Care plans- student nursing - page 8

Hi All, How have you been doing with Care Plans? Want to share any comments or opinions? Thanks, Marie:)... Read More

  1. by   FranEMTnurse
    Oh the memory of all those careplans, and how we had to repeat all the former things we learned, and then added them to the new info. By the time I graduated, I truly felt my brain had been traumatized! Although, being an EMT and a CPR-Basic First Aid instructor, as well as assisting in skills training helped a lot. I already had a lot of knowledge of the body systems and medical terms for positioning, and assessing the patient.
    When I think back on it, when we responded to an ambulance call, we were already performing critical thinking and careplanning just by the type of call we had. For instance, if the call was for an MVA, we automatically began to critically think about what equipment we would need. We knew that supplies for an MVA would possibly take the stretcher, the backboard, first aid kit, portable suction unit, o2 tank, BP kit, and cervical collar.
    If it was for a possible AMI or CVA. we would take the BP kit, the defibrillator, the o2, & the stretcher.
    The State Health Dept exam, although it was a written one, they were the same type as those used in nursing school, but it paid off because I did well in school. The thing I didn't like at all, was when the school's DON would patronize me. She would attempt to tell me what to expect when I took the practice exams when I had already had lots of experience with them. UGH!
    The thing I didn't care for concerning the EMT exam was that you were sent a ticket telling you where and when your exam would be given, and then when you arrived at the testing site, you had to sign in. There was no way to cheat, but I'm happy there wasn't. Cheaters don't learn what they really need to.
  2. by   shyne
    Has anyone ever used any careplan guide books? If so what are some that you would recommend for students?
  3. by   FranEMTnurse
    I used

    Nursing Care Plans
    Guidlines for Planning
    and Documenting
    Patient Care

    by Marilyn E. Doenges
    Mary Frances Moorhouse
    Alice C. Geissler

    This was a required textbook for the class of 1997.
    I hope this will be of some help to you. No guarantee though.
  4. by   kat57
    Hi !

    What is a care plan ?! have an idea and I see this all over the BB. Not a student yet but will be entering LPN classes Jan. 04.
    Thanks for the details ! This board is addicting.

  5. by   Vsummer1
    To the best of my knowledge, LPN's do not do care plans, RN's do.
  6. by   FullMoonMadness
    I had to do careplans in my LPN program 15 years ago. Now,in my ADN program, careplans are everywhere. We have to do 3 on every clinical patient that we have, and now, over my 4th of July break, I am writing my case study. It has to have 10 careplans in it, and to get a passing grade I have to have what my instructer calls the first 5 critical plans in priority order.AAGGHH!!.I have several careplan books, but I find that Mosby's is the most helpful. Good luck .
  7. by   Peeps Mcarthur
    I remember asking my instructor innocently "but what about the impending pulmonary condition?" or "shouldn't they get a CBC or at least an ABG to get docs orders for blood or 02?...................uhhh, you mean I should just get them to sit up to assist thoracic expansion there? Where do we write the medical stuff?

  8. by   FranEMTnurse
    Kat57, Fran here.
    You have my sympathies dear girl. All kidding aside, although careplans feel like a nightmare when you first start doing them, they do become easier to do. The hard part is the co-ordinated research as to nursing diagnosis, followed by meds used for the patient's condition, their action on the diagnosis, then at least three tests that relate to the diagnosis, and finally, plan of action, interventions, and outcomes. All at least three.
    In my class we even had to post Maslov's Heirarchy of Needs.
    The knowledge you gain from them is worth the effort put into them in the end, because all healthcare personnell use the plan, even if they don't realize they're doing it. But you do become very familiar with the diagnostic tests, signs and symptoms, treatments, etc. after you're finished.
    And once you're out there in the world of nursing, you'll see how they work and how they're used.

  9. by   FranEMTnurse
    I agree with you. We do learn more than we realize when we're doing them, even if they do take forever to do. I have to admit though, toward the end of my school year, I was able to put a careplan together in 45 minutes, as opposed to 24 hours in the beginning, and sometimes we had 2 exams on the same day, other times we had an exam the day a careplan was due, and some days we had to take our exam right after the shift ended in a room where we were doing our clinical rotation.
  10. by   FranEMTnurse
    I don't know where you ever got the idea that only RNs do careplans, but all nurses have to carry them out. The RNs just do the initial assessments, (unless you're working in a longterm care facility where LPNs are in charge) and are a part of the team that creates the care plan. That team also includes the MD.
  11. by   FranEMTnurse
    In all reality, Peeps, your comments are unfortunately very appropriate in today's health insurance, hospital healthcare administrination, malpractice lawyer outcome world. I always did feel like we were in la-la land with the Teletubbies when we were forced to carry out all the unreal textbook stuff in clinicals. In fact, one of our instructors was very much against the textbook method, because it didn't apply to modern healthcare. She would often quote, "This is the (textbook) way you have to perform thus-and-such task, but in the REAL WORLD, blah, blah, blah!
  12. by   snackLady
    I certainly agree with the fun you have doing care plans... I just love staying up and getting 3 hours sleep doing all that work and finding out your patient was discharged or your instructor didn't think it was important to tell you the patient is MRDD or comatose. Yeah!! Not to forget looking up 20 to 40 meds to memorize to do med pass. The thrill of it all!!!
    Lucky for me i graduate LPN this june 2007. The light is near :hatparty:
  13. by   Daytonite
    hi, snacklady!

    this is a very, very old thread. if you are looking for help with care plans please refer to the help you can get on these two more current threads on the nursing student forums:
    welcome to allnurses!