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DaddyO

DaddyO

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DaddyO's Latest Activity

  1. DaddyO

    Pain Management

    PCA Dilaudid or Morphine / PCEA Bupivacaine is discontinued POD1 and we transition to PO meds....with having Dilaudid or Morphine IVP as Break thru q3hrs if the Percocets / Roxicodone is not adequate. Last week I had a knee replacement that came out on Perineural Marcain that was kept in for 2days. This particular Ortho MD is old school. If the initial ordered PCA dose is not adequate there are usually orders to increase dosage or give a bolus
  2. DaddyO

    Interested in specializing in orthopedic nursing

    Gypsy seems to have covered it. Good reply... only thing I can add is that we follow protocols...like the timing of removing Foley Catheter and Drains (Hemovac, JP and Stryker) and dressing changes. Foley removal is usually POD 1(6-8hrs to void, if not scan bladder and possibily straight cath,), Fluids are usually discontinued once the Pt is back to eating...but keep fluids running until the first void. Dressing changes on knees POD #2, Hips POD #1, Drains usually POD#1 unless there is a lot of draining. the stryker drain is a reinfusing system...so you may find yourself reinfusing if there is a lot of blood draining as well (keep an eye on H/H). Another big thing is the Antibiotics postop...which is usually 2 doses postop. With revisions.....Pts are on a cocktail of three antibiotics around the clock until cultures are in. we are a Postop ortho floor. Other than jonts (knee and hip), we see Back, and upper limbs procedures. No anticoags for Back surgeries.....and the pain seems to be more challenging to manage than the joints. In many cases this can be due to Pt's being on pain meds for a long period of time prior to having their procedure. Motorcycle and car accidents, people jumping off of buildings, falling off ladders crushed on the trains...etc....are all on our floor. so you may see some challenging cases....not just those elective procedures. We work closely with PT and OT prior to discharge. when Pt's are off the PCA or PCEA pumps......you may need to call the MD or Pain mgmt. residents.....if the ordered meds are not adequate or for a 1x break thru order. Older Pt's are more likely to have Ultram ordered....but Percocet and Roxicodone is what is mostly used after the pumps are removed and making the transition to PO meds. Most Pt's have pre-existing medical issues....diabetic, hypertension...etc....so this is when your other skills outside of Ortho will come into play. unfortunately with cardiac meds....MDs do not always put parameters in. I deal with Pt's that have dementia/Alzheimer, and there are certain meds that should not be given, not to mention may need to have a sitter ordered for their safety. Lastly, I am a male nurse......and like Gyspy stated....we do a LOT of pulling and lifting on the floor. So definitely watch your back and how you lift.
  3. DaddyO

    Research Pay

    anyone from the NY/NJ/CT area that can comment here ?
  4. I asked for a copy of my Dad's medical records from a Hospital. I received a bill from a 3rd party that made the actual copies. Does having a 3rd party make copies violate the HIPAA rule since we were not made aware that another source would be copying his files. Thanks
  5. DaddyO

    Pradaxa

    We buried my Dad in June. I work on a Post Op floor. The Doctors all seem to stay away from this drug. Some say it is a good alternative to use..... My Dad's bleeding did not stop and I had to sign the Hospice forms. Some alternative.
  6. BCC has an alliance with William Paterson. Arguably a cheaper way to get a BSN if one attends a Community College first and then transfer to a 4yr or RN to BSN program.
  7. DaddyO

    NJ BON is ridiculous

    IMO you are speaking to the call center when you call, not the BON. I am not saying they are not helpful but I did not get results until I went to Newark after waiting 2 months thanks to Alibee. I went to them on a Friday and had my license issued by 930am Monday morning. NJ BON does have a status check if you sign up here: https://newjersey.mylicense.com/eGov/Login.aspx it will list everything you have submitted and has been accepted and what is still pending.
  8. DaddyO

    RN to MSN Bridge courses

    Has anyone taken these courses online ? just wanted to hear any helpful comments or suggestions. Thanks in advance. [TABLE] [TR] [TD][h=2]Course Descriptions[/h][/TD] [/TR] [TR] [TD]NURS 325 Critical Issues in Nursing - 3.00 credits[/TD] [/TR] [TR] [TD][/TD] [/TR] [TR] [TD]Critical Issues in Shaping Nursing. The health care system has undergone dramatic shifts, driven by changing economic; demographic; and technological forces. This course explores the impact of these forces on healthcare delivery, and concerns relating to ethical, legal and social issues that influence nursing practice.[/TD] [/TR] [TR] [TD][/TD] [/TR] [TR] [TD]Back to course list[/TD] [/TR] [TR] [TD][/TD] [/TR] [TR] [TD]NURS 370 Issues in Aging and Longevity - 4.00 credits[/TD] [/TR] [TR] [TD][/TD] [/TR] [TR] [TD]Issues in Aging and Longevity. This course focuses on current issues in promoting longevity with healthy aging. Current biopsychosocial theories on aging are explored. The multidisciplinary needs of older adults, including relationship challenges, are addressed.[/TD] [/TR] [TR] [TD][/TD] [/TR] [TR] [TD]Back to course list[/TD] [/TR] [TR] [TD][/TD] [/TR] [TR] [TD]NURS 337 Genetics in Nursing and Health - 3.00 credits[/TD] [/TR] [TR] [TD][/TD] [/TR] [TR] [TD]This course will discuss the implications of the Human Genome Project and how to apply genetic knowledge to patient knowledge to patient care in the following ways: identifying those in need of further genetic testing, offering genetic information, recording genetic information, referring patients and families for further genetic information and evaluation, support informed choice regarding health decisions, advocacy for privacy, confidentiality, and non-discrimination with regard to genetic information, and participate in management of patients with genetic conditions. The ethical consideration as they relate to genetics will also be explored. This is a writing intensive course.[/TD] [/TR] [TR] [TD][/TD] [/TR] [TR] [TD]Back to course list[/TD] [/TR] [TR] [TD][/TD] [/TR] [TR] [TD]NURS 375 Nurses Building a Healthy Comm - 6.00 credits[/TD] [/TR] [TR] [TD][/TD] [/TR] [TR] [TD]Nurses Building a Healthy Community. This course focuses on the professional role of the community public health nurse working collaboratively to build a health community. The role of nurses is explored by their actions with aggregate population, community partners, and other health providers.[/TD] [/TR] [TR] [TD][/TD] [/TR] [TR] [TD]Back to course list[/TD] [/TR] [/TABLE]
  9. DaddyO

    NJ Board of Nursing - What the Heck?

    Like mentioned earlier in this thread....If you register here: https://newjersey.mylicense.com/eGov/Login.aspx You can see the list of forms submitted and everything necessary for licensing. and if you are deficient in anything. I would go here first before calling or driving to Newark.
  10. DaddyO

    NJ Board of Nursing - What the Heck?

    Mid June.
  11. DaddyO

    NJ Board of Nursing - What the Heck?

    I went to Newark on Friday. This Monday morning I have my license issued. Thanks for the suggestion Alibee.
  12. When I started, the HESI was the determining factor. Like you said they start at the top with the higher scores and work down from there until the spots are filled. A friend that had a much better GPA than me was not accepted since I had a better HESI score than he. I am not sure about any waiting list. I do know there were some that were not initially admitted, but was able to get a spot if someone deferred their start date or decided not to enroll at all. so I would suggest study hard for the HESI. Good Luck
  13. DaddyO

    Hurst Review...tell me what you think ?

    Thanks for all the replies... Hurst worked for me.....Passed !
  14. DaddyO

    Pradaxa

    Pradaxa stories. Pradaxa Questions and Answers | Patient Discussion Forum 5
  15. DaddyO

    Pradaxa

    My Dad has received 8 units of blood since Saturday. Today is monday. Rectal bleeding that they cannot find the origins of (after colonoscopy, Endoscopy, Scan..etc) so it has been deduced to his Defib Dr switching to Pradaxa just under 2wks ago. He has COPD, CHF, Defib, Sleep apnea....78yrs old. BP at admisson was 70's/30's, A-Fib, H/H 6.4, K 6.6 (cocktail given), acute renal failure and a Catheter was inserted in the event he will need Dialysis. His Nephrologist explained that he was very very sick and that he was concerned. I never heard a Dr speak like this. As of today he is responding well from the treatments/interventions. He will move from ICU to a regular floor tomorrow. bleeding has slowed, but not stopped. every Dr has pointed to Pradaxa as being the culprit thus far. if all goes well, they will send him home with Coumadin.
  16. DaddyO

    Bergen Community College Nursing Program Question

    evening program did not have to wear uniforms for validations. and I would get at least two.