dabearrn

Yup hated NANDA as a student and as a practicing RN. I felt it was nothing more than a time suck. Although, I find it an excellent tool for an adjunct in teaching pathophysiology. It really forces students to think about what is REALLY happening PHYSIOLOGICALLY. I also add - "Due to" after AEB in our Nsg Dx to make sure the students are aware of the medical situation as stated above.

CAT call would have been the right call. Intubate him on the floor, and then move him to your CC unit. If he gets better you can take the tube out. If not, then intubation proved to be the right call. Either way, the pt is secured. Yeah, sounds like a PE.

Depending on where your students are in your program... I have done the following... Give the scenario of a patient who is coming into the ED. Full H&P info, with the treatment given in the ED. Have your students (in small groups) determine a plan of care for that patient from ED admission through to discharge from the hospital after a 2 week stay. Then one week of home health visits. Include Nsg Dx, c all interventions, pt. teaching, meds, etc... A couple of days into his/her admission planning, give your patient a set back that your students will have to deal with to get your client through to discharge. We have a TINY hospital that we use, so I have to do these exercises several times a semester because the census is too low.

Non-religious Conservative here!! Teaching in academia, so I have keep it quiet.

I wear only New Balance 927's. I am a rather large guy 5' 10" 250# and My feet never hurt at the end of my shifts. I wear them to exercise, and on vacation when I am often on my feet walking/standing around all day. I haven't bought anything else for the last 5 years. They are pricey, but worth every penny.

I don't feel that I am doing a very good job at all of teaching prioritization.. Matter of fact I really do not have much of a plan for the topic at all. I do fine when talking about procedures, but in theory and critical thinking I don't do well at all. How do some of your teach it? Primarily in the med-surg areas. Any help would be very much appreciated.

Looks like to me a photo of a tumor on an OR tray would not be considered a HIPAA violation. That is what happened here a couple of days ago and one of the hospital administrators is having a hissy fit saying that they are going to be sued by the FBI for a HIPAA violation, and he want to fire everyone who was in the operating suite.

I live on the US island of Saipan. About 90 miles north of Guam, and 1500 miles SE of Tokyo. Challenging would be a very politically correct term to describe our situation. There is only 1 hospital, 70 beds, no specialists, severely underfunded, and understaffed with MD's and RN's. Many of our patients would not be admitted into a US a hospital, but since there is very little medical or health infrastructure here, they are admitted to get even the most basic health care. 90% of our admitting diagnoses are r/t complications of DM. The local Chamorro race has the third highest rate of DM in the world. 99.9% of the nurses we work with were not educated in the US, so trying to teach US standards in the clinicals is quite difficult. :banghead:To make up for this weakness I have made the clinical experience forms quite difficult. I also interview (interrogate) each student about the whys and hows of their patients at each clinical. They balked at first, but they understand the reason behind my madness, :idea:and are OK with it now. There are some other significant challenges, but it would not be prudent to put these into print. We teach both the clinical and lecture portions of the class. In the last few years, probably only 2 students who have graduated actually speak English in the home. We have mostly Filipino, with some Koreans and local indigenous people in our classes. To summarize, yes there are huge differences between what you do in the US and what we do here with almost no resources, and very limited experiences. Thanks for asking.:onbch: OMG!! I love the smilies this board has.!!

I am a second year instructor in an itty bitty ADN program on an itty bitty island in the Pacific Ocean. No MSN, no BSN, only a diploma, and a BS in exercise physiology. Students say they learn quite a bit from me though. It seems I am able to put things in terms that they understand. Most of them are not REAL good with English so it is a good thing I am able to do that. I am still learning, and still learning what I do not know. Hopefully, I will get much better in time.