dancinglamb

If the patient has a previous history of depression, anxiety, mental health issues, etc. that is flagged for a social services referral upon admission. But, also immediately post partum, there is a little folder of information that includes information about PPD, as well as a 'newborn channel' on the hospital tv, we ask the moms to watch. 24hrs after vag delivery and 48hrs after c/s, the mothers are given the Edinburgh Postnatal Depression Scale test. It's a simple 10 question list that specifically refers to how they've felt in the past seven days about a bunch of different things regarding themselves and their happiness, etc. We have it in pretty every language imaginable. Any score 10 or above is then referred for a psych consult, as is a positive response to the last question which asks if they've thought about hurting themselves. Finally, there's also information included in d/c teaching that explains the difference b/t PP blues and PP depression. It gives a number and website addy, as well as trigger signs to call the doctor, visit the site, call the hotline. Go check out the Edinburgh. I think you'll find it interesting. Hope that helps.

We commonly use foleys with cervidil for IOL in our unit until the pts get to 4-5cm. At that point, they usually are AROM'd and get IV pitocin to get things moving along. Since they're presumably 4-5 (sometimes more) by then, they also are able - should they choose - to get an epidural before the pit is started. I've had moms sleep through the whole thing, others...well, maybe not so much.

For official translations (admissions, consents, explaining the pain scale, etc.), our hospital uses a translation phone similar to the one AMN74 describes. But for small stuff, the Google Translate app is an absolute lifesaver (if you have a Droid or iPhone). You enter in what you want to say and it will either speak what you want to say to the patient or you can show him/her the screen (depending on your phone's abilities). The program works in both 'directions', and I've used it in a few different languages (supposedly over 60 available, but I've never played with enough to really count). It may not be 100% grammatically correct, but you are still able to get the idea across and my patients have been able to tell me that they've appreciated the effort. Hope that helps!

I bought mine in a uniform store here in NJ -- Somes Uniform in Hackensack. They say Gel Seal on them and fit my Littman II SE without a problem. I remember that you had to kind of pop them on. They're clear with the blue gel inside. They came in the little clear plastic box. I think I paid maybe $12-15ish for them.

Every hospital that I spoke with/applied to said that they wouldn't consider anyone with less than 1-2 years experience for a per diem spot. Some even said 3-5 years. And that was at least six or eight different hospitals within a 50 mile distance of NYC. They all sited the same reason -- not having enough experience to draw from regardless of the field.

Is your number posted on the BON site yet? If you need a license for a job, they can fax verification for you. Otherwise, it was about three weeks from when I passed the test that the number was posted. Then I received a letter with the number saying that the actual license was on its way. The license itself came maybe 10 days after that. So, all in all: 3 weeks for number, and maybe another 2-3 weeks for the paper license sunsettbay5: This is where you go to look for your license: https://newjersey.mylicense.com/

I was just offered (and accepted) my first nursing job. It's in the hospital I worked in as a NA during my last year of school. One of the recruiters in HR went out of her way to send me on a couple different interviews in the hospital, walked me through different interview techniques, tricks on how to answer questions (yes, it really *is* all about turning the answers back toward you and your experience), etc. I did send her a thank you note after the first time she met with me expressing my appreciation and gratitude for taking time out her schedule. When she called and offered me this job, I did take the time to thank her personally for all that she's done, and how much I appreciate her help. Do I now send her another note since I've been hired? Should it be a regular note, a card? Do I send something more? For whatever it's worth, she's also a RN. Thanks for your input.

They're not "custom" per se, but have you tried the Gel Seal ones? They're filled with this soft, well, glycerin gel. I put them on my Littman II SE, and they're awesome. Much, much better than the original hard ones. I found them at a local uniform place, but I've seen them on Redding Medical. The ones I have are clear with blue liquid in them. For less than $20, worth a shot. Good luck!

Oh, also, take the recorder and put it directly on HIS desk (not yours). Pause it if/when the class breaks for bathroom/food/whatever, and then restart it for the rest of the lecture. That way, you will get a much clearer recording. If he doesn't have his own desk, get there early and grab a front seat (you should be sitting up front if you're struggling in the first place). If you can't get a front row, then ask whoever is up front if they mind letting you put your recorder there. We used to have 5 or 6 recorders going there at one time.

I took A&P up at the Caldwell campus and had ***********. She was absolutely amazing. I also took her for AP II and Micro. Have you gone to the tutor over in the resource lab (it's that big glass room that's at the back of the main lobby kind of to the right of the stairs)? All of my old notes are by hand -- and I'd have to dig them out. They're super old. Nothing on computer and I definitely don't have recordings at this point. Also, have you gone to ***** directly? Professors are generally much more inclined to help out a student that readily goes to them to ask for assistance than one that doesn't admit to floundering until the last minute.

Gah! Apparently you (we?) need a minimum of 15 posts before being able to send private messages/emails. I guess this is the reward I get for all those years of procrastination lurking instead of studying. Hmmm. Gotta figure this one out....

Juliana- Would you be willing to send me your email? I am happy to discuss a dilemma but not on a public board. Thanks!

It's made a world of difference. I truly miss bread, and I tend to have a difficult time with eggs and some chicken (depending on how it's cooked). But considering the overwhelming benefits, I'd do it again in a second. I've lost about 85lbs. Considering, I've not seen the inside of a gym in probably two years, nor have I been eating as optimally as I used to, I've only varied 5lbs at most in either direction. And that includes finals during every semester, exits and the NCLEX. The band is most definitely only a TOOL and not a cure. You have to have the mindset to change the way you live and the way you think about food. Every single day, I still fight with 'head hunger' versus 'physical hunger', and that's just going to be a life-long thing for me. Considering that I'm a foodie and love to cook, I've just accepted that. We still go out to eat, I still make gourmet meals. I just don't eat as much. Four years out, I *do* eat more than I did in the very beginning after surgery. And *I* think that I eat a huge amount. However, my friends tell me that I actually eat very little. I can eat probably a piece of pizza (maybe a piece and a half if I'm STARVING). Perhaps six shrimp at a time, or say, six bites of steak and I'm done. I've really learned to pace myself for what it is that I'm jonesing for. Yes, I still have Ben and Jerry's, I still have dessert, but I also love me my fresh tomatoes and homemade mozzarella. I would rather have a huge plate of that than the four or five forks of pasta that I might be able to eat and feel ill (now when I say 'ill', I'm talking three plates of Thanksgiving turkey ill). So, I say go for it. Your back, feet, cardio-pulmonary will thank you. Now, not sure you will enjoy having to fork over the cash for a new wardrobe...just saying! Let me know if I can answer any more questions

Have you had your first fill yet? It will be four years in April that I was banded (had to think about that for a minute). Definitely try and do the protein shakes or bars. The bars you can cut into little bite-sized pieces and keep in a snack baggie in your pocket (just chew well!). I personally love the Muscle Milk Lite chocolate shakes (best tasting ones I've found). You can find them pretty much anywhere -- Target, grocery stores, CVS, 7-11. My hospital even has them in their cafeteria. They come in ready to drink juice box thingies, or bigger bottles, as well as powder (can't vouch for the powder, though). Another option is trying some hard boiled eggs if they don't get stuck, or maybe some turkey rolled in torillas. Here's a good trick for extra protein: Get a large container of greek yogurt (I use the Fage lowfat 2%, or whatever is on sale), mix it with one packet of Knorr veggie soup mix. Let it sit for about 15-20 min to reconstitute the veggies. You can then smear it on the tortilla/flatbread and then throw on the turkey. I swear, you'd have no idea that it's yogurt - tastes nom, it's full of protein and you're good to go. One last suggestion is those little cheese sticks or cheese cube/squares. They are always pretty good for holding you over for quite a while. Keep an eye on the protein, stay away from the empty carbs. Definitely try and not get 'stuck'. It's never any fun when you don't feel well. And without a doubt, remember to stay hydrated! Good luck!

Just graduated from there last May. What would you like to know?