MyBrainIsFull

At our hospital we give Zosyn 3.375 in 115 ml over 2 hours. Don't have a rationale, sorry.

Thanks again to everyone for helping me see both sides of this issue.

That was something I thought, too, about working in peds then moving to NICU. The NICU where i live is apparently pretty popular and might be hard to get into anyway. Although I might try anyway, the worse they can say is No. Thanks for the input.

Thank you, I never thought about my "marketability." I value all opinions on this subject.

I just wanted to ask the nurses out there what they think of the advice I routinely get about where to apply to work after graduation. My instructors and the nursing recruiters all say, "Don't specialize. Do a year of med surg to get your feet wet and so you don't burn out." Is this the general consensus? I just did a NICU clinical, and nearly every nurse I spoke to was hired in there as a new grad, and in fact, the unit still hires new grads. I loved the NICU, but am I crazy to think I could work there as a new grad? For that matter, I liked the ER, too. So tell me what you think, one year of med surg first or not?

wow, thanks, my brain really works well with metaphors too, now I understand! Thanks so much.

Thank you. My text said something similar, but I guess what confuses me is the interventions are not the same and I don't quite understand the rationale. For example for hyperthermia, tepid baths/sponge bathing is recommended, but my nursing text says those will not work on a fever. I just cant' quite wrap my mind around why that is the case.

Could someone please help me understand the difference between hyperpyrexia (fever) and hyperthermia?:flamesonb

My children are adopted, so I can't relate to the stretching aspect of this topic. All I know is not one of the moms I watched said a word about it. It seemed to be the standard procedure. I guess there are different ways the nurse supports the patient during delivery.

? I know you were trying to joke, but did I misunderstand something? I watched three lady partsl deliveries this week and the nurse had her fingers in the lady parts with each delivery. She said it was to help stretch things out. If I am not understanding something correctly I would like to know. Yes, I agree with pain, anxiety, etc. I have to decide which diagnosis is the priority and I find that difficult. Thanks for your input.

I am trying to sort between my nursing diagnoses for the second stage of labor. My instructors always say, "Think like a nurse. You're the nurse. What do you do?" Well, if it's second stage, I am helping the mom, encouraging her, telling when to push, using my fingers to stretch her lady parts, monitoring the fetus to look for crowning, notifying the doctor when to come in, etc. I understand the priority interventions for the most part. I just don't know which nursing diagnosis matches those interventions. Any suggestions?

Thank you, I didn't know about the new "Risk for Bleeding" diagnosis. Also, I knew that's what I had to watch for, but I wasn't sure what diagnosis to use. I appreciate the help.

I am working on a nursing care plan for labor and delivery. We have to have 6 nursing diagnoses for each stage of labor and then prioritize them and write a care plan based on the six most important diagnoses (1 for each stage of labor). I am working on the third stage of labor and I believe that the most important thing the nurse needs to do during this stage is prevent excess fluid loss by making sure the placenta delivers intact, and performing fundal massage and monitoring bleeding, etc. However, the only diagnosis I can think of that covers that subject is Risk for Deficient Fluid Volume. So when I prioritize my actual diagnoses will receive priority, but I don't think my other diagnoses are more important than making sure the patient doesn't have severe blood loss. I guess what I am asking is what would be an actual diagnoses that would have those types of interventions?