oldiebutgoodie

oldiebutgoodie RN

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All Content by oldiebutgoodie

  1. Does anyone think nursing diagnoses are just plain silly?

    oldiebutgoodie replied to marie-francoise's topic in General Nursing

    Which kind of supports my point-- are the students having problems with the problem the patient has, or with the wording and the stilted definitions provided by NANDA? I would argue the latter....

  2. Does anyone think nursing diagnoses are just plain silly?

    oldiebutgoodie replied to marie-francoise's topic in General Nursing

    My favorite is still: HOME MAINTENANCE, Impaired-related to inadequate support system Like, in why the heck doesn't my support system clean the house instead of me??? That's why it's impaired!...

  3. Any Tips For 2nd Semester RN Clinical Student

    oldiebutgoodie replied to Team Player's topic in General Nursing

    A few more gems: (mind you, these were not culled due to my infinite wisdom, but from bitter experience!) When you give a medication, you should ALWAYS know what it is and what it is for. Almost...

  4. Does anyone think nursing diagnoses are just plain silly?

    oldiebutgoodie replied to marie-francoise's topic in General Nursing

    Daytonite, I don't think the posters here are angry and not willing to listen. I do think the posters on this topic are FRUSTRATED, and despite pretty widespread disagreement with nursing diagnoses,...

  5. Does anyone think nursing diagnoses are just plain silly?

    oldiebutgoodie replied to marie-francoise's topic in General Nursing

    Well, I'll bet you CAN diagnose a "suspected MI". Pt looks gray, reports substermal pressure, pain radiating down left arm or in jaw... Or elevated troponins? You call the doc and say, "Pt has...

  6. Does anyone think nursing diagnoses are just plain silly?

    oldiebutgoodie replied to marie-francoise's topic in General Nursing

    I think the issue is not care plans in a hospital or long term care facility, but the wording the awkwardness, and the time spent in nursing school on the wording of these things ratherthan on...

  7. Does anyone think nursing diagnoses are just plain silly?

    oldiebutgoodie replied to marie-francoise's topic in General Nursing

    Or those nurses aren't lazy, but have 6-8 patients, constant admits and discharges, (such as direct admits from MDs who are then MIA when trying to find them to get orders) piles of JCAHO paperwork,...

  8. Does anyone think nursing diagnoses are just plain silly?

    oldiebutgoodie replied to marie-francoise's topic in General Nursing

    Well, I think that nursing diagnoses tend to detract from the nursing profession as a whole. I understand that the nursing diagnosis justification was to "legitamize" and make unique the profession of...

  9. It's easy: Tamper with things and EXTEND your STAY!

    oldiebutgoodie replied to CaLLaCoDe's topic in General Nursing

    Wouldn't it be nice to wake up in the morning and just hit the call bell for your coffee?? (This morning I was making my bed and started to look for the bed control to raise the bed to a comfortable...

  10. Any Tips For 2nd Semester RN Clinical Student

    oldiebutgoodie replied to Team Player's topic in General Nursing

    1. Always be prepared. Clinical instructors can SMELL unpreparedness. Know your meds! 2. Ask to do procedures (Foley insertions, IVs, etc.) 3. Have some questions prepared for your clinical...

  11. Do you like you job as a WOCN better than bedside nursing?

    oldiebutgoodie replied to raindrop's topic in Wound, Ostomy, Continence

    Oh my gosh, it is like HEAVEN! You see one patient at a time, have autonomy, more respect, have time to actually talk to patients about their health issues (diabetes, smoking, weight problems, etc.)...

  12. Too many lame courses in MSN programs?

    oldiebutgoodie posted a topic in Post Graduate Students

    Hi, all, Okay, I am just venting due to spending excess time in my MSN program on some courses that I think won't help me whatsoever. It seems that my program (which is supposed to be a clinical one)...

  13. NP or PA?

    oldiebutgoodie replied to gkbroaro's topic in General Nursing

    Go to the Specialty forums, Advance Practice Nursing section. In the stickies, there is a whole thread explaining the differences.

  14. Too many lame courses in MSN programs?

    oldiebutgoodie replied to oldiebutgoodie's topic in Post Graduate Students

    I suppose I could sorta agree with the public health aspect if this course wasn't such a time waster. Example: Compare and contrast your population (we had to select a population for an intervention)...

  15. Too many lame courses in MSN programs?

    oldiebutgoodie replied to oldiebutgoodie's topic in Post Graduate Students

    Nursing under the sea and outer space... you kill me, kid! Yeah, I feel that in these NP programs we are spending too much time on this stuff and not enough time on how to diagnose and manage...

  16. FOUND: My Niche... Cardiology!! :)

    oldiebutgoodie replied to DaisyRN, ACNP's topic in Nurse Practitioners, NP

    Hi Charlsie (or is it Daisy?) I've been following your posts (with some jealousy) since you are so close to the end! I have about 2 years left of a Med-Surg CNS (unless I change to ACNP). I think you...

  17. A majority of Americans would tolerate higher taxes to help pay for universal health

    oldiebutgoodie replied to HM2VikingRN's topic in Activism, Healthcare

    Well, throughout this debate we are talking about single payor. I think that one issue is that health insurance is basically linked to employment, which is a bad idea. So, how can we "unlink" it? 1....

  18. Opinions spouted on religion and politics at nurses station

    oldiebutgoodie replied to FireStarterRN's topic in General Nursing

    I think that's the best tactic. Recently, I was at my card group, and one of the members started going off on Christianity and how it was a scam and her husband saw on the History Channel a special...

  19. How many new nurses are seriously thinking about quiting?

    oldiebutgoodie replied to PACNWNURSING's topic in First Year After Licensure

    Hi, Amy, Don't sweat it. Some nurse managers like to chew people out for stupid stuff like that. At least it wasn't a med error or patient fall or something. Of COURSE you don't like your job. The...

  20. when you forget to carry out an order on your pt

    oldiebutgoodie replied to poppy07's topic in General Nursing

    I personally think that nursing is a 24/7 job, and if you were so busy you didn't get to it, the next shift should pick up the slack. Obviously, if you do this all the time, the next shift might get...

  21. Sound Off! Your program + clinical pearl

    oldiebutgoodie replied to SteveNNP's topic in Post Graduate Students

    Hi, all, I am in an MSN program that has both classroom based and web based classes. There are many flavors of the program, including NP and CNS flavors. I originally signed up for the acute care NP,...

  22. Anyone studying for/working as a DNP?

    oldiebutgoodie replied to Joe NightingMale's topic in Doctoral Nursing Degrees

    Hi, Joe, I saw your original post asking if anyone was working at a CNL, and I was waiting for the responses, and I was also disappointed that you did not get any. You might try posting in the...

  23. Clinical Tips

    oldiebutgoodie replied to griffly's topic in General Nursing

    A few tips on meds: 1. Know the patient's BP before you give blood pressure medication. (not the BP taken 4 hours ago). Your clinical instructor will want to know if you know it. 2. If your patient is...

  24. How is it possible to be in 5 places at the same time?

    oldiebutgoodie replied to SuesquatchRN's topic in General Nursing

    I agree with you. "Time management" is a phrase used by nurse managers to try to justify too great a work load. Just like "body mechanics". However, finally hospitals are starting to realize that no...

  25. Is it all political?

    oldiebutgoodie replied to ERGirl83's topic in General Nursing

    My feelings exactly. I worked my last med-surg bedside shift last week (I have a new job at the hospital) and spent the time doing: 1. Two admissions, with all the requisite paperwork, reconciling...