Nursing_excellence ADN, BSN

Pt had infectious workup done d/t high temp. Procal was high. Wht ct 22 from 14 . Cxr diffuse b/l infiltrates. UA pos. Pt already on vent. 100% VCV/AC 300/14/9/40. Resp 30s to 40s. NSR 70s to 80s on tele. Started on IV abx. Bcx pending. Called NP cau...

I just got offered a new full time position in DOU floor at a bigger hospital than where I am currently working. I am planning on switching to per diem at my current workplace soon as I start working in DOU. My tentative start date for new job is on ...

I have been working night shift for 8 years now. Usually I work my 3 shifts fri sat sun. On Thursday night, I do meal prep including coffee to bring to work. I always go to bed at 10am and wake up 6pm. I try to keep this waking and sleeping schedule ...

I know this is very old post. But jic someone else is looking for answer. The insulin helps potassium uptake of the cells. And the d50 is to prevent hypoglycemia. Correct me if im wrong.

Are you internal?

Which cohort are you guys?

Who did you interview with?

Has anybody gotten any offers yet?

Hi. Im a new grad nurse who just started working in a snf. I was supposed to orient that night. (I work 11 to7) but 2 nurses called in sick so they had to put me on the floor. Then around 2 am. I had a patient who was nauseous and was asking for a me...

which surgical unit? what floor?

When did you receive the offer? Which floor did you get the offer from?

I usually think about those things too. But the patient was on TF and NPO. Also the patient was chinese speaking and it didn't seem like we were understanding each other that much. I gave her an alcohol swab to smell. It works on other patients accor...

There's no one in the facility that can prescribe medications. If it's emergency. We send the residents out of the facility, to the ED. The DON is already aware of this. One time a nurse called the Doctor for a critical lab at noc shift. Idk what la...

Hello! Hi, I'm supposed to make a case study presentation about burn victims with complications! I would love to hear your experiences about burn complications and how you handled the situations. The hardest part of this assignment is that we should ...

There are so many sad stories in out profession. I dont think I could handle these situations. I'll prolly be around well patients. I salute you guys that stay on the frontline and help patients and their families during those tough times.

Guys help me out with my meds for my burn patient!!! superficial and deep partial thickness burns covering 36% of body (Chest, head, and right arm) For pain management I have narcotics, ketamine, clonidine, dexmedetomidin, or acetaminophen abx proph...

Thanks! Is there also a formula for that? I mean how much urine output would say the patient is not tolerating fluids and how much would you have to decrease the fluids? or infusion rate?

is parkland formula the one recommend by ABA? what i have is 4ml/kg/%TBSA 1/2 is given in 8h the other half is given in next 16 h Why is there a 900 seconds wait to comment?

That is a really great idea! I would do the smurf village thing. I have two more weeks before my presentation so I have enough time to prepare for my presentation. Thank you guys for all your help. I'm only in my first year so i dont really have muc...

yes i do! I can make up my own patient and own story. i could use a real story but not required.

I understand you guys. I just added a stick man figure asking the class what to do next? thats the best i can do for humor. it makes me very sad to read stories while doing my research. i cant imagine how much pain the patients and their families are...

i understand what you mean. i was in tears watching cases of burn patients. and yeah im almost done with my case study. i jsut dont know how or when i can incorporate humor in my presentation.

Thank you guys for your responses. as for the complications, what is the most likely complication for this kind of patient? is inhalation injury possible? After maintaining pt's ABCs. what do we do next? How would doctor's orders look like? do we ne...

Update: pt was intubated bc of severe edema in airways. so pt suffered 2nd and 3rd degree burn covering 40% of his body. after intubation he was given paralytics. then fluids. NS? or LR? What im missing is doctors orders and HUMOR!! ugh.

yeah. It's supposed to be a fun interactive presentation. my other classmates used celebrities as their patients, others involved aliens in their presentations.