solneeshka

solneeshka BSN, RN

PACU, Surgery, Acute Medicine

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All Content by solneeshka

  1. Care plan...Help!!

    When I read your description of your patient, I'm worried about stroke more than anything! I know you can't put that as a nursing diagnosis, but something like "risk for impaired tissue perfusion"...
  2. Help with post-op CABG nursing diagnosis

    CABG is supposed to be a palliative treatment (technically). This guy's had 4 of them?! Sounds like what he needs is hospice
  3. The one thing I remember about what to do if you have to deliver a baby in an emergency is that once the baby is born, set it to the mother's breast asap because the suckling with stimulate the...
  4. What order for priority of nursing dx?

    You need to balance what poses the greatest degree of risk to the patient with what is most likely to occur with the patient. In my nursing school, we were beat over the head with "pain never killed...
  5. Critical Thinking Help

    Ignore the poster above. (People ought to be able to post here asking for help without getting snotty comments. She didn't say she needs help with thinking, she said she needs help with *critical*...
  6. I think this is a great care plan! But I don't work with babies, so I'll toss in that disclaimer :-) The only things I might change would be to add "r/t increased work of nutritional intake" to #3...
  7. Diverticulitis CarePlan

    If the patient has intestinal contents spilling into her abdomen, and she already has a fever, my first concern is for sepsis. She may have impaired tissue, which isn't good, but if she has sepsis,...
  8. Please help important decision

    You might like surg tech, but there is not likely to be a lot of overlap with the coursework that you've already done and it doesn't pay as well as nursing. My first thought was respiratory therapist....
  9. What areas of nursing to choose?

    Yeah, if you want med-surg, you'll get med-surg! Tele is a good 2nd choice, then maybe oncology, ortho, transplant, any of those areas will have similarities with general med-surg. But I guarantee you...
  10. Is clinical rotation "Murphey's Law" following you too?

    The most important things you'll be learning at this point will apply pretty much regardless of where you actually end up working. Just take each area for what you have to learn from
  11. OB RN with ED experience?

    I agree with the above poster. There's no reason why you couldn't work L&D, but probably not without going full-time for a while until you're off orientation, because there will almost surely be...
  12. 8-hour shifts?

    Does anyone know of RN positions in the St. Louis area that offer 8-hour (day)
  13. Completion Time

    It does help with that, msu2011. If a given figure or ratio doesn't cancel out a unit that you need to have canceled out on the right side of the equal sign, then you don't need it for the problem. It...
  14. Pediatric Dosage Calculation Question

    My point is that if someone is getting 952.5 mg of something, then whether you round to 953 mg or 952 mg is immaterial, even in peds. At that volume, even rounding all the way up to 1,000 mg, the...
  15. Medical words that make you cringe.

    When in
  16. Pediatric Dosage Calculation Question

    This is an interesting theoretical discussion! I'd like to see someone try to actually provide 952.5 mg of *anything*! I don't think you could measure even water that precisely, let alone a pill. The...
  17. ADN to BSN to CRNA = Realistic Goal?

    I work for a very large facility and we do hire ADNs into the ICU. They favor BSNs all around, but it can happen. If you can't get into an ICU then I would go for med-surg. ED and ICU are both...
  18. Instructor giving me low acuity patients

    I only had the opportunity to insert one foley my entire nursing school career, and that's because I sharked it from a nurse who was about to put one in a patient that wasn't even mine! There will be...
  19. Medical words that make you cringe.

    I once had a co-worker refer to a patient's scrotum as his "ball sack" (can I say that on this forum?). This was *in the room,* patient awake and sentient! It was the funniest thing I'd ever heard....
  20. Medical words that make you cringe.

    I work in eye surgery and we slice on into that eyeball every day! It's awesome!!! I have a co-worker who has worked in eye surgery for over a decade and still cannot deal with an eyeball in a cup...
  21. Issues placing a bedpan

    Bedpans got a lot easier for me once I realized that most of our patients need to have their legs held apart in order for the urine to escape and not just funnel up to their bellies. A pillow between...
  22. Completion Time

    You're both right. In the interest of teaching you to fish (instead of giving you a fish :)), here's an easy way to set up ANY IVF calc problem. 1) On the left side of the equal sign, put what it is...
  23. Offer retracted

    Jeanette73, that's awful! I'm so sorry that you're having this experience. The hospital should have communicated better if they indeed did not have the position to offer to you for sure. Keep looking!...
  24. issues in specialization in nursing

    I would think the biggest issue is that the more you specialize, the less opportunity you have to move into some other aspect of nursing in the future. For all of those new grads who think that...
  25. Computer charting

    I'm confused. Don't you have to chart in whatever system your hospital