Latest Comments by Double-Helix

Double-Helix, BSN, RN 38,273 Views

Joined: Apr 5, '11; Posts: 3,480 (55% Liked) ; Likes: 6,974

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  • 3

    The student handbook says an average at or below 74.49 will not be rounded up. It doesn't say that 74.5-74.99 will be rounded up. The handbook doesn't address this situation all. You can certainly inquire to the Dean and ask for policy clarification, but there is still a very good chance they will tell you that rounding graded between 74.49-74.99 is at the discretion of the instructor.

    I'm glad you take ownership for your ooor performance. I suggest you make a concrete plan regarding improving your study habits so you don't end up in this situation again. Best of luck.

  • 5

    Why Peds? Only you can answer that. What draws you to pediatric nursing? Use this forum as a practice interview. Tell us what YOU think. How would YOU answer those questions? We can help you with phrasing or help adjust your responses, but if you go into that interview with scripted responses from other nurses, what happens when you're asked a question you haven't thought of in advance?

  • 0

    Is there any way you could shadow in each role for a day and see what you like best? OR circulating is not for everyone, but some love it. PACU nursing will vary depending on the type of surgical facility. An inpatient PACU that recovers ICU level and pediatric patients will likely be more intense than one that recovers primarily elective, simple surgical adults.

    There is something to be said for no weekends and holidays, but that also depends on your current lifestyle and living situation. If you have children or are planning a family in the near future, for example, there are many benefits to M-F. If your ultimate goal is to travel through nursing assignments, experience in a widely-applicable speciality like PACU May give you more options.

    It's all relative. I'd start by asking to shadow and see what work environment feels like it's a better fit for you.

  • 6
    cayenne06, JadedCPN, ruby_jane, and 3 others like this.

    I agree that this patient, excepting the postpartum status, was an adult trauma patient. This entire situation likely could have been avoided by some open dialogue and by having a postpartum nurse come to the PACU to assist with monitoring for the immediate postpartum complications.

  • 2
    Here.I.Stand and Teachertorn like this.

    These are question you need to direct to your program of interest. How they calculate GOA, what credits will transfer, and how recent your previous courses need to be are all dependent on the individual program. You may find that you are not competitive enough for NYU, but there are many other nursing programs in your area that you may qualify for. You'll just need to do some research.

  • 6

    I'm intrigued, but not threatened. There are many less conplex and more profitable medical professions to automate than nursing. Nurses use far more critical thinking, nursing judgement and therapeutic communication to guide our care than most non-nurses realize.

    Why my patient gets picked up from the unit by a robotic anesthesiologist that takes the patient for a robotic surgery performed without supervision (and indeed one day they may), I'll start to worry about my job.

    I think this quote from your last article link said it best about robots and the nursing profession: "This is one industry where it seems the integration of robots will lead to collaboration, not replacement."

  • 1
    tonicole likes this.

    Quote from Sour Lemon
    Choose your battles.
    Quote from Crush
    You have to choose your battles.
    This is not a battle. The OP simply reported a concern. It's the manager's responsibility to take it from here. Where's the fight?

  • 2
    tonicole and llg like this.

    The responses you get are going to be based on individual experience, history and the culture on your unit. My hospital, for example, encourages reporting all "near miss" safety events when someone could have been harmed but wasn't. Others subscribe to a more "no harm, no foul" mentality.

    The fact is you tried discussing the potentially unsafe behavior with the charge nurse and when she didn't acknowledge your concerns, you reported a situation that you felt was unsafe. Whether everyone here agrees with you or not doesn't really matter.

  • 4

    You used in an invalid credit card. Using the correct card number and changing the expiration date does not make it a valid card. You can't go off about how something doesn't work if you didn't do it correctly.

  • 1
    Here.I.Stand likes this.

    O2 admin may be the percentage of oxygen being administered to the patient. In this case, 21%=room air.

    We'd like to hear your thoughts first. What do you think is going on? Is the pH normal, acidic or alkalotic? Is it compensated or uncompensated?

  • 1
    brownbook likes this.

    Quote from Sour Lemon
    The OP didn't ask "why", they asked "when".
    Following appropriate MD orders and facility policies doesn't make anyone a "monkey" incapable of critical thinking.
    How does one know if orders are appropriate without understanding the rationale behind them?

  • 3

    It might be easier for you to think of implications if you brainstorm some situations where this might come up. I'll give you a couple of examples:

    1. RN is working in an outpatient clinic and a female patient is prescribed an antibiotic for UTI. The patient's medical history indicates that she is sexually active and taking Ora contraceptives. What should the nurse do next?

    2. A teenage patient presents to the ED with vaginal pain and green discharge. Patient states that she is sexually active but "uses protection". The nurse inquires about what protection is being used. The patient reports that she receives Depo Provera injections. What should the nurse do next?

  • 2
    Sour Lemon and brownbook like this.

    Yes, tension or pulling on the line can dislodge it.

  • 7
    poppycat, KelRN215, K+MgSO4, and 4 others like this.

    Unless you clamp the line while you are flushing, you can get a small amount of backflow into the catheter hub or tubing. No, there is no need to change a bag or tubing due to a small amount of back flow in the tubing of a general IV fluid. You would simply flush the tubing into the catheter. If there is a significant amount of back flow and your fluids cannot be flushed/bloused (if you're running vasopressors, for example), you would change the bag.

    In no situation should blood back up past a clamp. If the line is clamped anywhere, there should be minimal backflow at any point in the tubing/system.

  • 0

    Quote from DowntheRiver
    In my state you are not allowed to access ports as a student. I had to learn to do it on the job.
    These are examples to help the OP think of and format goals. OP should obviously choose goals that are within his/her scope as a student.