Cheer4WVU

I heard it was, too, but it only took 9 days. South Carolina is a walk through and it took over 4 weeks for me to get that one.

I don't know anything about pay or ICU as I'm just starting to find my first assignment, but I got my FL license in 9 days.

Thanks for the advice, everyone. Does anyone know when seasonal contracts with banner typically start? I am looking at starting in August. I emailed a banner recruiter, but she's out of office till the 12th.

So I'm starting to look into the whole travel nursing thing. My best friend lives across the country in Phoenix, and I recently visited her and LOVED it out there. So, I've been looking for general pedatric travel nursing jobs in the Phoenix are, but so far I haven't found anything. Has anyone ever traveled to Phoenix for pedatrics? Any recommended company's for out there? Extremely interested in hearing what anyone has to say about this.

I just took the NCLEX. I got done at around 1:50. It took me the entire time to finish. I thought after 75 it would shut off because I was pretty confident in my answers. Then, I got to question 100, then 120, then 160, then 200, then answered 265 with about a minute remaining =( I read the forum from a few years ago where a lot of people passed after taking 265 but some still failed. It gave me a little hope that I would pass, but I've pretty much been hysterical since I left. I tried the PVT, and I got the message "The candidate currently has an open registration for this exam. A new registration cannot be created at this time." Is this a good popup or what?? It says that my results are ready for delivery. Someone help, I need some sense of well being =(

Wow, thank you very much. That is extremely helpful.

I'm writing a paper on Oligohydramnios and have been doing a lot of research, however, I have not been able to find anything on nursing assessment and interventions for this condition. I know that the nurse should be asking the patient if they have been leaking any amniotic fluid as well as assessing the amount and condition of the fluid. I know that it is important to do NST's to monitor fetal movement and also decelerations that could be caused by cord compression. Since I do not have much experience in this area, I'm not sure what else the nurse should be doing. Can anyone give me some more information on this subject or perhaps direct me to a link/article with more information on nursing assessment/interventions for the patient with Oligohydramnios?

He isn't in the hospital. I saw him in a pediatric clinic. He's really perfectly fine, he's just been having some reflux problems. Other than that, his mom is taking good care of him. She doesnt work, she's with him all the time, she's pretty much got it all under control. You make a good point with aspiration. Thank you for that. I will work that into the plan, and try to add some teaching points in as well as maybe a risk for less than body requirements due to the reflux.

I'm doing a careplan on an infant (2 months) with Reflux. The mother said he has not been able to keep formula down. He went from 3 ounces at a time to 1. He is a good weight for his age/size. He's 11 pounds 5 ounces. Anyone have any ideas for a nursing diagnosis? He really doesn't have any problems. If you need any more info let me know.

I get to go to a Ped's clinic tomorrow for part of my clinical rotation, and each student was assigned 3 vaccines to talk about. Part of the assignment is to state the immediate and delayed side effects. I have looked everywhere, and cannot find any differentiation between what side effects are immediate and which ones are delayed. Anyone know where to find this information for the inactivated influenza vaccine, HPV, and meningococcal?

I would say big cities. I live in West Virginia and nurses start out making only 20 dollars an hour here, and Huntington WV is the most obese city in the country right now, lol. I've seen much higher starting salaries for other states.

Well, I bet that would be heaven for my mom who is a CNA. Where my mom works, it's 2 CNA's to 40 patients. She has to work a double 1-2 times a week on top of her regular schedule (normally work 7 days, off 2). Nursing homes treat their employees like crap pretty much and they refuse to hire enough help. It's why so many patients come out with pressure ulcers and other problems.. simply because there is just not enough people there to provide good care. Also, the nurses and LPNs at the nursing home my mom works at refuse to answer call lights. They look at the CNAs and say "Why aren't you answering the call light?". All of these conditions are the same at all 5 nursing homes my mom has ever worked at. After seeing how the conditions are first hand, I could never work at a nursing home. More power to ya, lol. Good luck with everything and I hope things work out in your favor.

Well, I'll be honest with you. It sucks and it's not going to get any better for a while, lol. The best thing you can do is study the skills that you may have to perform, and go to sim lab to practice (if your school lets you) as much as you can. We have a sim lab here at WVU, but we don't do compentensies on them. Instead, we had to do it on a real person (not sick of course), with a made up problem, made up kardex, and everything. It was really hard and stressfull because you have so many possible problems that jump out at you. Just take a deep breath and go with your gut instinct. Ask a lot of questions to get to the root of the problem. If you catch yourself make a mistake, tell the teacher so it will show that you know you messed up. Don't overlook the obvious. Pay close attention to vitals/labs. Know what's normal and what isn't normal. Really, just don't be scared to keep asking questions, and if the teacher doesn't give you a good answer, don't get frustrated. Most of all, take your time. I hope this helps. I did not do very well on my first competency. These are some of the mistakes that I made because I was so nervous that I blanked. Good Luck! Let us know how it went, good or bad, but hopefully good =)

Thank you both very, very much for your in depth answers- things are much clearer now! I actually went in and saw the patient today and the reason his blood pressure has shot down so much is because he is having some internal bleeding. They don't really know whats going on or really bleeding yet, though. Daytonight- thanks for the info for impaired gas exchage especially. Extremely helpful. I ended up saying nausea r/t GI bleeding as evidenced by patient report of nausea on a scale as 8/10.

I was preplanning today and my patient's blood pressure went way, way down. It was 77/49 before I left. We have to choose 3 nursing diagnoses. I chose Decreased Cardiac output due to the blood pressure. I'm lost when it comes to a goal, though. My teacher won't let us use anything like "patient's blood pressure will increase by the end of the shift." She says increase isn't measurable. It has to be specific- but I cannot expect his blood pressure to just spike into the normal range out of no where, ya know? Anyone have a good idea on what I can say? Anyone have any ideas on some interventions as well? BP=77/49 HR=86 RR=16 SaO2=94% Pt is in the hospital for nausea and vomitting. Pt smokes 3 packs a day. History of COPD and lung cancer. My other nursing diagnoses are Impaired gas exchange r/t smoking as evidenced by COPD. Nausea r/t ?? (I don't know why he is nauseous??) aeb patient report of strong nauseous feeling (8/10)