jadelpn LPN, EMT-B

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All Content by jadelpn

  1. jadelpn

    how much hire level math is required for nursing?

    jadelpn replied to AspiringRN27's topic in Pre-Nursing Students

    You definetely need a level of understanding of both algebra and basic math concepts. You will need them to calculate dosages (what you have on hand vs. what dose you need) and yes, depending on...
  2. jadelpn

    Bachelors in a non nursing field and need advice on getting my BSN

    jadelpn replied to akt09b's topic in Pre-Nursing Students

    There may be some other classes that you took for your bachelors that would apply. I would see the guidance counselor at the school you would like to attend, and see exactly what you need to take to...
  3. jadelpn

    LTC lack of reporting

    jadelpn replied to smorgan1228's topic in Patient Safety Issues

    What will make your survey bad is that there are medication orders that are not signed off by an MD within a time frame (if the DON is ordering meds herself as if they are phone orders) they are not...
  4. jadelpn

    Whooping cough redux; your story?

    jadelpn replied to nurseprnRN's topic in General Nursing

    With all due respect, klone, we are not talking 8 vaccines at once. (I am not sure my children EVER received 8 at once!) And unfortunetely, a child's still forming immune system can contract any...
  5. jadelpn

    Whooping cough redux; your story?

    jadelpn replied to nurseprnRN's topic in General Nursing

    My error--I didn't recognize HBV as the Hep-B vaccine. Hep B can be contracted from far more than daycare. From a family member who doesn't know they have it, and it lives on surfaces.... I just don't...
  6. jadelpn

    Inpatient Care Plans/Education documentation working well?

    jadelpn replied to Ativan's topic in Patient Education

    There are EMR's that generate both a care plan (or sometimes it is called a "problem list") as well as patient education. The best advice I can give is to make sure you know everything you need to...
  7. jadelpn

    Is it OK to say no to a nurse?

    jadelpn replied to MsPebbles's topic in Patient, Colleague Relations

    OP, you were not saying "no" you were saying "in 5 minutes". Big difference. What astounds me is that in the time it took for the nurse to call you x3, and then the 4th time get you on the phone, the...
  8. jadelpn

    Assumptions

    jadelpn replied to Isitpossible's topic in Patient, Colleague Relations

    Most people are just not that ignornant. There is a certain level of understanding that in order for facilities to be "successful" there needs to be multi-ethnic people in all positions. Unless one...
  9. jadelpn

    What is up with these Sickle Cell Patients?!

    jadelpn replied to BrandNewbieNurse's topic in Patient, Colleague Relations

    Chronic pain absolutely changes a person. Imagine the worst pain you have ever felt. Times 100. Constant, nagging, and unrelenting. And guess what? You have to try and function. Fast forward to...
  10. jadelpn

    Whooping cough redux; your story?

    jadelpn replied to nurseprnRN's topic in General Nursing

    HPV is given at the age of 11 or 12. If you are meaning HIB, that is given at 2 months, as 4 doses are needed. And unfortunetely, the most vulnerable is newborns--prior to the time that they can get...
  11. jadelpn

    BSN from 4 year program required

    jadelpn replied to tokmom's topic in Diploma, ADN, BSN

    Because at the end of the day, as attractive as all of those benefits are, you have a unit of nurses looking at each other wondering what in the world they are supposed to be doing. And I hate to say...
  12. jadelpn

    Whooping cough redux; your story?

    jadelpn replied to nurseprnRN's topic in General Nursing

    A gorgeous 3 day old infant in my life who was in NICU on a vent for a 8 weeks for HIB pneumonia that YUP....was contracted by a child who visited with parents--and said parents are "all natural" and...
  13. jadelpn

    No ot pay for optional ot

    jadelpn replied to hopefulprayers1's topic in General Nursing

    Is there a union in the facility? If there is, I would speak with them about it. What you may find is that if a member of the staff (and usually the charge nurse) asks if you would stay to help over...
  14. jadelpn

    Could it be a heart attack or Pneumonia?

    jadelpn replied to Isis Phoenix's topic in General Nursing

    In the EMS and CPR genre, then circulation is first, however, in this setting, and in most nursing protocol, airway is usually first. With that, obtaining IV access is also a priority. Labs can be...
  15. jadelpn

    Could it be a heart attack or Pneumonia?

    jadelpn replied to Isis Phoenix's topic in General Nursing

    It could be just about anything. However, first things first and is the patient alert? GCS? With a rr of 9, you may have to assist with a BVM--which just as an aside, if patient came in via...
  16. jadelpn

    BSN from 4 year program required

    jadelpn replied to tokmom's topic in Diploma, ADN, BSN

    This. Right. Here. In other words, it confirms the "customer service" mentality--if someone is fresh, newer, current in a 4 year traditional BSN course of study--they can be molded into the image of...
  17. jadelpn

    please I need an advise to pass my nclex took it 3 times and failed!

    jadelpn replied to sweet angel's topic in NCLEX Exam, Programs

    Just reading them is not enough. Get a few practice workbooks. Take the practice tests. Correct the tests. The ones you get incorrect, look at the rationale behind the answer. Take some more tests....
  18. jadelpn

    Coworker Politics v. Endangered Patient

    jadelpn replied to atxgirlrn's topic in Patient Safety Issues

    If someone is not functioning well at home, then in fact, there needs to be another plan put into place for care. And that may mean a facility. Whomever you social worker/case manager is needs to...
  19. jadelpn

    Do Press Ganey Scores measure Quality Care?

    jadelpn replied to BrnEyedGirl's topic in General Nursing

    Some of the HCAHPS questions from P/G are related to "did the nurse care about you as a person" and "were your visitors treated nicely" lines of questioning. Which has nothing to do with "did you...
  20. jadelpn

    Do Press Ganey Scores measure Quality Care?

    jadelpn replied to BrnEyedGirl's topic in General Nursing

    "Obamacare has budgeted $850 million in reduced Medicare reimbursement for hospitals with lower scores." This is the entire crux of the article right here. Between key words, phrases, scripting, and...
  21. jadelpn

    Education of Nurses in the United States

    jadelpn replied to irenedelapaz's topic in Activism, Healthcare

    This is an interesting concept. It would certainly give clinical skills an importance in nursing as much as the theory based components. There are many who would go back to school for more education...
  22. jadelpn

    Hospitalists and how they interact with nurses

    jadelpn replied to alicern1950's topic in Patient, Colleague Relations

    The hospitalist may sign off to the patient's PCP? Or the admitting MD? And advise the nurse of same? I would be the first to make sure that you say to the hospitalist "so any new orders or changes...
  23. jadelpn

    New RN; Reporting to CPS

    jadelpn replied to ICUKeesh's topic in Private Duty

    Know that you did the right thing. Kids in filth with a parent who refuses compliance are 2 major issues that need to be dealt with. I am sure it made you sad. But the sadness may be coming from a...
  24. jadelpn

    sick day guilt

    jadelpn replied to sophie-h's topic in General Nursing

    If you are ill, you are ill. Period. And diarrhea can be very contagious. And there has to be some sort of plan "B" for patients--per diems, perhaps? Hope you feel better
  25. jadelpn

    Am I making a mistake?

    jadelpn replied to robinrene1212's topic in Nursing Career

    AND you could stay per diem at your current positon but take a shift or 2 here and there so that you continue to do what you love. Best wishes with your new