Okami_CCRN, ADN 11,923 Views
Joined Oct 15, '07.
Posts: 798 (45% Liked)
I would draw up the medication with a 10ml syringe, there are .1ml markings so it would not be difficult to draw up the full 9.7ml dose.
I generally ask if they feel the urge to void, I attempt to get them into a more natural position if safe. If they can get out of bed safely I will stand males at the toilet/commode with some running water and get female patients sitting on the toilet/commode. If it doesn't work then you definitely have to straight cath.
Interesting that you bring up doing neuro checks while the patient is sedated, When I work in the Neuro ICU patients are sedated to a RASS score of 0 to -2. We usually pause sedation for a few minutes and do a neuro check and then resume sedation when complete.
I can tell you from personal experience that it is neither. Having recently taken several management and leadership courses I had to interview several of my coordinators and managers. When the topic of hiring came up, the hiring manager discussed looking for candidates that would mesh and assimilate into the work culture regardless of experience and age, and based on hiring practices within my unit I believe it.
It's not a stupid question. However, you should seek clarification from the LPN program for which you have enrolled.
I agree with SpankedinPittsburgh, the best course of action would be for the new hire to orient with another nurse. I would reach out to the nurse educator overseeing the orientation and ask that another preceptor be paired with her as you feel that the match as it stands would lead to a successful orientation.
Very few facilities utilize hair for drug testing, I have always had to submit a urine sample.
As MunoRN mentioned, delirium is a huge component to falls. Assessing your patients for delirium and instituting ways to cut down excessive noise and stimuli may help decrease your fall rates.
With that being said ensuring that your patient have non-skid fotowear/socks on/available is important. Getting patients out of bed and walking is also important and helps develop and maintain a steady gait. Also, educate patients about utilizing the call bell when they want to get out of bed to ambulate to the bathroom, educate them on sitting on the edge of the bed for a few minutes before standing up to prevent postural hypotension.
As the license holder you are ultimately responsible for the tasks you delegate. It is important that you evaluate the skill and competence of the person you are delegating to.
What I usually do is observe someone perform a skill, once I have determined that they are competent and able to perform that skill I delegate appropriately.
usually your employer pays for BLS/PAL/ACLS certifications. Usually they say something like must obtain ACLS & PALS within 6 months of hire.
Wherever you plan to practice is where you should seek licensure.
Before transferring to a school make sure you look at their tuition and fees. Caldwell University is a private college and as such has a pretty high tuition for both resident and commuting students. Also because you are transferring you may not be eligible for certain scholarships that incoming freshmen students would be eligible for. I recommend you speak with the financial aid department and nursing department before transferring.
Also speak to an admissions counselor, as a transfer student you would be bring credits with you. Many colleges have caps on allowable transfer credits (usually 60-66) you will also be responsible for core nursing courses as well as general education courses.
Higher education is getting more and more expensive you should evaluate the cost and whether or not you can afford it. Many have made the mistake, myself included in taking on a massive amount of student loan debt to cover costs. Use websites like glassdoor to see what new graduate nurses make in the area which you think you will practice and go from there.
My ultimate advice, don't just blindly transfer somewhere because the requirements seem fair or easy. Do your research and plan for the future. Best of luck.
If you break your contract chances are you will owe some type of monetary compensation to the institution for the time and money they invested in you.
If I were in your shoes I would stick it out and plan to visit family or have them visit you more often.
Ofirmev or IV acetaminophen works quite well, especially in the post operative patient. I have seen huge ex-laps on 1 gram q6h and rate their pain 1-2.
Of course as other people mentioned ofirmev is quite expensive and is used sparingly for that reason, the risk of causing liver failure is the same as PO tylenol so the max dose is 4g/24 hour period.
My facility utilizes three pain medications for a patients PRN meds. For example, a post op patient may have Tylenol 650mg PO Q4h for mild pain (1-3), percocet 5-325 q4h for moderate pain (4-7) and percocet 10-650 q4h for severe pain (8-10). This way all the bases are covered.
Where you take the exam does not affect the types of questions you will be given.
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