classicdame

classicdame MSN, EdD

Hospital Education Coordinator

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All Content by classicdame

  1. oxygenation/cardiac perfusion

    classicdame replied to LuciaHernandez's topic in Nursing Student Assistance

    try talking it out with classmates. If you can teach it, you know

  2. Want to become a CDE

    classicdame replied to kcdunlap's topic in Diabetes, Endocrine Nursing

    you might find an MD (internal medicine or endocrinology) who could use you part time or prn to do basic survival skill training. That would relieve their staff of this service. I would ask them to...

  3. Abusive patient...How far must I go to be a PT advocate?

    classicdame replied to GreenApplesauce's topic in Patient, Colleague Relations

    I have more tolerance than some with these patients because I look upon the behavor as a "symptom". But you are right, it is very hard to deal with over time. I recommend you find out if your employer...

  4. Hyperglycemia or Dehydration what to treat first

    classicdame replied to hazzadis's topic in Nursing Student Assistance

    I would expect to hang fluids containing K+ with rapid infusion rate, then give insulin depending on level of hyperglycemia, in that order. The lack of fluids can cause all of the other issues listed....

  5. First Semester Student IV Fluid Orders

    classicdame replied to sgabaldon5's topic in Nursing Student Assistance

    incomplete order in my opinion. The MD should have included the rate. Basically the order would mean to mean that I hang it at 0800 and 2000. But I would have to "guess" what the rate should be, and...

  6. End of clinical presents

    classicdame replied to paratroopa's topic in General Students

    not a practice in our facility unless someone chooses on their own. Not a good habit. Becomes an expectation and then destroys the purpose of

  7. Do I need my RN license

    classicdame replied to acrosstobare's topic in General Nursing

    not aware of any job wanting degree in nursing without the license. Also do not understand why you would not want to be licensed. I recommend you talk to an advisor at the school. They may have...

  8. INR 6.5

    classicdame replied to goalienrse's topic in Medical-Surgical

    seems the MD should have ordered an INR be drawn later in the day. Let's hope he considered that when making

  9. How can I land icu tech position while in nursing school?

    classicdame replied to kht124's topic in General Students

    I doubt seriously that anything you said in an interview would be known to others. I do believe there are more applicants than jobs. Have you considered tech or monitor tech or unit clerk in another...

  10. What do you do?

    classicdame replied to texasmum's topic in General Nursing

    seems to me there is always cleaning to be done. Try to help the day shift out by creating a neater workspace. Do some computer training. I do not recall many nights where we had a lot of time on our...

  11. Advice for Practicum?!?!?!?!?!?

    classicdame replied to procrastinator911's topic in General Students

    Now that you know what types of patients you will be seeing, read up on blood disorders in that age group. Take a cheat sheet to the practicum regarding blood and Rh types. Prepare questions ahead of...

  12. iPad apps?

    classicdame replied to RosaleiMae's topic in General Students

    I also recommend Micromedex by Truven Also, try ABGStat for quickie ABG results. The neat thing is, after a while you begin to see patterns and can figure them out yourself much

  13. Jane Watsons Theory of human caring

    classicdame replied to missbina's topic in Nursing Student Assistance

    well I feel slighted. When I heard her speak it was with candles, no bells or chanting. MMMMMMMMMM We use her theory in our facility, but only as a background to our overall nursing philosophy. We...

  14. Accepted!

    classicdame replied to healthy12's topic in General Students

    good for you! The race has begun

  15. Antipsychotics and increased BG

    classicdame replied to mtgirl81's topic in Diabetes, Endocrine Nursing

    the patient needs to be under the care of a pediatric endocrinologist. Yes, meds can elevate glucose levels, but this is manageable. If he needs those meds, he needs them. We have adult COPD patients...

  16. Dietary Information

    classicdame replied to 84RN's topic in Diabetes, Endocrine Nursing

    If the patient is able and willing, a dietician consult would be a good thing. Many who work in hospitals do Medical Nutrition Therapy, which is covered by Medicare and other insurance, but not 100%...

  17. Want to become a CDE

    classicdame replied to kcdunlap's topic in Diabetes, Endocrine Nursing

    If you are working as a nurse and are educating patents in that capacity you should qualify. Check with the agency providing the

  18. Uh, tech support, it's me again...

    classicdame replied to RNperdiem's topic in General Nursing

    we have a system that allows you to sign in once a day and thereafter you swipe your badge barcode and never log in again to any of the programs we use. Really nice.Talk to your IT department. The...

  19. Ideas for guest speaker

    classicdame replied to wilslisa's topic in Nursing Student Assistance

    consider having an "expert". Nurse Practitioner, SANE nurse, Respiratory Therapist, Physical Therapist (our class had a PT come show us how to get people off the floor and other hints about...

  20. Understanding DM II, please help!

    classicdame replied to amyhart34's topic in Nursing Student Assistance

    if the cells absorb about 60% (hypotehtical number) of insulin that is circulating, then it makes sense to circulate more. 60% of 100 is 60 units. 60% of 200 is 120

  21. Question on the hospital enviro and patient sleep

    classicdame replied to Kaysmom8's topic in Nursing Student Assistance

    squeaky equipment, including doors, should be addressed. Someone on continuous fluids will need to urinate frequently. Pain wakes up patients. Lot of reasons, but rest is restorative and should be...

  22. question about heart failure

    classicdame replied to mlauren's topic in Nursing Student Assistance

    of course this is the MD's decision. But the MD will consider the condition of the kidneys. If they are not functioning properly the pt will hold on to potassium which can lead to heart arrhythmias....

  23. Misrepresentation as a "nurse" - Advice Appreciated!

    classicdame replied to nicket07's topic in General Nursing

    another option is that the individual could have a license under a different name. In TX we are obliged to notify the Board of name changes, but I know that is not always done quickly. I think you are...

  24. I still don't understand why a hospital would hire cna's, or techs but not lpn's

    classicdame replied to Destiny'skid's topic in Patient, Colleague Relations

    How can an LVN not help as much as a good CNA? Let me expand. If I have a grid that allows for 5 FTE's I may elect to have 4 RN's and 1 CNA rather than 4 RN's and 1 LVN. I know that the 4 RN's will be...

  25. Being labeled an MA but an LPN

    classicdame replied to HippyDippyLPN's topic in General Nursing

    I have a feeling that the people in HR are not familiar with your nurse practice act. You are responsible and accountable for whatever falls under your scope of practice. It is not a title thing - it...