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While were on the topic of Physician's Regional in Naples, I would place the Pine Ridge division on the worst list - for lack of a better word, the nurses were shady. Best hospital in the Ft. Myers/Naples area would with no hesitation be Gulf Coast Medical Center.

Thank you, very helpful!

Just another problem with a nursing diagnosis... Sorry. PT: 36 y/o F gravida 2 T0P0A1L0 estimated @ 40 weeks gestation in labor; cervical ripening done w/ Cervadil then labor induced w/ Pitocin @ 8mu/min; Catheter placed; epidural placed at 4 cm dilation; Last I had seen - she was 5 cm, 90% effaced, & -1 station; Pt's vitals were stable as well fetal heart rate was baseline Significant history (I have 3 nursing diagnoses to write & was looking to use each of these issues as a diagnosis): Advanced maternal age (36) - this is might have been what lead to her having diabetes; obviously w/ the age we are worried about genetic abnormalities w/ the fetus (idk if that is a nursing diagnosis though?) Previous induced abortion (don't have any info on this) - this puts her at risk of many things (scarring from the abortion can make one more susecptible to placenta accreta, c/s) Gestational diabetes (diagnosed @ 28 weeks, blood sugar taken day before was 129 she is only controlling is with diet) - macrosomic neonate, risk for infection r/t increased glucose levels in urine AEB ?(there is no urinalysis) Also, lives in Africa and had prenatal care completed there, she is only is the U.S. to have the baby (husband works here) - emotional state > anxiety, impaired communication (english is not her first language) Let me know if any of these make sense or how to word them better. I feel like I'm am listing some medical diagnosis and not nursing, so how can I combine the two? Thanks for your help.

Chrissy & Daytonite: Thanks so much for the help, very helpful information. Makes sense now. NewCareerForMe: Ha, that's great! I'm not the only who didn't know!

Hi everyone, I'm in peds/ob right now and just spent a day in the nursery. I have to fill out a w/s and it listed terms and then asked for the description and location. For instance: acrocyanosis, lanugo, mongolian spots, etc. So, my question is what is plethora in relation to a newborn and where is it located? I found this as the definition "a bodily condition characterized by an excess of blood and marked by turgescence and a florid complexion." Is it generalized? Also, curious as to what the patho is behind this and who is more proned to it. Thanks!

:typing Answer one or more of the following: 1) What floor did you spend your first year/months? 2) Why did you choose the floor? 3) Would you recommend that for NS soon to be graduating? *This was brought about because of the advice that NS should work on a med/surg floor when they first graduate. Leave feedback on your thoughts about that as well. Thanks:yeah:

I hear time and time again that it is a great idea for a first year nurse to work on a med/surg floor. So, say I plan on doing so. When I take my senior practicum class and have a 7 week preceptorship, should I complete it on a med/surg floor (this would seem the most logical), or should I take the opportunity (if possible) to do it on the ICU, ER, PICU (I am interested in these, but would be willing to get experiance on the med/surg floor first, but it would be amazing if I got the oppurtunity to test the waters while in school). Any suggestions or experiance?

Have you actually wrote out all the cost that you would need to pay for each option? I would do that first. Option A (Commute): rest of the semester costs, books, gas, etc. Option B (new program): all the initial fees, tuition, books, etc. And maybe also make a pro/con list. Option A: i.e. almost done, gas, time Option B: i.e. save money on gas, have to start all over. If I HAD to make a decision, I would choose to commute. Your already half way done (you know everyone, comfortable, etc.), won't have to go through the whole application process (idk if you are able to get in to the new program asap, or if that is another consideration that you will have to wait a bit for it to start up), already have everything this school requires. I know some of the students in my program commute 45 minutes-1 hour, so sometimes it just comes with the territory. Best of luck in making your decision.

For FGCU: If you are a resident it is $132.29 per credit hour (not a resident $574.58). Credits per semester vary, average is around 14. There are lab fees, books, & all your nursing gear. Check out each of the schools websites for more information. FGCU is a new school and still developing their nursing program. We did not lose our acredidation Deannalynn (which would make no sense because how would the student nurses still be in the program able to graduate with their BSN and take NCLEX, there is also an incoming class for the program this fall). Edison is a good program, but at the time I was applying they did not have a BSN program, only an ADN. So I am glad to see your enthusiasm for your school, but please don't type false information. I believe there are two great nursing programs in Fort Myers, both FGCU & Edison, and think we should both support each other as opposed to stating rumors.

I don't know your full situation, but the BSN is going to be more expensive, but well worth it. But if you plan on getting the ASN then continuing onto your BSN, that will be more money in the end. If you take the BSN, your going to need your prereqs, and that will take more time and money if you do not have them done. So, it depends on if you need to get in now and get money or can wait a bit. I am in the BSN nursing program now, of your second option so any questions just PM me

Was 20 when I started last August in a BSN nursing program. Went in straight out of highschool

Working on care plan> nursing diagnosis. 21 y/o F; one week earlier had emergency c-section due to preeclampsia; presented to ED w/ nausea, vomiting, headache; diagnosed w/ Left transverse sinus thrombosis (CT showed left transverse sinus thrombosis & left occipital hemorrhage). -Deficient knowledge (stroke) r/t lack of information on prevention, signs & symptoms (this might not be right either) AEB ..... (I am drawing a blank with what to say for the measurable, she was young and had no clue about stroke education, but I can't just say AEB confusion. So how would I say something measuable?) -Any other ideas for nursing diagnosis would be gretly appreciated! Thank you in advance for any suggestions!

"Can't she practice on herself? How about she uses the dog? Or some sort of dead animal? I'll gladly run over the neighbors cat or a squirrel or something." Hahahahaha.....:chuckle. That's great. Best of luck in your pursuit of keeping your body puncture-less.

Cardiac PICU :redbeathe

My first and only sibling (Kelley) was born when I was 8 years old. She was born with a VSD along with multiple blockages -at ten days old had her first open-heart surgery to repair the damage. She recovered beautifully, but as time went on her heart began to weaken again. At four y/o she underwent her second open-heart surgery to repair her heart. As time went by her she developed aortic insufficiency. Surgeons went in to repair the damage as best they could. Fours years later at age 12, Kelley had the Ross procedure. She is one year postop today and is doing well. She has shown more courage than I could have ever imagined from such a young girl. The strength she has is greater than I could ever give. Growing up and watching her push through every step has been amazing, and God has blessed us so many times. The nurse and all medical staff that provided care for her were truly amazing and as well played a huge part in my decision to join such an incredible career. I am also thankful for every conversation and encounter I had while my family and I spent many weeks throughout Kelley's surgeries at Ronald McDonald House. Every family was different but we were all experiancing some brokeness that brought us together. I can't wait to be take part in an experiance like this. Thank you ACH