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midcom

midcom

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  1. midcom

    Urgent Care Clinic

    My first job as an LPN was very similar to the above poster- float in Primary Care & urgent care clinic on weekends.I loved it. Our urgent care clinic was an extension of the primary care clinic so we used the same computer system & the same facilities. We had one doctor & 2 nurses & saw around 25 patients during our 8 hour shift. I learned so much. Of course we mainly saw patients with UTIs, URIs, migraines, strep, tetanus shots, reading TB tests, and minor injuries(falls, lacerations, etc). The serious cases were advised to go to the ER or sent there by us. I also took triage phone calls, dealt with nursing home calls & faxes (our on-call doc was the one who worked urgent care ) and sent prescription refill requests to the various doctor's worklists. For the first year or so I worked with a RN but we both did everything, although when possible, I let her take care of the triage calls. When she left, they hired a MA to work with me & that was ok too although I then did all the triage work. As far as orientation goes, I worked many days in the primary care clinic before I got to work the urgent care clinic & then they assigned a third nurse for a few weekends. I no longer work in urgent care. A position with a provider opened up in the clinic &, since it meant no longer floating & full time work, I jumped at the chance. At the same time our system decided to change how the urgent care clinic was run. It was no longer staffed by our doctors (something they really appreciated!) & moved to a separate area of our building. I have to admit that I don't miss working weekends. I agree that good co-workers & adequate orientation will make or break it for you. I was fortunate that we had excellent workers in scheduling, records, the lab, x-ray, nursing, & doctors. I worked with 10 different doctors. Dixie
  2. midcom

    Stickers and prizes for peds

    We put our stickers on a whiteboard, using a small roll of tape to adhere the sticker to the board. The board is mounted child height in the hallway so the child can choose the sticker as he/she leaves. There still is a bit of touching more than one but at least this way they can see them all. It only takes a few minutes to refill the board.
  3. midcom

    Kaplan LPN program

    I'm a Kaplan grad, actually Hamilton College; they changed the name right after I graduated. I agree that the tuition is high, but in my case it was a matter of waiting 2 years working minimum wage while waiting for an opening in the local CC or starting right away. When I pushed the pencil, the higher tuition wasn't such a bad deal. Kaplan is a for-profit college so it's tuition will be higher than the community colleges that are supported by the state & can afford to offer a lower tuition. I had a good experience at Kaplan. My instructors were great & always available. The school offers excellent remedial help to all their students, if you are willing to take advantage of it. Some students just want to be spoon fed everything & just complain when they can't pass a class or don't get the grades they want. They didn't bother to ask for help. I admit that the curriculum was not the best. When I went our A&P had no lab. Any grads who wanted to bridge to RN had to retake A&P before starting RN classes. They have rectified this now & do have a lab with the classes. And, although we had lots of clinical hours, they have recently increased this too. I had no problem passing NCLEX or finding the job I wanted - and it wasn't in LTC. I am now proctoring a new employee where I work & she is a Kaplan MA grad. I am blown away by her knowledge & skills. I have recently been asked to be on Kaplan's Nursing Advisory Board. They ask for our input & suggestions for changes. It will be nice to be a part of those changes. Dixie
  4. midcom

    Subjective VS Objective data

    I'm happy to read this as I have this book on my PDA. I really like it but at my age, I just can't get used to reading on that tiny screen when doing homework. I need a book where I can see all I need at one time. Now my problem, do I spring for the book knowing the information will be identical or try to find something else almost as good so I have two references? Thanks for the suggestions. Dixie
  5. midcom

    Subjective VS Objective data

    Thank you both for your assistance. It did help. I suspect that I am making it harder than it needs to be. I am training to be a LPN so won't be writing care plans & or coming up with diagnoses but I know I'll be involved so need to understand the whole process. I was given more information that I mentioned. I just didn't state it all because I didn't want anyone to think I was asking you to give me the answers. Oh, the links were great! One more question if you have the time, what book do you feel is best for care plans? I picked up one & the organization is so weird that I can't make head nor tale of it. I suspect that I'll be needing something for the rest of my life. Dixie
  6. midcom

    Subjective VS Objective data

    Ok, I really feel like an idiot. We are just starting Nursing Diagnosis & for part of an assignment, I have to read a case study & separate subjective from objective data. Now, I know that subjective is "symptoms"; that it is what only the patient can know, right? Obviously, if my case study says, "Patient states..." that is subjective but what about, "He lived alone in an apartment." or "He is observed to need assistance." Then with objective data, is something like past medical history included, such as "hypertension, obesity, chronic obstructive pulmonary disease"? If VS or testing results are not included in my case study, what would be examples of objective data? Please help. I have all kinds of tests to study for & assignments to complete this weekend & this one assignment is really stumping me. Am I making it too hard? Dixie
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