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Today in class we were discussing ways to change practice for experienced nurses. The example was: Most older (experienced) nurses still use the dorsogluteal site for IM injections instead of using the Ventrogluteal site. I wrote a paper on using Ventrogluteal site vs. dorsogluteal site, but I got 5 points deducted because I only indentified the right way to teach nursing students. I didn't mention how to go about changing how experienced nurses give IM injections. Does anyone out there have any ideas on how we can change the way older (experienced) nurses give IM injections?

HI, I am in the LPN-RN transition program. If all goes well, I will be graduating May 10th of this year. So here is what I need a little help with. We are suppose to come up with a PICO question (Evidenced Based Practice). PICO stands for P-Population I-intervention C-comparison/control O-Outcome I have already sent in two different ideas to my instructor and both have been denied, so I don't know what I am doing wrong. My first idea was: In a patient with osteoarthritis does taking glucosamine/chondroitin as good as or better than taking NSAIDS for pain? My second one was : In patients requiring wound care, does tap water as compared to normal saline reduce the incidence of infection and decrease the cost of dressing changes?" My instructor said that I would probably not find enough research to back this up. Can somone please, please help me with a good question to do this project on. I have so many tests, on top of my clinicals on top of my final weighing heavily on my mind. I'm not asking for someone to do my work for me, just head me in the right direction. I'm not very good at writing papers anyway.....(and I'm wanting my BSN..boy am I in trouble:)) Any help would be more than appreciated! Hope you all have a good day! God bless

HI, I am in the LPN-RN transition program. If all goes well, I will be graduating May 10th of this year. So here is what I need a little help with. We are suppose to come up with a PICO question (Evidenced Based Practice). PICO stands for P-Population I-intervention C-comparison/control O-Outcome I have already sent in two different ideas to my instructor and both have been denied, so I don't know what I am doing wrong. My first idea was: In a patient with osteoarthritis does taking glucosamine/chondroitin as good as or better than taking NSAIDS for pain? My second one was : In patients requiring wound care, does tap water as compared to normal saline reduce the incidence of infection and decrease the cost of dressing changes?" My instructor said that I would probably not find enough research to back this up. Can somone please, please help me with a good question to do this project on. I have so many tests, on top of my clinicals on top of my final weighing heavily on my mind. I'm not asking for someone to do my work for me, just head me in the right direction. I'm not very good at writing papers anyway.....(and I'm wanting my BSN..boy am I in trouble:)) Any help would be more than appreciated! Hope you all have a good day! God bless

I was just wondering if any of you guys could head me in the right direction with a good cost effective PICCO topic. I am a first year RN student, and the instructors would like to see how far we can take this. I turned in a "rough" draft of an idea, but unfortunetly it wasn't a good idea. I did clinicals this past week in the ED department and realized that they only had one med room per each "huge" section of the ED (there were 4 diffferent sections). I came up with the thought that if they could install at least 1 Pixes station at each nursing station it could save time for the nurses to have to run to this one med room to draw up meds in an emergency situation.....time saved is cost saved....also say a nurse got a stat order for Haldol so he/she runs to the med room pulls up the med comes back out only to realize that the pt. is allergic. Then this medication is wasted. If there could be more Pixes near the charts, near the computers, near the doctors, this could save wasted supplies which in turn saves money. But like I said unless I am totally thinking about this in the wrong way, I don't know what or how to do this. Any ideas would be greatfully appreciated. Maybe I just need this PICCO concept explained in greater detail to me. Thanks so much for any info!!

I was just wondering if any of you guys could head me in the right direction with a good cost effective PICCO topic. I am a first year RN student, and the instructors would like to see how far we can take this. I turned in a "rough" draft of an idea, but unfortunetly it wasn't a good idea. I did clinicals this past week in the ED department and realized that they only had one med room per each "huge" section of the ED (there were 4 diffferent sections). I came up with the thought that if they could install at least 1 Pixes station at each nursing station it could save time for the nurses to have to run to this one med room to draw up meds in an emergency situation.....time saved is cost saved....also say a nurse got a stat order for Haldol so he/she runs to the med room pulls up the med comes back out only to realize that the pt. is allergic. Then this medication is wasted. If there could be more Pixes near the charts, near the computers, near the doctors, this could save wasted supplies which in turn saves money. But like I said unless I am totally thinking about this in the wrong way, I don't know what or how to do this. Any ideas would be greatfully appreciated. Maybe I just need this PICCO concept explained in greater detail to me. Thanks so much for any info!!

I was just wondering if any of you guys could head me in the right direction with a good cost effective PICCO topic. I am a first year RN student, and the instructors would like to see how far we can take this. I turned in a "rough" draft of an idea, but unfortunetly it wasn't a good idea. I did clinicals this past week in the ED department and realized that they only had one med room per each "huge" section of the ED (there were 4 diffferent sections). I came up with the thought that if they could install at least 1 Pixes station at each nursing station it could save time for the nurses to have to run to this one med room to draw up meds in an emergency situation.....time saved is cost saved....also say a nurse got a stat order for Haldol so he/she runs to the med room pulls up the med comes back out only to realize that the pt. is allergic. Then this medication is wasted. If there could be more Pixes near the charts, near the computers, near the doctors, this could save wasted supplies which in turn saves money. But like I said unless I am totally thinking about this in the wrong way, I don't know what or how to do this. Any ideas would be greatfully appreciated. Maybe I just need this PICCO concept explained in greater detail to me. Thanks so much for any info!!

oops, some of my words got cut off. I meant to say that I am having a really hard time understanding how to read an EKG strip. Sorry

OK guys, I am having a really hard time understanding how to read an EKG strip. Is there anyone out there that can explain this to me in a easier way? Our next test is on the cardio system and we are going to have approximately 12 strips on our test such as afib, vfib and so on. I keep looking at these, but it's really not making a lot of sense to me. I am in a fast track program and we never have any lecture times. We just get power points, and we have our books. A lot of this information sounds Greek to me. If anyone has any suggestions for me, I would greatly appreciate this. Have a great day.

do they do IO lines on everybody for instant IV access in emergencies? I have seen a lot of codes where I work and this is the first time I have ever seen this. The paramedics didn't even look for an IV access to begin with, they just did this "IO line" as soon as they got there. Thank you all so much for your information.

that was the most amazing thing I have ever seen. I just didn't understand how an IV worked in a bone. I thought it had to be in an vein. I have a lot to learn....I know that. If I am more interested in that kind of stuff, should I consider just doing EMS classess or getting my RN? Will I learn all that in RN school? If I get my RN, what all kinds of classes would I have to do in order to work for the EMS? I'm just undecided at this time. But thank you so very much for writing me back. I'm always willing to learn new things.

i work in a long term facility a we had a woman to code last night. When EMS got there they grabbed this piece of equipment that looked like a glue gun with a huge bore needle on the end of it and shot it through that lady's long bone. What is this and what is it for. I am a pre-nursing student and found this to be very interesting. What kind of medicine did they put into this thing? Any information would be very appreciative. I find these medical personnel very talented and I would Love, love, love to do this. Please help me understand what I saw. Thank you so very much.

Can someone please show me how to work this problem out. The answer is 60, but I need to know how the teacher got this The question is: 1 mg of Isuprel in 500 ml of D5W has been ordered for IV infusion at a rate of 2mcg/min. At how many microdrops per minute should you infuse the IV using a solution administration set that delivers 60 microdrops/ml? Thanks for your help

No, this patient was not a diabetic, she told me that she kept having blood clots really, really bad so that was the reason for the amputation to begin with. Once the doctors did the first amputation, her tissues would not heal.

I am a first year RN student and I am having a lot of trouble with nursing diagnoses. My patient is a 50 year old female. She just underwent a bilateral "high" AKA. She has been amputated all the way up to her pubic bone. She has a past history of PAD, CAD. The small portion that she has left on her right side is now necrotic. The surgeon states that the last and only thing he can do is a hip disarticulation (I think that's right) I am having trouble with the r/t and AEB. I have chose Ineffective Tissue Perfusion;peripheral Can someone just lead me into the right direction and let me know where to go from here. Thanks

Thanks for your help, this is the next question: At 10:30 am you evaluate your clients and obtain the following findings: 132: Returned from angiogram. The test found severe coronary artery disease and surgery is scheduled for 1:30 pm today. 133: Receiving IV fluids. B/P has increased; HR and Resp returned to normal. 134: 2 units of blood have been transfused. The client returned from laparoscopic surgery to repair a bleeding ulcer. B/P 122/76, HR 74, client denies any pain. 135: Pulses in the affected leg went from 3+ at 7:00 am to barely audible with a Doppler. The leg is cool to the touch and mottled. 1. How would you reprioritize your clients based on the new data and the ABCs? And I chose 135,134,133 and then 132. Is that right also? This is just to get us ready for an upcoming test, and I just want to make sure I am headed in the right direction.

I am a first year RN student and was wondering if someone could help me with this scenario. It's 7:30 am and you are the day shift nurse and received the following data from the night shift report: Room 132: 66 y/o CHF client scheduled for an angiogram today at 10:00 am. Client requests information about the procedure before signing the consent. Room 133: 42 y/o post-emergency colostomy from yesterday. Vitals stable. Client was unable to sleep during the night, feeling upset and emotional. Midnight nurse states that the client refused to discuss feelings. Room 134: 67 y/o GI bleed admitted yesterday. At midnight, B/P 120/70, HR 80. At 6:00am 80/50, and HR 102. Physician notified and ordered a CBC for this morning. Room 135: 58 y/o post-femoral popliteal bypass 2 days ago. Vitals stable since surgery. Client complains of incisional pain. Midnight nurse states the site is clean and dry with good bilateral pedal pulses. Questions: Prioritize these four clients based on Maslow's hierarchy of needs. I would choose room 134, 135, 133 and then 132 is that correct?

I need to explain why I was unable to complete the course this time and how I believe I will be successful next time. How far into detail should I go about my son? As far as being successful, I was making good grades. I just had to be out at times due to my son being at the doctor all the time. Now that he has been hospitalized, I had no other choice but to withdraw (I am a single mother.) When I talk about being successful next time, do I talk about what kind of help I will have for my son? I'm sorta confused about this.

I was in my 2nd semester of RN school and had to withdraw due to my son's health issues. I have been offered to re-enter the program next year. I have to write a readmission letter to the nursing committee. Can someone give me some tips on how to start this letter out. Once I get started, I can usually do well. I want to make sure that I put the pertinent reasons why I want to re-enter the program. Do I state "why" I want to be a nurse? Or do I state, "what I have to offer" if I become a nurse. I am really lost at this. Any help will be appreciated. Thanks so much.

Yes, that's the right book!

Saunders Physical Examination and health assessment 4th edition ISBN-10: 0-7216-9774-7. This is a great pocket companion! This book gives you state-of-the-art basic assessment information in a full-color, quick-reference format with over 100 clear illustrations. It has examination steps for each body system, normal versus abnormal findings, integrated life span and transcultural considerations, and more.

Can someone please help me with this question? We were asked in class at what age can a child's radial pulse be taken. I just assumed that you could take a radial pulse at any age. Any comments will be appreciated. Thanks

I am a first year student. Can someone please tell me the best place to take an infant's pulse? Is it the brachial or apical? Also, at what age can you take a child's radial pulse? We were asked this question in class, and I just assumed you could take a child's radial pulse at any age. Any comments will be appreciated. Thanks

Can someone please tell me the best place to take an infant's pulse. Is it the brachial or apical? Also, at what age can you take a child's radial pulse?

My four year old daughter is fixing to have heart surgery in the next 2 weeks. We have taken her to the hospital and showed her around a few times. We have also tried to teach her about her up-coming surgery with the medical doll. My daughter is in preschool and I was wondering what suggestions I could give to my daughter's teacher and schoolmates to support her before and after her surgery. Any and all suggestions would be highly appreciated. Thank you.