NURSING UNDERGRADUATE SOCIETY Dear Class of 2022 Tips & Tricks Guide Congratulations on your admission to the Faculty of Nursing! You did it!! The next two years will be filled with wonderful opportunities that will challenge you but ultimately help you grow as a prospective health care professional. Entering this new program may seem daunting, but there is a whole community of students, faculty, and staff excited and willing to support you through your academic and clinical journey in these new experiences and unforeseen times. Our goal is that this guide will help ease some of your worries and answer some of your questions regarding the first year of this nursing program. You have some amazing second year colleagues that are willing to share their perspectives and experiences of the program. We understand that elements of the program will be altered from the past year, but our hope is that these opinions are still helpful in anticipation of starting the program. If you have any more unanswered questions or concerns, your second-year mentors are ready and waiting to help with these questions on the Class of 2022 Facebook group: Class of 2022 – Bloomberg Faculty of Nursing (UofT). We are thrilled to welcome you to the program! - Melissa Holmes (Mentorship Coordinator NUS) mentorship.uoftnus@gmail.com What does the first-year schedule look like? The first-year schedule consists of 3 courses each term, with one of the courses containing the clinical component. In the fall you will have the following courses: NUR 350: Introduction to Nursing Practice (synchronous and asynchronous remote online learning; in-person mandatory assessment/skills labs). NUR 351: Introduction to the Discipline and Profession of Nursing (asynchronous remote online learning) NUR 361: Introduction to Nursing in Health and Wellness (asynchronous and synchronous remote learning; in-person clinical learning at an older person or mental health care setting on a weekly basis, days/times to be determined). In the winter and spring terms your courses will be: NUR 370: Pathophysiology and Pharmacotherapeutics (Jan-June) NUR 390: Introduction to Community Health (Jan-April) You will also cycle through 3 clinical courses at 7-week intervals (Jan-June): NUR 371: Introduction to Acute Care Nursing (Adult) NUR 373: Introduction to Nursing Care of Children and Families NUR 374: Introduction to Nursing Care of Childbearing Persons and Families What can I expect from Clinical Placements? For your placements, you will be placed in a clinical group consisting of 4-8 students and one Clinical Instructor (CI). During each clinical shift, you will be paired with a staff nurse and assigned to 1-2 patient(s). You will be responsible for providing nursing care to your assigned patient(s), with the support and supervision of the staff nurse and your CI. The first day of each rotation is dedicated to familiarizing you with the institution and the nursing practice in your unit. On the first week of each clinical rotation, students will typically shadow a staff nurse as part of their transition into a new clinical setting. Your clinical day will consist of time spent on the floor (performing nursing care and appropriate documentation, as per institutional policy; observing and performing nursing procedures, etc.), a lunch break, and a post-conference at the setting if spacing regulated by COVID permits. In post- conference, you will be able to debrief the day with your clinical group and CI. You will receive more information about clinical placements in your first week of NUR 361. Need tips for remote learning? Check out online resources from the faculty here: https://bloomberg.nursing.utoronto.ca/currentstudents/online-learning-resources/ Which textbooks do I need? You can generate a list of the required and supplementary textbooks for your courses on the U of T bookstore website. Textbooks may be purchased in hard copy or electronic format. You can also find some of the textbooks used from upper-year students or on other websites such as Amazon and Chapters. We highly recommend waiting until classes have started to buy your books. You will be given a bundle of the required and recommended textbooks with online resources for fall term courses. How do I get to the Nursing Building ? The closest subway station to the Faculty’s main building (155 College Street) is Queen’s Park station at the corner of College St. & University Ave. The 506 College Streetcar also stops right outside of the Faculty at the corner of McCaul St. and College St. Post-Secondary Student Monthly Passes for the TTC are available for $128.15/month. To be eligible for this pass, you must obtain a TTC postsecondary photo ID, which can be purchased at the Bathurst Subway Station with proof of enrolment. Please visit the TTC website’s fares & passes tab for more information on postsecondary student fares, as well as hours of operation for the Bathurst Station photo ID centre. The following materials are ESSENTIAL for your clinical placements: 1. SCRUBS: Students are required to purchase “postman blue” coloured scrubs for clinical placements. These can be purchased at the campus bookstore (in-person or online) or at other stores (as long as they are the correct colour). Many students recommend Dixie Uniforms as there is a wide variety of sizes and lengths. 2. STETHOSCOPE: Most students this year purchased the Classic III Littman stethoscope. No specific colour is required. The UofT bookstore offers a selection of these stethoscopes; other students have also purchased their stethoscopes online (i.e stethoscope.ca). Getting a label or engraving is important if you misplace it on a unit! 3. SHOES: Shoes must be close-toed and cover your heels. Wear something comfortable and nonslip, as you are going to be on your feet for many hours. Make sure you don’t mind getting your chosen shoes dirty, because hospitals have a variety of liquids and solids that can land on your feet! For health and safety reasons, shoes that are impermeable (no mesh!) and wipeable are mandatory. From our experience, no specific colour is needed. However, most students opted to wear neutral- coloured shoes (white and black, specifically). Your clinical instructors will typically debrief you on the materials that you are allowed to bring/use in your units (i.e notebook, watch, pen light). We recommend consulting with your clinical instructors (CIs) on the first week of rotation, as rules vary between different institutions. For example, some institutions may allow students to use wrist watches, while others may not. CIs will typically e-mail you prior to your placements – this may be a perfect time to inquire about the materials that you are allowed to use in your unit. Some students also opted to use compression stockings during clinical days; however, you are not required to use them. The first week of clinical is often a good period to gauge which materials will be beneficial for you during your placement! Can I work during the school year? Students’ experiences with managing both the program’s workload and part-time jobs vary. It may be wise to test your capacities and limitations during the first weeks of the program. While other students worked from the beginning of Year 1 to its end, others have even opted to wait until the second term of the program to find employment opportunities. Either way, time management and self- awareness are keys to your success in this program! Many placement sites are assigning student groups to Saturdays, Sundays and evening shifts to minimize crowding on units and permit physical distancing during the COVID pandemic. As the clinical schedule is not yet finalized, it is important to note that you must be able to attend all scheduled placement days. Before committing to a job, ensure that it will not interfere with your clinical schedule. What is NUS? The Nursing Undergraduate Society (NUS) is a council that represents undergraduate nursing students at UofT, ensuring that your voices are heard within the faculty and the greater university community. To get to know your NUS members, please visit our website: https://www.uoftnus.com There are some positions in NUS that are available for first year students! If you are looking to get involved in this council, we will be releasing more detailed information on the positions and the application process in September, so please stay tuned! What about health and dental insurance? Or using the gyms on campus? All nursing students are eligible for the UTSU health and dental benefits plan! Make sure to familiarize yourself with your benefits at: https://www.utsu.ca/health/ Information on coverage changes (including opt-outs and family enrolment), may also be found on the website above. Gym fees are included in your tuition fee. Registered students can use facilities at Hart House and the Athletic Centre in the Fall and Winter terms. The following website contains COVID-19 updates regarding their safety protocols, programs offered and the facility updates. https://kpe.utoronto.ca/faculty-news/updatessport-rec-programs-and-services-covid-19updated-august-20 What supports does the faculty have? Students have access to counselling services on-site at the Faculty of Nursing through an Embedded Wellness Counsellor. The Counsellor will offer brief counselling services to student tailored to the challenges presented by university life. The focus of counselling is on strengths, resiliency, and skills-building. Students can call Health & Wellness at 416-978-8030 if they have any questions or wish to book/reschedule an appointment For more information on the mental health services offered at UofT, please visit: http://studentlife.utoronto.ca/hwc To contact our Faculty's administrative staff, please visit: https://bloomberg.nursing.utoronto.ca/curr ent-students/academic-contact/ What I wish I knew before starting the program Make sure to always study at least a week in advance if you want to do well in courses! Never leave assignments until the last minute. Start as early as possible, and always email your professors for help! Invest in proper footwear because it makes a difference when you are standing on your feet all day in clinical. There are SO many different jobs for nurses! Going into the program I always just pictured nurses in scrubs at the hospital by the bedside. That isn't the case! There is so much more to nursing than just a hospital setting. Talk to profs, upper year students, alumni, and your clinical instructors to get as much information as you can about different areas of nursing. You might end up falling in love with a job you didn't know existed. Practice as many NLCEX questions as you can before midterms or exams! Clinicals aren't as scary as they sound. As long as you show up willing to learn you will be okay! Grades are not something to obsess over. Everyone is in the same boat as you, even if it might seem like everyone has their lives together except you. Use the city bike share program to get to campus; an annual membership for unlimited rides is about $80 with a presto discount, and you'll never have your bike stolen! Plus you can avoid the crowded subways and streetcars and get your daily exercise in without losing any extra time out of your busy schedule. Utilize Evolve (online resource) for practice questions - it's free and they're questions right out of your textbooks! If you have a long commute it can be really helpful to download a flashcard app on your phone so you can use this time as productively as possible. Alternatively, I also find it helpful to download a podcast I really like to listen to on my commute and use this as my downtime after classes. This helps me get home and feel ready to do work for a few hours rather than getting home and feeling like I need an hour break before starting work. You can totally have a balanced social-school life (maybe just not during exam week in December, haha). Study tip - ditch memorization! Or at least don't use it as your main study method. You need to understand how things work and the rationale behind everything. Use mind maps, diagrams, grouping ideas, and practice with your partner/friends My favourite place is to study is the stacks in Robarts. Once you open the door, it is so silent and calming that I immediately feel ready to be productive. And the view can be amazing! Everyone you meet is so kind and supportive. Take breaks to think about something other than nursing. Don't be intimidated by the "accelerated" component- it is busy but manageable. You will be very supported in the clinical setting- you won't be thrown into it. You don't need to do everything perfectly, especially the first time. Plan out timelines for when you want certain parts of assignments done since the deadline tends to sneak up on you. Bring food with you to class! Campus doesn't always have the best food around, or it's expensive. Same goes for clinical, as most places only have a Tim Hortons + hospital cafe (which is also super expensive). Definitely pack a LOT of snacks and a decent meal for clinical in advance! What I wish I knew before starting the program YouTube videos are a lifesaver!! RegisteredNurseRN and Osmosis videos really helped with some of the more complex topics. Start assignments early!! I cannot stress the importance of this enough. The key to succeeding in this program is starting those assignments ahead and giving yourself enough time to get organized. If you're commuting 1-2 hours a day, try to set small goals for how much you will get done each day. That way you'll stay on top of your work and won't feel too overwhelmed during exam season. Don't be hard on yourself. When the year starts and everyone is placed into their placements and starts sharing their amazing experiences, do NOT compare yourself or your clinical experience. Everyone has a different journey, a different patient population they are exposed to, and a different preceptor. As long as you are trying your best, coming to clinical prepared and creating learning opportunities for yourself that is all that matters. Don't be afraid to get involved with activities on campus and within the faculty! Although it may feel like a lot to take on, if you are used to doing extracurricular activities it will help you maintain a balance between life and academics. Especially if you are someone who is usually very busy, it helps with time-managing and being productive when you do sit down to study or write a paper. Always load your presto card before clinical and before commuting!! I started a master list of all medications mentioned in lectures that I referred back to throughout 1st year - came in handy putting the meds in context for the pharm final Use the compression socks benefit that comes with our student plan!! Your clinical instructors are there to support you! They want to see you succeed and won’t set you up for failure. Be as helpful as you can be to the nurses on your unit! I wish I knew how to allocate time to studying better. I learned shortly after the first midterm that I was going to need to set aside a particular amount of dedicated studying time in order to succeed. Everyone studies differently, but something that I think can be universally helpful is making a summary sheet on the weekends of class content from that week. For example, on Saturday mornings I would make a quick visual summary of the pharmacology content from that week's lecture so that when it came time to study for midterms/exams I had reviewed the content outside of lecture once already. This usually only took 30 minutes a class and was such a huge time saver once it came time to study. Don't compare yourself to your peers. Everyone in this program will be operating at their own pace and coming into it with their individual life experiences. Do not compare your progress to your classmates. Stay focused, work hard and give yourself a break. Do not feel the need to study everyday if that doesn't work for you and be kind to yourself. My study habits in my first degree are very different from how I study in this program. As a visual learner, I watched a lot of YouTube videos to help me understand difficult concepts. Finding mnemonics for pathology and pharmacology helped a lot with memorizing. Studying with friends can be beneficial to help teach concepts and hold each other accountable. IN MY EXPERIENCE… Being a Parent in Nursing School Hello, Class of 2022! My name is Jacqueline, and I started the program in my mid-30s, when my oldest son was 4 years old and my youngest son was 1.5 years old. I was nervous when I started the program – I wondered if I would be able to keep up with the academic material and if the clinical hours would be too demanding for my family’s schedule. I also worried that having children would distance me from my younger classmates, due to the differences in lifestyle that being a caregiver brings. Fortunately, none of those worries were the case! I think there were 3 major strategies that I used to get as much as I could out of my first year of the program: 1. Communicate – communication with your partner/social supports, classmates, and instructors is so important! It helped my partner know what weekends I needed a little extra time to study or write papers; it helped me make connections and grow closer to my classmates; and it also helped the faculty to support me whenever I needed it. 2. Be flexible yet organized – I made sure to carefully read each course syllabi so that I could organize my family’s activities around important dates, like paper due dates and simulation days. However, building flexibility into that schedule was also important (like in March when I found myself learning from home with a toddler and a JKer!) 3. Find a school-life balance – this might have been the hardest one, because like most people in the program, I want to give 110% no matter what I am doing. But I always tried to take the perspective of “what am I going to regret doing/not doing 10 years from now?” So I went to my son’s holiday concert the night before an exam; I shrugged my shoulders and made my family breakfast-for-supper 3 nights in a row the week my NCP was due… because I tried to think of what REALLY mattered in the long run. Feel free to reach out to me if you want to chat more about what it is like being a parent in this program. It is a challenging program, but it is soooooo rewarding and I know that one of the best lessons from it will be that my kids get to see their mom persevere and work hard to achieve something! - Jacqueline IN MY EXPERIENCE… A Non-Science Background Coming into a science-based program like nursing from a liberal arts or social science background can be daunting. The learning curve may appear steep and the obstacles may seem unfamiliar. And while this is true, it’s nothing you can’t handle! What’s more is that you’re likely to find that the skills you acquired in your first degree will positively translate to the program in a beneficial way, giving you a unique perspective. For example, as an English major, I found that I was well prepared for the many written assignments required of first-year students. No matter what your background, I encourage you to assess what worked well for you during your last degree and what didn’t. Observe your peers’ study habits and techniques and be open to adopting and integrating new methods. Remember that the Internet is your friend and there are all kinds of resources on available online for every type of learner. Lastly, rest assured that you were accepted into this program for a reason. You are capable, competent, and caring. You will make a great nurse! - Claire Working During the School Year Working part-time during the school year can definitely provide some extra cash to subsidize the cost of school (especially in a city like Toronto) but brings its own set of challenges. I worked two part-time jobs which amounted approximately 20-25 hours a week during my first year of the nursing program. I worked as a research assistant (the work-study program at UofT is fantastic!) and my other part-time job was a retail job. My biggest advice would be to ensure that you start planning around your work schedule as early as possible. I found it helpful to look at course outlines for all my courses early in the semester and use a calendar to track the days I had exams and assignments due. I worked with my employers to book days off during the weeks when I had several deadlines. My other big tip for working part time during the school year would be to determine how you study best and making weekly schedules for yourself to keep yourself on task. Also don't forget to factor in time spent commuting, social activities, and other activities. Although it might seem daunting at first, working part-time during the school year is doable if you are proactive about creating a study schedule, maintaining communication with your employer, and being realistic about deadlines (so you aren't overwhelmed during exam time!). There will be days where you might not be able to adhere to your schedule as tightly so be kind to yourself and ensure you are making time for selfcare and wellness activities. - Maliha IN MY EXPERIENCE… A Male Student’s Perspective As a male nursing student, I felt greatly welcomed and supported by the U of T Faculty of Nursing and my fellow nursing students of all genders. In the classroom, the course instructors and Teaching Assistants (TAs) treated me with the same level of respect, dignity, and patience as they did with the nonmale students. All of the clinical instructors (CIs) during my clinical placements were very supportive and understanding throughout every step of the way in my learning, especially the more stressful times. The only challenge that I personally experienced which was solely due to being a male nursing student was being asked to step out of some female patients’ rooms when specific nursing assessments/procedures were to be done. Therefore, male nursing students, like myself, would sometimes be requested by some female patients to temporarily step out of the room for religious or cultural reasons. In my experience, these instances only occurred in my maternity/newborn care placements, and even in that rotation I still had the chance to learn lots about maternal and newborn health and some patients were even comfortable with me providing them nursing care as a male nurse. Ultimately, your education is in your own hands. In other words, it is up to you to make the most of being a nursing student at a reputable school who is learning at the top hospitals which the Greater Toronto Area has to offer. We are all here to learn to become the best nurses that we could ever be. Having this idea in mind, you will certainly be successful in your nursing education regardless of you being a male nursing student; I can promise you that! Good luck to you and be prepared to learn! - Payman IN MY EXPERIENCE… Life of a Commuter During my first year in the program I commuted from either Newmarket or Innisfil each day. That meant I had at least a 1 hr and 15 min commute. I really didn’t mind commuting! So many students in the program commute as well. The early mornings can be intimidating at first, but you’ll get used to it quickly. My commute involved taking the GO train and subway on school days or the GO bus and subway on clinical days (the train did not come early enough to arrive to clinical). Sometimes I drove as well, depending on the location of the placement. One recommendation I have is to ensure you have plenty of time to arrive to the hospital to go to your locker, change, and get organized for clinical. Even if it means taking the 5:00 am bus. I recall feeling very overwhelmed if I was feeling rushed to get ready and make it to my unit on time. A lot of things happen when you arrive to the units in the morning (i.e report, safety checks, vitals, etc.), so it’s best to be prepared and ready to go. In regards to getting homework done during your commute, I would suggest doing whatever feels best for you. I found sometimes a train ride was the perfect amount of time to go over upcoming test content, but most of the time I really just appreciated the brain break that the commute gave me. One thing I found super helpful was to set up my Presto so it automatically reloaded. When it’s automatic you don’t have to spend the time loading it or remember to keep up with it. Good luck this year! You’ll be amazed with all you’ve accomplished when you look back a year from now. Do your best to prioritize. Remember your health comes first and maintaining your health means doing things you enjoy! - Allie IN MY EXPERIENCE… Let’s Talk About Commuting In my first year I was commuting into the city from Scarborough, which was about an hour and fifteen minutes trip - on most days (snowy days tended to cause delays!). Truthfully, the commute proved to be quite exhausting, particularly on clinical days downtown when I had to peel myself out of bed at 4:30AM! Even though those early morning wake up calls were always tough, they really taught me the value of getting enough sleep the night before to ensure that I was going to have enough energy and brain power to carry me through the next day. I learned to do my best to care for my well-being the night before by knowing when to call it a night from studying or working on an assignment to be able to give my all at clinical. So please try to do the same! On the note about delays, if you ever find yourself running a little late for clinical due to commuting mishaps, don’t panic! Be sure to have your clinical instructor’s contact information on hand so that if need be, you can give them a heads up and they will be more than understanding. I also learned that commuting time makes for great self-care time. No matter how much seemed to be on my plate, I always used my travel time to just relax to give my brain a breather. I would often listen to music, read a book, chat with friends on the same commuting route or take a nap (although I was always paranoid I’d fall into a deep sleep and miss my stops, so it was more like I was resting my eyes). Sometimes when I arrived back home I would even take the opportunity to decompress a little more (i.e. watch an episode of a favourite show) before jumping into school work because I found that the commute itself was tiring. I’d encourage you all to make the time to indulge in small forms of self-care in between attending school and studying your mind and body will thank you! I do want to add though that if you prefer to utilize your commute to get a little review or studying in, then by all means do so! Do what works best for you, but always remember to make time for yourself as well. All in all, while commuting can be tiring, there are small joys and benefits to be found during that time! You will also never be alone, as there will be many other students commuting along with you. You are also always welcome to ask your peers any questions about commuting or navigating through the city! - Raeesah