Latest Comments by dmiller77

dmiller77 792 Views

Joined: Jul 15, '08; Posts: 9 (56% Liked) ; Likes: 11

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  • 0

    I would just disclose it. Chances are that they will send you a letter asking why you were fingerprinted, and you will have to tell them anyway. As it was expunged, it is still up to the discretion of the board whether or not they will use it as a factor in deciding whether or not you get your license. They have access to the same information that the IL BON has, and they will find it. It's better to be honest and fess up. Not disclosing could be the difference in whether or not you get your license. In my state (KS) people have had license denials for much less.

  • 5

    First, I want to say that you are doing a great thing. You are there for these patients, and that is wonderful. You're doing pretty good without any advice.
    I work in a mental health treatment facility, so I deal with people who are anxious and suicidal. Sometimes, there is no right answer. It won't matter what you say. I guess that the biggest thing is to really consider that person's feelings. Never say "I understand" because you really don't. Never say "just relax" because that sounds to them like "you are overreacting, and you need to stop making a fool out of yourself" Never say "things will work out" because that sounds dismissive, like you weren't listening,
    So, now that I have said all of the things not to say, here's what you can do. Ask open ended questions. Like "how does that make you feel", or "what can I do to help you?" I know it sounds stupid, but you get off the hook if you feel like you might say something dumb. Plus, it gets them talking. Secondly, listen, listen listen! Sometimes you don't have to say anything at all. Sometimes people just want to be heard. Third, don't ask "Why?" Why questions make the person feel like they are being interrogated, or that they shouldn't feel the way that they do. Fourth, show empathy, Think about all of the situations that you were in and put yourself in the other person's shoes. What would you have wanted someone to do or say?
    Sometimes, you might need additional help. Let one of the Aides or Nurses know that the person is talking about suicide or hurting themselves. The tips that I have given fall under Therapeutic Communication, and I just scraped the surface. If you ever get to watch nurses or aides deliver care, pay attention to the ones that have a good rapport with their patients. They might be able to give you some tips too.

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    I knew a Jamaican lady who had named her son Y'majesty Highness. I kid you not. Her daughter's name was Heaven.

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    We fought over this question in our Kaplan review. It is fluids. You need the fluids to expand blood volume and make the blood less viscous. This is just an example of a question that is trying to steer you away from always answering oxygen, oxygen, oxygen.

  • 1
    ggmugsy likes this.

    When doing care plans, you have to go with the most pressing need. I would say fluid volume deficit r/t nausea and vomiting. Usually, fluid volume deficit takes precedence over all other diagnoses.

  • 0

    Quote from Kevsab7
    ok thank you but I have a Question is ORIF a Medical diagnosis? or would the medical Diagnosis be "fracture hip" then the interventions would be Open Reduction Internal Fixation??? Do you know what i mean?
    If you do know what I mean, any ideas for Nursing interventions?
    First off- your nursing diagnosis and interventions include nothing from the medical side of the house. So, take anything that has to do with that out. The fractured hip is a medical diagnosis, and the ORIF is a medical intervention. You still have to think about the medical diagnosis when you are coming up with a care plan. Ask yourself "What do I need to be concerned about when I am caring for someone who has a broken hip?"

    Your interventions are going to depend on which nursing diagnosis you choose. With a hip fracture, your nursing diagnoses and interventions are going to be concerned with circulation, pain, infection and skin integrity. Your interventions can include positioning, checking distal pulse of affected leg, administering pain meds, assessing drainage of dressings, etc, etc. The intervention will depend on the diagnosis.

    I hope that this helps and hasn't confused you further.

  • 1
    ShaynaSmart likes this.

    I just finished my third semester, which included Peds, Mother/Baby and Med Surg III. I loved Mother baby, but like all nursing, it has its own special vocabulary. I felt like I was eating alphabet soup for a second. One thing that will be done to death in this class is massaging and checking the fundus. Also, be up on your vital sign norms for babies. I absolutely LOVED Mother/Baby. I will probably end up being a Labor and Delivery nurse.
    What can I say about peds? No one that I talked to really enjoyed peds. It's one thing to love kids, but it is really different when you are dealing with sick kids. If you let it, it can break your heart. Plus, you are not just taking care of the kids, you are taking care of the parents too. Their emotions run the gamut and sometimes they are harder to deal with that the children. Dealing with babies and kids is a real adjustment after just taking care of adults. Just go into clinicals with a positive attitude and you will do fine.

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    cheryl62, lpnflorida, and Mahage like this.

    Just wondering- And I know each and every one of you has heard it at least once:
    Does anyone else find the phrase "nurses eat their young" appalling? What i think is even more appalling is when a seasoned nurse says it with glee, then recounts a story of how they made a new graduate cry. Call me an idealist, but I thought that we were all in this together. As patient care is our common goal, wouldn't it behoove a seasoned nurse to mentor that new grad instead of trying to crush her or him?

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    Penelope_Pitstop likes this.

    My first CNA job was in a dementia unit at a LTC facility. For some reason, two of the female residents thought that I was a boy. I am fairly tall, (5'11) and pretty stout.
    One day, one of my residents looked up at me and says, "Did you ask your mommy if it was okay for you to wear that color?" At first I was like, I'm 31, I don't have to ask my mother anything. Then I realized that she was asking me that, as a boy, was it okay with my mother if I wore pink scrubs.
    Another time, I was trying to give one of my residents a bath. She started getting very agitated and was trying to put her clothes back on as I was taking them off. SHe looks at me and says, "your wife would be so upset if she saw us like this! You need to put my clothes back on right now!"



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