DCJ3

Hi, I'm a new graduate just hired at a antepartum/postpartum/nursery unit. I did my clinicals at another hospital where their postpartum assessments (vag and c/s) consisted of a complete head to toe assessment. In the unit I'm working in, the nurses that my friend and I have precepted with do not check the fundus on postpartum c/s moms. These nurses also don't listen to lung sounds of vag deliveries only the c/s because they say they are at higher risk of resp. issues. We are used to assessing our moms from head to toe no matter what type of delivery and no matter how many days postpartum they are. I'm just wondering what is the "norm" at other hospitals.

Base pay in the Hartford, CT area is anywhere from 25.25 to 26.75/hour not inc. differentials.

I was hired for a postpartum/antepartum/well baby nursery unit and my orientation is 6 months long. The two first weeks are classes that the hospital makes every newly hired nurse take (ie. restraint policy, IV mgt, wound care, etc). We are now in week 3 of the orientation and we are doing the 1st of 3 unit-related classes and the rest of the days on the floor with our preceptors. We will be with our preceptors for 12 weeks on days and then move on to having about 2 patients by ourselves on nights (the shift I'll work) with a mentor that is to be a resource person to us. The grads hired for the delivery room and NICU do the same thing except that their orientation with a preceptor is 16 weeks long and they have to take dysrhythmia classes.

I interviewed at 2 places and 1 of them had me shadow their unit to see if it was what I liked...I ended up getting the job at both places but chose the unit I shadowed.

The hospital where I gave birth has had these since at least six years ago and let me tell you they are the best! They have soap cartridges that go in it to clean the peri area and the warm water feels really good after giving birth. They're awesome.

Our school in general loses about 25-30% of their students in the junior year during med/surg. That's pretty much a standard on our school every year. B.

This is how I learned it... ROME: Respiratory= Opposite: - pH is high, PCO2 is down (Alkalosis). - pH is low, PCO2 is up (Acidosis). Metabolic= Equal: - pH is high, HCO3 is high (Alkalosis). - pH is low, HCO3 is low (Acidosis). HTH, B.

Hi, I just came back from an interview for a externship program at our local children's hospital (btw, I got the job! ) Anyways, this is what I gave for the reason that I wanted to get into pediatrics: My main reason is that I love children, I love their resiliency. I love that they are different than adults and handle things differently than adults. A child may go thru something that would crush an adult emotionally, yet they still can smile and laugh. No matter what they go thru, you still can get them to smile. Also children are so forgiving and innocent. Also I love working with the families, being a support person and an advocate not just only for the child but for the families as well. The second reason I gave was that I don't like cleaning up grownups bodily fluids :chuckle because they smell so much worst than children. I'm not paraphrasing but that was the jist of my answer to that question. Good luck on that interview! B.

here are all that might apply... pick the ones that fit your patient's condition and individualize it to your patient: *anxiety r/t situational crisis, change in physical condition or emotional condition *chronic confusion r/t neurological changes *constipation or risk for constipation r/t decreased activity *disturbed body image r/t chronic illness, paralysis *distrubed sensory perception: visual, tactile, kinesthetic r/t neurological deficit *grieving r/t loss of health *impaired memory r/t neurological disturbances *impaired physical mobility r/t loss of balance and coordination *impaired social interaction r/t limited physical mobility, limited ability to communicate *impaired swallowing r/t neuromuscular dysfunction *impaired transfer ability r/t limited physical mobility *impaired verbal communication r/t pressure damage, decreased circulation to brain in speech center informational sources *impaired walking r/t loss of balance and coordination *ineffective coping r/t disability *ineffective health maintenance r/t deficient knowledge regarding self care following CVA *interrupted family processes r/t illness, disability of family member *reflex incontinence r/t loss of feeling to void *risk for aspiration r/t impaired swallowing, loss of gag reflex *risk for disuse syndrome r/t paralysis *risk for impaired skin integrity r/t immobility *riks for injury r/t disturbed sensory perception *self care deficit:[specify which] bathing/hygiene, dressing/grooming, feedng, toiletting r/t decreased strenght and endurance, paralysis *total urinary incontinence r/t neurological dysfunction *unilateral neglect r/t disturbed perception from neurological damage hope this helps, B.

here you go, hope this helps: *acute pain r/t surigcal incision *risk for infection r/t perforation/rupture of appendix, surgical incision, peritonitis *activity intolerance r/t pain, surgical procedure *anxiety r/t change in health status, hospital environment *imbalanced nutrition: less than body requirements r/t anorexia, nausea ,vomiting, decreased peristalsis *risk for constipation r/t decreased activity, anesthesia, decreased food or fluid intake, pain meds *risk for ineffective tissue perfusion: peripheral r/t decreased coughing, decreased deep breathing *urinary retention r/t anesthesia *disturbed sleep pattern r/t pain, unfamiliar surroundings B.

i was a teen mother at 16, i will never forget my l&d rn. she was the most caring person i've met, as a pregnant teenager i was already feeling bad about the fact that i had become another "statistic" and always hated the stares that others gave me. my nurse really treated me well and with respect and now i am becoming a nurse thanks to her. she is my inspiration and i hope to specialize in ob when i graduate. dont' get me wrong i don't think that being a teenage mom (even worse at 13) is a good idea. it really isn't. but what's done is done and any judgements one makes can't help fix that situation. but what we can do is educate. i just hope that when nurses provide care any preconcieve notions or judgements are always kept deep inside and not shown in any way to the patient, because just by doing your job, not judging and being a caring person you can potentially make a difference in that child's/teenager's life. jmho, b. ------------------------------------ i hear and i forget i see and i remember i do and i understand~ old proverb

the client is to receive an ivpb of penicillin 1 million units every 12 hours. available is penicillin 1 million units in 100 ml of iv fluid. the drop factor is 10 gtts/ml. the medication is to infuse in 30 minutes through an iv pump. the nurse would program the infusion rate at how many ml/hour? the tricky part of math calculations is that they give you a lot of unnecessary things, so that's why i always use this method b/c you can never go wrong. always start with labeling what you want to get: ml = hr then always put next what is available (match the top abbreviation with the other top i.e. ml = 100 ml) - i do it this way because now you know that you only want ml/hr so the set of #s that you will multiply it against will need to have a mins in there so you can cancel it out and end up with ml/hr: ml = 100 ml hr 30 mins then convert those minutes to hours: ml = 100 ml x 60 mins hr 30 mins 1 hr cancel the mins out and you get 200 ml/hr...don't forget to always label your results. i use this method of always started out with what i want and it works for everything gtt/min, ml/hr, tab, cap, ml, etc. b. ---------------------- i hear and i forget i see and i remember i do and i understand~ old proverb

By the way you prioritize your diagnoses based on maslow's heriarchy, not necessarily by patient comfort and rest.....As far as interventions go, you should buy Nursing Diagnosis Handbook by Ackley - it has all the interventions you would do plus the rationales for it....Here's the website for it http://www1.us.elsevierhealth.com/Evolve/Ackley/NDH6e/Constructor/. It doesn't but you have to look through the medical conditions to actually find your nsg dx but if you do it has the actual interventions on it. For example here's the page for acute pain: http://www1.us.elsevierhealth.com/Evolve/Ackley/NDH6e/Constructor/index.cfm?plan=36. This is Maslow's heriarchy so you can organize the nsg dx, by the way the Ackley book has the dx arranged in order of priority so that saves a step: PHYSIOLOGIC NEEDS oxygen, circulation water-salt balance food balance acid-base balance waste elimination normal temperature sleep, rest, relaxation activity, exercise energy comfort stimulation cleanliness sexuality SAFETY NEEDS protection from physical harm protection from psychological threat freedom from pain stability dependence predictable, orderly world BELONGINGNESS NEEDS love and affection acceptance warm, communicating relationships approval from others unity with loved ones group companionship SELF-ESTEEM NEEDS sense of value, usefulness high evaluation of self adequacy self-reliance goal achievement mastery and competence in skills independence endurance ESTEEM FROM OTHER'S NEEDS recognition dignity appreciation from others dominance over others importance, influence reputation of good character attention status SELF-ACTUALIZATION NEEDS personal growth and maturity awareness of potential increased learning full development of potential improved values religious philosophic satisfaction increased creativity increased reality perception and problem-solving abilities less rigid conventionality less of the familiar, and more of the novel greater satisfaction in beauty increased pleasantness less of the simple, more of the complex

here are some you can use: *acute pain r/t surgical procedure *imbalanced nutrition: less than body requirements r/t decreased ability to ingest or digest food *risk for ineffective tissue perfusion: peripheral r/t immobility, abdonimal surgery resulting in stasis of blood flow, *risk for infection r/t invasive procedure *constipation or risk for constipation r/t decreased activity, decreased fluid intake, anesthesia, narcotics *anticipatory grieving r/t change in body image, loss of reproductive status *ineffective coping r/t situational crisis of surgery *nausea r/t manipulation of gi tract, postsurgical anesthesia *disturbed sleep patttern r/t pain, lack of sleep privacy/control, interruptions for treatment *dressing/hygiene self care deficit r/t pain *urinary retention r/t anesthesia, pain, fear *anxiety r/t change in health status, hospital environment *activity intolerance r/t pain, surgical procedure b. ------------------------ i hear and i forget i see and i remember i do and i understand~ old proverb

i'm in nursing school now and they are discouraging the use of dorsogluteal site because of the high chances of hitting the sciatic nerve and the preferred site is now the vg. my clinical instructor also taught me that a better way to give all ims is via z track - less pain, better absorption. b. ------------------------------ i hear and i forget i see and i remember i do and i understand~ old proverb