psalm_55

psalm_55

icu, neuro icu, nursing ed

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All Content by psalm_55

  1. Do Nurses Eat Their Young?

    I too had many positive experiences with preceptors, mentors, etc. along the way. and i have rarely witnessed otherwise. usually, when there was a "bad experience", it was b/c the new nurse just wasn't cut out for that particular type of nursing. t...
  2. 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. have often thought of how much work it was to becom...
  3. 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 -- they were invented for a healthcare system tha...
  4. 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 role. they/we must forage for affordable health ins...
  5. "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 of a Diploma program) -- so it was pretty much a 'd...
  6. Med Surg clinical instructor OMG!

    consider yourself put on notice -- and get a lay of the landscape before acting. politics and culture play a major role in each nursing department. there are many possible reasons for this person's behavior -- one being that she didn't want to take...
  7. Lovenox(enoxaparin) SQ

    when it was first introduced, we were inserviced by the drug rep to give it in the "love handles" ("Administration should be alternated between the left and right anterolateral and left and right posterolateral abdominal wall." ). later, we were tol...
  8. 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 is "Julie". there is a link at this web site to ema...
  9. 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 remember that early signs of hypoxia are restlessn...
  10. 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 of their conversation. tried to take a breath and ...
  11. grading written papers / assignments

    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 unfair to them when they have a "tough" grader vs....
  12. 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 least on these drugs -- that i know more about the...
  13. 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 in hospitals -- and that they should not be noxious...
  14. 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 state or federal jobs. the retirement benefits are usu...
  15. Injections: to pinch or not to pinch

    the general rule of thumb is: if the patient has an inch to pinch, then pinch' otherwise, don't.
  16. 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 to each section of the paper. the guidelines are ...
  17. "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." :)
  18. 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 dropping to the floor . . .
  19. 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 that off my chest.
  20. 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 that off my chest.
  21. :yelclap: THANK YOU! THANK YOU! Grateful Heart. i think you hit the nail on the head :lol_hitti been teaching nursing for > 12 years. just as there are some "challenging" patients, there are also some "challenging" students. and there have been a ...
  22. Liver and Cheese

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

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

    this link may be helpful. http://www.ins1.org/publications/index.html
  25. 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 of us could do the same. we should seldom make ma...