Isabelle49

It is that agency and those particular management personnel. Leave that agency. Find another one that respects you. Keep doing that until you find a happy medium. Remember, respect is number 1 priority for the nurse and compassionate patient care for the patients. If office can’t respect you, leave them flat!!!

Geeze!!! Why not call the dean of your school or a counselor. I can't imagine why you got kicked out. You could have had the word done at a slow lab and that wouldn't have been your fault. Take this as a sign or things to come in school and throughout your career. Am retired after 32 years.

If the pigtail is left open to air, you would have this connected to continuous suction. If the pigtail is closed, should only be connected to intermittent suction to prevent damage to the gastric mucosa from continuous vacuum and no release. The pigtail (usually blue, at least it was when I was working) is not used for suction or to administer feedings or meds. The opening at the top of the main tube is used for feedings and suction or just left open vented. You may or may not have to use a Christmas tree connection to attach to suction. That will depend on the size of the connecting tubing. Anytime you face a challenge you are not 100% sure of, ask another experienced nurse or your instructor. Never guess, it can be very bad news. Thanks.

Do any students here attend a nursing program that does not provide a Post-Test review, where you are provided with a rationale as to why one answer to a question is correct and the others are not? Thanks for the input. Isabelle

Start looking for another HH company to work for. You are working for a bullying tyrant. Don't put up with it!!!

Wondering if you made the cut for Charity-Delgado. I have recently learned that the school no longer offers post test review to the 4th level students who are very close to graduating and taking the NCLEX. I expect this teaching process will be reflected in lower NCLEX pass rates. I wish you well.

I'm a long ago graduate of Charity Hospital School of Nursing. We had a wonderful education at the time, and included test review with rationales for answers to questions. I understand students are no longer offered test reviews with rationales for answers to questions on the tests. This is an excellent teaching tool. I don't understand why this is no longer in practice. Oh, and students are given the number of the question they an answer wrong for, but they are not given the question (ex: you got question 3, 9, 21 wrong). Are students supposed to figure out what the question was??? I am beginning to feel that there is a certain degree of neglect with this teaching process. Does anyone else attend a nursing school that does not offer test review? I am really disappointed in Charity-Delgado Nursing School. I expect the education process will be reflected in lower numbers of NCLEX pass rates. Not a good thing. Thanks for reading. Would love some responses.

32 years ago in NICU, we manually primed tubing before connecting to stringe pump, but things may have changed as awareness of potential problems become evident. All I can say is, remember every machine is just a machine, keep an Eagle eye on all equipment used in the care of your neonate patient to make sure they are working with precision. Don't trust machines in the care of your neonate patient. Example: I had a neonate on a ventilator who was not responding well, O2 sats were staying low, lungs were clear, tube was in place. As we moved the neonate to the area to be placed on ECMO, we were manuallly bagging him, sats rose and he was well. The ventilator was not functioning properly!!! What an eye opener that was. I never fully trusted the machines again.

That's crazy!!! I hope you post an update. In Louisiana results are in during the same week the NCLEX was taken. I think I would contact NCLEX too!!!

I see you posted your message on my birthday in 2017!!! 32 years ago I interviewed for a position in Ochsner's NICU as a new grad too. I got the job and the main campus on Jefferson Hwy (that was the only Ochsner then). I worked there for years and loved the work. They have a fantastic, first rate NICU. Wishing you well. I hope you come back and post again!!!

Imagine this: 32 years ago we sat for 2 days to take the board exam. It was a pencil and paper test where you colored in the dots to the correct answers!!! Just think what the outcome would be if one of the dots was skipped and all the rest of your answers could be wrong because of this. Don't stress, it's just a test like all the others you have taken to get this far. Relax, read the questions slowly and carefully. You can do it and you can pass!!!

Considering the effect hypokalemia has on the heart muscle, causing a decreased output, initially a person may have hypotension. Remember, there is a feedback mechanism for just about every physiological event. Once the brain senses a decreased output, adrenal hormones are released resulting in vasoconstriction and increased heart rate. The increased vasoconstriction would result in hypertension, but remember this is an effect of the feedback mechanism and not a direct effect of hypokalemia. I've been out of school for 32 years, hoping I remembered this correctly.

I think it is a big problem that this baby spills so much feeding from the mouth. You know it doesn't spill out until the mouth gets too full. This baby is at high risk for aspiration!!! Sounds to me like tube feeding are in order for a while.

I read about that. The nurse involved is on leave. Have discovered through FB that the nurse is a he, hoping his license will be revoked.

Is the paperwork for patients you were seeing or were you working in the office? If it is for patients you were seeing, the company can report the undone work to the board of nursing.

5 years experience in Home Care is a bit much. Our State Regs require 1 year nursing experience to start home health, but that would be without home health experience. I would think 1 - 2 years hh experience should work and may give you a broader applicant base. BA/BS/MSN is also way over the top. I don't know any MSN's that would want to do hh and I doubt you could meet salary requirements. Why not an AD or Diploma nurse. I'm a diploma nurse with 15 years home health experience. Diploma nurses train in the trenches, they see and do almost everything. In reality, there is only one licensing exam and no matte what you training is, everyone takes the same test and receives the same license. I wish you the best.

Always remember to have someone else check your calculations in the real world!!!

Tachycardic: are they scared, dehydrated, anemic? Any labs?

Care planning wasn't really taught when I was in school over 30 years ago, but we had to do them. They were a great learning tool.

As for the fractured femur, largest bone in the body: Potential for hemorrhage internally and formation of clots. Pain of course.

Think of the Oasis Summary as a written report to other nurses who will be assuming care of the patient. Think of what you would want to know about that patient if it were you assuming care.

I suspect the agency you work for has been dinged by the State when a survey was done.

Agree you should find another company to work for. You NEVER make it up as you go along. You teach according to what has been set by the Plan of Care or 485.

Years ago when I worked in Baton Rouge, the pay was pretty low. We moved there from New Orleans and I think i took a 3 - 4 /hr cut. Sucks.

Years ago nurses in our area were doing 15 - 20 visits a day. The state put a stop to it. Now the max is 10. I can hardly walk or talk after 7. I call the 20 visits a day, hit and run visits. Kind of like, hi, sign here!!!