daveintexas8

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 go to my facility, I would be sure to have my own P...

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 turn into "ICU light"). My worst night was a coupl...

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. It makes you look like you are working! When I fir...

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, assessments, etc. Pretty basic skills that really b...

$24.50 to start at my place. I was happy to get it! Texas has no income tax, too. So not bad. I think my place pays a little better, but I think it's around $20-$25 at other hospitals in town.

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 in December, and have been out of orientation and o...

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 pain...

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 Mucosa isn't a current Dx, you could use Impaired Skin ...

Not enough.

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 sure. I start orientation on the 18th. Thanks to...

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 sat % to be done with vitals. I guess technically,...

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 of the care plans, and what i mean by that is that...

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 you. I am very new to the profession (not even act...

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 before graduating, it's just time that would be bett...

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 reasons. There are, however, a number of students...

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 related to what you've covered this semester. I just ...

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 she is being bothered by the neuropathy at this poi...

Where is the ulcer?

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? Also, I would wonder if pt. is getting adequate nutri...

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 flow 4. excess fluid volume 5. disturbed sensory per...

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 presented to the ED with pneumonia. Her past medical...

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 big head), but it seems fine. Kinda wonder if th...

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 know what you mean by "quiz." In my lecture class...

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 found the nursing math to be fairly straight forward. ...

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, Dave