brick195969

As long as it is done with the best intentions, learning, questioning or even relating to, then there should be no problem. If it is presented with the intent to amuse, gross out or demean a patient than it is in bad taste and very unprofessional, but as long as no identifiers are used it is certainly not a HIPPA violation. Like judge Marilyn Millan said one on time "whats in your heart comes out thru your lips" (i am paraphrasing). I am an acute care pediatric & a Hospice nurse so you can imagine there is no room for disrespectful anecdotes.

[TABLE=class: table_layout, width: 650] [TR] [TD]Equation: MAP = [(2 x diastolic)+systolic] / 3 Diastole counts twice as much as systole because 2/3 of the cardiac cycle is spent in diastole. An MAP of about 60 is necessary to perfuse coronary arteries, brain, kidneys. Usual range: 70-110[/TD] [/TR] [TR] [TD][h=2]Don't have time, how hard is this. If you have a tool that is useful and takes all of 10-20 seconds (depending on your math skills) to do , why not use it. Takes way to much time is a euphemism for "i can't be bothered"[/h] [/TD] [/TR] [/TABLE]

Here is my 2 year old nursing take on all of this. 1) Read the BON reports on disciplinary action, very educational 2) Don't do what these nurses did 3) Be honest with yourself, stay within your scope of practice 4) Document all and any patient interactions, interventions, outcomes 5) The most important one (to me) do the best you can, if you do this the odds are you will not lose your license. Don't take shortcuts, give it your best, we're only human, not perfect, but if you strive to be you will do the best you can

@]RkfdNurse1 or anyone who knows the answer what is POA, i assume the A if for administrator , but the PO?

No, I haven't seen you're stethoscope.

If you got into nursing to be the smartest person, best paid, or to denigrate other's by infering that nurses are the only providers who care about patients, nursing doesn't need you. Long hours, major responsibilities, major liabilities, missing your pets and loved ones, taking care of other's families and sometimes not your own, not to mention relationships suffering, thats nursing. The only reason to get into nursing is to nurse, you have to love it. I know alot of nurses are not going to like hearing this but to bad, I love nursing, I love being at work, and more than anything I care about my patients. I had a meeting for recertification for ventilators (LTV1150 to be exact) and tracheostomy care for home health patients , pediatric patients. The trainer made a comment in front of many nurses (not recerts but new to this type of care, the ratio of recerts to new to this area nurses was 10-1 in favor of the new nurses) that the parents of these patients are "crazy". I had to immediately defend the parents, stating that this type of blanket statement is terrible. Many parents could be specialized nurses in the field that their child suffers, based on their knowledge of their childs condition. The parents often know the ins and outs of treating the patient, they just lack nursing jargon. Broad brush painting is horrible, of course there are some parents more difficult to deal with than others, but unless they just do not care about their childs care, they are doing the best they can. I digress, but in a way it still relates to what we are discussing. Nurses adjust, period. Love what your doing and you can tolerate anything. Do your best every shift is my motto, keeps your nursing strong, keeps your liscense strong.

Not sure why but the new RNs resume says "keep large bucket of ice water handy"

I must be getting old, but I think it is inappropriate for the new RN to ask for a belly rub after every shift!!!!

Okay so he can sniff out cancer, I don't like him, there just some Airdale about him.

cut thru all the malarky, Good Samaritan rule should cover you everytime, as long as you are doing the best you can

I just took the test today, I hope the trick truly works, regardless of who you are or have used the trick, you will never believe you passed until you see the results. I got the pop up so I hope I am ok, took 75 questions, came out feeling curiously relieved. Sure I failed and not that upset, told my self , "man i didn't know anything, had to think on every question". I still have to wait but if the pop up is truly accurate, I passed. The way I studied is I did Hurst Review April , and a second Hurst review in June. This review really helped me and I felt ready for the exam, this relieved alot of pre test anxiety. I did Delmar NCLEX review(on cd with book), it was a difficult review and scored a 56 on the first test. Retook the test several times and got better each time. I did over 1600 Pearson Review questions 25 at a time, never scored lower than 68 (1 56 but that was it) my average score was 78 over 60+ tests, this really helped my confidence. I also redid review sheets from nursing school. I studied for a month and a half to get this done not including the spring break for nursing 4 I gave up to a Hurst review. My point is, you have to invest alot of time to pass NCLEX. Oh yeah my friend gave me his sign on for Kaplan review and I did 4 qbank tests and watched all the videos. Oh yeah Feur review on CD or mp3 (computer) listened to NCLEX review and pharmacy review. Today was crazy, I was so mad when I finished , I am still not sure I passed but if the "trick" is true, I did. You asked how I passed, work, hard work. P.S. a particular fellow student of mine failed, she posted on facebook about all the partying she was doing after graduation. I suggest you hold the party till you pass nclex.

I wanted to contact Hogan myself as I love the program level of difficulty but, like someone else commented, many rationals do not match the answers given. Makes me wonder how accurate the entire program is. Here is a good example. We all know lasix use long term can cause an electrolyte imbalance of potassium. The answer is respiratory depression(nothing to do with potassium) but the rational states "respiratory depression is not associated with this medication" but it is labeled as the answer, the other three answers are wrong as well. I think they omitted the correct answer altogether. Here is the question as presented : For which of the following complications related to electrolyte imbalance should the nurse assess in a client who has been taking furosemide (lasix) for two years? 1. tetany 2. respiratory depression 3. nausea and vomiting 4. diabetes the rational says A client who is on long-term diuretic therapy is more likely to suffer effects of potassium depletion. Tetany is associated with low levels of calcium (hypocalcemia), which can accompany hypokalemia. Nausea and vomiting are nonspecific complaints not directly associated with loop diuretic therapy. Diabetes is not related to Lasix administration, although the use of this loop diuretic can cause the client to become hyperglycemic. Respiratory depression is not associated with use of this medication. So what is the answer, Cardiac arhythmias, I don't know but the answer given is not right, is it?

I am doing a care plan for a patient with leukopenia, low bp , infection & debility I have rated the prioritys from most to least (although all are important) as 1. low bp 2. infection 3. immunity 4. risk for falls/inability to perform adls can anyone give me their input in regards to the validity of the diagnosis' and the rating of most important to fourth important. Also any help you could give in regards to possible related to examples and "as evidenced by" would be appreciated. I have this plan done but am trying to see what other perspectives and advice I can get. Thanks

Psychologically speaking , don't try to solve her problems, just be there for her when she needs you and listen to her when she wants to talk, therapeutic communication is so difficult in most situations without sounding condescending or inappropriate but in this type of situation it is even harder, but it is what is needed. Bless her heart, body, mind & soul.

as per the tone of most of the posts I think many picked up on the new wifes hopes to get the ex new nurse in trouble, apparently though she is off base. I love the NPs advice that three vaccinations at one time is not the best course but besides that the new nurse is just looking out for her kids well being and "trying" to be a good mom, the new wife is just fishing .