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Thank you for all of your comments. This advice was really helpful. I do value the practical experience thing because it is the only way one can actually make the theory useful.... Without...

I've got a question about preceptorship... I've often heard that a preceptor prefers a preceptee who "does not act like he or she knows everything." But... how do I strike the right balance? ...

I feel so down about my preceptorship and need some motivation/guidance! How is it possible that I've done so well in all my clinicals, and now I'm told that I am at risk for failure? I'm so...

Have you heard about the street nurse Cathy Crowe? She's a Canadian nurse who has advocated for social justice and who is very inspirational. Check out cathycrowe.ca if interested :)

I feel so down about my preceptorship and need some motivation/guidance! How is it possible that I've done so well in all my clinicals, and now I'm told that I am at risk for failure? I'm so...

How do you manage thirst? I've been swabbing the patient's mouth with ice water and then suctioning. Can you ever swab without suctioning? For example if the mucosal glands are extremely dry and...

Thanks for the feedback... While I agree that all nurses should work nights, sometimes the short turn arounds are unhealthy. I will have to wake up at 2 am on Friday to make it to the conference...

Is this something that I should be able to do? - Go to a critical care conference from 7am to 1630 on a Friday in another city with 3 hours total commute time - Then go to clinical for the night...

My patient is supposed to be extubated today, and I was looking for nursing research or review articles on how to best care for the extubated patient (I'm on night shift). I haven't found any info...

Thanks for the advice. This has been helpful, and I will try to look at the bigger picture here. It can be confusing when, in all my other clinicals, I have been responsible for documentation and...

I'm concerned about the 2 very different approaches that my preceptors have. By the 2nd day, my first preceptor wanted me to do almost all of the patient care and documentation, as well as...

Is this mainly for metablic acidosis? Or also for respiratory acidosis? Or both? My drug guide says metabolic acidosis, which makes sense since bicarb levels are lowered in metabolic acidosis. ...

What is the best way to position a patient who has CHF and pneumonia, which is more pronounced @ the right lung? To help with the pneumonia, side lying on the patient's left would be optimal to...

Thanks for all your replies; they have been very helpful. This explains why I didn't get her question right when she asked me about the "coarse" breath sounds. Do you think it would sound rude if...

Thanks for the feedback - yes I am definitely nervous!! I'm also trying hard (probably too hard) to not act like a "know it all" with my preceptor as I heard that preceptors do not like this.... ...

My preceptor has used a new term that I am not familair with. "Coarse" lung sounds, which are NOT the same as crackles... Coarse lung sounds indicate secretions whereas crackles indicate...

In school and clinical, I usually can communicate just fine! However, I just started my ICU preceptorship, and my words are not coming out normal.... Everything that I want to say is getting mixed...

When repositioning the patient, he/she has extreme anxiety, is hyperventilating, and has an elevated blood pressure. However, the SpO2 does not drop. Regardless, the oxygen demand has increased... ...

Thanks for all the replies - I feel much better now about asking questions on this site. As long as everything is generic, I should be ok! :)

Do I need to be worried about posting questions on here about patient care? Could confidentiality be breached on this site? How should I safeguard??

Thanks for all the replies. I can see the importance of providing pain meds before turning the patient, but the pt is already getting a fentanyl drip, titrated to the highest ordered level. Also,...

Hi, I've been looking for some literature on how to reduce anxiety/desats during repositioning. Just wondering... as I have to place the patient in the supine position for several minutes when...

Totally normal to feel that way! It's also normal to be a little dyslexic and answer the odd question wrong even when we know the right answer! Don't beat yourself up. There's probably lots of...

Don't give me 4/5 on my writing ability for a single minor edit on a 10 page paper. Other instructors have given me exceptional grades for my writing, and this mark makes zero sense. Maybe 4.9/5...

I'm starting the ICU pretty soon: Rotating from days to nights and back again. I rely on a good night sleep and am known to go to bed by 8 or 9 every night, rising by 3 or 4 am the next morning. ...