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Will becoming an IBCLC aide me in applying to Mom&Baby, L&D, etc?
I think it would definitely help, but have you looked at the pathways to sit for the exam? It's a rather long process especially if you're not a nurse yet. My guess is that you would finish nursing school before you had enough hours to become certified, unless you are already some sort of health professional.
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difficult patients
I work in psych so I deal with this type of patient a lot. Bear in mind that she has a mental illness as well as a painful debilitating physical one. That combination is not usually going to make for an easy, pleasant patient. My advice would be to not take anything personally and try not to engage in power struggles. Do what you can within your ability and that's all you can do. Try to remain calm and not feed into the negativity. Remain matter of fact and let her know what her choices are and that that is all you can do.
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RN feeling discouraged, can't find niche
Have you tried PostPartum? That way you'd still get to teach parents, but wouldn't have as much stress. PP nursing is pretty low key, most of the time. Of course, you do get the occasional hemmorage and what not.
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Lactation Consultant/Specialist
Have you looked into the process of becoming a certified lactation consultant? There are several pathways but the shortest and easiest is if you are already a nurse. You will probably have your nursing degree in less time than it will take to get certified as an IBCLC. You could look into being a breastfeeding peer counselor for the WIC program, if you have personal breastfeeding experience, that is. OR being a tech on an OB/PP floor.
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Basic nursing questions
I originally liked D for both, but I can see where B was correct. I would like it better if it was worded as checking patency instead of blood return though. But your rationale for B is a little off. Doctors will many times order a broad spectrum antibiotic for patients while awaiting the results of a culture. They will then look at the culture and change to a different antibiotic if needed. The culture would definitely need to be collected before starteing the abx as they could skew the results of the culture.
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Working 3 12hr shifts in a room, yay or nay?
heh, I do 7 12s in a row. But I'm on nights in psych so it's usually pretty low key. Although we do have our wild nights. No way I could do it on med surg though.
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I'm mad and sad(about pt's family)
It's possible you're not seeing the whole picture. Maybe they do visit, just not as often as he'd like. Or perhaps he just doesn't remember. My husband went to see his grandfather and he started crying and saying he hadn't seen him in years. My husband had been to see him just the month before (we don't live in the same city). Older people with dementia often seem completely with it when telling old stories. Their long term memories are usually still intact. It's the short term memories that are the problem.
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Question about holding meds
I think you are right. I would not hold bp meds for a normal blood pressure. As you said, the meds are what are keeping it normal. Just go with your preceptor for now. You will be on your own soon and can do things your way.
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what should I do?
I'm going into my 3rd semester of the nursing program. Yes, it is hard. Yes, it will take a lot of time away from your family. Going to nursing school with kids has been the hardest thing I've ever done in my life. I am stressed to the max and my house is a wreck. I hope that it will all be worth it when I graduate. I'm optimistic that it will be.
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low overall gpa, high prereq gpa?
My school only looked at nursing pre reqs and it is a BSN program, although not accelerated.
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Summer Session Sign In
Finished A &P I and Ethics in June with As! Yippee. Right now I'm working on A & P II.
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A&P I Summer 2007
My class started yesterday. We have already covered 2 of the 6 chapters in the class and our first test is next Wed. It's looks like it'll be a lot of work, but very manageable for me. The labs are fun at least because our instructor is nuts! She is hilarious. 7 am is so early though, and today was just a review of chemistry, which I didn't need. It was a real struggle not to fall asleep. One of my friends did fall asleep. I wish I had just stayed home and slept in a bit.
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What school are you waiting for???
Jacksonville State in Jacksonville, Alabama. Should hear within a couple of weeks.
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Who has kids?
I have a 4 year old and a 1 year old. I am going full time this summer and forever after. My school does not allow a part time option in the nursing program. So far I've been managing ok. We'll see how things go.
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A&P I Summer 2007
I'm right there with you guys. I start Monday at the ungodly hour of 7 am. I have class until 9:30am Monday through Thursday and lab from 9:45 am-11:45am Monday through Wednesday. I don't know how I'm going to do it as I am sooo not a morning person, but I guess I'll struggle through it.