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Care of mothers with babies in intensive care

from Elvish - I work at a facility with a level IV neonatal intensive care unit (NICU) and it's my estimate that roughly (this is purely a guess) one-third of the mothers in my care have delivered babies that are in the NICU for whatever reason. Some of their physical assessment may be different (not by much) but the emotional aspect of their care is far...
Last Reply by midnitelpn Jan 30 10:32 AM   7 comments   1,816 view

Writing Multiple Choice Test Items - Part Three: The Application Question

from VickyRN - Application reflects the ability to use learned concepts, rules, methods, or theories in new situations. This includes the application of basic principles or procedures in patient-care encounters. Questions asking students to solve nursing math problems, determine the most appropriate action, or verify the correct step in a nursing procedure...
Last Reply by VickyRN Jan 23 08:38 AM   No comments   2,132 views

Writing Multiple Choice Test Items - Part Two

from VickyRN - Here are some examples of questions (concerning diabetes) written at different levels of Bloom's Taxonomy. Can you see the advancing level of difficulty? Knowledge question The nurse is monitoring blood glucose levels for a client who has been newly diagnosed with type 1 diabetes. Which of the following ranges represents a normal...
Last Reply by Medic2RN Jan 19 08:59 PM   2 comments   957 views

How EMS impacts our care of patients in the ER

from traumaRUs - EMS is our partner in crime so to speak. They bring us the good, bad and the ugly. The care that EMS starts is the care that we continue. What they do on the street directly affects what we do. I've been an IL-licensed pre-hospital RN for almost 10 years now on a rural EMS squad. I'm also an advanced practice nurse in a community ER. Along...
Last Reply by helicoptergal Jan 14 10:27 PM   7 comments   1,060 view

What is Parish Nursing

from tnbutterfly - The Parish Nurse plays an important role in spiritual care in the healthcare setting as well as in the home and community. Parish nursing, a relatively new nursing specialty, focuses on promoting health within faith communities, ministering to the parishioners’ physical, emotional and spiritual needs. Far more than just “a nurse in the church”,...
Last Reply by tnbutterfly Jan 10 12:48 PM   No comments   614 views

Writing Multiple Choice Test Items – Part One

from VickyRN - You, the nurse educator, must compose 50 multiple choice test items for your course content. You don’t trust the test bank questions, as some of these are being sold over the Internet. Also, you want questions that most accurately represent what you have presented in class. Here are some tips on successful item writing. In writing quality...
Last Reply by VickyRN Jan 07 03:25 PM   No comments   1,641 view

Late Preterm Infants (Part 1)

from Elvish - Late preterm infants present a special set of challenges for the field of maternal-newborn nursing. The Association of Women's Health, Obstetric, and Neonatal Nurses (AWHONN) defines a near-term infant as one born between 34 and 36 completed weeks' gestation. While still considered premature, these infants are often under the care of a well-baby...
Last Reply by jillianrae Jan 07 05:52 AM   1 comment   711 views

Long-term antepartum care in the hospital

from Elvish - Care of the antepartum patient that's on your unit for an extended length of time can be a huge challenge, both for staff and for the patient. These are women who, for whatever reason have a pregnancy complication that cannot be managed on an outpatient basis. Diagnoses can range from preterm labor to premature rupture of membranes to placenta...
Last Reply by Elvish Jan 06 06:41 PM   8 comments   1,777 view

Late Preterm Infants (Part 3)

from Elvish - Apologies for the long hiatus! I have not forgotten that we were last on the subject of late pretermers and hyperbilirubinemia; this time it's late pretermers and breathing. Obviously, one can't survive extrauterine without oxygen-carbon dioxide exchange in the lungs, whether by natural respiration or mechanical ventilation. There is never a...
Last Reply by Elvish Dec 16 09:16 PM   No comments   421 views

Late Preterm Infants (Part 2) - Hyperbilirubinemia

from Elvish - This next entry deals with hyperbilirubinemia and jaundice in the late preterm infant. Just to recap, late preterm as defined by AWHONN is an infant born between 34 and 36 completed weeks' gestation. During the antenatal period, fetal hemoglobin levels are necessarily higher than postnatal. Increased hemoglobin is needed to carry oxygen from...
Last Reply by Elvish Oct 14 03:12 PM   No comments   650 views

LNC Marketing Ideas

from sirI - Diligent and professional marketing to the attorney-client is crucial to the success of the Legal Nurse Consultant (LNC). Many nurses are lacking in this area. Let's start with some basics. 1. Create a letter of introduction and mail to prospective attorney-clients. Start off by sending at least 20 every week. Then conduct a follow-up phone...
Last Reply by sirI Oct 06 02:12 PM   No comments   514 views

So What Does The Word Cultural Mean

from madwife2002 - 1.the quality in a person or society that arises from a concern for what is regarded as excellent in arts, letters, manners, scholarly pursuits, etc. 2.that which is excellent in the arts, manners, etc. 3.a particular form or stage of civilization, as that of a certain nation or period: Greek culture. 4.development or improvement of the mind by...
Last Reply by madwife2002 Oct 05 03:53 PM   No comments   389 views

Communication Continued

from madwife2002 - Daily I have some communication problems, there is an increase in these problems when I speak on the telephone. Face to face people tend to do better as they look for the non verbal communication signals. I always know when people are not understanding me, a 'look' comes on their face and I can almost read their mind 'Oh she's not American" "now...
Last Reply by madwife2002 Oct 05 11:36 AM   No comments   368 views

Barriers to Communication

from madwife2002 - The communication process encompasses every single part of our daily being. The use of both verbal and non-verbal communication is the very basis of how we converse, both on a personal and on a professional level. What is Effective Communication? In order to facilitate effective communication, one must understand how the process works. In its...
Last Reply by madwife2002 Oct 03 12:15 PM   No comments   1,786 view

Day One

from madwife2002 - Hi I am here to discuss the trial and tribulations of being born and trained in one country and making the long journey to live and work in another. I thought of several titles one being 'from novice to expert then back again to novice' but decided that maybe a title with a law suit attatched! Then I realised this was a personal blog to me so...
Last Reply by madwife2002 Oct 02 10:22 PM   No comments   381 views
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