McGyverRN

My favorite work song!

Each facility will have a drug guide that will tell you how fast to push meds. At my facility, we give Lasix at a rate of 40mg/minute. Check your google reference again...perhaps that was an unusual circumstance. Lasix 40mg iv push is a very common dose. I have given doses as high as 160mg, but that is very rare.

Most agree that the O2 is the first action, priority, whatever you want to call it. The Lasix "that is ordered," is either an already scheduled med or a one time dose. If it is a one time dose, the nurse would have already notified the doctor for the order. Clearly, before applyin oxygen, the nurse would not sit around and wait for the lasix to arrive from pharmacy while the pt waits in respiratory distress. If the lasix is scheduled, I would assume that the dose is not adequate to prevent the pulmonary edema, so more may be needed. In either case, the nurse would apply O2, obtain VS, then notify the MD. Test questions can be very tricky, and they are even tricker now a days. With the "choose all that apply" options, the NCLEX has become more challenging. As others have suggested, take a review course and practice as many questions as you can before you take the boards. The key component to acing the boards is understanding the rationale behind why each answer is right and why the other answers are wrong.

I used to have foot pain so I changed shoes to Skechers. My feet never hurt! I use the regular and the shape-ups, and both are great. They are wider than other shoes, but the sizes run smaller. I normally wear an 8, but have to go up to an 8.5 in Skechers. Good Luck.

I was just shy of 30 when I graduated from a 1 year second degree program. I will be 42 when I finish my MSN.

JCAHO just surveyed my hospital and they absolutely demanded that we eliminate range order dosing. Perhaps the surveyors who came to your facility did not, but ours did. So yes, I do have a basis for what I believe.....experience.

Don't worry, range orders are becoming a thing of the past. JCAHO is cracking down on them. My hospital has completely eliminated them.

Have you tried using warm water? Also, if this is an acute care pt, maybe the doc can change to IV. If it is LTC, maybe ask the doc to check labs and see if the pt truly needs it.

Just for fun, one day I took a sanipan in the bathroom with me just to see how much pee I was holding after 12 hrs of not going. It was 1200cc!

We have been doing hourly rounding for about 6 months. It is such a joke. One extra piece of paper to sign every hour. Half the time, I am too busy to sign them. Luckily it hasn't been an issue yet. Our pt satisfaction scores are so variable. One month we are at 95%, the next month we are at 77%. Well, take a closer look at the reports. Our Press Ganey surveys go out to 75% of the patient population. I work in a 25 bed unit, census runs at about 90%. February's numbers are based on a maximum response rate of 21. So 21 people out of hundreds respond to these surveys, and the world has to change because of them! It blows my mind.

I would love to see the research on that. It is a ludicrous rule and I would love to see OSHA, JCAHO, the health department, and CEOs work a 12 hour shift without a drink...day in and day out. If they are so concerned about infection control...they should start with the disgusting, been all over the hospital, and never get cleaned charts!

The university I attend is a state university that offers an online MSN program. I am not sure about other online only schools. I imagine that they must need credentialed by the NLN or some other credentialling agency. The website of the school should tell you who credentials them and what exam you will be able to sit for once you complete the program. For more info on the DNP, check out the AACN website at http://www.aacn.nche.edu/DNP/dnpfaq.htm

Yep....even if he leaves the floor to smoke, steals food from the kitchen, has sex with his girlfriend in the bathroom, and demands his 2mg IV dilaudid q 2hrs whether he needs it or not.....he's right!

We document I & O at the end of each 8 hour shift, even if we work 12's. We also document IV intake when we down a bag. The IVAC volume infused is reset to zero when a new bag goes up, and at the end of the eight hour shift.

I go to Clarion University of PA (online), and yes there will be a grandfather clause, which is why I wanted to finish before 2015:)