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Telephone Orders- Perplexed in MA!
i think that if a nurse takes orders from a doc then he/she is responsible for transcribing them and noting them off. if that particular nurse is really busy then she needs to come back when she is free and put the orders in the chart. the only way that i would transcribe someone else's orders is if i knew i could trust them.
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Target of clinical instructor's venom HELP!!!
My advice is to try to ignore her as much as possible. Just do what you have to do at clinicals as accurately as possible and get out of there. Showing her that she is not bothering you may make her back off of you some. If she is getting to the point where you cannot tolerate her anymore, I would suggest that you have a talk with the Dean of your school of nursing. Sometimes all it takes is for someone with authority to come in the picture and people's attitudes immediately change. Good luck....if all else fails get some anti-venom serum!!!
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guys, i need ur opinion
hello! first off, calm down.... i took the nclex almost 4 years ago and i used the saunders book and cd to prepare. i took the tests on the cd several times and i only scored in the 70s as you had said but i passed my boards. i don't think anything can really help you to prepare for boards because there are so many different times of questions. i also think that the key to doing well on the test is being relaxed. the night before my test, i drove close to the test site which was about an hour from my house and stayed in a motel room. i just relaxed and watched tv and did not even bring my study material with me. then the next morning i got up and went to the ihop before the test making sure that i allowed myself plenty of time as to not to have to rush getting there. don't stress about it too much, i am sure you will do fabulous!
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Primary Care Nursing
i am also a big fan of primary nursing for several reasons: 1) you really get to know your patients. on the floor where i work be have been having 8-10 high needs patients per rn. this creates a major problem when trying to make sure that all tasks are completed for that patient on the given shift. a lot of times i only have time to see my patients one time maybe two in a 12 hour shift. this is not very safe nursing practice but that is what we have to work with for the time being. i would really like to be able to really get to know my patient instead of trying to rush through their assessment and literally throw their meds at them while rushing right back out of the room. 2) with primary nursing it is all about you and you can ensure that everything was done for that patient. if something is not right then it is up to you to fix it. the problem i see with primamry nursing is i have encountered several nurses (at my facility and others) that think they are "above" doing vitals, baths and tending to "code browns." i think that if staffing is appropriate then primmary nursing is the way to go to ensure adequate patient care.:roll
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Do you trust automatic "vitals" machines??
i do not think that the auto vital machines are very accurate especially the b/ps. i have encountered several intances on the floor i work with inaccurate b/ps from the machine. if i am going to give a b/p med i always recheck them manually just to be safe and usually it is to my advantage because my reading is no where close to the auto b/p reading. i have noticed that a lot of times the auto machines tend to run higher for b/p for some reason. i think they are good at showing a trend as with vitals that have to be taken often such as surg. vitals or blood vitals but i would rather b/p be taken with a good old fashioned cuff.
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NCLEX blues!
I took the NCLEX several years ago and my questions all seemed like they were from just a few areas instead of a wide variety as in your case. I took 79 questions and then my computer shut off...how weird is that...I thought I failed for sure and I passed. I am not sure about receving your resultws on Saturday...I would not think that anyone would be in the office. Some states offer the option of being able to check them online. That was not the case for me. I waited like 2 weeks in terror that I had not passed. Good luck to you and try to keep your mind occupied.
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Blood pressure cuff recommendations
Check on Ebay. You can get one for $5-10. You will probably use it some in clinicals but after that it is basically useless because your job (well most of them that are worth working at) will supply them.
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How do You Know?
i am a relatively new nurse (3.5 years) and i have noticed the increased tension and pettiness in the nursing field. i think this is partly due to understaffing and overstressed workers. i have switched jobs due to the pettiness which also includede my manager. it was a really hard decision for me to finally leave but i did it and i am glad i made the decision. i think once we get in that comfort zone it is hard for us to think of doing anything else. good luck to you and god bless!
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trying to figure out my life.
Regardless of the state that you go to school in, you can take the NCLEX (RN boards) in any state. Every state requires you to have a RN license from that state but you do not have to retake the NCLEX in order to get it. You can be licensed in as many states as you want willing on how much money you want to spend. Licensure fees vary among states (mine was around $80). If you live on the border of several states, it is helpful to have multiple licenses so you have more job opportunities and do not have to wait for your license to arrive which can take several weeks to a month sometimes. As Greg mentioned, state school require that you live in the state for 12 months prior to applying for admissions. Some states will also give you reduced tuition if you live close to the border of that state. You will have to check out the requirements of the school that you are interested in. The school's website is usually a great resource. Hope this helps you out.
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nursing documentation
Our policy at the facility where I work is the same policy that nurse hobbit stated at her facility.