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childpsychnurse

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  1. The information may be unfounded, but don't forget to at least learn what she may be trying to teach. Introducing milk too early can lead to milk allergies as a result of an immature immune system that is unable to handle cow's milk proteins and thus...MAY lead to more allergies with similar protein complexes. Per the attached link, about 1 in 50 babies will have this problem(http://www.cyh.com/HealthTopics/HealthTopicDetails.aspx?p=114&np=302&id=1785#2) So when doing your research on her facts, learn from what you are reading. Many schools have post - class surveys...utilize these for your concerns. If you ask your instuctor for more details, maybe something like "I am really enjoying this topic, and would like to study more on my own. 90% is such a huge percentage, where can I learn more about it?" she will not feel you are questioning her but are showing interest.
  2. it is never easy seeing a loved one suffer. We always hope for speedy recoveries or the miracle fix. I, too, watched my grandmother suffer from a similar situation of congestive heart failure. Fluid gathered in her lungs much like that of pneumonia. What we have to remember is that we may have all of the technology, know how, medicines and fancy machines, but we are only simple humans. What ever or who ever your greater power is, whether it be God or another-you have to seek their strength to survive. They teach us in nursing school that never assume the patient cannot hear-no matter what their condition. Talk to her, give her your love, discuss fond memories, and give her your strength and encouragement. She WILL hear you. That's all that can be expected. The rest is up to her and her inner power. Medicine is only a small piece of the puzzle. If you have a church home minister or spiritual leader, it does help both the patient and the family to gather together to pray, foster hope and encouragement. Never Never Never be afraid to ask questions to understand her illness and the process she is going through or for help for you to deal with your pain. I hope the best for you and your family.
  3. I agree that there are many new nurses that are making a great name for themselves-so I apologize if my comment was too steriotypical. I also agree that out of the number of the thousands graduates each year, there will be a few outstanding ones. I would venture to say that these over the top nurses can also tell at least one story each of students kicked out of programs due to cheating by texting, and that too many have the mind set that C=RN or LPN; and not trying to to do more than just what they have to to get by. As we all know, the real world requires to do a bit more than the minimum to keep clients happy-and that is how it should be. I strive to be the nurse that people want to learn from and want to work with. I went back to school to leave a career in management and study nursing at the age 40. I love providing a service, and over the past 10 yrs a person can only try to teach and model the needed work ethic for so long. I have had employees walk around my business on phones and they see nothing wrong with it. Even my own son thinks I am nuts for suggesting he socialize and interact with peers as opposed to texting. And shame on me I suggest he use the home phone-it's not cool. I thank the young techno-savy generation for developing software for computer charting-but most of them don't appreciate what a service is.
  4. There is a book titled "Beyond Generation X" and it talks about the difference in ethics between the generations. Baby Boomers gave birth to these X-ers, now they are breeding generation Y, a group of techno-focus youngsters that can't spell their own name because of text messaging. We are going to have to deal with this until we retire I am afraid. They were raised this way, they feel invincible because they are without limits. I find myself having to play mom all they time to the youngerters that have no clue of appropriate work ethics.
  5. I am ROTFLMAO because being in child psych-no on asks to touch my hair, they just pull on what I haven't already pulled out! I can see an older patient maybe asking this. For some reasoon, once someone reaches the Gero age inhibition leaves. I like the husband comeback-or "I don't know where your hands have been and you don't know where my head has been". Sure wish I had good hair! Sure wish people complimented my gray hair. Some people just don't have a clue about personal boundaries and respecting others.
  6. Don't forget that NCLEX testing will force a few select testers to take the entire exam-it is used as a balance and check for question quality. It may have nothing to do with the quality of answers, you just had a bad luck of the draw. I bet all of you were exausted after that day!
  7. I work in child psych-with most of our patients being on Medicaid. The amount of money the government pays for stays is rediculous, then add in the great invention of the 90's "managed care", and who gets the brunt of the effect? Nurses and patients. I have had as many as 23 patients at a time-I normally have 12 per day. I have to send staff to save hours and have to do a lot of work at home to keep up with treatment plans. I wish the administrator's of insurance companies no ill-will, but if they became ill maybe they would see how their payment decisions force a decrease in care and increase in stress. I see many retired nurses on my adult unit-depression and anxiety related issues. It is a sin for sure.:angryfire
  8. We have an area with large storage bins to store such items. In the chart we have a form that lists their items. We lable the bin w/ rm # or name (HIPPA in mind). At D/C, the pt signs the inventory sheet prior to leaving so they cannot come back and make claims...but no matter how hard we atte,pt to list fully, we still have a few claims here or there.
  9. The med recon is supposed to be an MD task-yet do any of us have doctors that actually make it a priority? Most of my admissions are VTO-with "continue whatever home meds they are on". Then, we have the client or representative that doesn't know doses OR, in the CD field, patients that are figuring out all they have to do is say they are on something and it gets "continued". We are suposed to call the MD back and get confirmation after admitting, but it doesn't correct dosage errors or clients that get sound alikes confused, too.
  10. As a psych nurse-I have to remind myself that ETOH abuse is still a disease and that we, as humans, have been given the gift of opposable thumbs and creative brains to reason on how to cure diseases of poor choices (and arguably genetics). I agree that we need to educate the puiblic on making death dignified-even for substance abusers. What I think the medical profession should rally on is not the amount of drugs that we CAN use, but when insurance tells us there are drugs we CANNOT use. Why should some desk jocky somewhere in a high-rise building tell any of our patients what a doctor can or cannot prescribe or how a client can take medication while hospitalized but be denied after discharge. The medical system is beyond flawed when Medicaid will pay for a 680.00 a day acute stay but won't pay 100.00 a month for medications. maybe some of the hard-on-there-luck citizens would be able to get off the juice to begin with if healthcare systems supported life. Then we could truly evaluate if we have gone too far.
  11. In southern IN the new grad-low experience rate to start is $19-$20 per hour full time, around $25 for PRN. This is w/o shift diff.
  12. Before you jump the gun and start thinking dollars-I suggest you think about yourself! Being too gung-ho to make money puts too much stress on you and can result in a quick burn out. If you focus on your orientation and do well, the hours will come to you as you will be the first one they call to pick up shifts, believe me! After my orientation, I averaged 2 shifts a week overtime because I had the reputation of solid work and never said "no"! Your excited and ready to graduate, but let the stress come in time-don't rush it! Just my 2-cents.
  13. Most likely she passed-odds are if you cut off at 75 she hit the minimum number right. Everyone that I knew that stopped at 75 passed. It is not a guarentee as the CAT testing system can cut off if the absolute numebr at 75 missed would not allow the pass amount, but I have never seen it.

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