ElliShay

ElliShay

OB, MS, Education, Hospice

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All Content by ElliShay

  1. Student-Faculty Surveys

    Oh--so at your school--not most schools. Thanks--that clarifies it for
  2. Student-Faculty Surveys

    Would you mind sharing where you got this information? I would sure like to verify it.
  3. tachypnea symptom.

    Just wanted to say thanks for this thread. I am new to hospice--and this information was so helpful this week when my patient died. She was unresponsive--with deep, rapid respirations. My instinct was...
  4. h2O and Na

    Actually-- water follows sodium (as opposed to the other way around) since sodium is a major determinant of osmolality. Remember-- Aldosterone controls sodium (increased aldosterone release =...
  5. English as Second Language Students

    I am in this situation exactly--and fortunately my student is now doing well. Initially, though, she was really at risk. I worried that she would fail because of the language barrier--not because she...
  6. Students who won't listen---what to do?

    I struggle with this myself--one thing I tried recently (in MedSurg I) is to require my students to prioritize their top 3 diagnoses--and then tell me how the patient's medications fit into the plan...
  7. Anyone here who went to L&D as a new grad?

    I don't know if this will help--because it was ages ago, but...Yes--and I have never regretted it. I worked in OB during my last year of nursing school and then hired on as a new grad (that was my...
  8. im a student but....

    Spasticity is a fairly common problem for quads--many are on baclofen pumps for muscle spasticity, and Detrol for bladder
  9. Orienting new staff is expensive... and a bit of a gamble. Much cheaper to manipulate a"sure
  10. Tricky, Tricky question! PLEASE help!

    I am going to go with hemolytic anemia...because of the increased
  11. what will be the most concern about

    You are so right--we need more info. Is this a clinical situation? A test
  12. meluhn-- I feel for you. I have been in that position... but look at it this way-- you are NOT failing him-- HE has failed to meet the objectives. We have a huge ethical responsibility--and are often...
  13. Well said--and I
  14. WE DO NOT KNOW WHY SOMETHING WAS SAID--OR EVEN WHAT WAS SAID TO THIS STUDENT. It is all speculation by the OP. I am not going to bring race into this either. Students must meet standards. My job is to...
  15. I am an educator--and I must tell you--it IS MY JOB. The ONLY reason I would ever tell a student that he or she wasn't cut out for nursing is if that student fails to perform to the standards, and...
  16. what will be the most concern about

    dehydration--or rather, fluid volume deficit--since this procedure may be accompanied or followed by excessive
  17. Wow... pretty harsh... I am an educator with years of acute care experience in various areas. I also have been trained as an item writer, and I have written for the NCLEX. I take pride in the exams I...
  18. vkubiak-- We currently have 5 faculty doing the job of 8---and we are all burning out. However, I am blessed to work with really excellent, motivated, smart, funny people, so that makes it much...
  19. vkubiak-- your school sounds like mine. We admit 40 students per year and have just been told we are going to have to cut 10% from our budget--yet we are under pressure to grow and admit more...
  20. Rh factor in pregnancy.....

    "Rhogam will kill the antibodies that the mother's body have built up if the fetus is Rh+." Well-said momof5, and I agree with all of it except that RhoGAM does not "kill the antibodies" ` it merely...
  21. Hi-- I recently accepted a part-time position at a newly opened hospice home, and we recently had our site visit for medicare certification. One of the site evaluators questioned our nutritional...
  22. New to hospice and I have a question...

    Whispera-- Thank you--my thoughts exactly. I have worked for so long in acute care--and have watched too many dying people drown in the excess fluid that we administer. Tube feeding someone whose...
  23. New to hospice and I have a question...

    Absolutely--and I agree with Leslie, as well. I would say that is our biggest family issue thus far. I guess I was just thrown off by the invasiveness of PEG tube placement in a medically fragile,...
  24. New to hospice and I have a question...

    Thanks-- I agree with enteral feeding as part of the POC--I was really thrown off by the PEG tube
  25. I am not a student--but will go out on a limb and say that 'A' is the correct