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KYCNM

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All Content by KYCNM

  1. It is sometimes the same in mother/baby, believe it or not. If a mom has a restraining order against the FOB for abuse (or worse), no information can be divulged. We ask callers to "contact a family member for information, please". [i am often tempted to add, this is not the information desk, this is the nurse's station] but I know that would cause trouble.
  2. OP, You don't say how long you have been in the program. Are you less or more than half way through the curriculum? Someone earlier posted that you should look up your school's NCLEX rate and that is good advice, but there is something you should know. Two years ago there were major changes in the NCLEX exam and grades tanked for many schools (even the "good" ones). A review of NCLEX pass rates back to 1983 indicated there had never been that large a decrease in successful NCLEX candidates. All that in mind, you do need to be a bit more proactive. . .call the BoN in your state and ask to talk to an educational consultant. Ask the educational consultant if the BoN has any action planned that might affect your ability to complete your education. If the BoN plans action, then carefully explore your options of transferring. As another poster said, there a few "empty" chairs in nursing cohorts and you may have difficulty finding a program that will accept you. Further, you may find curricular differences result in having to take additional courses or even retake courses. You will need to have copies of all the syllabi for courses you have taken so that the school where you hope to transfer can evaluate your educational preparation up to this point. If you want clarification of anything I said, contact me through my userid. Good luck!
  3. Oh, my, such neanderthals. The risk of severe respiratory complications after C/S are 5 times higher for the newborn, and elective primary C/S is known to increase the risk of placenta acreta necessitating a C/S-hysterectomy (rate is 1:1000). These two men should limit their comments to something they know something about (sports) not choices. Their values are upside down putting job over family.
  4. Keylimesqeez. . .the circumstances for your birth were totally different. Malposition. . .you couldn't have foreseen or controlled. I am so sorry that you didn't have the birth you anticipated. This information is directed at caregivers who electively induce for social reasons (mother-in-law in town, so the baby can share his dad's birthday, tired of being pregnant, and on and on). The cost is too high for a baby who ends up with respiratory difficulty because his lungs aren't ready for breathing. The March of Dimes "Healthy Babies are Worth the Wait" program is like AWHONN's program.
  5. Finally. . .no more support for admissions and induction for "Tired of Being Pregnant" with a dubious due date because there was no menstrual history upon which to base the EDD and the ultrasound was performed after 24 weeks.
  6. It has been removed. There is another site now at: http://nursinglink.monster.com/content/nclex-study-center that can be used for NCLEX Prep. Good luck.
  7. Prayers are coming your way because "seek and you shall find, ask and you shall receive, knock and it shall be opened to you" (Matthew 7:7) "in his time"
  8. KYCNM replied to KYCNM's topic in Scrubs, Uniforms, Gear
    OK, some of you who are so blase' about uniforms need to read this from the Wall Street Journal. http://online.wsj.com/article/SB123137245971962641.html It doesn't matter if they are on their way to work. I wouldn't want someone caring for me who had just worked out in their scrubs. Yes, they are comfortable. So are pajamas, but I don't see people working out in PJs. Child care givers can also carry vicious germs that can be hazardous to older people and there are some 70 and 80 year old members at my Curves.
  9. The NCLEX is not a test of knowledge. It IS test to find if the test taker can make a safe decision for care based upon the information presented in the question. It is not a test of memorized content, but IS a test of how the content learned in nursing classes is applied in nursing situations. I suggest that you visit the NCSBN website and look at some of the questions there. There is a study program that the council recommends, but I cannot attest to its value. Many of my students have said that Kaplan was helpful because the course stresses test-taking skills. It is important that the test-taker be able to read and understand the stem of the question before proceeding to the four solutions to the problem.
  10. You will get your first nursing "job" based upon your nursing education, not your MBA, although it might be useful after you have some experience because the MBA skills would be helpful as a manager, supervisor or CNO (chief nursing officer).
  11. i did not say it was aprn preparation, what i said was it was an advanced practice level of education. copied from the aacn website: the cnl is an advanced generalist clinician with education at the master's degree level. graduate education is necessary because the cnl must bring a high level of clinical competence and knowledge to the point of care and to serve as a resource for the nursing team. the master's degree with a major in nursing will prepare graduates for an advanced generalist role. for a list of cnl programs currently accepting students, please visit www.aacn.nche.edu/cnl/cnlweblinks.htm.
  12. No, the CNL actually is an advanced practice area of specialization similar to the clinical nurse specialist. The nurse is prepared to provide direct patient care and promote evidence based practice. For more information on what a CNL is and does, go to: http://www.aacn.nche.edu/CNL/FAQ.htm
  13. Back in my day, there weren't a lot of choices of color for underwear. Besides dress codes often required cotton underwear in OB and OR because anesthetic gases were explosive and the anesthesia machines exhausted into room air. She wore her watch turned that way because she when was holding a clipboard in her hand (most are right handed) while making rounds and she could easily hold a clip board and watch her watch while checking pulse or timing IV rates (yes, we did that ourselves the majority of the time, IV pumps hadn't been invented).
  14. First, you really need to take a time out from this stress, because it can and may lead you to making mistakes in other parts of your life. Not all nurses are "cut out" to work in an acute care setting. However, "working" is not the same as the short bursts of clinical that you were exposed to in your nursing program. Did you have a capstone course at the end of your education where you spent 100 or more hours working with the same preceptor? That makes a great deal of difference in many student's clinical confidence. It's not too late to set up a similar experience at the hospital where you would like to do the new graduate orientation. Approach the HR person and ask if you can have a "capstone experience". During that time, you won't be paid at the graduate nurse rate, but would be paid at the rate of an extern. That way the hospital gets something back for their investment in the experience. You work with the same person (preceptor) during this time. After a month of that type of experience you should have a better idea about whether you can "be all that you can be" as a nurse in the acute care setting.
  15. This reminds me of when I was a new graduate working on a pediatric unit. The mother and admission clerk brought the child up to the unit and handed me the admission sheet, I took it and looked at it, with a puzzled look on my face, but put the the bracelet on the child then led the mother and child to the room. I went back to the nurses station and got my history forms to complete the admission paperwork and went back to the room. I looked at the mother and asked her "Why did Dr _________ send you son to the hospital?" She said. . .because he has lumps in his neck. All of sudden I understood. The admission form said "left nose disease" for the adm diagnosis. The clerk misunderstood "lymph node disease". That has stuck for 45 years.
  16. Not receiving your cap until you completed a period of probabion, then there was a capping ceremony. Insulin therapy in psychiatry (the patient was given insulin then when you began seeing signs of shock, they were given glucose) Electroshock therapy using brevitol and a rubber mouth block Setting up recyclable catheter trays, lumbar puncture trays, and other sterile trays to learn what equipment would be available when you learned that procedure Starting IVs in the antecub space with a 1 1/2 inch 18 gauge needle and restraining the arm on a full arm IV board Hypodermoclysis for elderly cancer patients who couldn't take in fluids Milk and molassas enemas for elderly cancer patients (these were given in small amount and retained to provide nutrition) Sharpening needles for injections then placing them in a covered basin (sorted by size) and sterilizing them when you set up an injection you lifted the needle out of the basin with sterile forceps, then returned the lid Glass syringes and barrels that had numbers that had to be matched because they came in pairs Working in central supply Washing surgical gloves after cases, powdering them to keep them from sticking together and placing them in a glove folder (cloth holder) then sterilizing them for use tomorrow (you also had to make sure you marked the size of the gloves on the tape on the outside of the package). Washing instruments after surgical cases, matching instruments together by type and resterilizing them. Not counting p.o. (demerol, MS and codiene tablets) narcotics because they came to the unit in multidose bottles Crushing a 4 mg MS tablet in a syringe with the barrel (remember they were glass) then drawing up 1 cc sterile NS to inject for pain (using impecable asepsis) Having special insulin for the Hebrew patients that was not derived from pork pancreas (it was bovine, not porcine)
  17. The candling was done for agar plates of lady partsl smears to test for gonorrhea. The gonorrhea only grows in an anerobic environment. We placed the agar plates immediately into the gallon pickle jar, the set a lighted candle (like a votive candle) on top, put the lid back on the jar and when the candle burned up all the oxygen, it went out, and you had an anerobic environment for the cultures to grow. This was done multiple time a day until the jar was full or clinic was done. Then the bottle was taken to the lab.
  18. PLEASE, PLEASE, PLEASE, ignore the comment about pregnant client's taking sodium bicarbonate for heart burn. THEY SHOULD NOT under any circumstances used sodium bicarb, but should use calcium bicarbonate (TUMs or Rolaids).
  19. On another note, you mentioned "pregnancy brain" which is a well documented (among nurse midwives) phenomonon. I don't know that it's written about, but all the hormone changes during pregnancy and the immediate drop in hormones after birth do affect the thinking (and memory) process for mothers. I always thought it was related (as well) to the introspection that mothers experience during and after pregnancy because even though you share your pregnancy with others, it is something that only you can truly understand. After the baby is here you are so absorbed in that new life and seeing that it gets off to a good start that you may find other activities sort of mundane. You may have just sit and watched your baby sleep, lost track of time and found the day just slipped away. This can be very unsettling for women who have had busy careers, made corporate decisions or other things in the "other world". And now, all of a sudden, there's this baby who needs you and there is that natural oxytocin that helps you bond :heartbeatand prolactin that supports lactation. . .we've only begun to find those hormones roles in the "mothering" relationship. So, yes, it is real.
  20. Boy, I wish I had thought of that as a reply when I was birthing babies. . .it answers the question, but doesn't seem derogatory or rude; and, it lightens the tension for everybody.
  21. Shingles is not contageous. It is the sequelae of varicella that remains in the nerve roots after the initial infection. It is more common in the elderly or those with altered immune status. see http://www.buzzle.com/articles/shingles-disease-contagious.html
  22. Actually, you did a very good job of explaining the complex program that analyzes the responses to the test. As you go through the test, the computer is constantly calculating a score. If you miss a question, it will drop to a lower level of difficulty. If you miss that question it will continue to do that until you get one right or "lose" so many "points" the calculation indicates you couldn't earn enough points to pass. Hope this makes sense.
  23. I'm not sure these demographics (older, educated, wealthier women) will hold for the Philipines. First, what is the purpose of your survey? Information or data for a research study? Here's an interesting article for you to think about when planning your study. . .about causation and correlation (does breastfeeding improve the health of infants more than formula feeding) http://www.opposingviews.com/arguments/correlation-does-not-equal-causation Here's another that you may find interesting. . . http://www.medscape.com/viewarticle/570508 Here's the article in journal http://www.springerlink.com/content/c17315230704l008/ And, here's another. . . http://www.liebertonline.com/doi/abs/10.1089/bfm.2008.0126 Hope this doesn't overwhelm, but when you begin to study, you will be better "armed" to design the plan.

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