Sara5229

Has anyone ever applied for a job on a whim that you weren't technically qualified to do yet got an interview for? I saw a job as a Director of Case Management in small rural hospital and applied for it. I've been a nurse for 5 years, 2 years in ICU and 3 in Home Health Case Management. I have no experience in hospital case management. I can't decide if they interview all applicants or if I have a shot lol.

I need help with prioritization on a burn patient I had. My diagnosis are as follows: Impaired tissue perfusion Impaired skin integrity Pain Risk for Infection Additional info: client suffered 2nd and 3rd degree burns over half of body (legs, arms, face - minimal trunk involvement)... client was sedated and on ventilator with hands and feet that were ice cold with cicumferential burns around wrists and feet, no burns on chest. I prioritized them as listed above, but not sure is this is the right prioritization. Thanks in advance for any help!!

I've seen some online courses for ACLS and PALS certification... anyone know if these are acceptable? Also, if I wanted to take an in person PALS course where do I find out about one? I'm in Oklahoma

RE: Fluid and Electrolytes If you had a patient who had low potassium and calcium.. can you mis your KCl and calcium gluconate in the same bag with your normal saline?

I'm working on a case study about a client with ARDS and it goes on about her getting better and then it states the following and we have not studied this stuff yet and I have no idea what it's talking about or how to answer the question.. here is the question. The patient's pulse is 66 beats/min and irregular. Her blood pressure is 92/70 mm Hg, and respirations are 26 breaths/min. she admits to being "a little lightheaded" but denies having pain and nausea. Your co-worker connects the client to the code cart monitor for a "quick look." You are able to distinguish normal P-QRS-T complexes, but you also note approximately 22 very wide complexes per minute. The wide complexes come early and are not preceded by a P wave. What do you think happened? What should your next actions be? What is the cause?

I would suggest you get a book called Fundamentals Success. It is a book that is full of review questions all on the Fundamental level. You could then read your chapter and then take some of the practice questions on that subject and maybe you could pinpoint what it is that you're not focusing on. Don't stress it takes everyone a little bit of time to catch on to how to take Nursing exams... they're completely different from any other test. You might talk to one of your instructors too and see if they can help you with a better way to study.

Wow! Congrats!

I have to do patient teaching at clinicals for a patient in the presence of my instructor. The whole thing makes me a wreck.. I'm fine with interventions and teaching while I am in one on one with a patient and usually tie it in when I'm doing the assessment, but with this I have to teach about the healthy heart diet and I dont know where to start... I know the information... I mean low sodium, low fat, low calorie, exercise... but I just don't know how to go about discussing it with the client and putting it all together.. I also need visual aids and am unsure on what to use. Any ideas would be greatly appreciated...

I know how you feel... while plenty are impressed there are always those idiots who know nothing.. Example, my co-worker (do not work in healthcare currently) always makes negative comments about nursing and nursing students... like I was talking about a project I had to do at clinicals that included a huge patient teaching about the subject of my choice... and my coworker goes.... "oh my god I can't believe they let you guys do stuff like...do the patients care b/c there is not way I'd be listening to some student or a nurse about important matters like that" ummmmm excuse me... where do you think nurses get there knowledge... umm how about when they are students.. and geez I'd trust a nurse before a doctor about many things..

We have this sheet on out careplans and before you visit your patient you are supposed to fill it out... it asks what complications you are worried about today and what important assessments you will do specific to your client. The last few careplans I have done I had been putting concerns and assessments according to what had been stated about during shift report... (e.g. client has bed alarms.. keeps falling. I would put I was concerned about her safety and things I would do to monitor that) well .. I was told I was doing this portion wrong and i was supposed to be putting what complications and assessments i would be doing according to the patients diagnosis.... My patient was admitted for possible stroke and a diagnosis hadn't been made yet.. We haven't studied strokes yet so I'm wondering if someone could tell me what complications or concerns and assessments would be made to a possible stroke patient... I know a neuro check and would possible assess swallowing ability and paralysis on one side or the other, but what else? and no idea about complications.. Any help would be appreciated. Thanks!!!

So I started med-surg clinicals last week and when assigned to my nurse I notice on the name tag that the nurse is an LPN as did most of the other nurses on the floor. The only RN I saw was the charge nurse. It seems strange to me that I am going to school to be an RN yet I am assigned to an LPN at clinicals. I don't understand how I am supposed to learn what an RN does if I'm not assigned to one. At previous clinicals I was with an RN. My question is besides pay what is the difference between an LPN and RN... The LPN I was with hung blood, started an IV, gave meds IV push and performed assessments on all the patients.. same as I have been taught to do.

As far as having the little one around... I have a 3 almost 4 year old and he loves to be read too.. so I'll read him a few pages from my text.. lol there's lots of pictures and although he has no idea what i'm talking about if I do it making funny voices he'll sit and listen and I can read at the same time.

Just go to the health department if there is one.. most places if not all.. test for free. I had to have my test performed back to back... no one mentioned any risks for me.

A 92-100 B 83-91 C 78-82 Anything below 78 is an F. Unfortunately, I failed med-surg with a 77 exam average and my transcript now shows an F for all of med-surg ughhhh.. They really should work on the grading scale.. because that 77 F killed my gpa, when you consider it is an 8 hour class.

Personally I have no problem sharing my grades. However, if I ask how someone did and they say ok or good that is fine by me and I would not push. In my class grades are a common topic and a way that we all bond I guess. We all feel for eachother when we don't do so well and praise eachother when we do. This pretty much sums up how I feel about the topic as well.