Queen216 1,049 Views
Joined: Apr 13, '08;
Posts: 17 (35% Liked)
; Likes: 44
That is totally not true. First of all we stopped using ATI last semester. The process of being accredited is to benefit the students, not the staff. Usually the negative comments are from people who don't put in the time needed to succeed.
I took mines and did fine. Don't over do with buying the book and discussing the test. It will only get up ruffled, and confused.
**** Remember the answers are in the question, especially science.
I agree, you should focus on. In no particular order...
1. Breathing.... rate, and quality. rate at rest and rate when active. Do a lung assessment (it doesn't hurt as my instructor once told me. LOL)
2. I/O .... I/O .... I/O.... She is on lasix. Are they working? SAVE THE PEE PEE/ MEASURE THE PEE PEE.. LOL Again listen to lungs... also wil tell you if kidney function is impaired
3. Blood pressure... Fainting, lightheaded.... I'm thinking, moving too fast for bp to adjust or orthostatic hypotension. Or dare I say, internal bleeding?
4. LOOK AT THE SURGICAL SITES (thats why hospital gowns are easy access!) Are and signs of inflammation or infection present?
5. Is the ABD distended?
**** Just a little lesson I learned, "a full bladder, will cause trouble"
agree with queen216. sounds like she might be going into CHF. she's obviously volume overloaded. i'd put her on oxygen, get a set of VS, and listen to her lungs. also, i noticed there was nothing mentioned about her breathing pattern. if she' in CRF, is she responding to the lasix dose she's getting? if her pain wasnt well controlled early on post op, she probably had atelectasis that didn't improve. She might also need some aggressive pulmonary toilet.
where do you live?
Call her on her BS. Or call inspector and have the placed cited.
I believe for difficult patients EVERYONE should share the chore. It's only fair.
She sound like the dizziness can be attributed to CHF. I'm surprised nothing in your post contained getting a BP. What was the sound of her lungs? Wet? I would not suggest complete bedrest for a post/op patient that can ambulate. Slow and steady carry o2 and a w/c whlie walking. There is so much I would be doing.
That was so sweet! Bless you!
save money! pass your classes the 1st time. study.
It's wonderful that you took the time to listen to this patient and she was able to no longer need the sedative.
However, it was a medication that was prescribed for a reason. Had you not been able to deescalate the situation, then it's there. The nurse was giving you a reasonable amount of time to talk to the patient. I can't see how this is cruel or mistreating this patient.
I'm glad that this patient experienced some closure and is recovering. The time you took to sit with her changed her life.
Congratulations you just did a psychiatrist's job for 1/10th of the pay!
I'm still a nursing student, and I was work as a nursing assistant. But I hope I don't lose my compassion, as I see a lot RNs do. Not because they don't care, but because of the circumstances.
I usually NEVER stop the "syringe of silence". I'm usually like , but something was different about this lady. PLUS, since when would a nurse listen to a nursing assistant float? Something moved and aligned that day...
I was assisting with a patient at work. She was a 'attempted suicide' so she was under 24 hour companion monitoring. That means she was not allowed to be alone, so she would not harm herself. Since the floor was understaffed guess who got put with the woman? Yup, me. Personally, I don't like suicidal patients cause they tend to, "Want others to feel the pain" that they are feeling.
So I sit there quietly, and let her go thru all of the screaming, crying, insults, etc... After all something happened in her life so terrible, that it drove her to end her life, or at least try. Well, I guess she was too loud and the nurse comes in with the "syringe of silence". Medical people know what that is, but I said, "No, let me talk to her" Can you believe the nurse told me, "You have 5 minutes" ***! Then she says "good luck, she won't even talk to the Psychotherapist. "
Anyhow, I start talking to her. Of course she does the blank stare into space. Then I asked her, "you have any children?" Then a switch came on. She said "3", her records have 2. I asked their ages and she said "4, 3, the oldest is 6 months" Now I'm like "you mean the youngest?" She said "no, the oldest, he died."
So long story short. She had a photo album of her son that died and never looked at like it since his death. She said she forgot how he looked, smelled, etc.. because she tried to block it out. Turns out her scumbag boyfriend removed the album, because he wanted to start a new family, and didn't want her past to interfere. So she freaked out and figured she would kill herself to see her child again. That's not the end...
One week later she is still in the hospital and I'm on the floor. She sees me walk past and calls me in the room. She is beaming!!!!! No companion!!!! She tell me she is going home today, and she is glad she saw me, cuz she wanted to say thank you. I go into, it's no problem, etc.... She said "No, they wanted to knock me out, and you wanted to listen, I appreciate that" Then she tells me this beautiful story.... *gets kleenex* When I left she fell asleep and dreamed she was walking thru a elementary school and she couldn't figure out why she was there. For some strange reason 'room 221' was the room she was sent to. She goes to the room and it's a class of 1st graders. She opens the door and the teacher says, "Evan, your mother is here" At that point a little boy runs up to her and hugs and kisses her. The little boy is he son that passed, and 221 is his birthday, and he would have been 6 and in the 1st grade. She he told her he is a big boy now, "they" take good care of him there.
She then says "I couldn't remember my baby cuz he is a little boy now". She said she smelled his scent again...... She said some more things and we talked for a hour, but I just had to share that story....
Sorry for the typos, I was tearing up typing this
Get some gum and chew it just like she is. Smack for smack, even pull it between your teeth and twirl it around your finer and re-eat it. Or you can always put a specimen next to her. That always worked for me.
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