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ktliz 10,050 Views

Joined: Nov 24, '06; Posts: 383 (34% Liked) ; Likes: 259
from US
Specialty: critical care

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  • May 18

    My take on USA--
    The tuition is cheap and the application process is highly simplified. Most likely, there are many applicants who are not cut out for graduate study, especially online where you are expected to take the burden of learning upon yourself. I wouldn't be surprised if USA admits these lower quality applicants, takes their money, and then weeds them out. I saw this in my undergraduate program as they increased the size of the nursing class. Those who weren't cut out for it spent a lot of time complaining about the program. Actually, some of those who WERE cut out for it spent a lot of time complaining, lol. Some people just expect things to be handed to them, and are unable to adapt in the face of change. You need to be flexible to get through any kind of nursing program.

    I'm starting the CNL program at USA this summer. Ask me again next year what I think of the program, lol.

  • Jan 9

    I am almost a new grad (6 more weeks!) and I definitely find this confusing. Here is my understanding; someone please correct me if I am wrong because I have been struggling to figure it out!

    Lethargic: Sleepy, slowed thought & speech but still oriented, minimal movement, falls asleep but can be roused with light stimulation (ex. saying the patient's name or a light touch)

    Obtunded: Sleeps unless stimulated vigorously (loudly repeating name, painful stimuli), not very oriented, maybe says a word or just mumbles

    Stuporous: Doesn't wake up despite vigorous stimulation, only withdraws from pain

    Coma: No response to any stimuli, including pain

    Also, your use of the term "arousal" here is incorrect. It would make more sense to just say "the patient is awake" or "alert."

  • Jul 14 '17

    I am coming up on one year as a new grad in the ICU. Here is what helped me-

    In the beginning, I kept a journal, and would write an entry after each shift. It included things like 1) what I learned that day 2) things I wanted to look up to learn more about 3) what went well 4) what I could have done differently 5) goals for my next shift, etc. I did this for a few months before it fell by the wayside.

    My greatest resources were and The ICU Book. I read both of these basically beginning to end. The ICU Book is geared toward med students/residents, so there are some things that are not relevant to nursing that I skimmed over (physics equations? No thanks!) Other than that, it's a pretty easy read.

    Our unit uses a Kardex aka "brain sheet" for each patient. The previous shift RN updates the kardex then makes a copy for the oncoming RN that you can then write on during report. I would highly recommend coming up with a sheet like this if your unit doesn't already use one. Once I went to nights, I also came up with my own "night shift brain." It is half a sheet of paper that i tape in front of my computer at the beginning of the shift. It is basically just a checklist of everything I need to do during the shift for each patient, so I don't forget things like daily weights, updating care plans, entering I&O, etc. It also has a space to jot down notes for each patient as i think of things through the night (ex. "Needs bowl regimen," "cath lab at 0800"). Oh, and it has each hour listed and i just circle the times when meds are due. The kardex stays folded in my pocket as a resource, but I run my shift off of that paper taped on my desk!