kennedyj

Hey if you find an area you like persue it. I am on OB/gyn nurse and am currently working on my Midwifery degree and possibly a perinatal nurse practitioner so I can do more high risk and ultrasounds. At our labor and delivery unit there is also another guy. best of luck, Jared

I agree with Fergus, but feel it would depend on the situation and diagnosis. To see someone very sick may impact your ability to properly care for that patient. Your instructor should have complied with your wishes to not take that patient. I do congratulate you on a job well done and your courage to take on the situation under those conditions. It shows you a strong nurse. Once when I sold computers a made a system for a couple that asked me if I could buy them Pot. They poured me a large glass of Jack and coke when I was putting together their computer. They were also very strange. A few weeks lated I saw her as a patient during my Psych rotations. When picking assignments I did not pick her. Jared

hi, I graduated from Beth-El in colorado. I took one of the classes as an elective. it was great. most are if I remember well are 4 days long each and all day long. You have to turn in a paper after the course. The main Instructor Virginia Lynch is amazing. She lectures all over the country and has established a great program. If you already have a masters you can take the 15 sem hrs and get a masters certificate or also a BSN certificate (the classes are the same) if you dont want to take all the grad junk courses. good luck, Jared

reflexes give an idea but are somewhat subjective. Some people will write a 3 and some a 2+. But dont worry the purpose of DTR's is not to get a # but to assess the patients status. This can be done in several ways. The overall goal is to evaluate the level of Mg effect. Mg levels are desired to be kept around 4 -8 (during labor and 24hrs postpartum and until labor stops and is stable in PTL). Patellar reflexes are almost absent around 8 and this is where respiratory depression begins. Most patients will also feel drowsy. Mg is excecreted by the kidney - if urine output is low Mg levels will increase faster especially in small women. I had a patient on Mg once who just didn't have reflexes (strange). We had to rely on other assessments. You can also draw a serum Mg level if reflexes seem low and the pt seem more drowsy than normal. sorry to be long winded. Im procrastinating putting off some case studies I have due tomorrow. Jared

I just tape or chevron the hub above the insertion site. I'd try not to touch the tape at the insertion. Then cover with tagaderm.

I like micros advice. Who ever sais you had to finish your degree in a set amount of time. Most schools will give you an extra semester or 2 to finish. I am in the military full time. It took me about 6 years to get my first 2 years of nursing prerequisites out of the way. take your time. Now doing an NP degree online and i work nights ...hehe..... Best of luck, everything will fall into place. nursing school is a nightmare to ...well everyone. Jared

Thx. We on an admit exam we usually do all 3 (nitrozine, pooling, ferning and an SVE). Jared

oh. forgot something on the KY discussion. What about speculum exams. I hate doing them without any lube but they say it can give a false + for srom. Sometimes i'll have them insert it themselves. I think here they would freak if they knew you were putting warm water on a sterile speculum although there would probably be no real harm.

I have heard of many different ways of inducing a demise w/ cytotec. some places have them take a large oral dose then start lady partsl doses. First time hearing about crushing it. I have seen usually .25-.5mcg q 4hrs, sometimes it takes a while.

Yep. I've never known a woman to turn down a good warm blanket. Problem is that when they've got their warm blanket you can never get 'em out of bed and to work. sorry girls. Had to bat one for the guys

I love it! Thanks for sharing it. Now I now what to name my next pet.

Brandy- sounds like you got the brachial artery...lol. if not just picking on ya'! One thing that I was never taught in school was that after you are ready to pull the needle out don't push down with the gauze before. It only helps the needle scrape the vein. Instead pull the needle out then quickly press down on the gauze. If drawing 10ccs/2 tubes or less I like the 23g butterflies. Jared

I drop by there sometimes and sometimes I open a window and keep it open for a while in case someone else drops in. If we all stop by once in a while & more frequently we are bound to see others sooner or other. But if we only stop in and see its empty and leave we will keep missing each other. I keep trying to chat with spicyserver but she always ignors me :) lol..

Actually I enjoy giving shots and IV starts. Escecially the hard ones where others have failed. Although I am no superhero. some tricks Ive learned: Many people after they draw blood they put the gauze over the site, press down, and then pull the needle out this only bruises and damages the vein. - if you cover the site don't push down on the gauze until the needle is out. Don't worry if a drop of blood comes out. If giving am IM shot (this works well for kids or those who don't like shots) wipe the site and say Im going to tap 3 times. tap 3 times about 2 inches lateral to the sciatic nerve. It runs the reflex arc between the gluteus and the CNS and back. The body says its only a tap. after the 3rd tap the needle goes in. It will feel just like a tap. Try it!

Typhoid is the worst for me. Worst than tetnus. IF military deploy you get an IGG shot. It is the one that turns babies into men!!!! Its like a 5cc shot of cold honey in the cheek. the cold shot rips the muscle and it burns too. Supposed to be 2.5cc in each cheek but who has time when you have over 1000 to do.