crystalchen

crystalchen

Geriatrics

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All Content by crystalchen

  1. What would you do? Advice Needed

    I totally agree! I am a new grad last year and during my 8 months working in long term care facilities as an NP, there is SO MUCH that they don't teach/never mentioned in NP school. I was a good...
  2. fullmoon

    So I guess last night was full-moon.... no wonder why my pts were all crazy:devil: Don't feel bad if you got crazy pts,
  3. Should have never gotten out of bed.

    relax dear, it was fullmoon last
  4. I think your LTC experience will help you a lot in
  5. Giving pills

    I was told by experienced RNs that you should do a bedside swallow eval, just ask the pt to drink a sip of water first. If they have to troubles, give them pills, because I have seen pts that was...
  6. Most Common IV Push Meds on Med-Surg

    In our hospital we have to follow unit policy. In my unit we can only push 7 meds, which is not including dilaudid or phenergan or ativan........ sad.......... Check it with your preceptor, and...
  7. so I had a pt last night, lab called for his morning labs: BG 17, CO2 8, phrosphate 12.... he was A+O X3, has been SOB for 2 days but the team did not do anything, hx of sleep apnea, was gonna get a...
  8. What do you know/have you been taught about Sepsis?

    I learn that antibiotic is extremely important for the first 24 hours, and it needs to be given after the labs, right? keep them
  9. question about acidotic pts and labs

    Thank Xing! I will need to look at the curve again, this always confuse me during school and now. I dont remember his pH, I will go to work tomorrow night and find out more about his labs. I found...
  10. Uninterrupted breaks

    All of the nurses on my floor take 30 minutes uninterrupted break, it is safe for our patients. I do believe that I need those 30 minutes to get off the floor and do something else. Of course, charge...
  11. Things you only learn on the floor...

    I learn that knowing your resources and don't be afraid to ask stupid questions. Utilize family members, keep them busy if you can, do your teaching with patients, even one sentence, they don't...
  12. not sure if this is a normal feeling?

    Does charge nurse has patients last night? Did they call to ask if anyone else is ?available to work? I work in emergency - observation and each nurse always just have no more than 5 patients. If...
  13. nurses hide from high-needs pt

    I suppose she was having diarrhea? If so I would call the team and put a rectal tube in her, which is both good for her skin and for the staff on the floor.... I had a pt before, similarly, refuse to...
  14. question about acidotic pts and labs

    he was admitted for SOB at home, he tried on a cpep mask and was planned to have that machine home this Friday because he always wakes up at night because of SOB and I noticed he had to move from bed...
  15. Post mortum care mourning :(

    I am glad you experience that in nursing school.... I had my first code yesterday and did my first post mortum care... it was a little scary, and also sad... I could not sleep for 4 hours after went...
  16. Wrist Fracture question

    I am thinking about pain management because a fracture is a lot of pain....... effective pain management will also stablize the patient for future
  17. question about acidotic pts and labs

    yes, that was CO2 in his Chem7. What's the differences between CO2 in chem 7 and in ABG? I could not remember his other lab values... They were deciding if he should go to dialysis or ICU first and...
  18. Dear asdjkl: I can feel your pain and sadness. I am a new nurse, too, and I feel exactly what you are feeling especially about others talking about you even though they don't really know you, judging...
  19. should I quit my job for school

    Hello dear all: I graduated in June 2009 and have been working full-time in ED - observation for 8 months. I am in FNP school right now part-time and the classes are getting harder and harder. I am...
  20. should I quit my job for school

    Thanks everyone, I think per diem might be the best option here, our hospital requires 16 hrs per month for per diem, and I think I could definitely afford that... I will request this to my manager...
  21. should I quit my job for school

    Thank you Softballmama and B, I really appreciated your suggestions. My relationship with management is ok, I should say, they treat me ok for approving my vocations and so on... I think this is the...
  22. Ok I asked this question in general discussion forum, but I think I should ask here again because I am in a FNP program now. I graduated last year in June and have been working in ED-observation room...
  23. should I quit my job for school

    Dear Softballmama: Your suggestion is exactly what my friend has just suggsted me! Our hospital requires per diem to work at least 16 hours per month, I think I could definitely handle that. and I...
  24. should I quit my job for school

    I have read all the replies and I feel like I really need to think about this by myself. My parents are very supportive and they can financially support me. My husband is looking for a job right now...
  25. U of Rochester, BSN/MSN

    I was admitted by U of Rochester BSN/MSN accelerated track for May 2008. I am just wondering is there anyone else also planning to go