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Beyond Nurse Residency

Nicole Weathers, MSN, RN, NPD-BC

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The Iowa Online Nurse Residency Program brings you the Beyond Nurse Residency Podcast. This interview series provides valuable resources for nurse leaders and educators interested in learning about onboarding, orientation, transition to practice, and ongoing role development of nurses. It is intended for all healthcare professionals supporting various aspects of nursing professional development. Each episode features an expert guest, providing listeners with valuable insights and guidance on ...
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Guided by 20-year experienced ICU nurse Brooke Wallace and powered by AI — here's your study buddy from the classroom to the bedside. Think Like A Nurse is your go-to podcast for nursing students, NCLEX test-takers, and new graduate nurses who want to survive nursing school, thrive in clinicals, and step confidently into practice. Powered by AI and real-world nursing experience, each episode features conversational insights based on common questions and challenges faced by student and new gr ...
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Ever wish you had a CRNA mentor plugged into the community who has helped THOUSANDS of nurses succeed? The CSPA community is committed to helping you not only gain acceptance into CRNA school but providing support all the way through graduation day! Tune in, get inspired, and get ready to discover why more than 6,000+ nurses turn to CRNA School Prep Academy for guidance regarding all things that the road to CRNA entails. From financial planning, interview styles, ICU experience, anesthesia c ...
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Check out ThinkLikeANurse.org COMPREHENSIVE NOTES Core Difference: DKA vs HHS DKA (Type 1 diabetic, absolute insulin deficiency) No insulin → body burns fat → ketones formed → metabolic acidosis Deep, rapid Kussmaul respirations Total body potassium depleted though serum may appear high State of starvation + dehydration HHS (Type 2 diabetic, relati…
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Check out thinklikeanurse.org Comprehensive Notes Core Concept Both conditions revolve around one hormone: ADH, the body’s water-saving signal. SIADH: Too much ADH → body holds water (soaked inside) DI: Not enough ADH or kidneys ignore ADH → body loses water (dry inside) The blood and urine move in opposite directions in each disorder. SIADH — “Soa…
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This episode breaks down three of the most dangerous respiratory emergencies nurses face: ARDS, cardiogenic pulmonary edema, and tension pneumothorax. Using clear bedside cues and rapid-action frameworks, you learn how to spot these crises early, understand the physiology driving them, and take the immediate steps that prevent collapse. From pink f…
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Check out thinklikeanurse.org for more #Comprehensive Notes ##I. Overview Focus: 6 electrolytes + 4 acid–base disorders Goal: Know one classic sign + one lifesaving intervention for each NCLEX weight: High (8–16 questions across categories) Foundational rule: Always assess volume status first — dry vs overloaded guides almost every intervention II.…
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Visit thinklikeanurse.org Comprehensive Episode Notes 1. What Shock Really Is Core definition: inadequate tissue perfusion, leading to anaerobic metabolism, rising acid, cellular hypoxia, and eventual organ failure. All shock types follow the same three-stage progression: Stage 1: Compensated – tachycardia, tachypnea, cool pale skin, anxiety, decre…
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Check out www.thinklikeanurse.org 1. Opioids – Respiratory Depression Red Flag: Respiratory rate below 8–10 Action: Stop the infusion immediately, administer naloxone, monitor closely for re-sedation. 2. Heparin – HIT (Heparin-Induced Thrombocytopenia) Red Flag: Platelets below 100,000 Action: Stop heparin immediately, notify provider, avoid antipl…
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Visit thinklikeanurse.org EPISODE NOTES 1. Why Pharmacology Is the Gatekeeper Largest and most feared NCLEX subsection. Students may face 20–50+ pharm questions in a row. Scoring under 58% on pharm practice drops first-time pass chance to ~30%. NCLEX repeatedly tests the same 15–20 high-danger scenarios, not broad memorization. 2. The Strategy Shif…
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Check out thinklikeanurse.org Comprehensive Episode Notes I. The “Critical Triangle” for NCLEX Fluids, electrolytes, and acid–base interpretation form the foundation of the NCLEX physiological adaptation category. Accounts for ~11–17% of exam questions. Mastery requires recognizing patterns, sequences, and priorities. II. Fluid Volume: Absolute Los…
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Check out thinklikeanurse.org Notes: Proactive Risk Management: The focus is on spotting early warning signs of patient deterioration and making life-saving decisions before a crisis escalates. Nurses must be vigilant and act quickly to prevent further harm. ABCs (Airway, Breathing, Circulation): The foundation of every clinical decision. Airway is…
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Notes: Check out thinklikeanurse.org to get more out on this! The Ten Rights of Medication Administration: Includes the original five (patient, drug, dose, route, time), expanded to emphasize the critical thinking required by right documentation, right education, and patient’s right to refuse. Independent double checks for high-alert drugs (insulin…
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I. Assistive Devices & Mobility Canes Handle height: aligns with greater trochanter. Elbow slightly flexed (15–30 degrees). Too high → shrugging; too low → stooping → fall risk. Walkers Height at wrist crease with arms relaxed. Promotes upright posture and stability. Crutches (major safety trap) Two to three finger widths between axilla and crutch …
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In this episode, Dr. Allyson Brooks, the Ginny Ueberroth Executive Medical Director Endowed Chair of the Hoag Women’s Health Institute, discusses how Hoag is transforming menopause care through multidisciplinary collaboration, education, and community engagement. She shares how the FDA’s recent hormone therapy update and women’s growing advocacy ar…
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Psychosocial Integrity for NCLEX: Abuse, Suicide Risk, and Therapeutic Communication 00:00 – Welcome to Think Like a Nurse Host intro: Brooke Wallace – ICU nurse, organ transplant coordinator, clinical instructor, published author Mission: Make complex nursing topics easier to understand, absorb, and apply Why psychosocial integrity matters: only ~…
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Getting into CRNA school can feel overwhelming, especially when you start comparing GPA requirements and wondering what’s really “good enough.” Maybe you’re asking yourself, Do I need to retake science classes for CRNA school? Should I take graduate-level courses to boost my GPA? Will they even accept a class from Portage Learning? You’re not alone…
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1. Safety Culture: From Blame to Learning Non-punitive reporting → encourages learning from near-misses. Focus on system improvement, not punishment. Incident reports: Internal risk-management tools—never document “incident report filed” in the chart. Chart only objective facts and nursing actions. 2. Fall Prevention: Mnemonic FALLS F – Floors clea…
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Episode Notes: Prioritizing Critical Nursing Care & Assessment 1. Normal Aging: What Is Expected Less subcutaneous fat Presbycusis (age-related high-frequency hearing loss) Reduced vital capacity → gets breathless more easily Slower gait, unsteady movement Slower cognitive processing Mild recent-memory decline Key nursing actions: Monitor intake an…
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Health Promotion & Maintenance (HPM) Overview Covers lifespan: preconception → newborn → pediatrics → adults → geriatrics. Nurse’s role: proactive teaching, risk reduction, assessing needs, prevention, and early recognition of red-flag assessment findings. Four Levels of Prevention Primordial Prevention Prevents risk factors from ever emerging. Exa…
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This episode, created by Brooke Wallace, dives deep into one of the most tested and essential areas for nursing students—Safety and Infection Control (10–16% of the NCLEX). Listeners learn how to apply a “safety culture” mindset, document correctly, prevent injury, respond to emergencies, and follow infection control principles that protect both pa…
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The 5 Biggest Traps That Can Cost a Nurse Their License 1. Ignoring a DNR or Invalid Advance Directive The Trap: Starting CPR or aggressive care despite a valid DNR — or honoring an unsigned “living will.” Why It’s Dangerous: Violating patient autonomy can legally count as battery. Avoid It: Verify validity (signatures, dates, physician order). If …
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✅ The 10 NCLEX Traps Covered in the Episode Assuming the spouse is the automatic decision maker → Trap: Ignoring the legal requirement for a designated healthcare proxy. Mixing up advance directives vs. medical orders → Trap: Treating a living will or POLST as interchangeable with a DNR. Misunderstanding informed consent roles → Trap: Thinking the …
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Episode Notes Key Concepts & Takeaways Hypertensive Crisis Types Urgent: BP >180/120 without organ damage. Oral meds (Clonidine, Captopril). Gradual BP reduction over 24–48 hrs. Watch for rebound hypertension (Clonidine) and angioedema (Captopril). Emergent: BP >180/120 with organ damage. IV meds (Labetalol, Nicardipine, Nitroprusside). ICU monitor…
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Systematic Approach (6 Steps): Rate – Regular: 300 Rule (300 ÷ # large boxes between R waves). Irregular: 6-Second Strip Method (R waves in 6 seconds × 10). Rhythm – Regular or irregular? P Wave – Present before every QRS? PR Interval – Normal: 0.12–0.20 sec (3–5 small boxes). If the R is far from P → first-degree block. QRS Complex – Narrow (<0.12…
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Episode Notes (High-Yield for NCLEX) Three major cardiac buckets: Acute coronary syndromes (ACS) – blocked arteries and myocardial infarction Pump failure – heart failure and cardiogenic shock Infection and inflammation – pericarditis and infective endocarditis Constant NCLEX theme: Assessment before action Time is muscle in ACS Fluid status is kin…
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etting Up for a High-Quality Cardiac Assessment Quiet, warm, well-lit environment is non-negotiable so you don’t miss subtle sounds. Standard position: supine with head of bed at about 30–45 degrees for blood pressure and jugular vein assessment. Use left lateral decubitus to bring the apex closer to the chest wall for a faint apical pulse or mitra…
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On this episode, Dr. James Wyant, Program Director of Sentara and Eastern Virginia Medical School's newly established neurology residency program, joins the podcast to discuss where residents can add value and improve quality of care, improving access to care, and the importance of collaboration across teams and disciplines.…
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Why ABG interpretation feels like decoding secret language — and how to simplify it. 02:30 – Foundations of Acid-Base Balance CO₂ = acid (lungs control it) Bicarb = base (kidneys control it) The body maintains balance (homeostasis) through both systems. 06:00 – Respiratory Acidosis Cause: CO₂ retention (slow, shallow breathing) Examples: Opioid ove…
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What You’ll Learn Assessment Mastery: Spot accessory-muscle use—the tell-tale elevated shoulders signal fatigue. Surfactant Secrets: The “dish-soap” analogy that keeps alveoli open. Pleural Effusion Clue: Why absent breath sounds—not crackles—confirm compression. Asthma Red Flag: A silent chest means airway closure and impending failure. Post-Op Pr…
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Episode Notes What You’ll Learn The 5 ABG parts you must know cold Three proven interpretation methods (4-step, ROME, Tic-Tac-Toe) How to spot respiratory vs. metabolic problems fast Compensation (uncompensated, partial, full) and what it tells you about timing Nursing priorities for each imbalance (what to do now vs. what to fix next) Key ABG Comp…
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EPISODE NOTES Episode Title: Respiratory System Made Simple: What Every Nurse Must Know Created by: Brooke Wallace – ICU Nurse, Organ Transplant Coordinator, Clinical Instructor, and Author Website: ThinkLikeANurse.org 🔹 What You’ll Learn Core respiratory anatomy nurses need to know cold Why the right main bronchus is the “danger zone” The 4 key st…
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Episode Notes: What You’ll Learn: High Fowler’s vs. supine: Why positioning saves oxygenation in COPD The “below 60 rule” for Digoxin (and why bradycardia = danger) Normal newborn vitals that trick NCLEX students The hallmark sign of peritonitis after surgery Early compensation in hypovolemic shock: why tachycardia appears first Insulin teaching mi…
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Episode Notes Memory map: AIS-BPMA A — Albuterol (SABA, rescue): Give for acute wheeze/bronchospasm. Hold if HR ≥ 120. Assess lungs, O₂ sat, and heart rate. Can increase blood glucose; caution with digoxin. I — Ipratropium (anticholinergic): COPD maintenance med. Watch for dry mouth, constipation, urinary retention. Avoid with glaucoma or enlarged …
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📝 EPISODE NOTES 1. Furosemide (Lasix) Strategy: “Check the potassium and the weight!” Key Points: Focus on potassium (low levels = priority) and weight (for fluid status). Risk: Hypokalemia, dehydration, hypotension. Action: Monitor potassium levels, assess weight, check for signs of dehydration. 2. Carvedilol (Coreg) Strategy: “Pulse before pill!”…
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In this episode, Jaimie Weber, System Director of Nursing for Perioperative Services at Alameda Health System, discusses how her team is using AI, predictive modeling, and technology-driven workflow improvements to enhance efficiency, staff satisfaction, and patient care. She also shares insights on investing in IT infrastructure to support telehea…
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🧠 EPISODE NOTES 1. Furosemide (Lasix) – “The Diuretic Dynamo” Mnemonic: “Furosemide flushes fluid fast but watch for falling potassium.” Mechanism: Loop diuretic; blocks sodium & chloride reabsorption in the Loop of Henle. Watch for: Hypokalemia (↓ potassium → arrhythmia risk) Hypotension, dehydration, ototoxicity (with rapid IV push) Nursing actio…
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Notes: Hemodynamics Overview: Hemodynamics refers to the real-time measure of blood flow to tissues and organs. It is critical for assessing how well the heart and circulatory system are functioning. The primary factors influencing hemodynamics are preload, afterload, and contractility. Cardiac Output (CO) & Cardiac Index (CI): Cardiac Output is th…
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Episode Notes: What is Hemodynamics? Hemodynamics refers to how blood flows through the body, with the heart acting as a pump, blood vessels as pipes, and blood as the carrier of oxygen to the body’s organs. The nurse's role: monitor blood flow and intervene to prevent complications. The Three Big Pieces of the Heart Pump Stroke Volume (SV): Amount…
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Notes Hemodynamics is the key to understanding tissue perfusion and oxygen delivery. Cardiac output (CO) = Stroke volume (SV) × Heart rate (HR). Normal range: 4-8 L/min. Cardiac index (CI) normal range: 2.5-3.5 L/min/m². CI adjusts CO for body surface area (BSA). Stroke volume (SV) normal range: 60-100 mL/beat, influenced by preload, afterload, and…
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Episode Notes Topic: Medication Administration and Safety for nursing students Why It Matters: The pharmacological and parenteral therapies category makes up 12–18% of the NCLEX-RN, and safety principles appear throughout the exam. Safe med administration is the foundation of every pharmacology question — mastering it means mastering NCLEX logic. C…
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Episode Notes: Why pharmacology is the foundation of safe nursing practice The power of mnemonics for nursing students and new grads Breaking down ADME: absorption, distribution, metabolism, excretion Using TRAMP for medication safety: time, route, amount, medication, patient Understanding HRD for antibiotic reactions Remembering SHAKE for amphoter…
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Episode Notes Platelets are the bricks; fibrin (clotting factors) is the mortar — together, they form a clot. Antiplatelets like Aspirin and Plavix stop platelets from sticking together (affect the bricks). Anticoagulants like Heparin and Warfarin slow or block clotting factors (affect the mortar). Heparin: rapid IV/SQ action, monitor aPTT (45–80 s…
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Episode Notes: Drug: Lisinopril Class: ACE inhibitor (angiotensin-converting enzyme inhibitor) Mechanism: Blocks conversion of angiotensin one → angiotensin two, leading to vasodilation, reduced afterload, and decreased aldosterone secretion. Therapeutic Uses: Hypertension, heart failure, post-MI, diabetic nephropathy (renal protection). Contraindi…
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In this episode of the Beyond Nurse Residency Podcast, host Nicole Weathers sits down with Dr. Jacinda Bunch and Dr. Cormac O’Sullivan to explore the innovative work of Simulation in Motion – Iowa (SIM-IA). Learn how mobile simulation units are transforming clinical education in rural hospitals and EMS services across the state, and how a new colla…
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Key Points to Know for NCLEX Mechanism: Irreversible COX-1 and COX-2 inhibition → decreases prostaglandin and thromboxane A2 production Dose Dependence: Low dose (81 mg) = cardioprotection Moderate (325–650 mg) = pain and fever High (3–6 g/day) = anti-inflammatory Irreversible platelet inhibition: lasts 7–10 days (platelet lifespan) Absolute contra…
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Episode Notes Mechanism of Action: Cardioselective beta-1 blocker that slows HR, reduces contractility, and lowers myocardial oxygen demand. Formulations: Tartrate (Lopressor) — Immediate release, given BID or IV for acute use. Succinate (Toprol XL) — Extended release, given once daily for chronic use, especially in heart failure. IV Administration…
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Key Takeaways for Nursing Students Two Forms, Two Purposes Metoprolol tartrate (immediate-release): short-acting, used for acute control (e.g., post-MI, hypertension crisis). Metoprolol succinate (extended-release): long-acting, used for chronic control (heart failure, hypertension, stable angina). Never crush succinate — it destroys the time-relea…
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In this episode, Jessie Scapinello of Elsevier and Allison Ouzts of UT Health San Antonio, share strategies for empowering novice nurses through strong communication, supportive culture, and intentional leadership to build confidence, retention, and long-term success in nursing. This episode is sponsored by Elsevier.…
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On this episode, Todd Smith, MD, Chief Physician Executive at Sutter Medical Center, joins the podcast to discuss ambulatory growth strategies and clinical standardization. He shares insights on improving access to care and the importance of effective orientation programs for staff to ensure high-quality patient experiences.…
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Transcript Speaker 00:00 - 00:19 Welcome to Think Like a Nurse. This is the show created by Brooke Wallace. She's got 20 years as an ICU and organ transplant nurse. Plus she's a clinical instructor and published author. Yep. And our goal here is pretty straightforward. We take those really complex nursing topics, you know the ones, and try to make …
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If you’ve ever seen a high-yield NCLEX question about digoxin, this episode is for you. In Think Like a Nurse, created by Brooke Wallace, a 20-year ICU and organ transplant nurse and published author, we make one of nursing’s most high-alert drugs simple to understand. Learn how this cardiac glycoside strengthens the heart, when to hold the dose, h…
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