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mrsalby

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  1. Congratulations on such a great out look... But consider one thing! Why not become a Nursing instructor and fulfill your teaching desires from that angle. Possibly be easier to start with less schooling with all of your experience!
  2. I believe cueing and recueing is important. I had a patient with a MCA clipping and he was acting so frontal. He kept grabbing the nurses boobs and making sexual comments etc. We had security come talk to him and finally police. In our state it is a felony to assault a healthcare worker. He was trying to take advantage of his "brain trauma" to inflict such actions. Family said that the behavior was actually his baseline and the way he always is. I remained firm fromt eh beginning and told him it wasnt going to be tolerated and he would easily find himself leaving the hospital and going to jail. Otherwise I agree...neuro patients take A LOT of patience!
  3. We meet at the beginning of chift, hear a brief rundown of pateints from the off going charge nurse and then we choose our own assignments.
  4. You know people with a negative teeth to tatoo ratio are indestructable...... LOL this cracked me up! You go home singing what ever your last frontal patients song was....mine: 101 drag queens, 101 ducks!
  5. You are making bets with the docs about what the opening ICP will be or making bets about what the SBP will be with the new art line established especially when it squirts across the room and we think its cool. CT staff calls us anal...dont mess with our lines, EVD, art lines, ETTs....we will do it and we will take the time to get it right
  6. I just finsihed a hemodynamics class at work and we were taught that any change by 20 points resets hemodynamics. Therefore is she dropped her HR as scuh she was in relative bradycardia even if it was not in the range we normally would say is brady. Therefore, a relative brady could be explained as a vagal response. Her age and other possible co morbidities probably kept her from recovering as quickly as we would like to see, especially if she has a bleed.
  7. Yes very unprofessional and possibly abandonment. She should be reported and written up. She chose the career and the responsibility that goes with it. She needs to grow up and accept it or get out.
  8. I worked on a genreal surgery/renal transplant sac. It was very interesting and fascinating. We had patients in for a day or two prior to surgery and after surgery. Sometimes longer if they wre having difficulties and awaiting transplant. Strict diet and protein intake is recorded, immunosupression issues were addressed (for example, no visting children were allowed on the floor, strict handwashing etc). Labs are strictly watched as well as strict I and O's. Signs of rejection are monitored. There is so much and hard to say without writing a book. you may really enjoy it.
  9. Maybe look for a hospital that has a nurse resident program. The hospital I work at does and it is one year long. The program consists of picking two to three areas you are interested in and you orient and work six to four months in each area. A lot of nurses who chose this option really liked being to experience the areas before they chose one of interest. Also, when they finished they had high confidence levels and satisfaction with their jobs. See if you could possibly shadow a nurse in different areas of interst. This may be hard bc of HIPAA. Ask the nurse recruiter about options. Good luck! I am from NW FL and miss it! Cant wait to get back.
  10. Hey Folks, If you are trying to find a school with opportunity before the CNM petition and wait list, also consider Santa Fe CC. I grad from there in May and was VERY pleased with their program. I commuted from ABQ. They accept applications March and October for the following semester (Spring or Fall) so there is no wait list. The pass rate is high as well for NCLEX. cost run about 6-900 a semester with books. let me know if you have any questions. ~A
  11. I too love teaching hospitals and would hate to work anywhere else. Our residents stay in our unit unless called to trauma. Their on call rooms are in our unit. They always are quick to respond when needed. Also, the residents are wonderful at explaining plan of care and answering questions when I have them about things new to me. They have never made me feel stupid or less than their colleague. I even had had them help with the puke pan and help turn patients.
  12. I talk and sing (quietly and with respect to cultural wishes) to my brain dead and coma patients. I do not know if the patient is watching from above etc. I want the patient and family to know I gave the best care possible.
  13. Hey, i found myself in the same boat. I just ordered and received my scrubs from aviatiorscrubs.com Not only do I like the pockets and such available but they will send a set and you can try them on and send the back with measurements and they will make them to fit. I love the heavier weight fabric to. It softens after washing and are more durable and you dont see the panties through them! good luck
  14. Hey, Good luck on your exams. I am an RN and am 4 classes from completing RN-BSN. I am also 8 courses away from biochem degree. The chemistry courses I have taken made a world of difference in understanding concepts in nursing school. I grasped ideas easier than my co students who had not taken chemistry. When you learn about different disease processes and medications and their effects, you have a better comprehension of what is happening because of your chemistry. Electrolytes, acid/base balances, chelating agents, O2 vs CO2 binding with Hgb, and so much more will be clearer for you with a chemistry background. Good luck
  15. Have you checked with your financial aide office at school? They should be able to help with a subsidized or unsubsidized Stafford loan utilizing your FASFA info. These loans are to be paid back beginning 6 months from when you are no longer in school at least part time and are fairly easy to get.

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