classicdame

classicdame MSN, EdD

Hospital Education Coordinator

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All Content by classicdame

  1. IS IT OKAY?!?!?

    you will be learning a new language and new culture, so just take it one at a time classes -traditional learning clinicals - live training at a hospital, clinic or any place providing direct patient...
  2. Should I be worried?

    ditto. You need a better preceptor. That was mean. BTW, just noting a problem will not get it fixed and now you are the fiexer, so she got that right. But the process was mean
  3. You have done amazingly well considering all the obstacles. I know both hospitals in Gregg County (Longview) are expanding. I do not know about Tyler, but there are options there as well. You may have...
  4. Need help picking good nursing shoes!

    I only wear Easy Spirit Anti-Gravity. I buy off their
  5. Nursing persuasive paper?

    got it. Thanks. Pennywise had lots of good ideas ANother: Do electronic medical records save the nurse charting
  6. Well, the "customer" satisfaction survey.....

    regardless of why someone is hurting we should be able to manage the pain. Might involve tranquilizer, PCA, anxiolytic, or call to MD. I do agree that the patient is not always in a position to judge...
  7. Nursing persuasive paper?

    what is a persuasive paper? Never heard of
  8. a dumb question for experienced nurses

    the definition probably varies from facility to facility. But yes, in most critical care areas the charge nurse wants to know who is using what type equipment as they helps determine patient...
  9. Patient falls off operating room table

    we recently installed safety belts on our OR tables and in the cath lab. All it takes is one big lawsuit and those little precautions look pretty
  10. Teaching CNA-1 classes & Std Precautions

    I have no answers but suggest goggling CDC and other infection control related sites. Also, there are sites for CNA continuing education that might have
  11. post operative signs of incomplete reversal

    your question is not clear. However, what was baseline and how does the patient compare to that
  12. No blood return from PICC...is it a problem??

    yes it is a problem. It could mean that the line is beginning to clot off. We use Cathflo in our facility to try to de-clot lines, but that may not be an option for you. Someone with PICC experience...
  13. Is this outside my scope of practice?

    I would go online to look at the nurse practice act. I cannot concieve of any state allowing a CNA to access an arterial line. In Texas the student extern and the CNA have the same duties. Both are...
  14. PRN and got call off more than I thought, is this normal?

    if someone has to be cut at the last minute we cut the PRN folks. That is why many prn nurses have more than one
  15. Would you work this schedule...is it safe?

    research shows that more than 12 hours is risky for the employer because, whether you agree or not, the chances of you making a mistake become greater. If it is risky for them it is risky for you. I...
  16. Nursing student afraid of urinary catheters!

    as an experienced nurse I can tell you most fears abate when you gain confidence. That takes
  17. Pulmonary Medicine Experience?

    be prepared to deal with grouchy people. Being low on oxygen takes a toll on attitude - and who can blame them? Be sure to listen to chest before and after treatments to tell the difference, if
  18. Need motivation

    you have to prioritize constantly---family then school then
  19. Nursing student afraid of urinary catheters!

    you will eventually think of holes as just that. Holes. A target. I was deathly afraid of suctioning trachs till I realized it was just vaccuuming. I have been doing that for years at home. So really...
  20. Volunteering at a hospital worth it?

    about the only experience you will get is to learn the culture of the facility. It is against the law to allow ANYONE to put the patient's privacy at risk, and volunteers are in a position to do just...
  21. Why did/are you getting your BSN?

    the facility may not pay extra for the degree but they do take notice of who is continually aspiring to professionalism. Yes, you will learn more in the BSN program. My program had nothing to do with...
  22. Maybe I Shouldn't Have Asked This...

    you are asking the wrong person. She may get paid less than others or more than others. Ask HR. They can quote a base rate (which is what you would get right out of school). If you can afford it, go...
  23. just because it is a legitimate prescription does not mean you will never be at work impaired. That is the normal effect of the medication - to alter your brain. They are probably thinking you are a...
  24. what are BASELINE vital signs?

    Baseline is the patient's "normal", without any influence of new meds. So, let's say my blood sugar normally is 110-140. I start steroids and it jumps to 200-300. The MD orders insulin and today my...
  25. Anatomy and Physiology....HELP!

    I think you are psyching yourself out. You can always withdraw if you decide you cannot do it, but HEY!! We did so you can too. I recommend you buy the Grey's Anatomy coloring book (no relation to TV...