dymnback

I am also a student who has had the point driven home! Thank you! CountyRat mentions an alternate technique for aspirating injections...does anyone have any good links or videos that demonstrate this. I always feel like I have four thumbs when trying to aspirate! Thanks!

That makes sense...Thank YOU! Also good advice...the instructor keeps reminding us "Think like a nurse!" and honestly...sometimes I just dont know HOW a nurse thinks...lol! I appreciate the help!!!

One of the questions on a nursing exam we took today involved proper use of the Braden Scale. It was pretty straightforward except the nutritional aspect. This patient was said to be unresponsive and therefore NPO. However they were on TPN at 20ml/hr. We had quite a discussion after class. Some felt that the TPN meant that the Nutritional Score would be a 3, while others felt that the NPO status took precedence over the TPN and should score a 1. Still others felt like 480 mL of TPN did not provide enough hydration or nutrition and that the patient was still scored a 1. Because the scenario said our patient was also overweight, some felt like this bumped the score back up to a 3. Help?!! Our text has very little on the Braden score, and the website wasnt very helpful on clearing this up. Can anyone give me some help with this or point out some resources that I can research more on scoring a scenario like this in the future? Thanks!