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xenonaut 2,470 Views

Joined: Jul 19, '08; Posts: 97 (32% Liked) ; Likes: 52

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  • Dec 16 '08

    I get special treatment because I am special!!!

    Seriously, I do get special treatment because I reach out to everyone I can and try to help them in any way I can. I am at a small private school and I know everyones name, even the maintenance people and the admin assistants. I try my best not to whine and be friendly and that pays big dividends.

  • Dec 15 '08

    These are the books i have which ive been reading on my free time.

    Watchful Care
    - good book about the hx of Nurse Anesthesia

    Millers Anesthesia

    Basics of Anesthesia 4th ed by Stoelting and miller

    Nurse Anesthesia Secrets

    Handbook of anesthesiology

    Understanding Anesthesia Equipment

    Pharmacology and & Physiology in Anesthetic Practice.

    Anesthesia Secrets: with STUDENT CONSULT Access (Just Ordered)

    They are all quite different and are written for various levels of practice, however, when im confused about something I often find it explained well in another text. So far, im learning alot!

  • Dec 15 '08

    lists are attached

  • Dec 15 '08
  • Dec 15 '08

    Hello, everybody.

    I've gotten quite a few questions about how I was able to do so well on all of my prerequisites, and I wanted to mention a couple of quick tips that were invaluable in helping me get an 'A' in A&P I and II, Micro, Nutrition, Chem, Algebra, etc.

    A lot of this was originally posted in a local forum, but I thought it might be of a benefit to other students as well.

    A quick background on me: I've been fortunate enough to maintain a 4.0 GPA through all of my college classes, including this past Summer when I took 17 credits in 8 weeks (sorry, I don't want that to sound like bragging, because it's not -- it was the result of a lot of hard work and dedicated studying).

    1. Go get an enormous stack of note cards. Break down each and every possible study question/concept/part on a separate card, then studying the hell out of them and, once you're confident with the material on a given card, put it in a separate stack. By the time your exam rolls around, you'll have a very small stack (if any at all) of concepts you still don't understand.

    -When studying using the above method, use a timer and spend an exact amount of time studying (I usually did 40 minutes at a time) and then take a break (say, for 20 minutes). After about an hour of heavy studying (if you don't take a break), your mind becomes exhausted and studying becomes a lot less effective.

    One great advantage to using note cards and a timer is that it's easy to find a stopping point when the timer goes off -- you simply finish the card you're on and then take your break.

    2. Go to and create yourself a free custom "Cornell Method" note taking sheet. Print tons of them and learn how to use it and live by it. This method of taking notes changed my life. You've got three sections to each and every page. The bulk of the sheet is for taking notes as you're listening to a lecture. As soon as you leave the lecture (within 24 hours), take your notes and formulate questions [potential test questions] from your notes and write them in the small column on the left side. In the small section at the bottom, summarize the notes from the page in a few short sentences.

    -If you want to really get creative, you can color code your notes or use a highlighter to point out certain sections. In my lectures, I would write in black, and anything I missed and had to fill in at home, I would write in blue, since I knew those were items I probably didn't really understand in lecture. I would make sure to go over anything written in blue extra carefully.

    -Highlight anything your professor writes on a board/overhead or repeats more than once. You can bet it will show up on an exam.

    3. Record all of your lectures, but don't obsess over spending all your studying time listening to them. Instead, know that you've got those on hand if there's a concept that you're really struggling with or that you just want additional clarity on. You can then go back to your recording and listen to that snippet as many times as you like.

    4. Don't spend all of your time reading your textbook word-for-word unless you're certain that your professor requires that extreme level of detail. Most of the material in a textbook is filler/verbose and you could easily spend the bulk of your time reading and re-reading your textbook only to find that you've gained a vague familiarity with hundreds of topics rather than a confident, detailed knowledge about the things you really need to know. *Resist the urge to want to know and understand every single fact/detail/word in your text because you think it will make you a better student or nurse -- it's simply not possible to know it all well*.

    -Do carefully read all of the summaries for every chapter in your textbook, carefully analyze all images/captions, read the definitions, and scan the text itself.

    5. Try to anticipate the material that will be in your next lecture (most likely, your professor gave you some kind of a syllabus at the beginning of the semester, and you should use it). You can do this by scanning your text or by purchasing a study guide for your course and skimming it before your lecture). You'll probably find that you're a lot more engaged in your lecture and learn better if you've got even a vague familiarity with some of the material that will be discussed in your lecture beforehand.

    And there you go -- now you know all my secrets... at least all the ones I can think of right now. I'm sure a fair amount of this stuff has been said in other ways by other people in the past, but taken as a whole, I truly believe that this can help just about any student in any class.

    Hope to help!

  • Dec 8 '08

    I am an awesome CNA. I am very proud of myself and feel that all of the nurses I work with are lucky to have me. The patients I take care of are lucky to have me. Am I bragging? You betcha! What has helped me to become nurse aid-extaordinair? Little do you know, when you are upset with things that the aides do and post about it, some of us take it in and try to NOT be that aide. When you post about the great things your aides do for you, some of us try to factor that into our super-aideness. Well, I do anyways. Thank you. Thank you for inadvertantly training me to become super-aide!:wink2:

    There isn't anything I won't do to help my nurses and my residents. I like to chose the grumpiest residents that everyone else complains about, and you know what? I never have a problem with them. I am an annoyingly cheerful, persistant, pain in the rear end aide that won't stop until my residents say uncle! I am very good at what I do and I love what I do! Thank you allnurses! Keep those complaints and pats on the back coming, it really is educational!


  • Dec 6 '08

    Not sure what you are asking; but, I'll give it a shot.

    Systolic is the force generated by the heartbeat-how much pressure is made by the pumping of the blood throughout the body.

    Diastolic is the relaxation part-how much pressure remains in the system at rest.

    When systolic is low, it means that there isn't enough circulation (easiest way to try and explain it), so there is a risk of inadequate perfusion and subsequently not enough oxygenation of tissues (especially the brain).

    When diastolic is low, it can indicate that the vasculature has opened up and isn't exerting the pressure needed to get the blood back to the heart and thus be repumped. This can be especially be seen is forms of shock and would need pressors to help clamp down on the vasculator to allow for continued circulation.

    Another problem is when diastolic is high. This means that there is no relaxation of the vasculature and constant high pressure is being put upon the entire system. This can lead to vessel ruptures (aneurysms, CVA, etc), kidney dsyfunction...

    Is this the type of answer you were looking for?

  • Dec 6 '08

    I recently resigned from a very upscale facility due to dealing with time-consuming "customer service" issues such as incessant food complaints, hostile visitors, overly demanding patients, malfunctioning flat-screen televisions, courtesy phones, and grievances about the internet cafe. I felt as if I was a bellhop or servant at a five star hotel rather than a healthcare worker at a facility. Too much of my time was being consumed on stuff that had absolutely nothing to do with nursing.

    I now work at an old, shabby facility. I now have more time to do my job because the posh environment is gone from the equation.

  • Nov 23 '08

    I graduated in May '08 at age 49. I had plenty of NP opportunities! I love being in my NP position. I turned 50 this weekend, and I'm at the beginning of a new career. I am accepted well by my colleagues, and age doesn't seem to be a factor whatsoever. Go for it!

  • Nov 15 '08

    I had a teacher in college who let me come to her apartment to take my final in Spanish class. She recognized something was wrong with me long before anyone else close to me did. The past few weeks I had started sleeping through her 9:30 a.m. class and actually slept through my final test. She let me come over to take the final on one condition--I had to go to a doctor to get screened for depression. I did well on the final, believe it or not, but I owe her so much for her insight. She was absolutely right about the depression...I slept 20+ hours a day and cried the rest of the time I was alone. (This was well before I was a nurse and before I was surrounded by people who "believed" in depression, so I didn't recognize the signs, either.)

    Maybe there is more to the story...who knows.

  • Nov 14 '08

    1. Large capacity bladder
    2. Humble Demeanor
    3. Supportive Family
    4. The Drive to succeed, even when discouraged every day.
    5. A black pen, along with another one for when you lose the first.
    6. Someone else's pen, because you've now lost both of yours.
    7. No clipboard, because you'll look stupid holding on to one.
    8. A small bag, big enough for your stethoscope, some personal supplies, and something to study during a long case.
    9. A PDA, to organize your schedule and put clinical guides, drug references, and a medical dictionary application on.
    10. A small handbook, like MGH or Ezekial, because most of you won't bother to learn to use the PDA.
    11. Cheap pair of clear lens glasses, to protect yourself from messy irrigation spatter.
    12. Coffee. Coffee mints. Coffee pills. Coffee inhaler.
    13. A couple alarm clocks, because sometimes you just don't want to get up. (The half-asleep mind can be very manipulative).
    14. Books: Baby Miller (Stoetling) and Morgan/Mikhail, for first 2-3 semesters.
    15. Another Morgan/Mikhail for 2nd year, because hopefully you've worn out the first copy you owned.
    16. Barash, for the last 3 semesters because it won't make any sense until then.
    17. An account on, to sell all the books that you will never use.
    18. A self-sense of humor...because no one else thinks you should have one.
    19. A reliable car (self-explanatory)
    20. A laptop with wireless card, printer, and lotssss of paper.
    21. Time. Sleep. Patience.
    22. And finally....2.5 years of your life (but this is only half the time you've already spent pursuing admission into a NA program.
    Good luck, and congratulations!

  • Oct 31 '08

    This is not the first, nor will it be the last that you will see CNAs, nurses and physicians lie about care that was done. We want to trust, in fact, many cases, we have to because we are too distracted with our own work. It is true that the RN has the ultimate responsibility to ensure that care is done, but the system provided extensions of the RN via LPNs and UAPs because the registered nurse cannot be everywhere at once. It is your ultimate responsibility, but it is their jobs, otherwise, why even work?

    You did the right thing and now, you know to watch these people to protect yourself. Don't beat yourself up, unless you KNEW about it and then, intentionally left without intervening.

  • Oct 30 '08

    I resepect doctors because heck, I would not want to work the hours that they work during residency and get paged at home. However that does not mean the I submit to any type of rude behavior by a doctor. If they want my respect, they must respect me. I respect them even more if they ask what opinion I have regarding patients that we are caring for.

  • Oct 29 '08

    I think that the majority of the public has no idea what a nurse does or what it takes to become a nurse (Honestly, I didn't until I went through NS). I would venture to guess that a good portion of the public thinks that the person who takes your BP at their doctor's office is a "nurse" rather than an MA. And, some MA's even misrepresent themselves as nurses. Add this to the fact that there are so many pathways to becoming a "nurse"....diploma, ADN, BSN, RN, LVN, LPN, etc. No wonder the public is confused.

    It does bother me too. Before I went to NS, I was in a computer programming degree program. I must say that I worked harder, was more stressed, was busier in NS than I ever was in computer science. I wish the public was aware of how difficult it is to become a nurse and all the duties we must juggle. All the more reason for nurses to band together and insist on consistent educational standards for becoming a nurse.

  • Oct 29 '08

    Yahoo has an article titled " High pay, no degree required" and under the list of jobs that do not need a degree, they list becoming an RN!!! What?!!? When could you become a RN without having to earn a degree? Granted in the article they go on stating that you could get an ADN, BSN or diploma "take your pick," it still rubbed me the wrong way. The title is definetly misleading, but I am tired of people treating nursing as if it is some job anyone and everyone could do to make some extra cash. To become a nurse you have to get an education, make some sacrfices, grow up, and keep abreast of the latest health related science!

    Maybe I am overeacting but just yesterday, someone asked me how many months it took me to become a nurse. I said "months?, more like years. hehe!" She looked at me puzzled and said "oh I thought you could become a RN in months (as in less than a year)."

    Anyway, just had to vent!