Hyper and hypo ventilation with PaCO2 levels - Page 4

I feel that you are completely misinterpreting what I have said. Please go back and read my posts. This is a student forum. It is paramount that the basics be understood and mastered before advanced learning takes place....in most cases. Also please explain how you as a nurse can direct care? You can certainly make suggestions to the HCP but ultimately they sign the orders. There are things nurses can do without an order but none of those would in my mind equate to directing care, unless of course you are an NP. If there is not an HCP on site and an issue comes up that requires a decision that is outside the RN's scope of practice, said RN best be on the horn to the HCP....

I have found that trying to introduce advanced concepts to the students that I tutor before they grasp the basics leads to frustration and often times avoidance of the material altogether...so I encourage you to please view my posts from a students perspective, not that of a practicing nurse with loads of experience.....

The purpose of nursing school is to get the student thinking like a nurse, not like a doctor. If people wish to think like doctors they are in the wrong program.

They're called protocols. I assessed the patient and decided which course of action to take depending on my assessment, provided the care, re-evaluated and changed it as needed. I did critical care transport and HEMS. We did not take a physician with us. So yes I directed the care. But thank you for your explanation of how it works. Also, it's not just students who read these posts. Students can take what they need to understand the process but I bet there are quite a few who have the capacity to understand it on a deeper level and enjoy the challenge. I can attest that, as a student, I was one of those people. What really frosted my cookies was your assumption that only BSN's and APN's would ever have need for extra knowledge.

All I was trying to say is that ADN nursing students (the bulk of the audience here) dont need to know these concepts in such detail.

Yes, pH is a very simple concept, until it is not. Now if they plan on going for a BSN, ARNP, PA or even med school, then of course a deeper understanding of patho is essential

Would you like mayo with that?

In my vocabulary, using sound nursing assessment and judgement to then make decsions based on protocols does not equate to directing care. We are obviously dealing with a semantics issue. Who do you think dictates those protocols? HCP's you think? If that is the case it can be interpolated that by you following those protocols that the HCP is the de facto director of care......and you are following orders....again, in my opinion stating such things especially in a student forum borders on the dangerous....I direct you to the ANA Scope and Standards of Practice.....If you can show me where I said that ONLY BSN's and APN's would EVER have a need for extra knowledge, I would be grateful and will happily eat those words. I am pretty sure you are taking liberties with what was said.I realize that other people besides students read student forums. I would ask though that replies to students by experienced people is kept at the expected level of knowledge for a student. Most nursing students, especially ADNs have only a rudimentary knowledge of A&P.....at best.....there are of course exceptions and that statement was made solely based upon my own observations. My experience is that sometimes people who respond with these complex, deeply detailed, obviously advanced explanations are doing so to draw attention to themselves and do a little tooting of their own horn perhaps.....hell who knows maybe I am even guilty of this...

No horn tooting here. I happen to have a good appreciation of these particular topics because I am both a respiratory therapist and registered nurse, therefore I think I have something to offer. However, you will not often find me posting on threads that deal with mother/baby issues because I'm probably too busy appreciating the information that some of the "experts" in that area are presenting. Believe me, my credentials are probably not going to impress any seasoned nurse, but hopefully the information I present can be helpful.

In my vocabulary, using sound nursing assessment and judgement to then make decsions based on protocols does not equate to directing care. We are obviously dealing with a semantics issue. Who do you think dictates those protocols? HCP's you think? If that is the case it can be interpolated that by you following those protocols that the HCP is the de facto director of care......and you are following orders....again, in my opinion stating such things especially in a student forum borders on the dangerous....I direct you to the ANA Scope and Standards of Practice.....

If you can show me where I said that ONLY BSN's and APN's would EVER have a need for extra knowledge, I would be grateful and will happily eat those words. I am pretty sure you are taking liberties with what was said.

I realize that other people besides students read student forums. I would ask though that replies to students by experienced people is kept at the expected level of knowledge for a student. Most nursing students, especially ADNs have only a rudimentary knowledge of A&P.....at best.....there are of course exceptions and that statement was made solely based upon my own observations. My experience is that sometimes people who respond with these complex, deeply detailed, obviously advanced explanations are doing so to draw attention to themselves and do a little tooting of their own horn perhaps.....hell who knows maybe I am even guilty of this...

i will again respectfully beg to differ on the assumption that knowing physiology and rationales for basic assessments and common conditions (such as acid/base, compensation, and blood gases) are solely within the purview of the physician. remember that when the oral thermometer was invented it was considered too technical for a mere nurse to understand and use correctly. ditto the syringe for injections, intravenous therapy, stethoscopes for ausculation, fetal monitoring, blood pressure measurement (omg, a technical marvel!), hemodialysis, intraaortic balloon pumps, and many others. as a matter of fact, since breaching the skin was considered a surgeon/physician-level skill, giving ims was technically illegal for nurses as late as when somebody noticed that archaicism in 1959.

there is a considerable body of knowledge in use by both professions. i have taught acid-base and blood gases to students for many years. you're selling them short if you think they can't learn it and what to do with it. if it's not something you want to do, it's a free country, but your peers will be lapping you in the long run.