RN2BMU2009

You Go Guurlll! Renal is a booger!

Impaired verbal communication was the very first diagnoses that I had initially decided but then I changed my mind. I guess you should always go with your first instinct! I always want to make a good impression and end up making more work for myself. She will never be able to have control of her bowels so impaired verbal communication would be the next best dx. Thank you

I agree...They have tutors. Some teachers will allow the cheat sheet but that is totally up to the instructor. No matter where you decide to go in life there will always be that person who wants to do half the work for the full benefits they make it hard for the over acheivers (like us LOL). The best advice that I can give to you is that you have to stay focused on your goals and plans because there will be an under acheiver no matter where you decide to go.

I need a push in the right direction. I have a 19 year old pt. with a rare but aggressive seizure disorder called lennox gastaut disorder. Ontop of that she is autistic, nonverbal, incontinent. She has a vagal nerve stimulator and the seizures are managed with medication therapy. Her seizures are bad and they are very tempremental. Just about anything will set them off. Constipation, fatigue, menses and they can range from tonic clonic to a silent one. In addition to medication therapy she is on natural sleep wake cycles; she is allowed to sleep and wake up on her own, she is on oral contraceptives to limit menses to 3-4 times a year, her bowels are monitored to prevent constipation. Before she was placed in the group home she was having as many as 5-10 seizures a day but they were successful in finding out what triggers them and they are pretty much under control but she will still have them occasionally. I have a nursing diagnoses as activity intolerance r/t seizure disorder. My outcome criteria is foggy. I would like for her to maintain activity within her limits of capability. Can anyone give me any ideas?

Geesh...I couldn't find the end of this thread LOL!...I'm an older student so I just thought that it was me being irritated by the much younger students but I guess that I am not alone and overreacting but I have a story...There is a girl who comes into class 10 to 15 minutes late if she even decides to come in at all....The class is 50 minutes why she even bothers I don't know. She will come in with her IPOD up loud enough that we can hear it. On a test day she came in 15 minutes late, got her test, IPOD music on, sat right next to me, started her test....I looked up just in time enough to see her COPYING OFF OF MY TEST!!! I was so ******! I am not a snitch...But was that day because I did tell! :angryfire

I congratulate you as well...I also wish you well on those limited hours of sleep you will have LOL! Lean on the classmates that you enter the program with as they will truly be the only ones who will understand what you are facing, and you will spend more time with them than you will you own family. Trust, you guys will become very close by graduation. Pay close attention to the class size on the first day as it will grow smaller and smaller with each semester. Do not let that scare you, its just a fact. Stay focused and determined and keep intouch with the forum for any advice, or help as this has been a tremendous help with me. It is hard as I am in my Sr. year but each semester that you finish you will feel victorious. The program is vigorous but consider yourself to be one of the blessed, and special its not an easy program to get into...but you did and many others did not and many others won't. Congratulations again...Oh yeah, Happy Studying!

I just finished my nursery rotation last week and it wasn't a bad experience for someone who wants no part of OB/PEDS! I enjoyed it really. 1. Head to toe assessments reflex assessments; rooting, sucking, swallowing, step, babinski's, fontanels, assess for congenital abnormalities 2. vitals; no blood pressure needed 3. gestational ages you have to do these they are actually very simple and indicate rather or not the baby was large for gestational age, small for gestational age, or average for gestational age. 4. cord care and assessments 5. feeding assessment 6. elimnation assessment 7. hearing screens, immunizations and lab values these should be in the chart 8. you instructor will most likely want to know about the pregnancy, labor and delivery, and the method of delivery and about any complications. you have to change diapers and assess if it's meconium or transitional stool. breastfed babies stool will look differently. Basicly nothing different than you would assess for an adult it's just age appropriated for newborns. Relax you will really enjoy it.

I believe that this is the case as CNA's in nursing homes cannot do glucose checks (At least that's the case in the state I live in). EKG's and phlebotomy you have to be trained per request of your department. I just think that in a hospital you have the opportunity to encounter more procedures that you can do within your scope of practice that you wouldn't get in a nursing home.

Kind of confusing to me. I think the title differs where you work at...I am a patient care technician in a hospital but certified as a CNA and I have NEVER even heard of a patient technician course...I just thought that the title was different depending upon where you work at. We do things that would not be encountered in a nursing home setting such as glucose monitoring, EKG, phlebotomy, specimens etc. I would say do the CNA class and if you decide to work somewhere such as a hospital where you would be a patient care tech, they should train you on all of the other things...

I second that!

Knowing that you can go to your RN for any assistance. I work on a medical unit and some RN's WILL NOT do tech work. I have witnessed some of them walk out of a room, look for the tech, tell them someone needes cleaned up, and go and sit down. And then there are some who will assist you whenever they can. Every nurse on every level should do whatever work that is within their scope of practice if they are able to. Every tech or CNA can tell you the name of each RN or LPN on their shift who will not help a tech or refuses to do primary care. This lowers moral among techs and CNA to have to work with someone like that. Everyone should help out when necessary. It's not fair to the tech or to the patient to have to wait on help just because someone paid more for their education than the next person. I hope this helps and Good Luck!

second shift 2p-10p. The big wigs are gone, most of the work is out of the way, midway through your sift the patients are winding down and ready to go to sleep, all the docs are gone, and all of the visitors are starting to leave I don't feel so pressured and I'm not walking around on egg shells, the doctors steal the charts when I need them all of the time on first shift, you have to deal with family members, supervisors, the doctors. First shift is just way too busy, and I am NOT a morning person. Plus you get the shift differential.

I am not downplaying any of you guys frustration, anticipation, discouragement, or anger...I understand as I was in the exact same boat in fall 06'. It took FOREVER for them to get back with me and when they did send a letter it was to inform me that I had been placed on a waiting list...A waiting list are you kidding me with a 3.8 GPA they put ME on a waiting list...Many factors will go into the desicion. How many slots are available, who was on a waiting list before you, Not only your overall GPA but your science GPA as well, how many classes have you dropped, etc. etc. etc. I am a Sr. year nursing student and I still don't understand the selection process. To me it seemed as if they were trying to see how many hoops that you were willing to jump through. The time that it is taking to wait on your letter you guys should prepare yourself as if you were ALREADY ACCEPTED. find out what the programs guidlines are, make sure your physicals, immunizations, TB, CPR certification are all current. Organize your time, and make preperations because when you do get your acceptance letter (As each and every one of you will) you will hit the ground with both feet running and you will not be working with a whole lot of time for preperation; and this will be the case until your graduation day. You will stay busy, you will stay running around like a crazed madman, you will not have alot of "self" time, and you will be in a state of sleep deprivation until graduation. SO prepare yourselves and Good Luck to each and everyone of you....

My A&PII class for the entire semester, each test, each quiz and all homework assignments were fill in the blank. No multiple choice, no true false all 16 weeks...FILL In the Blank. Don't drop your class as if you are trying to get accepted into a nursing program if that is the case they tend to frown on that. Speak with your instructor and by all means clear your name if it's your credibility that you are concerned about. Fill in the blank is a pain in the blank and essay's are just as bad but I am telling you out of all honesty....You will retain it a whole lot better and a whole lot longer

Listen to me...For the love of all the greater good of mankind and in the whole world...Please DO NOT take micorbiology as an online course! any science or math course online is not a good idea in the first place. Online classes take the utmost discipline. If you struggled the first time the best place for you to be is in the class room getting a visual understanding and hearing the lecture and in class discussion. I taped my micro lectures and rewrote the notes, make flash cards learn them by name and by definition. keep your viruses organized (enveloped, spikes, RNA, etc.) Micro cannot be passed without adequate study time...study, study, study, and study. I know it's a pain to go through it all over again but take it from someone who got a A in Micro...I took a regular Biology class online and got a C.

Ditto...You admission letter will be the only indicator that you are in. The programs are extremely competitive and there are alot of students wanting in. It's a procedure and they have to play by the rules to keep their accredidation...You just have to wait...

LOL! I remember those questions...Don't sweat it honestly it really is all about common sense.

Yes...nurses do the yucky stuff as well. I am a SR. nursing student and I work as a tech in the hospital. You will have RN's who feel as if they are above helping out with bed pans and making beds, you have some who won't even so much as take vitals, and then you have some who will stand shoulder to shoulder with you while you are giving a patient a bath. I stand firmly on the fact that I will not be one of those nurses who look down on a mess and feel as if it is "tech work" these are the nurses who I am never in a hurry to help. Your tech will be your right hand man and one hand always washes the other. You want to help out your tech's they make the nurses job a whole lot easier and I don't think I would want to work with any tech who didn't think to highly of their nurse. Besides...I was truly sick and in ICU and couldn't get out of the bed when I got sick...It was a tech and a RN who helped me get cleaned up and who eased my embarassment, and who changed my linen and did what any caring, compassionate, health care professional would have done. Health care can be GROSS but it's the appriciation that you get from your patients that make it worth while.

_ c: with Npo: nothing by mouth PRN: as needed Q: every BID: twice a day TID: three times a day AC: before meals (remember about to chow) PC: after meals (remember post chow) BRP: bathroom privledges BSC: bedside commode Ad lib: at discretion noc: night ROM: range of motion hopefully you will be employed in a place were all documentation is on the computer and you won't have to worry about it at all. Most of these you will only remember through repitition on the job.

depends on what state you live in. Some will hire you while your waiting on you certification but you won't be able to do alot of duties that an aid usually does. Like I said I don't know what state you live in but I don't think that it will be very hard finding a job at all.

I am needing some advice. I have a ppt pt. that will be 24 hrs post op in the morning. I have a #1 diagnoses of risk for fluid volume deficit r/t blood loss during surgical procedure and possibility of post op complications. Out come #1 patient will maintain adequate fluid volume #2 patient will remain free of symptoms of Fluid volume deficit #3 patient will remain free of post operative complications. What I am trying to do is tie in the possibility of hemmorhaging or post operative bleeding into my dx of fluid volume deficit as blood loss assessment is a part of our BUBBLE assessment. Does this sound alright or am I stretching outcome #3 too far?

I am a second semester junior at a local university and I work as a patient care technician (CNA) on the med-surg floor. I am PRN so I get floated ALOT. To the psych floor, ER, surgery center, cardiac unit, OB, ICU, peds. I worked in a factory for the first semester that I was in school. When I say that my pay was nearly cut in half...I mean it. I gave up alot, senority, benefits, vacation, paid leave, 401k. I walked away from it all, and I don't regret any of it. I see first hand just about every aspect of what my job will consist of. When you hear about a disease or pathology of a disease in lecture and actually see it for yourself on the job, it really helps it to stick in the memory bank. The other nurses who have been where you are really sympathize with what you are going through and they are usually ready to help you out in any way they can; at least that is the case where I work at. I cannot say what you should do as I don't know what your finacial situation is but I would encourage anyone to get a job in the field that you would be working in. I hope this helps and good luck!

It stinks that you have to pay all of that money and cant get any of your credits to transfer. I think that it's due to the fact that some schools have different criteria for their programs. The only nursing class that I know of that they are pretty good at transferring is Pharmacology. However, I do know of some schools that will let you transfer your nursing classes from another school....just as soon as you pass their apptitude test that costs somewhere near $500 bucks. It's always something aint it???

I have a problem...My care plan from last week was so horrible but my instructor gave me a second chance to redeem myself. My second nursing diagnoses was impaired skin integrity r/t inflammation of the skin for a newborn (2day old) infant with erythema toxicum; a harmless rash that appears on some infants right after birth. It's unexplainable, harmless and warrants no medical attention. My question is that since it's harmless would the skin integrity even be considered impaired? There is nothing that can be done about it, no meds, the baby is not in any discomfort, no comfort measures, no pain assessment or interventions are even needed. Because this is the case would I even have any goals or outcome criteria or should I be looking for the next suitable nursing diagnoses?

Wow!!! Where do you guys go to school at? I can only manage every other weekend.