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nursej22 MSN, RN

med/surg,CV
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nursej22 has 30 years experience as a MSN, RN and specializes in med/surg,CV.

nursej22's Latest Activity

  1. nursej22

    What does the floor really think of nursing students?

    It also helps if the facility is willing to train students and CIs on how to use the EMR. The local hospital switched from the system that I had worked with for 15 years to another shortly after I left. When I returned with students 3 months later, they flat out refused to give us any training, the user guide provided was for lab workers, and none of our assigned access coded worked. You can imagine that the floor staff was furious to have a student who wasn't familiar with the charting system.
  2. nursej22

    Benefits

    I work for a local health department in rural Washington state, so funded by the county. I am coming up on my 3 year anniversary and I accrue 8 hours a month of vacation and sick pay each. We get 12 paid holidays a year. Retirement is a state system, I pay some and there is a small match from the state. I will retire in 2 years and will receive about $1000 a month in pension. My health insurance is free for me for a high deductible plan.
  3. nursej22

    Case Study(CSI): Stomach flu? Anxiety? What’s Going on Here?

    And...are there any updates? Did the patient under go any further tests or procedures? Inquiring minds want to know?
  4. nursej22

    Case Study(CSI): Stomach flu? Anxiety? What’s Going on Here?

    What is her past medical history? Is she taking any medications or supplements? Has she taken any steps to reduce anxiety? Does she drink alcohol, and if so, has her intake changed?
  5. I don't know of any healthcare professional who discredits people who have had loved ones with a verified adverse reaction to a vaccine. The key word is verified. Just because a payment has been made by the vaccine court, does not equal a verified reaction. The so-called vaccine court has a very low bar for ruling on on an adverse reaction. And autism is not caused by MMR. I am not sure why you assume that adverse reactions are not investigated. And I am speaking about more than "I get the flu every time I get a flu shot" adverse reaction. The whole reason there is a VAERS (Vaccine Adverse Event Reporting System) is so that adverse reactions can be investigated.
  6. I do not think that most vaccine hesitant or resistant are even aware of the heinous Tuskegee Study, outside of the African American population. Nor do I think they have the polio vaccine debacle in mind. My comment about educating oneself was directed at members of this forum, not so much at the public. And by the way, it would have been nice if you had included the other part of Dr. Orenstein's quote: “Suddenly, the eight to 10 people were not just tiny numbers but were real people,” Orenstein said. “Just seeing how these people’s lives were ruined made a big difference. I went overnight from being an OPV hawk to being an IPV hawk.”https://www.washingtonpost.com/local/obituaries/david-salamone-who-contracted-polio-from-vaccine-and-helped-spur-changes-in-us-immunization-policy-dies-at-28/2018/09/15/5e86319e-b8f8-11e8-94eb-3bd52dfe917b_story.html I have had the honor of hearing Dr. Orenstein speak twice. He is passionate about protecting children from vaccine-preventable diseases. And I have no idea what an ethical breach by a hospital in obtaining consent has to do with this issue. I remember the sugar cubes, and I got at least one in grade school. I can imagine if you need to immunize a hundred children, popping a sugar cube in their mouth is much easier than drawing up a 100 injections. By the way, oral polio vaccine is used in many countries outside of the US. And it was just announced that a second strain has been eliminated. WhooHoo!
  7. Except that the answers to many of the questions are available, but many just don't want to know or don't believe actual experts. The CDC pink book is available on line and is a wealth of information. Children's Hospital of Philadelphia has great informational videos. These sources explain among other things: why so many, so soon; why give Hep B at birth; adjuvants; and thimerosal which was removed from single dose childhood vaccines in 2001. I mentioned it before, but the Advisory Committee on Immunization Practices (ACIP) meets 3 times a year to review data and make adjust recommended vaccine schedules for children and adults. This committee is made of of experts: physicians (including pediatricians) researchers, immunologists, epidemiologists, nurses and lay persons. I trust their judgement about vaccines more than a solitary person with internet access.
  8. nursej22

    Preceptor is SO BAD!

    But what if someone pees in the shower? We used to encourage patients to do this after getting an in-dwelling catheter out.
  9. Pediatricians in my area are willing to give vaccines on a delayed schedule because that is the only way to get parents to agree to allow any. They run out of time to argue, and just sort of give up.
  10. nursej22

    Preceptor is SO BAD!

    This was exactly my thought!
  11. https://www.cdc.gov/measles/about/history.html "In the decade before 1963 when a vaccine became available, nearly all children got measles by the time they were 15 years of age. It is estimated 3 to 4 million people in the United States were infected each year. Also each year, among reported cases, an estimated 400 to 500 people died, 48,000 were hospitalized, and 1,000 suffered encephalitis (swelling of the brain) from measles." Children with measles experience high fevers, diarrhea, dehydration and pneumonia. Children in the Philippines died because of lack of resources to treat dehydration and airway support (ventilators). I have had a bout of shingles, and it came very near my eye, and I never want to experience that again. I have cared for people with disseminated shingles and zoster pneumonia, and I support a method to prevent those conditions.
  12. nursej22

    What Broke our Healthcare System?

    I am sorry that my post caused you hurt. I watched my mother smoke cigarettes almost up to the day she died of laryngeal cancer, so I understand that quitting an addiction is difficult. I was responding more to previous posts about people talking about lifestyle choices. Again, I apologize. I hope you are well.
  13. nursej22

    PICO(T) question

    Perhaps a moderator should move this to the Students Section. Have you done any research on this topic? That might give you some direction about a possible intervention. And from what I see, you have your population, so what is your planned intervention? What do you expect to observe?
  14. nursej22

    DVT

    Thrombus is a clot in the place where it formed. Embolus is something, usually a clot, that has traveled from the place it formed. Thus, a thrombus from a deep vein that breaks loose and travels to the lungs is a pulmonary embolism. For what its worth, other substances can travel and form obstruction and tissue damage, such as amniotic fluid or fat from a long bone fracture.
  15. nursej22

    What should I do?

    4 months in Med-surg is barely getting your feet wet. Especially on day shift. With more experience you will anticipate more, which in turn will gives the needy ones more confidence in you, and you know better who to be concerned about. I learned so much on med-surg, and what I didn't know, I spent my off time studying. At minimum your first year is like an additional year of school, where you are learning in depth the stuff you barely skim in school. I would say stick it out if you can, because it will help in your future studies and teaching. Best wishes.
  16. nursej22

    What Broke our Healthcare System?

    My son depends on injecting insulin multiple times a day. His concern is the outrageous cost. Up until July, my heart rate was 40. I did tell someone, and it cost my insurance more than $200,000 for testing and a pacemaker. I eat healthy, I've never smoked, and I exercise. Same for my son. Please don't tell me homeopathy and herbs will help.
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