drew9319

we have a gym in the basement. i go running for 30 mins then shower and come back to work. if i have a heavy patient load and cant do that, i run for 4-5 miles as soon as i get off. the perimiter of our hospital has a 2 mile walking trak that i run around 2 -3 times every morning that i get off. you just have to make time.

try nursingcrib.com they have searchabel careplan samples. for nada, nic and noc..you'll have to buy the books

use very much so. we usually use hr for the pulse or just P. the unapproved abbreviations is a whole other coversation :smilecoffeecup:

the temp i saw was 37.8 C. the PR of 102 i though was the pulse. that was my take anyway.

no trouble. if you read the posts here this happens. alot. nurses disagree on how to do things all the time. its just the way we are. everyone brings their own flare and methods to the game. if you make it through you will too.

you can disagree if you want. thats your right. never said you had to hand him the answer either

yes i have heard of the term hint. he is being resourceful. while doing his homework ect he is using a very good resource. which is this board. we should be helpful to those who come after us. not just give a hint and hope that they a) find what you expect them to find or b) understand what your telling them in the first place. its better to give a hand and bring them along. give him a link to follow or something. its called mentoring. i appreciate the fact that you are attempting to help him as i am. i just think we should be as helpful as possible.

you cannot diagnose the patient. sepsis is a medical diagnosis. and yes the pt does meet the criteria. but i doubt that his instructors would expect him to know that at this point. from what i am seeing i would assume that this is a 1st or second semester nursing student? were you able to identify sepsis then? if you were good for you. but most nursing students dont get that till critical care later in their studies.

acute pain related to infection of wound on the right foot is the one i would go with

the dm will cause it to take longer for the wound to heal. thus you can use potential for delayed healing r/t dm. the anemia means that he also has the potential for decrase nutrient and or o2 carrying capicity due to low hgb. thus imparing healing. you could also use risk for pain intolerance r/t wound infection or something along those lines. you have to adress the pain aspect of it

he si febrile(mildly), wbc elevated. hgb low thus the anemia. elevated wbc in urine indicates a urinary tract infection or inflammation of the urinary tract. need a urine culture. rbc in urine is a sign of renal damage. the crit on the cbc is good. the diagnosis i would use is potential for bleeding due to anemia. i woulnd use the potenetial or risk for infection b/c he already has one. use this link to do your care plan and to see your diag. http://www1.us.elsevierhealth.com/MERLIN/Gulanick/Constructor/index.cfm?plan=32

we use the artic sun blanket here to induce hypothermia. but you can do it with iced saline and ice packs. that is only in an emergency though(ie malignant hyperthermia) the reson you really should use a cooling blanket is because you want to control the rate of cooling.

unfortunately thats the way is is done. we do not have a choice in the matter. i usually take longer when turning over to a new rn who has not had the patient before. we try to avoid this be keeping the same group as long as the patient is in the icu. 8 pts. i wouldnt take that long to give report. we could get it done in 15 to 20 mins. as well. i would even have time to tell ya what color toe polish they had on and what times they went to the head.

keep this in mind as well. when the heart stops. we only have a 5% chance of recovering a pt. if the cod ehappens outside the hospital. it doesnt increase that much inside the hospital from the outside. when the heart fails and the o2 in the blood runs out. thats when the brain starts to die, as well as the heart. research has show that we can reduce the incidence of anoxic brain injury by inducing hypothermia. here is the link. http://content.nejm.org/cgi/content/short/346/8/549 hope this can help increse the knowledge we are sharing great thread