jrsmrs

jrsmrs

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  1. I've got a pretty heavy flow too since having kids, and scrubs are so thin, well, even the darker ones aren't very forgiving, to say the least. On at least one day, I can overflow a super-plus tampon...
  2. PEG tube placement checks

    I'm only a student but in one of my recent clinicals I got to change a PEG tube. My instructor walked me through it, and after putting the new tube in, I just aspirated the contents to make sure it...
  3. getting past a horrible clinical experience?

    Was there some reason given why this person wasn't at least using Attends? And am I understanding you right that the ulcer was left open? A full-thickness wound without a dressing?? I really hope I'm...
  4. Taking BP w/ A-Fib

    I can't vouch for this, and it's only my opinion, but I would take the BP really slowly (ie, let the needle fall slowly) and take the highest of 3 attempts. My thought process being that if you let...
  5. Vastus lateralis IM site

    Yes! Very frustrating when there are no nurses on the clinical floor who can help you landmark a ventral gluteal, and simply say "We never do that, just make a big cross and aim for the top corner and...
  6. Has this happen to you on a paper?

    Absolutely I would talk to the prof about it, and appeal if necessary. Papers are subjective, which can be a bad thing at times. I've got a bit of a problem with a paper I just got back where I felt...
  7. Alcohol for umbilical cord?????

    This is what we were taught just this year: Current research shows no evidence to support the need for alcohol; apparently there are no better or worse outcomes whether it is used or not. That said,...
  8. Vastus lateralis IM site

    VL is quite pronounced on most people. If you get the person to flex their leg, you can see it quite easily, and feel it very easily. You're absolutely right- it's not directly on the anterior thigh,...
  9. Stem Cell: Nursing Case Study----Please Help...:(

    I just did a presentation on this topic... just do a google search for stem cell ethics and you will find a pile of
  10. Please,please give me some guidance here...

    Something I have learned: there are as many different ways to do things as there are nurses. It is up to you alone how you will care for your patients and just because you see someone doing something...
  11. How will I juggle school and family - advice?

    It's not a cake walk, but you do what you have to do, make sacrifices where you have to, etc. You won't always be eating like you're used to (I fill the freezer with frozen lasagnes, shepherd's pies,...
  12. CHN is basically the umbrella that PHN and several others fall under. CHNs are all the nurses that work in a public setting, ie, not in a hospital or clinic. A public health nurse is what you...
  13. We are taught drip rates as well, and I have used them. Recently in my OB rotation, I was taking care of a fresh pp mom and she was on a gravity fed iv. I did the calc and found it was running much...
  14. Help with APA citation...

    I always follow APA guidelines from here: http://owl.english.purdue.edu/owl/resource/560/01/ What kind of info are you citing from there? I would hesitate to use that care plan site as a valid source...
  15. This is just my own assumption, but I would say to reduce the acid in general. No use for all that HCl when they are not eating, not having sufficient peristalsis, and could conceivably end up with...
  16. mechanics

    Are you pushing hard enough? You should be pushing firmly enough on the diaphragm side that you leave a visible pink ring on the skin when you remove it. With the bell side, you push very lightly,...
  17. Pantoprazole is a gastric acid inhibitor. Does this person have an ostomy? Colonectomy? If he/she is on TPN, it's because they are not getting sufficient nutrition via the gastrointestinal system. Why...
  18. Nursing School and Child Care

    This is why I waited til my kids were older before going back to school. We have no family around and there is just no way I could have done it otherwise. Now my kids are older-9 and 14 and I'm in my...
  19. Describe the Ugliest Scrubs You Have Seen!

    The worst scrubs I've seen were not scrubs at all. On my most recent clinical rotation at our local rehab hospital, I mistook one of the nurses for a family member who had fallen on hard times.......
  20. Question about when to hold G tube feeding

    That would be my answer as
  21. Ineffective coping? Spiritual
  22. Spinal Anesthesia - a situation

    Respiratory status is big after any kind of anesthesia. HR & BP must be watched very closely (probably every few minutes depending on policy) due to the risk of hemorrhage after the surgery (also...
  23. Yes, definitely overkill. The r/t is simply why the person has pain. Could be surgery, migraines, injury, etc- you just want to specify what the cause of the pain is, not describe how pain is...
  24. Grading system of Nursing Ed.

    Wow those grading schemes are crazy! Maybe its different in Canada, but my nursing program uses the same grading scheme as the rest of the university. Anything above a 90 is A+, 80s are A, 70s are B,...
  25. About Bedbaths and Stool

    I always try to evaluate what I'll need before I start, or have someone with me who can run out for extra supplies as needed. I'm not shy about the amount of stuff I use- disposible wipes, blue pads,...