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mrsalby

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All Content by mrsalby

  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.
  16. Hi, I studied Saunders book with CD. Mainly the 5000 question bank and studied the rationale. I also used Kaplan and found the Kaplan question design to be similar to NCLEX. Also when answering, I tried to pay attention to ABCs and Maslow's Heirarchy when answering questions and this seemed to pave the way to udnerstanding. Good luck
  17. I thought the same way as the original poster. But, I wore my MBTs to work and took my new shiny danskos. Half way through shift I switched and thought I could switch back if they hurt. I ended up wearing my danskos home. I found they stretched enough to be comfortable and I like the support they give. I find myself wearing them longer than my MBTs now. Maybe by the third shift of wearing them they were really comfortable. My feet may have hurt a little bit if I wore them the whole time but at least 90% less than in my tennies. My knees have no pain at all. Although I like both and find my feet dont hurt at all if I switched between the two at some point in the shift. I am a large girl too.I was comfortable buying the danskos to try because the store I bought them from gives refunds or credit within 30 days. Mine are black leather so they streched a little across the front.
  18. Hello, First off if you feel uncomfortable with the material you cn always retake the course. Also, you could review your book and you may be surprised how much comes back. Otherwise, A and P II is generally about the heart, blood vessells, kidneys, respiratory digestive etc... The items you didnt cover in API. You usually need to understand the different skin and muscle types but can review that as you study each respective area and its tissue type. Then as you continue into nursing etc your patho classes and med surge all build off of I and II so the more you understand the better. I took my I and II AP about 2 years apart and didnt seem to have any difficulty. Generally it is adjusting to being in classes again that is tough. Good luck on your decision, otherwise go for it!
  19. there are a few central new mexico community college for adn also apollo college but i am not sure about adn status, certificate etc. i heard a rumor pima medical institute is going to begin an rn program i commuted from abq and went to santa fe community college for an excellent adn program and am currently in the rn to bsn at unm. that is about all for abq proximity check these out from http://www.allnursingschools.com/find/nm/nursing-schools.php new mexico nursing schools use this comprehensive directory of new mexico nursing schools to find programs that interest you. read detailed fact sheets on featured schools and request admissions information. we include online/distance learning programs as well as campus-based programs. campus programs university of phoenix - new mexico - various locations albuquerque public schools - career enrichment center health occupations - albuquerque apollo college - albuquerque - albuquerque central new mexico community college - albuquerque chamberlain college of nursing - online rn to bsn program clovis community college - nursing department - clovis computer career center - las cruces - las cruces dona ana community college - division of health & public service - las cruces eastern new mexico university - nursing department - portales eastern new mexico university-roswell - division of health - roswell national american university - albuquerque - albuquerque national american university - rio rancho - rio rancho new mexico junior college - allied health - hobbs new mexico state university - school of nursing - las cruces new mexico state university at carlsbad - carlsbad new mexico state university-alamogordo - department of nursing - alamogordo san juan college - department of nursing - farmington santa fe community college - santa fe university of new mexico - college of nursing - albuquerque university of new mexico-gallup - gallup western new mexico university - department of nursing - silver city
  20. My place of employment sent me immediately down to xray when my result was positive. 15 minutes later at a major university hospital I returned to occupational health with my negative xray report, I was amazed at the efficiency of the service. I dont have to take the PPD ever again and sign the sheet saying I havent had any symptoms. I am currently taking INH so hopefully it wont be a problem down the road. HR should bend if you had the documentation and I am surprised they didnt have an avenue for you to get the xray if possible good luck
  21. "I don't know one nurse who could sit through a physical chemistry/ quantum physics course and pull an 'A'. let alone pull an 'A' in all chemistry courses. " I agree with most of your post. I do not agree with nurses not being as smart. I believe there are nurses out there that are as intelligent as any MD or MDA, they only chose a different career or path. I am a nurse that is 8 classes away from a biochemistry degree and 4 classes away from my RN to BSN degree. I have "A's" in all my chemistry classes. So now you know one nurse that has made As in his or her Chem classes. My goal is to become a CRNA " think I speak for all crnas when I say.. there is no way I could step foot in the ICU, take complete control of treating the sickest and most critical patients in the hospital, and feel like I was doing something right. (even with 12 months of ICU experience after crna residency) " I believe you are over generalizing here and through some of your post. There are some very intelligent nurses out there who could manage the sick patients. I know some RNs in the ICU who manage very well, One of my charge nurses in the ICU fields many questions about procedures and patient care management from the MDs themselves. "Well I do. But I'm proud of what I do. We ARE NOT the same as them. We should be proud of who we are. What makes us different makes us unique!! We are UNIQUE. We are SPECIAL !! Rejoice in the fact that we're special !! I love being a crna. You should be proud, you worked hard to get where you are and yes you are unique as is every one else. You have been trained to do what you should do within the level of your licensure. MDAs respectively. Everyone plays his or her part in the "Big Game." It is important for everyone to recognize his or her role and not discredit others for theirs. Learning opportunities are everywhere, reach out and grab them and own them. If some CRNAs are having difficulty with the MDAs role, then they need to educate themselves on the differences or go back to school to become an MDA or keep quiet. Congrats to you on your achievements!
  22. Previous to my grandfather being diagnosed with Alzheimers, my grandmother was at the hospital. While waiting for her to be transferred to her room, all the family was in the waiting room. We thought my grandfather went outside to have a "chew." It wasn't long before he was escorted back by a nurse dressed in OR gear stating we needed to keep him in eyesight. He became lost finding his way back to the waiting room and ended up in the room they were performing a D and C. Apparently, everyone looked up when he entered and he spit tobacco juice on the floor and says he was checking on his wife. He looks over the doctor and says , "hey, that's not MY wife!" Needless to say, we latched on to him the rest of the stay.
  23. Hi, I have accepted a new grad position in Neuro ICU and what helped me was it was the unit I did my senior year preceptor in. See if you can request a NSICU for your precept experience and you can make connections and show potential. Also, another alternative, if you don't make it into ICU try the Neuro sub acute or neuro floors. Good luck
  24. I agree with MT RN. I too was a police officer and LOVED it. One can learn empathy and compassion both as a police officer and nursing. Being a cop is actually what introduced me to the medical side of the house with traumas and wrecks etc and peaked my interest in nursing. Now I have graduated and am starting in the Neuro ICU. I have enjoyed my experience in both fields and would do either over in a heartbeat. Both are admirable professions. But, I belive your son should choose his own career path and find his "fit." Let him know you are proud of him no matter what he becomes.
  25. I tested positive when I began work at the hospital. Occupational Health sent me immediately for an xray. I was referred to public health and I denied the INH tx. I have to sign the test sheet each year that I had a previously positive PPD and that is all I have had to do. I didn't have to repeat xray. Fast forward 2.5 years. I have since been diagnosed with Ankylosing Spondylitis and have tried different tx for it without great effects. So, another tx suggested by MD to stop its progression is Enbrel. Enbrel suppresses your immune system and there are risks of latent TB becoming active. Soooo, I had to have another chest xray and I had to do a blood test called quantaferon, some say quanta gold, or a gold top when at the lab. This tests for the TB and mine came back "reactive" and apparently is said to be a more definitive test. Sooooo, I was referred once a gain to PH and I started INH and vit B about 3 weeks ago. I am doing fine with it. I take it after dinner. I have minimal nausea if I take it without food. Hind sight...I wish I would have taken it sooner because of the delay with the Enbrel tx. Apparently after 3 months on INH, I can begin the Enbrel. You could always try it and see how it makes you feel. Good luck with your decision. Mrsalby

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