psalm_55

psalm_55

icu, neuro icu, nursing ed

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About psalm_55

psalm_55 specializes in icu, neuro icu, nursing ed.


Latest Activity

  1. Do Nurses Eat Their Young?

    I too had many positive experiences with preceptors, mentors, etc. along the way. and i have rarely witnessed otherwise. usually, when there was a "bad experience", it was b/c the new nurse just wasn't cut out for that particular type of nursing. t...
  2. Thinking out of the box re: Nursing education

    SWtooth -- that was my original thinking. how can we reduce the workload of student nurses without sacrificing the quality of RNs produced?? (BTW, i'm all in favor of getting rid of nursing diagnosis -- they were invented for a healthcare system tha...
  3. a nurse attorney stated during a presentation that Associate Degree Nurses should be awarded a Bachelor's degree b/c of all the work involved in becoming an RN. This was a EUREKA!!! moment for me. have often thought of how much work it was to becom...
  4. ACCESS to health care is unethical. i believe the USA is the only industrialized nation without universal access to health care. many of us have children who are 23 y.o. and kicked off the insuramce role. they/we must forage for affordable health ins...
  5. "Diploma Nurse preferable"

    Bottom line clinicals are what YOU make of them. You have to be willing to soak up everything you can. i agree. i graduated from an ADN program (during a time when all of my instructors had come out of a Diploma program) -- so it was pretty much a 'd...
  6. Med Surg clinical instructor OMG!

    consider yourself put on notice -- and get a lay of the landscape before acting. politics and culture play a major role in each nursing department. there are many possible reasons for this person's behavior -- one being that she didn't want to take...
  7. Lovenox(enoxaparin) SQ

    when it was first introduced, we were inserviced by the drug rep to give it in the "love handles" ("Administration should be alternated between the left and right anterolateral and left and right posterolateral abdominal wall." ). later, we were tol...
  8. COPD pt's and 2L o2

    Titration. Titration. Titration. Titrate O2 delivery with SpO2. Giving what is needed while not exceeding the patient's baseline or usual spO2. so, yes we can give higher concentations of oxygen. and remember that early signs of hypoxia are restlessn...
  9. I woke up during surgery, Have you?

    i woke up during surgery. was intubated. unable to move (probably pavulon), eyes open just a slit and covered with ointment -- so everything was blurry but i was aware of light. could hear every word of their conversation. tried to take a breath and ...
  10. Drug Guide

    i compared the information on a few drugs commonly used (such as lasix) drugs in the med-surg setting in 2 popular drug guides. am somehwhat of a pharm nut -- love it -- so i could honestly say -- at least on these drugs -- that i know more about the...
  11. what happened here is truly tragic -- but given the complex, understaffed and over worked conditions in most hospitals, well -- it, or something like it, could happen to many of us. the nurse's name is "Julie". there is a link at this web site to ema...
  12. i read a thread not that long ago that dealt with this topic. there was a link to a legitimate organization's website that had recommendations regarding cleaning solutions -- walls, floor, etc. used in hospitals -- and that they should not be noxious...
  13. Are any of you guys as burned out as I am?

    i wish you well and much success. take a break. and maybe...part time nursing outside the hospital will be in your future?? also, consider auditing / working for insurance companies. or look into state or federal jobs. the retirement benefits are usu...
  14. Injections: to pinch or not to pinch

    the general rule of thumb is: if the patient has an inch to pinch, then pinch' otherwise, don't.
  15. grading written papers / assignments

    thank you both for your input. scribblerrn, i will share your school's method with the rest of faculty at our curriculum workshop. all of our graded papers have scoring guidelines with points assigned to each section of the paper. the guidelines are ...