psalm_55

psalm_55

icu, neuro icu, nursing ed

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All Content by psalm_55

  1. a nurse attorney stated during a presentation that Associate Degree Nurses should be awarded a Bachelor's degree b/c of all the work involved in becoming an RN. This was a EUREKA!!! moment for me....
  2. Thinking out of the box re: Nursing education

    SWtooth -- that was my original thinking. how can we reduce the workload of student nurses without sacrificing the quality of RNs produced?? (BTW, i'm all in favor of getting rid of nursing diagnosis...
  3. ACCESS to health care is unethical. i believe the USA is the only industrialized nation without universal access to health care. many of us have children who are 23 y.o. and kicked off the insuramce...
  4. "Diploma Nurse preferable"

    Bottom line clinicals are what YOU make of them. You have to be willing to soak up everything you can. i agree. i graduated from an ADN program (during a time when all of my instructors had come out...
  5. what happened here is truly tragic -- but given the complex, understaffed and over worked conditions in most hospitals, well -- it, or something like it, could happen to many of us. the nurse's name...
  6. COPD pt's and 2L o2

    Titration. Titration. Titration. Titrate O2 delivery with SpO2. Giving what is needed while not exceeding the patient's baseline or usual spO2. so, yes we can give higher concentations of oxygen. and...
  7. I woke up during surgery, Have you?

    i woke up during surgery. was intubated. unable to move (probably pavulon), eyes open just a slit and covered with ointment -- so everything was blurry but i was aware of light. could hear every word...
  8. as is the case in any nursing program, several instructors are involved in the grading of written assignments both within a single course -- and throughout the program. some students feel that it is...
  9. Drug Guide

    i compared the information on a few drugs commonly used (such as lasix) drugs in the med-surg setting in 2 popular drug guides. am somehwhat of a pharm nut -- love it -- so i could honestly say -- at...
  10. i read a thread not that long ago that dealt with this topic. there was a link to a legitimate organization's website that had recommendations regarding cleaning solutions -- walls, floor, etc. used...
  11. Are any of you guys as burned out as I am?

    i wish you well and much success. take a break. and maybe...part time nursing outside the hospital will be in your future?? also, consider auditing / working for insurance companies. or look into...
  12. Injections: to pinch or not to pinch

    the general rule of thumb is: if the patient has an inch to pinch, then pinch' otherwise,
  13. grading written papers / assignments

    thank you both for your input. scribblerrn, i will share your school's method with the rest of faculty at our curriculum workshop. all of our graded papers have scoring guidelines with points assigned...
  14. "Do we have to know this for the test?"

    the answer is "D. all of the above". i get that question at least once every semester -- and my response is "I don't teach to a test. I teach you to be Nurses."
  15. Sterile field contamination?

    to avoid contamination of a sterile field from a sneeze, i sneeze toward the floor. perhaps we need to implement a new policy re: gas passing. interesting . . . i can just see physicians and nurses...
  16. Websites...

    don't like www.cybernurse.com definition of nursing. it perpetuates the layman's understanding of nursing, makes us subserviant, and makes us "invisible" in the healthcare system. just needed to get...
  17. Liver and Cheese

    thank you. i needed that. (bad morning) emailed it to a
  18. H&H Question

    if the H&H are both falling, indicative of bleeding -- therefore, just testing a common site of bleeding among ortho
  19. IV fluid Hang time

    this link may be helpful.
  20. 7000 fatal med errors last year-where are theses nurses?

    i am so-o-o sorry. you are in my prayers. of those thousands of med errors around the country that you mentioned, the SYSTEM has been found to be at fault. please don't shoulder all the blame. anyone...
  21. Gossip Folks

    Gossip. agree with logan. it has a negative connotation. i avoid, ignore, and remove myself from negative talk about others. and like corvette says, never repeat
  22. Faculty Issues

    there will always be issues with other faculty b/c our students get jobs -- their's do not necessarily. re: salary differences -- there are differences in hours worked -- and in risk and liability....
  23. How does your hospital identify DNR?

    nurses wanted id bands at our facility -- but docs vetoed. docs felt that patient would receive less
  24. first, it is recommended that im's not be given in the dorsogluteal. as far as, when do we "know" we hit muscle -- we don't! we use landmarks, techniques, tools, and feel to identify the location of...
  25. the DORSOGLUTEAL site has fallen out of favor. the more recent fundamental nursing textbooks are recommending that the dorsogluteal site not be used because of the inherent physiological risks...