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Pediatric Stethascope
It's the same scope, I second the Allheart.com vote
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Need a really specific watch...
The only watch I wear is a fossil, have many different ones but they have wide bands, a second hand, and keep time.
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Feeling worn out all the time
That happened to me as well with the 12 hour shifts. Granted you get 4 days off a week, i found myself sleeping most of it away, and not having energy to do anything else. I changed to 8 hour shift with everyother weekend rotation and found it be much better, got into a "normal" sleep pattern and have energy again. Just my opinion.
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BCLS training
Shouldn't be anything new, BCLS= BLS CPR. You should be fine.
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Continuing Nursing Education (CEU)
if you are licensed in PA, go here http://www.portal.state.pa.us/portal/server.pt/gateway/PTARGS_0_159698_742027_0_0_18/FAQ%20RNce.pdf this has all the information and what is approved. Hope this helps
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Miralax & thickened liquids
I have found if I dissolve the miralax first like 5 minutes before I add the thickening agent the thickener after the miralax is totally dissolved. It is thick and not too chunky atleast tolerable. hope this helps
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DRG PureTone - Is it supposed to be so quiet?
The soft diaphrams are use alone, they fit over the chest piece. I have had better experience with the hard diaphrams. I hear like an echo effect with the soft ones. The hard diaphram is louder than the soft ones. Also try adjusting the ear pieces a little bit or try different eartips, something isn't fitting right. Hope this helps.
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How much is too much?
6-8 patients isn't bad for night shift on med-surg, the hospital where i came from staffs one nurse 8-10 patients on nights. the charting is very redundant. Hang in there. You'll be able to streamline better and able to spend more time with the patients the longer your around. The charting will get quicker. Good luck
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Taking BP's - Use Diaphragm or Bell?
I always use the bell for blood pressures, for me any ways I can hear a faint blood pressure almost all of the time. the bell never failed me yet
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CPR
American heart Association allows you to take the theory portion of the class on the internet but your skills must be verified by an Instructor, I know in my area the only CPR that most healthcare facilities acknowledge are from AHA healthcare provider or ARC professional rescuer.
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Blood pressures
In my institution if we have stable blood pressures we do them weekly. If a resident isn't on any blood pressure medicine we do them monthly. If the blood pressures aren't stable then we keep the hold parameters with each dose. hope this helps
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Any ESFJ's out there...
I'm ENFJ, I'm in LTC, Pre-hospital, Cardiac Critical Care. Alittle of everything I guess. LOL
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Need Help
You also might want to look at the CMS center for medicare/medicaid they have information about staffing levels in every nursing home. Also look at the department of health website for information. Good luck
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how do I know which one to get???
Actually I found that Kila Lab stethoscope are a real close second to the littman cardiology III and for 29 dollars. I just bought one this month and I like it but everyone ears are different. I got mine on Ebay from stethoscope r us. Just my 2 cents.
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Is nursing REALLY for you?
I find nursing is where I belong, It is just taken awhile for me to find my niche in nursing. Started off in the hospital setting bounced around unit after unit never truely happy in that atmosphere. Left the hospital and went onto long term care and pre-hospital found that to be more home like to me. I love providing care while making someones day and being able to joke around with the residents, dancing with them in the halls. Although there is a ton of paperwork, the paperwork cannot come between the nurse patient relationship, I am truely happy with the career decision I have made, and see myself teaching and coaching and more likely being an advanced practice nurse.