El Centro students Spring '06 - page 197

i know some of us have received our letters so i was wondering who else i will be making this journey with for the next 2 years. :wavey: my name is allison shaffer and it's nice to meet... Read More

  1. by   LKG6
    I have never heard ineffective protection so I had to check my Ackley book. I would put ineffective protection, risk for impaired skin integrity, risk for falls and death anxiety as last one because that is psych issue.
    But:
    I am not sure if you can put ESRD in your dx since we cannot use medical dx, right? The same with ovarian cancer. I usually put: r/t disease process instead of the med.dx.

    If your instructor is big on proper nursing diagnoses then you need to put:
    protection, ineffective
    skin integrity, impaired, risk for
    falls, risk for
    anxiety, death

    What do you think?
  2. by   Fun2, RN, BSN
    I think you would put 'Ineffective protection related to inadequate calcium absorption, secondary to End-Stage Renal Disease".


    As far as ineffective protection, I've never heard of that one either...guess I'll look it up. (May use it sometime..haha)




    (I usually don't put an AEB on the DX column, but I have seen others who do.) My only AEB is on the Goals section.
  3. by   Spill
    Thanks girlies---you rock! I appreciate the input.

    Yeah, I use the online Ackley Care Plan generator A LOT!!!!!! That is exactly where I found the ineffective protection, and I have never heard of it either, but hey- I'll use it!

    Mrs. J. requires us to ALWAYS use a 3 part RN DX.
    So she wants us to have ex:
    alteration in comfort r/t surgical intervention as evidence by facial grimacing;
    so maybe I should take out the actual medical dx- just in caes.

    I hate doing nursing care plans! I understand why we need to know how to do them, because it all really ties your care for your specific pts problems all together! Its just so time consuming! and I hate paperwork!
    Last edit by Spill on Oct 6, '07
  4. by   JaxiaKiley
    Hey --

    I'm trying to work on my pathophysiology statement for a c-section. Anyone have any good resources?

    Thanks!
    ~Jax
  5. by   LKG6
    Quote from JaxiaKiley
    I'm trying to work on my pathophysiology statement for a c-section. Anyone have any good resources?
    As I remember I used my textbook to fill out the patho statement.
    Last edit by LKG6 on Oct 21, '07
  6. by   Spill
    I also used Wong for C/S...but I sometimes use Wikepedia for online help sometimes.
  7. by   LKG6
    I had my first ICU clinical yesterday. It was an amazing place. It was also scary. It was my first time seeing a pt intubated on a vent. I didn't know this pt but when the family members started crying I almost did the same thing. :uhoh21: Do ICU nurses cry a lot?
  8. by   mysterious_one
    How many days do you get to stay on ICU,Katey, does everyone in 4th semester gets to do ICU? That must be so interesting. Our instructor will let us observe one day in the ER and ICU this semester.
    I had my telephone interview with Charlton methodist for the externposition today, phew..........
    They sure ask a lot of questions, I thought it will never end :spin:. I will have face to face interviews with the managers of L&D and postpartum next week. Wish me luck, I know they don't have as many position as they had in the summer. So I sure hope I will get one.
  9. by   Fun2, RN, BSN
    I'm sure there are some families you get a little more attached to, but they definitely have to be strong!!
  10. by   LKG6
    Quote from mysterious_one
    How many days do you get to stay on ICU,Katey, does everyone in 4th semester gets to do ICU? That must be so interesting. Our instructor will let us observe one day in the ER and ICU this semester.
    I had my telephone interview with Charlton methodist for the externposition today, phew..........
    They sure ask a lot of questions, I thought it will never end :spin:. I will have face to face interviews with the managers of L&D and postpartum next week. Wish me luck, I know they don't have as many position as they had in the summer. So I sure hope I will get one.
    Those who had preceptorships worked on one floor this semester. They were on medsurg floors or in ICUs.
    My clinical instructor lets us rotate. Everyone gets some days on medsurg, tele, ICU, ER. We may get a chance to spend a day in L&D and postpartum, too. My instructor is flexible and lets us do our stuff.
    Good luck on the interview.
  11. by   Fun2, RN, BSN
    Quote from mysterious_one
    How many days do you get to stay on ICU,Katey, does everyone in 4th semester gets to do ICU? That must be so interesting. Our instructor will let us observe one day in the ER and ICU this semester.
    I had my telephone interview with Charlton methodist for the externposition today, phew..........
    They sure ask a lot of questions, I thought it will never end :spin:. I will have face to face interviews with the managers of L&D and postpartum next week. Wish me luck, I know they don't have as many position as they had in the summer. So I sure hope I will get one.

    Good luck, mysterious_one.
  12. by   JaxiaKiley
    Good luck on your interview!!
  13. by   mysterious_one
    thanks everyone

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