1st edition

Has anyone here taken the placement test for advance placement at PCC? If so how do I prepare for it? The test determines where you start in their RN program. HELP!

Well, girls apparently no one is going to squeal! :) I have decided to do the Lower Columbia online program. I need to work as much as I can and can work PT if I do it online. I am not crazy about doing nsg online but a girl's gotta eat (and so do he...

I need advice on what to do since I do not handle office politics well. One night a CNA witnessed verbal abuse of a rsd in our LTC by another CNA. The witness did not report this to anyone the night it happened. Second night, again the witness still ...

You don't have to be a DNS to give me an opinion here guys! :)

I work w/ many GREAT CNA's! I could not do my job w/out you guys. My only complaints are not getting VS on time (w/in 3 hrs after shift starts) and aides not writing down I&O's. I make rounds to make sure ankles are floated, everyone clean and dr...

I have wanted to write a book just for this topic!!!!!! Maybe now I will!

Professionals are humans too! Just because you work in the medical field does not mean that you don't feel the same emotions as people in other fields. Putting on that uniform everyday does not turn me into a robot and it shouldn't. Who a coworker is...

I am currently licensed in 4 states. I did not have to take any additional tests for any state. Just pay the fee and apply. There is no limit to how many you can have that I know of. You just have to be in good standing w/ each board.

I have 33 and I work gladly take your 20! That would be heaven!

I would like to have clarification also on the BS. One would not admin ANY insulin w/ BS 21. Liver is on the Rt side, pancreas on Lt

If your nursing program/college only allows you to take a pre-req x2 then perhaps you should w/draw. That way there is no grade to consider and you can re-take A&P 2 more times if you need to. The highest of the 2 grades will be the one factored.

It has to be one RN and another nurse, LPN or RN, witness. Haldol is a narcotic, I believe a sedative/hypnotic.

How long has the fatigue been this extreme? Was it gradual? I was exp extreme fatigue awhile back as well. I had suffered from sheer exhaustion for >2 yrs. It was untreated early menopause (I don't know how old you are), early endometriosis, and b...

During report tonight the oncoming nurse told me tyl and vicodin cannot be admin w/in 4 hrs of each other. The order reads Tyl 650 mg 1 po q4/prn/pain and the vicodin order reads Vicodin 5/500 1 or 2 po prn q4/prn/pain. There is nothing in the MARS t...

I must wear bil hearing aids and w/ them I have about 80% normal hearing ability. Would this prevent me from working ER?

Oh yeah! Keep copies for yourself of ALL your notes that you use for report. If you forget to write down a BS you can look at your notes later and write it in the MARS the next day or whenever. Also, I make copies of all labs, TO's, and such to give ...

I have 33 rsds. I stay busy and I do all the things in your list. It is very hard and I never sit down except to do my charting at the end of the 2nd shift.

You will develop your own routine after about a month on your own. At first do things exactly the way they tell you. After awhile you'll figure out who should have meds first. On my shift I know who to give meds to before right after dinner or else t...

I sent out a memo to all my CNA's. VS must be done by such and such time, I & O must be properly recorded, etc and that I would be making rounds at such and such time, about an hr before end of shift to make sure all rsd were reasonably dry and c...

I'm crying to! What a wonderful thing you did. Most of us in LTC are so busy that we sometimes forget to take the time to care. Thanks for the reminder that we do more than pass pills!

Try not to judge why families don't visit. Walk in a mile in their shoes . . . the mom or dad may have been great but they can't visit d/t work, coping skills, etc. Sometimes the grown child that is sooo attentive may be so d/t guilt, ie they didn't ...

Gotta go bed, ladies, but will check for more replies tomorrow. Thanks for the GREAT feedback! That's why I love allnurses.com!

Nothing was mentioned about the mg/d limit. She just told me I couldn't give both w/in a 4 hr period. I said, "Well, the orders don't say that" and she said it should.

She recently fractured a rib. She doesn't like to take the vicodin d/t N but occ does. I offered the pt vicodin bc I had given her tyl 1 1/2 hrs earlier and couldn't admin more tyl for awhile. When I told the oncoming I gave her tyl at 2030 and she w...

So she can have 2 vicodin and 3 tyl/d max so as not to exceed the 2000mg/d. She has been getting over the 2000mg/d for at least a wk now between the 3 shifts. This lady is 91 yrs old. Should I ask the MD about the daily limit allowed for this pt?