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papersacknurse

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  1. My son has aspergers,I don't know how old you are but if you are an adult and you are comfortable around other people and able to be comfortable in the usual social norms I don't think you will have a problem. My son is usually uncomfortable around people until he gets to know them.
  2. I didn't take the Kaplan class but I did have a self-study Kaplan guide and plus I had the Saunders NCLEX review disk. Both were very helpful to me, along with prayer. I passed on my first try. Also another tip that might work is thay my friend and I went to the testing site the day before the exam as it was in another city and we just relaxed, watched a movie and shop and ate a good dinner. The day of the exam we got up early and had a good breakfast. Good Luck
  3. I recently left a telemetry floor and the nurse patient ration on a good day usually was 1-6, there were days when I had 7 and sometimes I might get 8 patients. Our floor never counted insulin drips as 2. If a patient was on a cardiac drip the most patient a nurse could have was five. And thats not counting the accuity level. It was constant stress on that floor. And to me I still consider myself a new nurse just having passed the state board last year. So I have only been a nurse for one year and came out of orientation with 6 patients and have been charge nurse at least 3 times. Last month a patient died in my care. His blood pressure was low but had been low doing his stay. I didn't remember the BP being low and I didn't recheck it. I only had five patients that day but their accuity was high. One of my patients the physcian had wrote orders for comfort measures only and to be put on a Demerol drip and another patient had a trach that needed constant suctioning and was on tube feeding and when I went to check the residuals I pulled back stool colored contents. So did I lose focus on the low blood pressure prehaps so. The patient died not as result of the low blood pressure, when his history was reviewed the physcian discovered he had a mass on his heart. Do I feel bad, yes because maybe he would have not died that day if I had rechecked his blood pressure and got him to the unit so that he could be stablized. I just know that some hospitals are taking risks when there are too many patients for one nurse to handle. Now I am looking for a new area to work in so that I can feel that I can deliver safe care to patients.

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