Are you new here? - page 88

Hey, welcome to the site! I really feel bad when I see all the threads from new people introducing themselves. There's just NO WAY that I could stop and post to each and every one of you! So I... Read More

  1. by   Liddle Noodnik
    Quote from futureORnurse
    ...oh wait! i have a question! we had our review class for the licensure exams and they have this question:
    A narcotic IV was orderd to control the pain of the client with burns. Why was the IV route selected?
    a. Burns cuase excruciating pain, requiring immediate relief.
    b. Circulatory blood volume is reduced, delaying absorption form the subcutaneous tissues and muscle tissue
    c. Cardiac function is enhanced by immediate action of the drug
    d. Metabolism of the drug would be delayed because of decreased insulin production.

    my answer was A, and i also came across this question on a review class. but when this aquestion came up at our school review, their answer was B. My answer was still A, because B mainly refers to the IM and not IV.what do you think is the right answer. Two review instructors have different answer and i am confused. One question is important for me. can you please give some explanations on this or the rationale!!!! everybody is welcome!

    Oh I HATE those kinds of questions! I chose A, thinking of the involved area having less circulation and more pain (I'm thinking with dehydration there would be less circulating fluid, and dehydration is the primary concern with burns, right?), and even if you used an UNaffected extremity, there would be less circulation. See even this answer seems to go round and round.

    But I like your answer better! It is very VERY true that pain is one of the primary symptoms, and when they need pain med, boy do they need pain med! IV pain med will work more quickly and be more effective in general.

    The original question doesn't really give us enough information I don't think - is it the right pinky finger that is burned, or 75% of the body? It does make a difference!

    What I think you should do is take this question, go to "Nursing Specialty Forums", choose "Burn Unit", and copy your question and comments there. I would be very interested in the answer! In fact, I am gonna go ahead and post your question. I'll be back
  2. by   Liddle Noodnik
    Quote from zoeboboey
    .... What I think you should do is take this question, go to "Nursing Specialty Forums", choose "Burn Unit", and copy your question and comments there. I would be very interested in the answer! In fact, I am gonna go ahead and post your question. I'll be back


    Dear futureORnurse:

    Well, I am back! here is the link to the burn unit question! I'm so glad you brought this to my attention, thank you!

    http://allnurses.com/forums/showthre...10#post1328810
  3. by   Liddle Noodnik
    Quote from islandgirlRN
    Greetings all!!
    I'm new here to Allnurses.com, but have read alot of posts over the past few months (just haven't gotten around to writing any!). I'm a pre-nursing student with only A & P, Chemistry, & Micro to take to finish up my pre-reqs before entering a nursing program. I've loved nursing my entire life, since my great-aunt (who was a LVN), introduced me into her world of nursing at the tender age of 5. I've worked as a nurse's aide, CNA (hospital), and have also done home health care for various people, in addition to other kinds of "life" jobs. But my passion has brought me back to my love, nursing, and I eat, breathe, sleep the subject 24/7!! I'm the single mother of a 14-yr. old son just entering high school. But health reasons have put my studies on hold for at least a year for now, so for now I'll be writing/reading/posting my thoughts on this wonderful site for now and hope to get acquainted with a few of you. Don't yet know what kind of school I'll be going into--our local community college is just starting up a ADN program, but I've been leaning into moving across country to enter a "fast-track" RN BSN-MSN nurse practitioner program. Have alot on my plate to think about. God bless you all. Love to you all, Barb
    Hi Barb, that sounds really exciting - isn't it great to have choices Although if they are TOUGH choices sometimes you wish you could get a letter from the "Big Guy" telling you what is the right one!

    Let us know PLEASE what you decide, and how things are going!
  4. by   Liddle Noodnik
    Quote from Willow232
    HI...everyone:
    I haven't posted here before but have read alot and enjoyed alot of the discussions.
    I am 41 with 3 kids 17,16,13 and have done 16 years of paeds,4 years of labour and delivery and 4 years of NICU (overlapped a bit here and there).
    Sounds as if everyone everwhere experiences the same trials and troubles along the way. I did nurse in Kansas for awhile and loved it...moved to Myrtle Beach briefly and a
    ended up home in Canada after about 3 weeks (long story) .
    It's nice to know we are all sisters under the skin with nursing.
    Thanks and hope to post more often soon.
    Willow232
    Hi Willow, wow you have been a busy woman! Sounds great!
  5. by   Liddle Noodnik
    Quote from live_N_scrubs
    Hey all,

    I'm new here on this board. I have really enjoyed reading the posts on this site, they are very entertaining. I just graduated in May from an nursing school with my RN and health science degree and now in an RN-BSN program. I hope to one day have my Master's and be a nursing instructor. I currently work in Med-Surg and I'm loving it. That's all for now.

    Marina :chuckle
    Welcome to the board and good luck!
  6. by   Liddle Noodnik
    Quote from mistyeye@yahoo.com
    Hi! everyone. Im glad to be a member here and meet you all. Hope i can count on you whenever i need an advice or in the future if i have some difficulties with my studies.I am on my 4th year now in BSN degree here in the philippines.So, im interested in meeting different people of all races.And hoping to be familiar with you.Im not usually logged in everyday coz' i dont have a laptap,my comp is in my house, so whenever i have free time thats the only time i can view on this site.Thanks in advance and hoping to hear from you soon............Good day and god bless!

    Hi Mistyeye, welcome! Hope you find a lot of help on the site! Have some fun here too!
  7. by   Liddle Noodnik
    Quote from shameka
    Hi! My name is Shameka.This is my first time writing on this site. I love reading all the great in formation from others. I have a question? I want to work in the field of plastic surgery but I want to assist in the operating room/ What is this position called? What kind of schooling would you need? What is a CNFA and what do they do? If anyone has any info I would appreciate it.
    Hi Shameka! Welcome to the site!

    I will first point you in the direction of the "Operating Room" Forum (click on the link below). Those guys are the experts on your question.

    http://allnurses.com/forums/forumdisplay.php?f=39

    I am pretty sure that when I worked OR, often the plastic surgeons would bring their own private scrub nurse with them. She or he would be specially trained for that kind of delicate surgery. I don't know what the title would be, or what CNFA is. Try taking your question to the forum I mentioned above and if you don't get an answer, come back here and we will try something else. Good luck!
  8. by   Liddle Noodnik
    Quote from asceda_sproata
    Having worked on a burn unit, pain control is a major priority. Administration of pain meds IV is the only route that provides the quickest relief to acute stage patients. There are few other conditions that generates such a level of excrutiating pain as burns (2nd, 1st, 3rd degree respectively). Effective pain management is crucial to your patients stabilization and healing process. Inadequate pain control can result in an acute pain response (eg, vagal nerve response) that includes shock. It is at this point that vascular collapse, cardiac complications and death may occur. Being a standard first aid instructor I am aware that burn victims get immediate first aid and rapid transport to the burn unit.
    Thanks, I appreciate your comments!
  9. by   lovendove
    Hi everyone!

    I'm a married 24yr old mother to a 5 yr old boy. I'm an evening student... took forever to get my prereq's and co req's done and just started NU101 (only have to take my clinical classes and I'm done!). Now that my sons in kindergarten it's gotten a little easier.

    I'm glad there is a site I can run to for all my questions & concerns. So far the PDA software threads have been my lurking grounds It's helped me decide what's worth buying since the kids in my class don't want to share LOL. They are so competitive and cut throat and that is the only thing I hate about nursing school lol. So far, I really love what we are learning.

    I've worked in the dental field for over 5yrs and I enjoyed the satisfaction of helping pts. That drove me to pursue a degree in dentistry but I soon realized I had to decide between dental school or raising my son. Obviously I choose my son and Nursing was a great alternative that I could work towards slowly. I'm so glad I made that decision. Now that we are in the clinical phase, I'm getting really excited about having direct pt care and seeing the rewards of intervention etc. SO far we haven't done much in the clinicals but its been interesting. We're in a nursing home for another week then off to the big house. Some of CNA's don't want to show us things (they say we won't ever do what they do... not true) or, when we were doing vital signs or pm care, they were quick to correct us. Most of the time, they are contradicting what we learned in class so that's a bit scary. Hoping the hospital setting will be more inline with what we are learning in school. I know that when in the field, you learn tricks and shortcuts but basic asepsis should still be there...some of the things I saw the CNA's do Don't think I ever want to be put in a nursing home or extended care.

    Sorry for the long post... off to study. First exam is on Monday.

    Tare Care,
    LB
  10. by   Liddle Noodnik
    Quote from lovendove
    Hi everyone!

    I'm a married 24yr old mother to a 5 yr old boy. I'm an evening student... took forever to get my prereq's and co req's done and just started NU101 (only have to take my clinical classes and I'm done!). Now that my sons in kindergarten it's gotten a little easier.

    I'm glad there is a site I can run to for all my questions & concerns. So far the PDA software threads have been my lurking grounds It's helped me decide what's worth buying since the kids in my class don't want to share LOL. They are so competitive and cut throat and that is the only thing I hate about nursing school lol. So far, I really love what we are learning.

    I've worked in the dental field for over 5yrs and I enjoyed the satisfaction of helping pts. That drove me to pursue a degree in dentistry but I soon realized I had to decide between dental school or raising my son. Obviously I choose my son and Nursing was a great alternative that I could work towards slowly. I'm so glad I made that decision. Now that we are in the clinical phase, I'm getting really excited about having direct pt care and seeing the rewards of intervention etc. SO far we haven't done much in the clinicals but its been interesting. We're in a nursing home for another week then off to the big house. Some of CNA's don't want to show us things (they say we won't ever do what they do... not true) or, when we were doing vital signs or pm care, they were quick to correct us. Most of the time, they are contradicting what we learned in class so that's a bit scary. Hoping the hospital setting will be more inline with what we are learning in school. I know that when in the field, you learn tricks and shortcuts but basic asepsis should still be there...some of the things I saw the CNA's do Don't think I ever want to be put in a nursing home or extended care.

    Sorry for the long post... off to study. First exam is on Monday.

    Tare Care,
    LB

    Where is the instructor I wonder when you are told by CNA's to do the opposite of what you're taught? DOES sound scary!


    As to the competitiveness - that breaks my heart. I still remember the informal review sessions we would hold together in the basement of our school. I'm sure some were in competition but mostly we were there to help each other through.

    Good luck and let us know how you're doing!

    xo
  11. by   MissRN0520
    Quote from zoeboboey
    Dear futureORnurse:

    Well, I am back! here is the link to the burn unit question! I'm so glad you brought this to my attention, thank you!

    http://allnurses.com/forums/showthre...10#post1328810
    hi there zoeboboey! Thanks! hehehe! sory i got us is some kinda trouble with the copy right! sowee.. :flowersfo gonna check on the answers again, i can't stil still if i don't get the right asnwer!!!! hehehe! well, we should know the principles behind interventions. catcha later!!!THANK YOU!!!!
  12. by   Liddle Noodnik
    Quote from futureORnurse
    hi there zoeboboey! Thanks! hehehe! sory i got us is some kinda trouble with the copy right! sowee.. :flowersfo gonna check on the answers again, i can't stil still if i don't get the right asnwer!!!! hehehe! well, we should know the principles behind interventions. catcha later!!!THANK YOU!!!!

    I'm not too worried. I asked the moderator if she thought it should be deleted.

    I probably violate copyright all the time on another board I use!

    {{{{{{{{{{{{{{{{{{Futuristic Woman}}}}}}}}}}}}]
  13. by   Kitkat23
    I've been working fulltime in LTC for 5 months now as an aide. Before, I did homecare and agency work. I love being an aide, even though it can be hard work. I love caring for my residents and getting to know them, but I did break the rule about getting attached to the residents. I've gotten attached to most of my residents I care for, especially this one old lady. She's so sweet and loves to give me a hug and kiss.

    She's not always easy to care for; she gets mood swings and can be verbally and physically abusive, but I love her anyways. I'm taking a PCT course in November so I could get a job in the hospital. I like LTC, but I couldn't work there forever. In the past 2 months, I've lost several of my favorite patients, (2 were kind of young, 54 and 65), and I've felt very sad. The patients become family to you. A lot of residents on my floor are lonely and don't get a lot of company, so they're happy when I come in and start chattering and making them laugh and smile. They appreciate the care I give to them and the family appreciates my dedication and good caregiving to their loved ones.

    Does anyone who works in LTC break the rules and become attached to the residents like me? I tried not to, but I'm such a sweet person. My kind heart and sensitivity makes me a great CNA and the staff, families, and residents love me for it. One of my male coworkers tells me that I'm too sensitive and shouldn't take the residents' deaths and illnesses too personally, but I guess he has a point. It is a job and we must move on, but it still hurts me when I don't see Miss Jones in her room anymore. Is it a bad thing to love your residents and get attached? :uhoh21:

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