daveintexas8

daveintexas8

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All Content by daveintexas8

  1. I would look at it like this...you know how we comfort patients and put them at ease by telling them "...aw, don't worry, we see this kind of thing all day long..." Which is the truth. If I were to...
  2. Trach and secretions

    Ughhh, trachs. My nemesis. I graduated almost 2 years ago, and work in one of the bigger hospitals in Dallas. I work on a very busy med-surg floor (I know, they are all busy, but ours can tend to...
  3. Where do you put your stethoscope?

    Neck during start of shift when I'm assessing, then usually at my computer station, where I can grab it if I need it. I probably wear it around my neck half of the shift. It isn't unprofessional....
  4. I would recommend that in your time off, it really helps to review skills you're likely to use when you start. Just practice and recite the steps of simple things like IV starts, foley placements,...
  5. With all due respect to the late Daytonite (who on this site helped MANY students, myself included, get a grasp of care plans) I say this... The care plans are a complete waste of time. I graduated...
  6. Help with Care Plans

    That would be a separate diagnosis. Such as... Risk for aspiration related to impaired swallowing secondary to oral inflammation (or whatever) Impaired swallowing... Acute pain or chronic
  7. Help with Care Plans

    I might go with: Impaired Oral Mucosa R/T Infection, Secondary to Herpes Simplex (cold sore), A.E.B. severe swelling and purulent drainage. I don't have a current NANDA list, so if Impaired Oral...
  8. How much orientation did you get for new job?

    Not
  9. Dec '09 Grads, raise your hands!

    Graduated with my ADN RN. NCLEX in a week. I was very lucky to get a job on the General Surgery floor I was precepted on in my last semester. A couple of good patient comments made the difference, I'm...
  10. OK. I'm just a student still, but I'm 3 semesters in, so here's where I'd start: You always start with ABCs. I am curious though, how the book would list the interventions, as I would consider the O2...
  11. i have thought about this quite a bit since my last posting, and i want to refine my position on the issue. it's the nanda diagnoses that i am unhappy with. i always say that i understand the point...
  12. Daytonite, I am always happy for the help, and I have on more than one occasion thanked you specifically for the VAST amount of help you provide here. I knew that my post would bring a response from...
  13. Ugh. I turned this semester's major nursing care plan today (which makes it my 3rd major). It's such a beat down! Like I've said before, it does help in the beginning, but with only a semester left...
  14. Has anyone failed a semester in nursing school?

    I came within .1 point of failing 2nd semester. I was freaking out. I learned my lesson, too. My original class of 50 is down to about 20 by the end of 3rd semester, for various academic and other...
  15. In desperate in of some pointers!

    Well, she's right, but most of us have been there. If possible, review old tests (which we can't in my NS). Other than that, if you're up against it timewise, I would just hit practice questions...
  16. Help with Care Plans

    i don't really have to do that many plans, so i stopped at 8, but yes, impaired physical mobility, self-care deficit both very much apply. i do need to specify acute/chronic pain. i don't believer...
  17. not healing

    Where is the
  18. not healing

    I would think it's a problem with tissue perfusion, i.e. not getting adequate O2 or nutrients to the wound (which probably caused it in the first place). Is the site getting adequate circulation?...
  19. Help with Care Plans

    i think this is how i'll rank them: 1. impaired gas exchange r/t ventilation perfusion imbalance 2. decreased cardiac output 3. ineffective tissue perfusion: peripheral r/t interruption of vascular...
  20. Help with Care Plans

    Hi there. I'm doing a Major Care Plan for this semester. I've got the pathos and care plans down, but was just wanting some guidance on prioritizing my Dx list. My patient is an elderly female. She...
  21. I got mine yesterday (very fast shippers, even using the USPS). I haven't had a chance to use it, but it seems good. One thing that could be changed is that the headset seems small (and yes I have a...
  22. Ready to throw in the towel!

    That's what I was wondering. In my school, we have lost over 50% of the original class, and I'm the ONLY one out of my 1st semester clinical group still standing (out of 10 to start). And I don't even...
  23. Help with calculations Please!!!!

    I think that sometimes we get freaked out about the math in nursing, but it really isn't that bad. I HATE math. I took College Algebra 4 times before I passed (okay, it was 16 years ago) but I've...
  24. I'm just gonna order one then. I really haven't seen any criticism of GRX stuff, so I feel pretty confident giving it a shot for $35. Thanks,
  25. I've made up my mind to get one of these. I've still got a year of school left, but I hate my Prestige scope. It's terrible, and weighs about 20 lbs. it seems, lol. The only GRX is see on ebay are...