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http://faculty.sunydutchess.edu/Scala/Bio102/PDF/Oogenesis.jpg This diagram has haploid/diploid marked. Oogenesis is basically the development of haploid cells from an original diploid cell, called a primary oocyte, through meiosis. So if diploid cell = 2n, and haploid cell = n, think that mom has 2n cells. She needs to split these so that each ovum only has n, then n is added from sperm at fertilization to make 2n baby. sorry, that's very simplistic, but it made it easier for me to understand when I studied this!

RN degrees equip people to practise as BEGINNER RN's. The only way to become experienced is to work as an RN. Read all the "First Year in Nursing" posts if you don't believe that. APRN degree equip people to work as BEGINNER APRNs. Sure, it can be done with no RN experience, however it is the harder way to do it. The OP asked for opinions, and got them from the people "in the trenches". If you don't like them, by all means do your thing, and good luck. It's kind of pointless to think this thread is going to change your mind, or anyone else's.

OK, then they are just wrong. Can you ask why DDD mode and explain it can't sense OR pace when there is no ventricular wire in place? May just be that they are used to seeing DDD and so say that all the time. Someone prescribing pacing treatment should really have an understanding of the modes of pacing.

If I was a doctor I wouldn't want to be called "nurse". As a nurse, I wouldn't want to be called "doctor". What's wrong with wanting to be referred to by your correct title?

Ask to see the written policy. If they have one, it's probably illegal -seek advice if it's something you want to do. If they don't, they're just trying to scare y'all into not getting pregnant.

We do it all the time when unable to atrially pace (our surgeons prefer AAI pacing in most postop CABG as they are only trying to maximize rate and output). We disconnect the ventricular leads, attach the atrial leads to the "v" port of the pulse generator, crank up the output. It works fine, and the pacing is usually off by POD 1. Note: We get our docs to write this procedure as an order so we are covered. We LABEL CAREFULLY on the pulse generator that they are atrial wires and also document this in the notes.

The point of measuring blood pressure is generally to assess systemic perfusion. However, systolic and diastolic pressures reflect only one beat of the heart (contraction and relaxation pressures respectively). If you have a hypo- or hyperdynamic left ventricle, the systolic BP can be misleading. If you have peripheral vasoconstriction, the diastolic BP can be misleading. You work out MAP by ([2xDBP] + SBP)/3 (because diastole takes up 2/3 of the cardiac cycle and systole takes up 1/3 of the cycle). Therefore, MAP gives you an indication of the mean (average) perfusion pressure across the entire cardiac cycle. Tissue hypoperfusion is the pathophysiologic endpoint of low blood pressure, and mean arterial pressure (MAP), rather than BP, is the physiologic driving force behind blood flow to organs and tissues.

Your Patient ph was 7.38 co2 2.15 kPa = 16.34mmHg po2 28.8 kPa = 219mmHg hc03 12.8 mmol/L = 12.8 mEq/L bevt 14.5 Normal pH = 7.35-7.45 CO2 = 35-45 mmHg (4.6 – 5.9 kPa) O2 = 75-100mmHg (9.8 – 13.16 kPa) HCO3 = 22-26 mmol/L (or mEq/L) Base excess = -2 - +2 mmol/L (or mEq/L) ** [kPa x 7.6 = mmHg] or [mmHg / 7.6 = kPa]** So evaluate your patient’s numbers. 1.Is he acidotic/alkalotic? -> pH is normal, lower end of normal (towards acidotic) 2.Is his CO2 normal? -> No, it is very low, or alkalotic 3.Is his HCO3 normal? -> No, it is very low, or acidotic. 4.Is his base excess normal? -> No, it is very low, showing a large amount of base must be added to restore a normal pH. Because your bicarb and pH have moved in the same direction (towards acidosis), you would say you have a metabolic acidosis. Because your CO2 is moving in the opposite direction (towards alkalosis), you know you have respiratory compensation. Because your pH is normal, you don't technically have metabolic acidosis anymore. You have a compensated metabolic acidosis (with compensatory respiratory alkalosis). Your primary treatment goal is to increase the bicarbonate level, and the CO2 will adjust. You don't say why he is hypovolemic - this may be because he was vomiting a lot (losing acid) or bleeding a lot etc.

the compensatory mechanism is hyperventilation to reduce the arterial pco2. metabolic acidosis (reduced hco3-) most commonly stimulates the central and peripheral chemoreceptors that control respiration, resulting in an increase in alveolar ventilation, which results in a compensatory respiratory alkalosis (excretion of co2 = less carbonic acid).

Taking the NCLEX is one part of the licensure process. Steps are: 1. Do the required course (call the board and ask if you can do it online, you often can) 2. Apply for licensure to your state board (and pay fee) 3. Register for Pearson Vue (and pay fee) 4. State advises Pearson that you are eligible to take the exam 5. Pearson issues you an ATT 6. Take and pass NCLEX 7. Receive license

I am the sobbiest person ever watching TV shows etc (I cry at anything and everyone laughs at me!), however I'm not like that at work. When you're working, you're concentrating on your job, and you don't often think about the "sadness" of the situation until later (unlike when you're uninterrupted, watching TV). I've cried a few times - the first time a patient died and I had to do her care (a lovely little old lady at my nursing home), and the first time I witnessed brain death tests on a young man in a trauma ICU (such a waste). Being human is not a bad thing, as long as it doesn't interfere with your care. As SmilingBluEyes said, as long as it's not about YOU. You can leave the room and shed a tear.

Working as a nurse tends to make a competent nurse, regardless of your grades (as long as you pass). A students still end up as "new grads" and feel like they know nothing. A serious dash of common sense and empathy helps.

Studies have shown that alcohol-based handrub is less drying to the skin than soap and water, as long as it contains 1-2% emollient. Boyce JM, Kelliher S, Vallande N. Skin irritation and dryness associated with two hand-hygiene regimens: soap-and-water hand washing versus hand antisepsis with an alcoholic hand gel. Infect Control Hosp Epidemiol 2000;21:442-448. OBJECTIVE: To compare the frequency of skin irritation and dryness associated with using an alcoholic-hand-gel regimen for hand antisepsis versus using soap and water for hand washing. DESIGN: Prospective randomized trial with crossover design. Irritation and dryness of nurses' hands were evaluated by self-assessment and by visual assessment by a study nurse. Epidermal water content of the dorsal surface of nurses' hands was estimated by measuring electrical capacitance of the skin. SETTING: Miriam Hospital, a 200-bed university-affiliated teaching hospital. PARTICIPANTS: Thirty-two nurses working on three hospital wards participated in the trial, which lasted 6 weeks. RESULTS: Self-assessment scores of skin irritation and dryness decreased slightly during the 2 weeks when nurses used the alcoholic-hand-gel regimen (mean baseline score, 2.72; mean final score, 2.0; P=.08) but increased substantially during the 2 weeks when nurses used soap and water (mean baseline score, 2.0; mean final score, 4.8; P<.0001 visual assessment scores by the study nurse of skin irritation and dryness did not change significantly when alcoholic-hand-gel regimen was used baseline final were both but increased substantially nurses soap water score mean p=".05)." epidermal content dorsal surface hands changed little deviation electrical capacitance reading decreased became dryer with soap-and-water hand washing> CONCLUSIONS:[/b] Hand antisepsis with an alcoholic-hand-gel regimen was well tolerated and did not result in skin irritation and dryness of nurses' hands. In contrast, skin irritation and dryness increased significantly when nurses washed their hands with the unmedicated soap product available in the hospital. Newer alcoholic hand gels that are tolerated better than soap may be more acceptable to staff and may lead to improved hand-hygiene practices. http://www.handhygiene.org/downloads/HHRCnonclinmodule123002.ppt (If course this is not necessarily true for everyone, as per the poster above).

Could you just use disposable gowns and gloves with the rule out TB patient and take them off before attending to other patients? This should be fairly basic if they are on contact precautions.