oldiebutgoodie RN

Hi, all, I am a student at a big teaching hospital and university, and I am curious what sort of experiences you students are having with the floor nurses. I would also like to hear from you floor nurses about what the students do that you like or di...

I would strongly recommend you take the ANCC review class, it is a telephone conference class. They send you a book of Powerpoints, and it "meets" (via telephone) once a week for 8 weeks. I did that, and passed. Here is the information: Adult Health ...

I don't recommend Tegaderm at all. Many folks getting a skin tear are elderly or with fragile skin from steroids, and trying to removed the Tegaderm can be impossible without causing more skin tears. I have seen patients from nursing homes covered wi...

It depends on what the wounds are from. Are these radiation burns? Surgical wounds from lymph node resection? Fungating tumors? (I hope not). Mepilex Lite foam is a wonderful product that conforms to the skin, can be tucked under the axilla. If too ...

Oh for heaven's sake, your manager is foolish to allow tattletaling like this. We will never be a real profession if some RNs "run to mommy" to tell, and the manager allows it. Oldiebutgoodie

This may have been already asked, but... can I still get a license as an RN if I am a convicted felon and am a registered sex offender? (The whole sex offender was just a big misundestanding... I thought the paperboy was 21, not 13).

Yeah, but she didn't even say please. Jeez.

Is anyone giving you concrete examples of time management and prioritization issues? If not, and they are just picking on you, you might think about transferring to a med-surg floor to get a better handle on nursing, and then go back to the ICU. ICU...

To make a "pretend" stoma, take a plastic plate, and turn over. Get some red modeling clay at the local hobby store, make a stoma, and attach to the plate (sometimes the clay will adhere on its own). Now you can demonstrate measuring the stoma with a...

OOOh! Yes! Differential diagnosis! Controlled substance class sounds good, too. Hey! We're on to something! (If only the AACN would listen). Oldiebutgoodie

Unfortunately, those nursing leader pushing the DNP are stating that "Dr. Nurse" is equivalent to "Dr. Doctor". So we certainly need to have some of that material under our belts. http://www.forbes.com/2007/11/27/nurses-doctors-practice-oped-cx_mom_...

I already took statistics and research as part of my MSN. I guess I don't understand why one would need MORE of it in a DNP. Advanced stats and research would more appropriately belong in a PhD program. The other stuff belongs in an MPH program. My ...

Sorry, I think you are drinking the DNP Kool-Aid. Oldeibutgoodie

Well, I would definitely put the blueprint for the exam in front of you, and go through it point by point. Either research each point on the web, or in books. Many points are addressed in Fulton as well as the Hamric and Spross book, so both would be...

Our inpatient OTs have been able to fashion a "scrotal sling" to elevate scrotum and eliminate the skin on skin contact and pressure. There is a product call Z-flo that I saw at the WOCN convention, which is like a big gel-filled cushion which can be...

I have the Mometrix Adult Health CNS guide. It's really not very good, but if anybody wants it, I'll send it to you for cost of postage (probably about $5). It may have some helpful stuff in it. PM me if interested. Oldiebutgoodie

I doubt the test blueprint will change, since they just changed it April of 2011. Cheers, Oldiebutgoodie

The new outline for the test is at: http://www.nursecredentialing.org/PediatricCNSTCOs.aspx I went through the Adult CNS outline point by point, most questions on my test were not so much clinical as other stuff such as leadership, research, etc. Un...

Hello, all, I just took the Adult Health CNS exam and passed. This is what I did: 1. Took the ANCC review course (8 telephone conference calls, with book of slides provided). 2. Followed the blueprint provided by the ANCC to the letter. It was heavi...

You might want to check out this article by Linda Morris and others: "Designing a Comprehensive Model for Critical Care Orientation". http://ccn.aacnjournals.org/content/27/6/37.full Here is their evaluation of the program: http://ajcc.aacnjournals....

Unfortunately, I think too much of the horizontal violence in nursing is a result of managers either ignoring it or encouraging it. They encourage it by allowing "tattling", "writeups" without appropriate documentation, and just plain favoritism. Un...

Hear, hear! I am also a second career nurse, was treated like DIRT in my first two jobs. On the second unit I was on, there were people who never even spoke to me during an entire year. Funny, now I am an APN, wear the white coat, and they sure do sp...

And another thing! (I'm on a roll, now, folks!) Many programs talk about ramping up enrollment, yet where are all these clinicals going to come from? The AACN (American Association of Colleges in Nursing) should begin to explore this, I think. Okay, ...

I see your point, Trauma. I guess it just galls me when programs charge MSN students for the "precepting" time, yet they do nothing except demand logs from the students, don't help find preceptors, and delay rotations when there isn't a contract betw...

I personally think that if a school offers an NP program, they should provide or at least help find preceptors. Otherwise, they are just taking your money and not offering much in terms of service.