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  1. HealthShepherd

    What baby catches you every time?

    Fascinating to see the range of responses here! I'm glad we don't all have the same "favourites". I'm a sucker for an orphan (i.e, the babies that have little or no parental presence due to Children's Aid seizure, mom in ICU, or parents too far away to visit often).
  2. HealthShepherd

    There has to be a BETTER WAY to obtain a blood sample.

    What experiences have you folks had in doing heelsticks while baby is on the breast? This was recommended to me during orientation (both as a way for baby to self-comfort and to increase nipple stimulation), and I've suggested it to mothers dozens of times and only had one take me up on it. I found the ergonomics awkward on my end, but the baby did well, just as well as some babies do with a soother and sucrose. One of the moms who declined the suggestion was worried that her baby would associate breastfeeding with pain.
  3. HealthShepherd

    5 Spiritual Concepts Western Medicine Must Embrace

    Well, I'm a nurse, and I disagree. There are no reasonable grounds for thinking that "spirit" even exists. So, it's not reasonable for us to attempt to treat it. You (probably) don't feel any need to take your patient's astrological sign into consideration in your care, even though there are people in the world claiming that stars affect us; they say that; but it's a completely unfounded statement. (If you do happen to be into astrology, then please substitute some other claim in here that you believe to be BS - maybe the old view that mental illness is caused by demon possession?) That's how I feel about statements about spirits and eternal life. The phenomena that Vicky describes as "soul" - mind, personality, emotions - clearly exist, but I don't see any reason to believe that they're something separate from our bodies. On the contrary, there are many clear connections between body and mind. The number of chromosomes in our cells affect our ability to think. The amount of sleep we get, and the amount of light we're exposed to, affect how we feel. Taking drugs that act on receptors in our brain cells will affect our personality and emotions. A blow to the head, or a vascular event that reduces oxygen supply to brain cells, will also affect all of these things. The only founded statement that can be made is that we are physical beings. Talking about our minds is just a subcategory of our physical nature, and talking about spirits is sheer speculation.
  4. HealthShepherd

    5 Spiritual Concepts Western Medicine Must Embrace

    Here's a link to a Cochrane review of studies into whether prayer affects health outcomes. It's not a subscription site, so you should be able to read it without being on your hospital or school network. But if anybody has any trouble linking to it, I've pasted in the "plain language summary." http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD000368.pub3/abstract;jsessionid=ED9132E45F18527200C6B6855F9082C6.d01t02 "Intercessory prayer is one of the oldest and most common interventions used with the intention of alleviating illness and promoting good health. It is practised by many faiths and involves a person or group setting time aside to petition God (or a god) on behalf of another who is in some kind of need. This review examines whether there is a difference in outcome for people who are prayed for by name whilst ill, or recovering from an illness or operation, and those who are not. Both groups of people still received their usual treatment for their illness. Ten trials were found which randomised a total of 7807 people. The majority of these compared prayer (for someone to become well) plus treatment as usual with treatment as usual without prayer. One trial had two prayer groups, comparing participants who knew they were being prayed for with those who did not. Another trial prayed retroactively, randomising people a month to 6 years after they were admitted to hospital. Each trial had people with different illnesses. These included leukaemia, heart problems, blood infection, alcohol abuse and psychological or rheumatic disease. In one trial people were judged to be at high or low risk of death and placed in relevant groups. Overall, there was no significant difference in recovery from illness or death between those prayed for and those not prayed for. In the trials that measured post-operative or other complications, indeterminate and bad outcomes, or readmission to hospital, no significant differences between groups were also found. However, in the trial that differentiated between high or low risk of death, people at high risk of death were significantly more likely to live if prayed for. Specific complications (cardiac arrest, major surgery before discharge, need for a monitoring catheter in the heart) were significantly more likely to occur among those in the group not receiving prayer. Finally, when comparing those who knew about being prayed for with those who did not, there were fewer post-operative complications in those who had no knowledge of being prayed for. The authors conclude that due to various limitations in the trials included in this review (such as unclear randomising procedures and the reporting of many different outcomes and illnesses) it is only possible to state that intercessory prayer is neither significantly beneficial nor harmful for those who are sick. Further studies which are better designed and reported would be necessary to draw firmer conclusions."
  5. HealthShepherd

    Can you solve this drug calculation?

    Hmm... I wonder if the answer they were looking for was "it comes to 2,500,000 mL/hr, which is obviously wrong, so my next step is to tell the MD to fix the order." I know they said that all questions would be realistic, but finding errors in med orders and getting them fixed IS a realistic part of med administration. It's more realistic, in a way, than a set of problems where everything is correct and unambiguous... Put another way, maybe your prof meant "hospital realistic" problems, not "nursing school realistic".
  6. HealthShepherd

    Wasn't the School Nurse right?

    Poor girl. Another theory to consider: maybe she has bulimia and was abusing laxatives. She might have taken a very large dose if it were her first time trying laxatives, or if she had a particularly large binge to "make up for".
  7. HealthShepherd

    im selfish? hmmm

    Not raunchy, but here's my smartarse answer: Q: "Why don't you have children?" A: "Just lucky, I guess." Also effective on related questions like "Why aren't you married?", "Why don't you have a boyfriend?", "Why are you gay?", "Why don't you go to church?", "Why didn't you go to med school?", etc.
  8. HealthShepherd

    Offensive Portrayal of Nurses in Ocean City, New Jersey?

    I'm surprised this hasn't come up in the thread yet: the doctor is named and the nurses aren't. This is not uncommon in the media, and indicates less respect for nurses than for doctors. But I don't see anything offensive about the crab silliness.
  9. HealthShepherd

    Nursing Priority vs First nursing action

    Ah, but now you've raised another semantic issue - how do we define a task or action? Is putting on sterile gloves an action, or just part of a bigger action? Or (as I'd argue) are they both legitimately called actions, albeit at different taxonomic levels? Seriously though, it's easy to call something trivial semantics, but in this case, the interpretation of a word made a difference to the OP's mark (and potentially, to her future). Multiple choice questions can be a timesaver, but all too often the writers don't put enough thought into using unambiguous wording. As a result, the student's result on that question depends on whether or not they correctly guessed what the teacher meant, rather than on remembering, understanding, or applying the course content. This was part of why I hated nursing school so much... this lack of attention (and lack of willingness to consider alternative viewpoints) was so common. They may have put the nursing school in the university, but they haven't put the university in the nursing school yet.
  10. HealthShepherd

    Nursing Priority vs First nursing action

    Many, many English words have more than one possible interpretation. For example, when I got up this morning, my priority for the day was to study chapters 24 and 25 for my class. However, what I did first was to take a shower. You don't think those are contradictory statements, do you? Sometimes people use priority to mean what you do first, and sometimes they use priority to mean what is most important. And sometimes those aren't the same thing. A nursing example: if I need to get a urine sample from my patient with a catheter, the first thing I do is gather supplies. But my priority is to maintain sterile technique. In the OP's example, I'm not so sure that the Lasix is the priority over the oxygen, but I have no problem with the idea that priority does not necessarily equal first action. The problem is that in the extremely hierarchical culture of nursing school, the teacher's notion of what priority means is the right one. Even though the OP's interpretation of the word is equally valid, she or he is a student and therefore wrong. On the next test, the OP will know how this particular teacher uses the word priority... which will help with that teacher's next test, even if it won't help with somebody else's test (and even if it has nothing to do with understanding the course content or critical thinking).
  11. I agree with CaregiverGrace; it doesn't matter if some people would be fine with it; what matters is that some people wouldn't, and you don't know which group the person reading your resume will be in. Women involved in sex work are harshly stigmatized in our society, and the sexual overtones of the Hooters brand means that this stigma extends to its employees. Just because this stigma is misogynist and irrational doesn't mean that the stigma doesn't exist. And just because you and some of the Allnurses commenters reject the stigma, doesn't mean that the stigma doesn't exist. However, since the OP worked there a long time and had leadership/education responsibilities, it does seem a shame to not be able to take advantage of that experience. So, I would suggest that that she structure her resume in such a way that she can leave out the restaurant name without drawing attention to the omission. To be specific, instead of having the experience section structured as: Dates - place of employment - description of what I did Write every past job as: Dates - job title - more detail of what I did and the context So, your Hooters experience would look something like: 2008 - 2010: Corporate trainer. Provided initial and ongoing training and oversight to servers at a 50 table urban restaurant. Then in your other job entries, only name the specific place of employment if it's prestigious; leave at least one of the others unnamed so it doesn't look odd that you omitted the restaurant name in this one job. Good luck OP.
  12. HealthShepherd

    Panicked!!! HIV/AIDS, HepB, HepC risk?

    Your health priority right now should be to seek a psychiatric evaluation. From what you've told us, the risks that you're suffering from paranoia or anxiety or some other form of mental illness are much higher than the risk that you're suffering from a blood-borne infection. I'm not saying this to attack you. If what you've written here is sincere, you probably have a mental health issue - there's no shame in that, at least 1 in 5 people have some kind of mental health issue in their lifetime. There is help available. Good luck.
  13. HealthShepherd

    Am I over-thinking, or are these just bad test questions?

    Both quoted for truth. I'm sort of a perennial student - I did two bachelor's degrees before my BScN, and I'm now back in school doing more undergraduate studies (with a view to going on to grad school in a different field). Between four faculties in three institutions, I have never seen the kind of intellectual laziness and arrogance that I saw in my nursing teachers. And believe me, nobody in my humanities or science studies has ever told me that I was thinking too much or that I mustn't question authority. The questions that the OP brought up are like a little microcosm of what's wrong with nursing school: sloppy writing in question 1, sloppy logic in question 3, and plain old stupidity in question 5. (To be fair, I thought question 2 was fine, and I don't have enough knowledge of the stool test to judge question 4). But unfortunately, all of the people who have said that arguing will get you nowhere and you'll just have to deal with it are telling the truth too. In nursing school, it doesn't matter if you have the facts or logic on your side. Teacher knows best and you're just a student so be a good girl and stop thinking too hard and shut up. I spent most of nursing school seething with contempt and anger (and as I'm sure you can tell, I sometimes relive those feelings sympathetically). At the time I thought I was just at a terrible school, but I found that the CRNE had the same sloppiness that I had come to know and hate, and that people from other schools had had the same experiences.
  14. HealthShepherd

    What determines if a patient is autopsied?

    Hello everyone. For those of you who work in hospitals - what is the process for deciding on an autopsy? Is it something that family members can request, or entirely at the doctor's discretion? In my unit (NICU), most deaths are expected... i.e., they happen as a result of a decision to withdraw care... I've been wondering how it works in an area like med-surg where you occasionally walk into a room and discover the patient dead. Thanks, Rhymeswithlibrarian
  15. HealthShepherd

    Am I over-thinking, or are these just bad test questions?

    Yes, but the question was about teaching the patient how to get better sleep, and since age isn't a modifiable factor, it's not relevant. Nursing "teachers" go on and on about reading the question carefully to see what is really being asked, but if you take that advice, you're "overthinking". The more I think about that word "overthinking" the more irritated I am. If a test question doesn't stand up to careful thought, then the question is the problem, not the thought.