Content That mc3 Likes

Content That mc3 Likes

mc3, LPN 11,319 Views

Joined Jun 20, '05 - from 'AZ'. She has '12' year(s) of experience and specializes in 'various'. Posts: 975 (51% Liked) Likes: 1,597

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  • Jun 26

    Aerosmith - Back in the Saddle - YouTube


    Okay, not entirely since my back still sucks, but still... I've gotten my lazy brain wrapped around hosting this shindig for a good go-'round. How are you all this week?

    It's been a weird few weeks. Well, to be fair, it's been a weird few months, but for the purposes of the here and now, WEEKS. Brexit googling, Scotland succession, and the Donald re-establishing that Americans can still win the "who can look more ridiculous" contest. The best episode of anything ever in existence came on HBO last Sunday at 9 pm, and the memes that resulted were actually disappointing. (Except for one of a pile of dog poo alluding to a character returning in season 7.) I got a mosquito bite on the bottom of my foot. (Might be the worst spot ever.) What have I learned???


    Boy Child got Rocky Mountain Spotted Fever (RMSF).
    A pediatric hospitalist made me realize that if I ever travel outside my geographic area and provide care to patients, I should learn the epidemiological trends of that area.

    Never, EVER ignore petechiae on the feet. It is relevant to the differential, especially on a child.

    RMSF is reportable to the CDC, and from 2000-2010, there were 2,000 total cases reported per year.

    The typical presentation of RMSF is fever, then rash, with a recent tick bite (1-2 weeks prior). The rash will be flat, pink spots, and sometimes blanchable. It will begin in limbs and move toward the trunk. Later in rash development, petechiae will appear on the hands, feet and ankles. If the petechial rash develops, it's typically several days (up to a week) after fever onset.

    RMSF attacks vital organs, including the heart and brain. Boy Child's first BAM! symptom was syncope. I did't see the petechiae on his feet until we were at the hospital. There, we also noted sinus tachycardia and alterations in mental status.

    Unfortunately, not everyone gets the rash.

    In the 1940s, around 28% of those who contracted RMSF died. In the 2010 data, 0.5%. (Doxy is a helluva drug!)

    In other news...

    Post op after spinal fusion requires more patience and endurance than I think I have.

    I don't know how to make my pool water clear.

    The sun burns shock off a small pool way too quickly.

    I miss work, but I don't know if I'm actually recovered enough to go back.

    Littlefinger is still a creepy effer.

    If AN ever decides to censor eff, effing, effer, or effed, I will be a sad, sad ixchel.

    I added the link at the bottom of this days ago and can't remember what it is. We'll be learning this together.

    Zachary Quinto performs George Michael's "Freedom! '90" (with Cindy Crawford) | Lip Sync Battle - YouTube

  • Jun 26

    I posted this request last night:

    Okay, I'm going to put my moderator hat on...

    The original poster is asking if anyone has successfully challenged the board to become an LVN in California. Let's tone down the back and forth rhetoric about why nursing school is superior to challenging the board. We're beating a dead horse, and it is not as if the commentariat is going to magically change peoples' views.

    Thanks in advance, Peeps.
    Apparently, the request has been ignored. This thread has devolved into a back-and-forth game of one-upmanship and has outlived its utility. The dead horse is not only beaten, but it is also decaying.

    Thread is now closed.

  • Jun 26

    Okay, I'm going to put my moderator hat on...

    The original poster is asking if anyone has successfully challenged the board to become an LVN in California. Let's tone down the back and forth rhetoric about why nursing school is superior to challenging the board. We're beating a dead horse, and it is not as if the commentariat is going to magically change peoples' views.

    Thanks in advance, Peeps.

  • Jun 26

    Quote from mc3
    I really want to get a handle on the # of visits a student makes, and the reason.
    Could you just make it a simple spreadsheet on Excel? You could log visits by making a daily log, then if you wanted to see how many times a student came in during a specific time period you could just "ctrl F" search for that name throughout the spreadsheet and count it up.

    If you (or someone you know) knows a little more than basic Excel you can even format the spreadsheet to be sort-able by patient name, visit reason, date, etc... all at the click of a key.

  • Jun 24

    Quote from TheCommuter
    The California BVNPT allows CNAs with 54 months of a specified experiential background to challenge the board to become an LVN. Therefore, one does not need to graduate from an approved program to become an LVN in California. I wrote about the process several years ago:
    That's actually really scary.

  • Jun 24

    A second nurse is a home run.
    Many of us have waaaay more students than 1000. You will be fine. Remember, these are not ill "patients" but primarily healthy students.

    Your years of experience will serve you well.

    Welcome! This forum is CHOCK FULL of info. Because of our more solitary nature of job, we are very close here, support each other, stick up for each other, and laugh together.
    I wouldn't trade these men and women for anyone else here. They have ranked up with some of my best co-workers in words of wisdom.
    No question is lame or dumb.

  • Jun 23

    When does a student become a frequent flyer? When they walk into my clinic, and before I can open my mouth, say the following all in one big breath:

    "I have a headache and a stomach ache and I feel dizzy. I cannot cannot concentrate in class so my teacher sent me down. No, I did not feel this way until I got to school (Hence parents unaware). Yes, I ate breakfast this morning. Cereal and a banana. Yes, I have been drinking PLENTY of water. No, I have not had any diarrhea. No, I have not puked yet.....BUT I threw up a little in my mouth. (Oh and btw) My Mom and Dad are at work but you can call my big brother to come and pick me up!"

  • Jun 23

    I'd get out. You can't change toxic workplaces by staying and playing nice.

  • Jun 22

    Quote from Blue_Moon
    I see between 30-40 kids a day and I only refer to a dr/np maybe 2-3 a week. We can provide transportation to one of our health based centers if needed but with 2 urgent cares closer many just opt to go there. I understand what you're saying but it's already been researched and done the best way that will work for school districts.
    THIS. As a school nurse, I can tell you most of what I see in my office does not need to be handled by a NP. I see anywhere from 30-60 kids a day,a good chunk need a check-in/reassurance/water/feminine supplies/scheduled med.

    I think every school should have a school nurse to assess (which we don't have), but not every school needs a NP. Nurses are used as triage in many areas of health care, including schools. It works well. Not to mention the cost. School nurses are generally not paid well, usually much less than many other areas of nursing. I don't think my district could afford to pay a NP full-time.

  • Jun 22

    First you tell us NP's should replace doctors, now school nurses, what's next?

  • Jun 16

    Quote from mycsm
    student comes in and says,,can you wash my hair I have a lot of gel in it from field day yesterday? I asked if he showered this am before school, Nope, I got up late. Nope, you can go back to class and you can take a shower when you go home. he said "seriously?, your not gonna wash my hair".
    I gently said, no, I am a nurse not a hair stylist.....go back to class, OR I can ask your parents to leave work and come in and wash your hair, he said no, they are working I don't want to bother them....

    Let's all remember that this kid needed to get permission to come see you for this also... :eyeroll:

  • Jun 9

    I must be in a good mood. Sent 3 home today, kids who I haven't seen all year and not feeling great, but no definitive symptoms to say yes. Golden ticket day here.

  • Jun 2

    Sue on what grounds? That you used poor nursing judgment because it was your last day and you wanted to get out quickly?

    I really would like to hear the other side of this story - it just doesn't add up. If you were as stellar of a student as you say, I doubt that one instructor could get you thrown out.

  • Jun 2

    My first question is- what text book is your INSTRUCTOR teaching from? That's the book that you should be using to study for the exam, as that's where the information will be based. The Saunders book may be good for NCLEX prep, but I doubt it is covering the exact same material in your syllabus.

    Second, as your instructor if you can sit down with your exam and go over the questions that you got right and wrong. Evaluate what kinds of questions you're getting wrong and see if you can identify why. Did you not understand the content? Did you fail to prioritize correctly? Do you understand the concepts but fell down on applying the information in critical thinking situations? This might help you see where you should focus and adjust your study techniques.

  • May 25

    Chest pain, diaphoresis, shortness of breath, feeling that death is imminent, pleading for mercy, bargaining, dizziness, flushed face, twisted limbs, the drama THE PAIN!!! HAVE MERCY!!!

    The new season of Chicago Med???

    No, the school health office during the week of practice for the k-5 track meet.