kayvary

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1. Feeling Overwhelmed & Incompetent

   kayvary replied to newgradpedsnurse's topic in New Nurse

   I feel the same way as you, I'm still on orientation but everyday when I go home I obsess over things I should have done differently. Though I do feel like the whole npo thing isn't a problem, I've noticed most surgeons order "npo except meds" so it...

2. Using judgement, med parameters

   kayvary posted a topic in New Nurse

   I am a new grad on orientation and I already know I am going to be posting on here a lot. My first question to those with more wisdom... I had a patient who had IV BP medication ordered every 6 hrs for SBP > 160... It was NOT prn but was specific...

3. Lead Placement for 12 Lead

   kayvary posted a topic in Cardiac

   I am looking at a picture in my book for the placement of electrodes for a 12 lead ekg and it only shows 10 leads! But it specifically says 12 lead ecg, which I always assumed meant 12 electrodes. There is 1 on each wrist, 1 on each ankle, 5 on the...

4. After Hypoglycemia

   kayvary replied to kayvary's topic in Student Assist

   Thank you for the responses. This happened in the morning around 7:30 am - the patient already had his breakfast in front of him but I did later find out his appetite hasn't been good lately but we were still using the same sliding scale on him that...

5. After Hypoglycemia

   kayvary posted a topic in Student Assist

   I was at the hospital today and had a diabetic patient who I gave insulin to according to a sliding scale. The glucose was high, almost 400. But later on the patient was cold clammy and unresponsive. The glucose was so low the meter couldn't even ...

6. Passed NCLEX-RN on third try!

   kayvary replied to NurseJTG's topic in NCLEX

   Congrats! Thanks for sharing your story

7. Elderly post-op delirium/disorientation

   kayvary posted a topic in Student Assist

   Hello. I need to pick a topic on post-op complications. A lot of people are already doing pneumonia, incision infections. I recently encountered an elderly patient whose baseline is a&o x 3 who, 2 days after surgery pt started becoming disorie...

8. ACNP/RNFA salary negotiations

   kayvary replied to kguill975's topic in NP

   Hello, I am not an NP but I stumbled across this thread while researching info about RNFA's. The AORN website has a salary survey from 2012; only 3.4% of the survey respondents were RNFA's so it was roughly 82 RNFA's that responded and they report a...

9. IV Infiltration and Other Problems

   kayvary posted a topic in General Students

   I have a question about IV infiltration. I saw a patient who had IV fluids running. The IV was in the forearm. The hand was swollen and cold. I have only learned about edema happening at or above the site of the IV, not below. When the IV was fl...