p_hawk

Seriously LOL'ed @ this

Know that, if you did indeed fail, it in no way reflects on the kind of nurse you *are* going to be. Regroup, refocus, retake as soon as possible. I know a girl that had horrible test anxiety all through school. She failed the NCLEX the first time and that only made her anxiety worse. But she kept at it and eventually passed. She's an amazing nurse. You'll get there.

Muno, I'm pretty sure OP meant a supply pyxis. Supply pyxis is different than med pyxis. We keep all our fluids in a supply pyxis. Ours has an annoying voice that asks "did you forget to press a button?!" as a reminder.

She made it pretty clear that the dr had already ordered blood cultures, iv antibiotics, and percocet prn.

There is truth in that, for sure. For me, being older, it was better for me to get an Associate and then work on my bachelor after I could sign RN after my name.

I work in ICU. Just this week I was taking report on a pt and she had about a 10 beat run of what looked like v-tach on the monitor. When I questioned it the nurse giving me report said "oh yeah she's been doing that all day, it's fine". Stuff like that makes me nervous. The pt in question had a cardiology consult the day before so I called and asked if the cardiologist on call would just come by and check up on her and see what he thought. Turns out it was just a-fib with a flipped axis.... So in the am when I was giving report I said "oh yeah she's been doing that all night, it's fine".

I'd also factor in how arousable they are... like you described before, a patient that's just "lethargic" might sleep all the time, but wake up easily and respond appropriately to questions. Where as someone who's hypoxic or hypercapnic might not. Know what I mean?

I'd go ahead. She can always transition from LPN to RN. Around where I live (arkansas) the LPN programs are around a year and LPN to RN programs are around a year as well, for the most part. Unless it's a LPN to BSN then it gets more lengthy. My program was 4 semesters long and functioned as both a traditional AASN program and as a LPN to Assoc. Degree RN. The LPN's didn't join us until the 2nd semester, so for them the program was a 3 semesters, but I know of other people that attended LPN to RN programs that were a year long. In their case it was similar to what you were describing... both programs were at the same school and LPN students most often bridged immediately from the LPN program to the RN program. Anyway... at the very least, with an LPN license she can get some experience nursing and help support herself through school. It wouldn't be a bad situation to be in, IMHO. Sorry if this is all jumbled. I tend to ramble, and half the time I realize that I'm typing one thing and thinking about something completely different. I do it in real life as well. My friends say that I say "does that make sense?" waaaay too much. LOL!

Saying nothing and/or doing nothing about situations you know are wrong just because "nothing will be done" is a great way to make sure nothing changes.

In Micro the general chemistry concepts that were needed were taught. I had taken chemistry nearly 20 years ago when I was 18 and in college the first time not knowing what the hell I wanted to do other than drink beer and chase boys. Maybe some of that stuck. The chemistry, I mean. Not the beer and boys... mostly. I enjoyed my Micro class. It was like a summer long mystery to be solved. I heart puzzles.

Out in our unit as well. We're replacing with neo for the time being. The diprivan shortage was horrible. sedation vacations were a joke with versed drips.

I recently graduated from an ADN program and chemistry wasn't required. It is, however, for most RN-BSN programs that I know of.

I agree with nursejoed. I wasn't required to take a chemistry class to graduate and I don't feel that it hinders my patient care at all. Chemistry isn't Pharmacology. Which I wasn't required to take either... but that's a whole other story, ha ha!

I'd imagine it wouldn't make a difference. The reason we're careful when using O2 with COPDers is because we can knock out their respiratory drive. The only thing keeping them breathing is O2 lack. CO2 buildup doesn't matter to their body, they're so used to it it doesn't drive them to breathe anymore. If a COPDer is coding and an ambu bag is necessary, knocking out their respiratory drive isn't really a concern anymore, because its already gone, lol.

Eep! It is sad, sad, sad that you've never had the pleasure of a hot KK. The KK is a donut shop. Yummy!