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care4you

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  1. hmm... i would like to disagree with you on the fact that there is a shortage of active rn's. i graduated with a class of 120 from a bsn program a little while back and know that there are still about 20 nurses that are still looking for full time positions. however, i don't agree with having associate nurses go back to get their bsn's. these nurses who have hospital experience already are more than qualified to provide competent care. making a bsn mandatory for new graduating nurses is a good path to explore in the future though.
  2. had all of my paperwork in to the OBN by May 25th and was finally pending last monday... soo its been 7 business days and still NO ATT !!!!!! I have a few choice words for the OBN because this is getting crazy.... $200 paid for my paperwork to move half the speed of smell.... taking FOREVER!!!! how long have other people been pending online until they got their ATT ???:angryfire
  3. the orientation i am doing is 6 months, 1 week critical care floor, the rest is classroom/ER
  4. :hdvwl: "you are taking things way to serious.... we're having a little fun with the things we deal with all day... every day"
  5. "i would describe myself as one who remains calm during trials and i know that getting angry at any time only burns my candle out mighty quick. i am sometimes caught up in the tasks and not spending enough time seeing the entire gestalt of the goals of the care, the plan of care. my goal is mainly to get my patients back to the real world soon and unthinkable to anything that would hinder its fruition. " nicely put.... couldnt of said it better myself
  6. not sure where you went to college but we had to take chemistry
  7. the Saunders Comprehensive Review for the NCLEX-RN Examination (4th edition) is the BEST book out there.... atleast from what I have found. The book covers every body system, how to study, what to know, it also has color pictures and a CD with review questions. -BEST OF LUCK- :mnnnrsngrk:
  8. I also listen to these, they are very good
  9. the ER in Dayton ohio has about 100 beds and sees close to 150,000 pts a year. VERY BUSY:bugeyes:
  10. I had a similar incident earlier this week in the ER. A patient came in who was determined to have a seizure (witnessed by paramedics) but was not postictal at all. He was aggressive and ****** off that they brought him to the hospital. Some responses to questions made sense while others didn't. his tox screen came back negative for everything. The pt had a psych history also. I was told that in some patients with psych history, that are taking psych meds, they may have a different postictal state than the normal person. I found this very interesting... he said it had to do with the neuro make up and the use of psych meds.
  11. Haha, I believe I would take a more direct route than mentioned above. Ignoring this type of person usually doesn't work. I would say, "I know you think your all that and a bag of chips, but I really don't need your help with this, if I need it in the future then I will ask for it.":smokin: Trust me, it works. I'm sure if he is doing it to you then he is doing it to other people. He will leave you alone and go and mess with others
  12. i would suggest using the butterfly catheter instead of the straight. this would totally eliminate the chances of twisting the catheter and would give you a little more length to work with then attaching the tubing. just my two cents
  13. -both systolic and diastolic blood pressures tend to increase with normal aging, but the elevation of the sytolic is greater. -Tachycardia is the major side effect of tocolytic drugs. (brethine, Yutopar) -Although Flagyl is the treatment of choice for some lady partsl infections, it is contraindicated in the first trimester of pregnancy -Clients with abruptio placentae or placenta previa should undergo no abdominal or lady partsl manipulations. -HgB norms for children Newborn: 14-24 Infant: 10-15 Child: 11-16 -take axillary temp in children with congenital megacolon -paralytic ileus is a common problem in comatose clients. A gastric tube aids in gastric decompression. -the body's response to illness and stress is to produce glucose. therefore, any illness results in hyperglycemia. -an early sign of colon cancer is rectal bleeding. -restricting sodium reduces salt and water retention, thereby reducing vascular volume and preload. -during aortic aneurysm repair, the large arteries are clamped for a period of time, and kidney damage can result. -normally, kidneys excrete approximately 1 ml or urine per kg of body weight per hr, which is about 1 or 2 liters in 24 hrs. -exposure to tobacco smoke is the primary casue of COPD in the US -the symptoms of anterior MI characteristically last more than 15 min and are more intest than angina. -before drawing blood for an ABG, check Allen test to assess collateral circulation. HOPE THESE HELP :)

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