koffeehoLic_RN

im not an experienced L&D nurse but i have an input for #2 Sister Callista Roy's Adaptation Theory consists of four main concepts: person, health, environment, and nursing. The person is defined here as an open, adaptive system who uses coping skills to deal with stressors. The goal of nursing is the promotion of the adaptive responses in relation to the four adaptive modes. It involves a six-step nursing process which includes: 1.) assessment of behaviour 2.) assessment of stimuli 3.) nursing diagnosis 4.) goal setting 5.) intervention and 6.) evaluation. In the first step, the person's behaviour in each of the four modes is observed. This behaviour is then compared with norms and is deemed either adaptive or ineffective. The second step is concerned with factors that influence behaviour. Stimuli are classified as focal, contextual or residual (Rambo, 1984). The nursing diagnosis (third step) is the statement of the ineffective behaviours along with the identification of the probable cause. In the fourth step, goal setting is the focus. Goals need to be realistic and attainable and are set in collaboration with the person (Andrews & Roy, 1991). Intervention occurs as the fifth step, and this is when the stimuli are manipulated. It is also called the 'doing phase' (Rambo). In the final stage, evaluation takes place. The degree of change as evidenced by change in behaviour, is determined. Ineffective behaviours would be reassessed, and the interventions would be revised (Andrews & Roy). Now, as for your answer in #2, you should relate it to the steps as stated above. Take note of your assessment for the pt's behaviour and the stimuli. Make a nursing diagnosis for that situation. Set your attainable goals. Intervene and evaluate the outcomes.

Hi oslogirl! Im not assigned on this unit but i found the explanation here: http://ucsd.hodesiq.com/job_detail.asp?JobID=1711747&user_id= The Care Initiation Unit is specifically focused on the needs of the patient at admission including: initiation nursing assessment (including initial wound documentation), medication reconciliation, verification of initial orders, verfication of belongings, orientation to hospitalization, and initation of the nursing care plan. Patients generally are received from the emergency department, post op anesthesia unit, or directly from home or clinic. The average length of stay of patients on this unit is approximately 2-4 hours prior to transfer to their receiving unit. Duties of an RN would be to provide short-term, general acute care services for adult and adolescent on admission to Medicine, Trauma, Orthopedics, Neurosciences, Transplant. I hope this helps! :) Louise BSN, RN, EMT-B

As far as i know continuous ang IVT sa Martinez Hospital in Caloocan. I also waited for a long time bago ko nakapag-IVT. I also inquired a lot of hospitals, halos lahat 'ata ng matatawagan sa directory natawagan ko na. Twice akong nagpunta, pumila at natulog sa labas ng Phil. Heart Center, pero walang nangyare. Sacrifice talaga. Hanggang sa tinext ako ng Fabella about their upcoming IVT. I ended up registering for their IVT in a total hassle-free and stress-free way. God, indeed, works in mysterious ways. It's just about right timing. Patience is a virtue my friend. :wink2: You will have your time. :) Louise, RN

It would be best to inquire at ANSAP because they have the list of available hospitals for IVT. You can even ask for hospitals with available slots near your location. You can also try to surf the websites of different hospitals via google to check their activities for the month. Contact details are mostly available to their websites so you can call the institution and inquire further info. I hope these could help. God bless you! Louise, RN

You may inquire @ ANSAP about the IVT accredited hospitals with available slots for May. In Fabella, i know their sched for May is already fully-booked. In fact, 200+ are on the waiting list. You may also inquire @ Martinez Hospital in Maypajo, Caloocan (but i can't give my full commendation to this hospital). Here are the tel. #s 716-3901 ANSAP 734-5561 Fabella Nursing Office 285-5091 Martinez Louise, RN

Inquire @ Fabella, here's their Nursing Office # -734-55-61-. I know their IVT is still going on. All you have to do is register at their waiting list and they will contact you roughly after 2 months. PATIENCE is a virtue my friend. :) Louise, RN

i had my IVT @ dr. fabella memorial hospital. i HIGHLY RECOMMEND their IVT. You will actually undergo the practicums with direct supervision of their well-trained and experienced nurses. The registration as well is very organized. It's a total hassle-free as compared to other institutions wherein you have to stay overnight outside the hospital premises just to be the first in line. Fabella just texted me and informed me about their IVT. Now i am just completing my 6-6-2. Louise, RN

Hindi masyadong maganda ang IVT sa martinez. Lecture type lng po kc xa tpos kyo mghhnap ng case nyo. Sbihin nla kokontakin nila kyo kpg may case na, pro malabong mangyare sa dami ng naka-waiting list. So, in short, prang nag-seminar lng kayo about IVT n wlang actual IV insertion. My friend already attended their 3-day IVT kya cnabihan niya ko n wg ng tumuloy don. But the choice is still yours. Louise, RN

I've inquired @ National Kidney Institute and the dates Feb.21-23 are not for IV Training but for BLS seminar. You can even search for it in the internet.