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  1. boggle

    Nursing phrases

    If you can, find a recent nursing physical assessment or nursing skills book. Most of them have a list in the back of common nursing phrases and statements with translations from English to Spanish. You could use the same phrases, just translate to your desired language for teaching.
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    RN stealing from my facility

    I agree with the poster who stated police should be involved. Money missing from a purse is a police matter. A bp cuff?...well, I wouldn't call police on that one, but probably would for something of greater value, especially if taken out of my bag or coat or locker. I would definitely write up an incident/occurrence report about any of my or my patient's items that come up missing. Hopefully someone in risk management will pay attention to the growing pile of incident reports. Maybe trends and patterns will be identified. Good luck, Levelee, .....and write your name on everything and keep what you can under lock and key.
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    Medical Books

    Have you been involved in the nursing field during those 20 years? If not, you have a lot of material to cover. So much has changed. To begin, I would suggest you get ahold of the most current skills text and med-surg text you can find, and become familiar with Nursing Diagnosis and Nursing Process (Carpenito or Ackley& Ladwig). Become very familiar with whatever texts your students will be using,too. Good luck.
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    I love nursing.. not sure if nursing loves me

    I think for those of many of us who chose caring professions, we are deep feelers. We hurt and beat on ourselves as deeply as we care and give to others. Our culture? our upbringing? who knows? You must stop ruminating over your errors, (and you/we will make errors), and forgive yourself. Can't let it go?... then take care of yourself, take yoga, pray, see a counselor...whatever it takes to find peace.
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    Student Nurse with ADHD

    I agree that you should work through your schools disability office. Accommodations for extra time and quiet rooms for exams were quite routine at my school. I would hate to see the few barriers your ADHD present keep you from success in nursing. As far as not reading or owning the text, I think that is an really unwise practice. Lectures are supposed to enhance and help you understand the concepts better. The basic material is something you are responsible for reading and knowing before you come to lecture. If you only have the lecture material, you are missing part of the picture. (by the way, the office for disability at my school has readers to help with students who had trouble with comprehension and deciphering the written material). I'm glad you had a second chance after the IV med error. That was an immediate dismissal error in my school. Is the restriction on students giving IV push meds in your nursing student handbook or syllabus? If so, being told only once that you may not give IV meds was plenty. You will be held accountable for all the written policies you have been given both in school and in the workplace. (The office for disabilities may be able to help you with a reader for those too.) I hope this all works out well for you. Good luck!
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    What type of floor is ICUP?

    Oh dear! "ICUP" was a running joke throughout my school years. Are you sure this is an actual unit name? or is someone just teasing you?
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    People you "know "coming to your unit for care

    I have worked in a community hospital where you probably know casually or closely many of the patients. Even if you don't realize that you know them, they probably know you. When possible, I try to not care for people I know personally. I did outright refuse an assignment to care for someone with whom I was in a close business relationship. I felt that just wouldn't be ethical. I do make a point of telling any patient (or family) that I recognize and care for that in the hospital, I'm a nurse, not their neighbor. I respect their privacy as I would any patient's, and I will not acknowledge that I knew or saw them in the hospital. I just smile and nod when I run into them outside of the hospital.
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    High blood pressure

    I know what you mean. Google is not always helpful when it comes to research based/ current medical information. I'm glad to hear you are thinking critically about the health information you read. Some college libraries (especially those with health career students) have access to those restricted medical information sites through their computers, and often let visitors use the computers. (The reference librarians will help you). If you don't have access to a college library, try the National Institute of Health's website. http://www.nih.gov. All nurses has links to reference sites too. Good luck:)
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    The word NO

    Can't us the word "no"? I just don't understand the reason for that. Why make charting more unclear? Sigh
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    High blood pressure

    American heart association states: Stage 1 Hypertension is Systolic 140–159 or Diastolic 90–99. PopeJane3rd, How about offering the AHA website info to the lady? This info is written for the general public. http://www.americanheart.org/presenter.jhtml?identifier=2114 Maybe a little bit of the info will sink in. We can hope, anyway.
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    oral care..

    Oh darn, a distractor! I hate when that happens!:chuckle:chuckle I didn't catch that when I read through the question. Hmmmm, could you dip a gauze in the normal saline?
  12. Well, I hope you find a good fit for yourself. If you chose to continue in nursing, there are many different types of nursing you can do once you get a little experience and get your feet planted. If you do go a different route, at least the insight you have gained so far in nursing school will be to your advantage. I know a nurse who worked for years in various bedside nursing positions. She currently works in the Information Services dept of a community hospital. She helps design and implement the computer systems that nurses use, and trains nurses whenever there are changes. She has found this a satisfying role where she can use her computer skills, teaching skills and nursing knowledge. Good luck to you!
  13. I'm al little confused about what you mean by the other choices you are considering. Health Information Management? Registered Health Administrator? I am familiar with nurses working in "Health Information Systems (or Services)" which involves computer documentation/ records/ communication. A nurse's insight is needed in that role to see that nursing needs are correctly addressed. Is that what you mean?
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    Med Admin using Bar Code Scanning

    I have used the BMV and Meditech system for a few years and overall I do like it. It does take a little longer than the old paper MAR med passes, but catches errors and easily allows documentation of VS or pain rating at the time of med administration. I REALLY DISLIKE: -how once the patient and meds are scanned, the computer shows the med as "given" even though it is still in my hand, or spit out, or the patient dropped it..... I don't think the med should be filed as given until I see it IN the patient. -how I have to "full document" a reason why I'm one minute beyond the half hour window we have to give a scheduled med. There needs to be a little more room for this or an easier way to say "I was here with the med on time but had to wait for the patient to get out of the bathroom" or whatever. Any "late" med is an "incident"
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    oral care..

    Yep, lemon glycerine swabs have been removed from our hospital. They smelled nice and were wet, but did nothing for cleaning or treatment of sore mouths. Some brands have alcohol in them which is drying. Here is a quote from an article on oral care in the American Journal of Critical Care: "Lemon and glycerine swabs stimulate production of saliva initially, but are acidic, causing irritation and decalcification of the teeth and rebound xerostomia." American Journal of Critical Care. 2004;13: 25-34 I think your text may be out of date on this issue. The normal saline solution sounds like the best answer to me, (it's isotonic, and won't sting like a salt water solution you would make in your own kitchen). ( p.s. After rinsing this patient's mouth, you better do a thorough oral assessment and notify the doc. Patient may need an antifunglal!)