash toys weekly in hot water or in cool water with bleach. Placing toys and pillows in the freezer or dryer may also help. Prolonged exposure to dry heat or freezing can kills mites but does not remove the allergen.
Animal Dander
  • People are allergic to the flakes of skin or dried saliva from animals
  • Keep pets with fur out of your home
  • Keep pets out of the bedroom and keep bedroom door closed
  • Keep pets out of rooms with carpet or upholstered furniture
Cockroaches
  • Many people are allergic to the droppings and remains of cockroaches
  • Keep food out of your bedroom
  • Keep garbage in closed containers
  • Use roach traps or poison (boric acid)
  • If using an aerosol or spray poison, stay out of the room until it has dissipated
Vacuum Cleaning
  • Ask someone else in the family to be responsible for vacuuming. Stay out of the room while being vacuumed and for a short while afterwards
  • If you vacuum, use a dust mask and a vacuum with a HEPA filter or double layer bag
Indoor Mold
  • Fix leaking pipes or other sources of water
  • Clean moldy surfaces
  • Dehumidify basements
Pollen and Outdoor Mold
  • During allergy season or when pollen counts are high:
    • keep windows closed
    • stay indoors during midday and afternoon (pollen and some mold spore counts are highest at this time)
    • ask your doctor about taking or increasing anti-inflammatory medications before allergy season starts
Smokes, Strong Odors, and Sprays
  • Avoid wood burning stoves, kerosene heaters, fireplaces, and unvented gas stoves
  • Avoid sting odors or sprays- perfumes, talcum powder, hair spray, paints, new carpet, particle board
Other Things That Can Irritate Asthma:
  • Sulfites in food: beer, wine, shrimp, dried fruit, processed potatoes
  • Cold air
  • Other medications: tell your doctor about other medications you take including cold medications, aspirin, and even eye drops














What The Heck Is This Thingy? And What Do I Do With It?

This thing-a-ma-bob you see here is called a comedone extractor and it is used to extract blackheads and whiteheads from the skin. Comedo is the medical term for a follicle clogged up with skin debris and oil. The plural of comedo is comedones. They can be open and appear as a blackhead or closed over by skin and are whiteheads. Comedone extractors should be used to attempt to extract blemishes and NEVER the fingers.

  • Prior to using this handy gadget you'll want to wash your face with warm water (note: not hot or cold). This will help to open the pores. If you have rosacea, avoid the heat and steam therapies.
  • Make sure your extractor is cleaned between uses but to ensure cleanliness, sterilize your extractor by cleaning each end with an alcohol saturated cotton ball for 30 seconds.
  • Choose the end that is closest in size to the target (blemish you are looking to demolish) and place the rounded loop over the offender.
  • Press the extractor into the skin while applying pressure in a downward movement.
After the nastiness of the blemish have been extracted, cleanse the area to remove the bacteria from the surface of the skin. This will prevent future blemishes. Light bleeding can be expected and is normal.

Allow the pore to heal by not touching or picking at it. Do not use heavy cremes after having pores extracted because they will just clog the pores again.

Refrigerate Your Beauty Products

Most people keep their skin care products in the same place the use them, the bathroom. But you could be doing your skin a disservice and wasting money.

The warm and humid environment of a bathroom is a perfect breading ground for bacteria and germs to grow in your beloved cremes, serums, and skin care products. These microbes can damage your skin and the product itself.

Heat and light exposure can also cause the active ingredients to destabilize and breakdown leaving them less effective; particularly the retinoids in anti-aging products. This is even more important in organic products that do not have preservatives. Homemade and DIY concoctions should be treated as food and any leftover should be discarded.  As a rule of thumb however, opened products should be discarded after three months.

A solution: keep them nice and safe in the refrigerator and the cool cremes will feel refreshing on your skin, especially if it is a jarred product, lipstick, or one that you don't use daily. Cold eye creams are fantastic for reducing inflammation and chilled sunscreen and aloe will be your best friend during the hot summer months.

How To Become A Nurse Injector

A nurse injector is a specially trained Registered Nurse or Aesthetic Nurse Specialist that specializes in non-surgical aesthetic procedures such as facial injectables, laser and light therapies, neurotoxins, body contouring, and skin care.

Training a nurse injector can greatly help a busy dermatology or plastic surgery practice to offset the increasing demand for non surgical procedures. The American Society for Aesthetic Plastic Surgery reports that in 2010 12.6 non surgical cosmetic procedures were performed with 2.6 of them being provided by nurse injectors and physician's assistants.

Those interested in being trained as nurse injectors must be highly motivated to learn, driven, self-starters that are willing seek out educational opportunities and are passionate about the cosmetic industry. An outgoing and pleasant disposition are also essential in working with clients.

If you want to start a career as a nurse injector you can start by doing some self education in the following areas:
  1. Become well versed in the anatomy and physiology of the anatomic regions where toxins or fillers are injected.
  2. Understand the major chemical properties of the agents you will be working with. Know how they work and know the differences between all of the different products available on the market.
  3. Familiarize yourself with the trials and outcomes that lead to FDA approval for different products.
  4. Be aware of clinical differences and indications for different products so you know when and why you are using them.
  5. Learn both the on and off label uses for all products.
  6. Learn to prevent, identify, and manage complications.
  7. Always be willing to continue to learn, grow, and practice to improve your skills.

#Puddles


Choose Happiness

Bracelet and Earrings by Kate Spade, Necklace by Talbots

Perricone MD: Nutritive Cleasnser

There are few cleansers I am willing to shell out more than a hefty ten bucks for. Let's face it (no pun intended) but a good cleanser doesn't need to cost an arm and a leg and there are excellent options on the drugstore shelf. One luxury brand cleanser I do indulge in from time to time however, is Perricone MD Nutritive Cleanser. After using it my skin feels clean, smooth, and soft. Some have complained that the cleanser has a 'fishy' odor; I haven't noticed anything noxious enough to halt my use but the smell does grow stronger over time.

Take A Day Trip


Currently crushing hard on this Smocked Jumpsuit from Forever 21

Sand Under My Toes

Oh what I would give to be on an island. Most recently on a trip to St. Thomas I revisited the popular Magen's Bay. It is a tourist hot spot as all of the cruise ships suggest it for excursions and taxi cabs are readily available to shuffle you over the island to take a swim. While Magen's Bay is a beautiful beach, if you are staying on the island I recommend renting a Jeep and doing some independent exploring of the less advertised beaches. At most you may have to pay a few dollars for parking at some of them but it is well worth it to spend some time on the less trafficked beaches.

My Witness Is The Empty Sky

Jack Kerouac

I'm In Lust: Bobbi Brown Beach

I'm swooning over this little bottle of magic. With a heavenly blend of essential oils (olive, sesame, avocado, and jojoba) and Vitamins C and E this body oil moisturizes and leaves you with a light beachy fragrance to sweep you off to your favorite island getaway!

Travel Far Enough


It's A Ruff Life

These two little monsters have stolen my heart...and my bed.

If You're Derm Isn't Checking These Spots, You Need A New Doctor


There are so many places we don't think to check but this diagram stresses the importance of being examined thoroughly. I have surely never thought to check between my toes!

Safe Sun Practices



With such an unbearably long and cold winter (polar vortex, anyone?) who isn't ready to get out in the sunshine and get drenched in Vitamin D (which you're actually better off getting from your diet)? With skin cancer rates rising 2% a year since 2000, take a moment to brush up on safe skin practices before heading out to soak up some rays, you bathing beauties. These are some tidbits from the New York Times blog.

Quick Facts About Safe Sun Practices:


  • The appropriate amount of sunscreen to apply is a golf-ball sized dollop
  • Sunscreen should be reapplied every two hours (of a better frame of reference for some: the amount of a 1 ounce shot glass)
  • Many high SPF sunscreens will protect you from ultraviolet B rays and protect you from burning, but they do not provide sufficient coverage to keep out the ultraviolet A rays which are responsible for aging and skin damage and may be more involved in the development of skin cancer
  • The use of "broad spectrum protection" on the label means that the lotion is approve to protect against UVA and UVB rays but the protection against UVA rays is often times comparatively lower 
  • Products with a SPF of less than 15 do not protect against skin cancer
  • Lotions claiming to be waterproof or water-resistant will protect for either 40 or 80 minutes and are required to inform the consumer of  their duration of protection on the label, at which time the user needs to reapply. 
  • SPF greater than 50 does not necessarily provide more protection and could be pulled from shelves in the near future along with sunscreen sprays.
  • Avoid products with vitamin A, retinol or its derivatives, such as retinyl palmitate and retinal acetate. They may increase sun sensitivities and burning.
  • Be weary of  "seals of approval. The skin cancer foundation will grant is approval to sunscreens but only if the manufacturer has donated $10,000 to become a member of their foundation.

Just Keep Swimming

It's been said a million times before, and it will be said a million times again....and again, and again, and again.

NURSING SCHOOL IS HARD!!!

But not because of the information you have to learn. The anatomy and physiology, microbiology, pathophysiology, learning about different disease processes and how they are managed; that is the fun part! The hard part is keeping up your motivation when grinding though the areas that don't interest you. Unfortunately, healthcare is not all blood and guts.

For me, nursing theory is the big snoozer. YAWN! But I understand it is what the professional stands on and must be mastered. Community nursing could put me into a coma but I have to keep pushing through understanding that it is still critical to understand the role of community nurses. We all have to be knowledgeable of what different areas of nursing are capable of to give the best care to our patients.

That said... I am ready to be done with this section of reading!


Summa, Summa, Summa- time

Well, summer is almost here ladies and I am dying over this new Lilly tote and these seersucker scrub pants from bluesky. I probably also would not turn down these Lobstah earbubs.








Lilly Pulitzer tote bag





Preppy Nurse



I love the nautical themes! Too bad you can't buy Lily scrubs.



Check out this nurse bling, perfect for any southern, sweet tea drinkin' prepster nurse made by abbyloutwo on easy!

From abbyloutwo's website:

"Stethoscope ID Tags can be personalized with your name. Makes a great gift for anyone in the medical field that uses a stethoscope . We have many designs to choose from so you can choose the perfect style for your personality. Stethoscope tags are printed professionally and covered with a clear plastic Mylar. Never gets dirty like fabric, wipes clean. Easy to attach the top and bottom snap together over the steth tubing. Once attached, it is difficult to remove. These do not fit the Cardiology Steths with the thick tubing."












Hospitals Top Earners Aren't the MD's



If you work in a large hospital chances are pretty good that this isn't news to you. It is, however, a nice reminder to the public that the doctor's are not the ones raking in the cash hand over fist. The next time you see your hospital's CEO walking down the hallways, remember why he has such a big smile on his face. This is a great article from the NY Times that shines a much needed light on healthcare costs. Physician's payments are always targeted as cause of high costs but truly one needs to look no further than the salaries of the CEO's of hospitals and insurance companies.


http://www.nytimes.com/2014/05/18/sunday-review/doctors-salaries-are-not-the-big-cost.html?_r=0

Welcome!

Click on the right to FOLLOW and you can be notified when I update my notes. My goal is to build a catalog of outlines for every chapter of Excelsior's required reading.


Shortly after embarking on the Excelsior nursing adventure I realized that the volume of information to digest was overwhelming. Required reading, Study Guide 101, practice exams, youtube videos, etc. The amount of resources available to independent learners is at times staggering and at other times disappointing and frustrating. I was finding myself having to hunt down lectures as well because I am much more of a classroom learner.

On this blog I am including my own personal notes from the required reading along with any useful youtube videos I find. Feel free to use any of this information as an adjunct to your own studying. The best method I have found to prepare is to complete the required reading then pick apart the practice questions on both practice exams.

Example of how I break down the practice exam:
(the following question is taken directly from Saunders NCLEX Prep, 6th ed., pg 398)

345. The nurse in a newborn nursery is monitoring a preterm newborn for respiratory distress syndrome. Which assessment findings would alert the nurse to the possibility of this syndrome?

  1. tachypnea and retractions
  2. acrocyanosis and grunting 
  3. hypotension and bradycardia
  4. presence of a barrel  chest and acrocyanosis
The first step I take is to define respiratory distress syndrome in newborns and look up everything I can about it in the required reading. After that do the same thing with all the terms in the answers (tachypnea, retractions, acrocyanosis, grunting, hypotension, bradycardia, barrel chest). Now I am prepared for that question in any form.

In the right column you will find a list of the courses. In each courses 'page' you will find all related notes and videos I use for that specific course.

So far I have completed A&P and Transitions. I will be adding my notes from Transitions soon.



The College Network




Many of you have seen this conversation come up time and time again; Should you order the TCN books, use study group 101, or just buckle down and do the EC required reading? Thus far, I have ordered four study group 101 guides (A&P, Transitions, Health Differences, and Health Safety) and have mixed feelings about them. I used them for A&P  and Transitions but ended up doing the required reading anyway. For Health Essentials I never looked at it and for Health Safety I might take a look at it but have primarily worked off of the practice test and required reading.

Yesterday I ordered the TCN modules that coincide with the remainder of my EC courses. I plan on reading it for my next exam, Foundations of Nursing, formerly Chronicity.

I will update when they arrive!

Feel free to comment if you have any questions or want to share an experience with TCN, good or bad!

Thanks :)

Practice Exam Score vs. Real Exam Grade

How do you know when you are ready to test?

Our brains tell us that a 75 indicates that we have a major knowledge deficit and need to continue studying but many people have reported getting 70's on practice exams and then A'cing real exams. So far I have very limited personal experience to share but I can tell you that going into the Transitions exam I had a 74 on the practice and made a B on the real thing. For Health Differences I made a 73 on Form A and a 75 on Form B even after doing all of the required reading. But alas, I made a C on the actual exam. I have been informed by the Director of Testing for Excelsior that the practice exams (as of 4/25/14) are not updated to reflect the credit-bearing exams. The practice exams for Health Differences were not a good indication of the real exam due to the high number of Select All That Apply questions and a shifted focus on certain areas of information.

I will keep updating as I go. For now, I am going to go nurse my disappointment from today's exams with some trashy reality TV :)

Update, 5/8/2014: I took the Health Safety exam today. From what the Excelsior testing person told me, some tests have been updated and some have not; some have SATA questions ad some do not. What that also means is that some practice exams correlate with their credit-bearing exam, and some do not. Excelsior is apparantly in the process of updating their practice exams but have not completed the process. I have an email from Excelsior explaining this. I got a 76 on the practice exam and got an A on the credit-bearing exam. This is in line with what many people have said about what to expect. I do not think that I got one of the updated exams and do not believe I would have gotten an A if it had been one of the updated exams. The last exam I took was Health Differences. i got a 74 on the practice exam and a C on the updated version of the credit-bearing exam.




My Excelsior Experience Thus Far

I get a lot of questions about where I am at in my Excelsior journey. So far I have only completed A&P, which I decided to take as an online course, and Transitions. I am planning on taking Health Differences on Friday, April 11th.

The online exam for A&P was pretty broad and detailed and I found to be overwhelming. I felt that if I didn't get started on the right foot, with a good grade, it might affect my ability to move forward with a positive attitude. Starting out with an A is much more motivating that starting with a C, or worse, failing.

I use the practice exams from EC and do the required reading. Youtube is also a great resource for lectures if you need help understanding something. I have purchased some courses from study guide 101 but, call me old fashioned, I just feel like grinding out the required reading gives me the best experience. No it isn't as down and dirty but that isn't what I am looking for. Momma always said, "Slow and steady wins the race." I just feel like if I study right the first time, even though it might take longer, it will be done well and I won't have to go back and repeat things.

Common Risks Associated with Highlighting

This is pretty much exactly what happens when I study while holding a highlighter!!!

Tutoring and Coaching

In response to the overwhelming number of inquiries I have gotten in regards to the Transition to the Professional Nursing Role, I have decided to start offering online tutoring for this exam only. I will also offer tutoring for the online Anatomy and Physiology courses, but not the cumulative exam. As I take more of the exams and courses I will expand my abilities to help!

Services offered:

  • Development of a plan of study
  • Assistance creating a path of achievment to meet goal test date
  • Review of information via Skype, FaceTime, or phone
  • Review of discussion entries for online A&P courses, prior to submission
  • Organizing information to be learned
  • Improving test taking skills
  • Reading comprehension (What is the take home?)
  • Listening and offering support and guidance to meet your goal
  • Pre test review before taking an exam
I can also offer tutoring for the Certified Asthma Educator exam.

Contact me at jlmargolis@gmail.com







A Little Bit About Me

I am currently living in Indianapolis, Indiana and working my way through a strenuous nursing program that requires more self motivation and independent learning that I had assumed when I started down this path. After spending five years in Washington, DC as a Respiratory Therapist at a tertiary pediatric medical center I decided to hit the road and travel as an RT. My first assignment was taken with great hesitation at Riley Children's Hospital in Indiana. The midwest was never on my bucket list of places to live, but there was a position available that needed to be filled immediately and I was ready for an adventure.

What an adventure it has been.

While working at Riley I met the most wonderful man in the entire universe. We became quick friends, one thing led to another, and here I am in Indy a year and two dogs later! We have so much to look forward to as we are planning to move to Denver in June for him to finish his last year of fellowship training in pediatric interventional cardiology at Colorado Children's Hospital.



Thanks for reading!