esokitty

Hello nursing friends. I am looking for a little help with a homework assignment. I am currently working towards my MSN and eventually (hopefully) my AG ACNP or PNP. I have already searched scholarly resources and spoken to a local AG ACNP. I have looked at society websites for award winner bios. Now I'm wondering if anyone else has examples/ suggestions. I will be properly citing any evidence given to me and will not plagerize. For reference, our professor is allowing us to use interview to obtain information for this paper. Here is the specific rubric prompt: "What are some real-world examples of contributions made by someone who currently practices in your specialty focus, and how have those contributions improved quality outcomes? You may speak with clinical colleagues, your supervisor, or others to obtain this information " So I would be looking for contributions by MSN prepared RNs, AG ACNP or PNP. Thanks in advance for any direction you can give me.

I would appreciate some advice here, as I am a new nurse, and I am ruffling feathers at my first job. At our facility, we are supposed to fill out "medication incident reports" when we discover a med error has been made. We are encouraged to report our own errors, as well as those of our coworkers. When you find a coworker's error, you initiate the paperwork, sign it as the nurse discovering the error, then hand it to a supervisor for processing. The paper you filled out is then forwarded to the responsible nurse to write an action plan to not repeat the error. Your name stays visible on the paper. I have been written up by others a few times - for using undated glucose test solution, for an honest to goodness med error. Each time it bothered me. Although I felt one of the issues was picayune and insignificant never did I become upset with the person who wrote me up. Not too long ago, while running the worst med pass in the building, I discovered that there were three separate bottles of expired eye drop solution which had been used for 3-5 days past their clearly marked expiration dates. I asked my supervisor (who was standing right next to me when I discovered the expired drops, swore, and spent 20 minutes hunting down new ones) what to do, and she indicated that I should fill out medication incident reports for each day the drops were administered past the "do not use after" day. This involved 3 nurses total, one of whom was the nurse who wrote up my previous med error. The next time I saw her, she was very cold to me. We had previously been friendly and joking. I felt terrible. I said to her, "sorry about that incident report, the supervisor saw the whole thing and told me I should fill those out." She was curt and cold, and we've not been friendly again since. Tonight, I found an envelope in my mailbox addressed to me and marked confidential. Another nurse (who was not even one of the ones who had made the error) had hand written a note, pointing out an error I had made. She wrote, "Now I could write this up as you don't hesitate - but I decided to talk to you instead, and perhaps you'll give a second thought sometime to someone else. Please destroy this." Oddly, the letter was a photocopy. I don't know what to do. I really feel stabbed in the gut. I don't mean to be a tattle tale. I feel like if she had chosen to fill out an incident report about the issue, I would have actually taken it as a learning experience, and made damn sure to not repeat the error in the future. I almost wish she had. But instead I got this strange, photocopied, passive aggressive message... Should I speak with this nurse, to explain the situation? Does it even warrant an explanation? Should I have just kept the whole thing to myself? Is it part of my job description to rat out my coworkers? Is it an ethical issue? An error was made - even if it was insignificant seeming. Had state survey been in, it would have been a problem. What am I even asking for here? I guess I just wonder what you all would do... Maybe what I should do moving forward. I suppose there is no mending fences here. I don't like not getting along with my co-workers. Help!

Hi there! There is a Hurst review being offered at NHTI. Hurst NCLEX® review at NHTI, June 4-6th, 8am-4pm Here's the info from Hurst Critical Thinking and Application - Our proven, unique approach is developed and taught by registered nurses and is designed to improve your judgment, prioritization, critical thinking and application skills. Core content - Students receive the Hurst NCLEX® review course book (260 pages), along with our online materials which include: priority questions, ER triage, infection control, calculations, and much more. We review all NCLEX® core content topics: Fluids & Electrolytes, Acid-Base Balance, Burns, Oncology, Endocrine, Cardiac, Psychiatric Nursing, Gastrointestinal, Neuro, Maternity, Respiratory, Orthopedics, Renal, and Pediatrics. Question Bank - All Hurst students receive six attempts at our 'Q Review' application that serves unique 125 question exams containing NCLEX style questions. Each exam contains the new subject percentages as defined by the current NCSBN test plan. Upon completion of each exam, students receive the answer rationales. Test Taking Strategies - Our proven test taking strategies are discussed along with a review of sample questions and the "why" and "how" rationale that helps you formulate the correct NCLEX® answers. You will also learn what to expect when you go to the testing center, how the exam is graded, and we will dispel any misconceptions you may have heard about the test. Our students are fully prepared when they take the test! To register for the review: 1. Go to the following link: https://www.hurstreview.com/live-schedule/ Haven't used this review, (or any for that matter) but we've just been given information!

Very VERY involved functional health pattern, 18 nursing diagnosis, and writing a patho physiology for anxiety disorders (including a review of all brain structures, hormones and neurotransmitters involved).. Really challenging. And I made the mistake of underestimating it and not giving myself enough time.

I am so upset right now. This is my second to last semester for my ADRN and I may have to withdraw in order to be sure I can come back. I have a b+ average in lecture, and excelled through my 10 week measure clinical, but these last 5 weeks are psych, and KILLING me. My final care plan completely destroyed me. I worked on it foe nearly 28 hours, and it was the only psych care plan (besides our self care plan, but I don't even want to get into that!). It was due by 9am and I didn't finish and hand it in until noon. If my instructor wishes, she can mark me not passing on "functioning within the role of a student nurse" and on our last rotation of the semester we need to have all objectives passing. If I fail clinical, I can't even apply to return, but if I withdraw, I can reapply next fall. I am beside myself, especially since it was clearly just a stupid failure of time estimation and planning. I completely take responsibility for my mistake, I'm just really sad. . Have emailed the prof to ask for a meeting to discuss if there is anything I can do to remedy the situation, but my gut says she'll tell me shes not going to pass me.

I wanted to clarify, I do understand the point of self reflection, and getting what patients might see as an invasion of privacy, but I think there are main differences: 1. Pt are seeking treatment for a condition 2. I am not evaluating patients, as my professor is evaluating me. I've decided to be very selective about what I share. I considered making it completely out of left field (just released from 18 years inpatient treatment for schizophrenia, anyone?!) but it still makes me uncomfortable. I think I am going to write a respectful email to the head of the department. Thanks for your support and thoughts!

As part of our psych rotation we are being required to complete and submit an Functonal Health Pattern on ourselves, including psychiatric history and medications, weight, sexuality, elimination, etc. I am having serious problems with this. I can't handle even thinking about writing all of this personal health info down and submitting it.... Am I out of line for feeling this assignment is an invasion of my privacy?

Hi there! Doubting myself here - need assistance choosing priority ND. Pt has PAD and a ulceration on his heel from dehissed surgical incision for bone biopsy. Would you think priority would be impaired tissue/skin or ineffective perfusion? Impaired tissue /skin seems more emergent, but it would resolve better if we could address perfusion, right? Help!

Just going to throw this in the ring here - When i had my peds rotation teenage male patients were my biggest fear. I was worried I wouldn't relate to them, or be able to speak to them or gain their trust. Of course my instructor must have sensed this because my first two assignments were 14 and 15 yo boys! Do you think it could be a student fearing this maligned age group? (by the way, i really enjoyed caring for them, and all my fears were unfounded.

I second reading through the list and seeing if you can support them as valid. Also, its hard to say, not knowing your instructors, since each wants things differently. I have found it helpful to rely on the general related factors listed in your reference (ours was doenges) and specify patient specifics in parenthesis. Also, risk diagnosis do not have AEBs. And we have been told that if a pt is experiencing infection, risk for infection is appropriate only if there is a distinct different potential infection source.

Just a guess but maybe an aortic aneurysm?

I just had a clinical instructor say this recently. I think she was trying to encourage those students whose nursing grades were not up to their expectations. But it certainly didn't sit well with me when she handed back the exam I got a 96 on!

Not a L&d nurse (yet) but having had a nonmedicated hospital birth of an 11lb5oz baby, I can say this... make. Sure. Your support. Team is ready to react on your behalf and speak up/intervene for you. Please remember, all births are natural. The baby comes out, doesn'T it? Best of luck! You can do this!

First year is AWESOME. Are you taking other courses besides nursing? or just the NU115? They will send you an info packet in which you list all of the other classes you are taking, and can make requests for days/evenings, but they are very clear that they can guarantee nothing and don't partcularly like requests for daycare/travel/whatever issues. So far I have been lucky enough to have all evening clinicals, because as a single mom of a 2 year old and a 4 year old, if I had to be an hour away at 7am, there isn't a daycare on earth open early enough. Although they say that they will be sure that people who have been evenings get days and vice versa, so, WHO KNOWS?!?! Be ready to drop over 1000 at the book store for first semester, but after that you've got most of your books you use through the rest of the program. And get involved in the Student Nurse Association - SNA. It's a fantastic organization with lots of opportunities! I'll see you at a meeting!

momeilg - Congrats on your acceptance! I'm finishing up my first year at NHTI now. You will have one lab day and one clinical day during your first semester. They will remain the same week to week. FIrst semeste - Labs are on monday or tues or weds, either early afternoon or late afternoon. Clinicals are either thursday or friday, either morning (7-1?) or 2-9. You will find out your schedule during orientation. Best of luck!