NewNurseAlert

NewNurseAlert

Family planning, med-surg

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  1. Why the bolus?

    I had a patient a few days ago getting a blood transfusion, her UOP was low, she was in renal failure. The doctor ordered a 500cc NS bolus. Afterward her abdomen became distended and painful. Her UOP...
  2. agency/staff rant

    That's pretty unbelievable. Maybe they thought you could handle it, maybe they are just lazy. I don't think there's room for people to do the lame clique thing when people's lives depend on
  3. S/S of bleeding

    I'm a little of both, I'm interning. I'm working on improving my patient load, I'm scared an incident like this may reflect poorly on me. All I can do really is learn andhope for the best. I just...
  4. S/S of bleeding

    I had a patient who was getting a blood transfusion, had an internal bleed and went to the ICU. She had hardly any urine output, but I didn't pass that on untill the end of shift report, because it...
  5. S/S of bleeding

    Thanks for the responses, I do feel better.To answer some questions, her bp was 80's/40's, had been for days. Her pulse stayed 70s-80s. She was admitted for presumed sepsis and labs came back positive...
  6. high GFR

    Hello! I have a client with a critically high GFR (151.5). I've never seen a high GFR and have no info about it. What can it mean? The pt also has low Hemoglobbin, 6.3, low WBC, RBC. Kidney labs are...
  7. high GFR

    wow that's great (for me to know, not for the client to have) I wonder what the consequences are, I'm guessing poorly filtered blood, maybe fluid
  8. high GFR

    They drink regularly and take
  9. What to tell nosy boss...

    I don't know but I am the type to wear my heart on my sleeve. Everyone knows what I'm thinking and doing all the time. I wouldn't want to ruin my working reference, you have put in good time there....
  10. Messy HESI

    Has anyone done the HESI prior to the NCLEX? I'm studying the HESI now, but am not satisfied with alot of the questions, answers, and rationales. Am wondering how similar it is to the NCLEX (if so, I...
  11. Students that cheat

    I am so mad and tired of this. A student I know, let's call her Jan, has been cheating the whole time. I caught Jan back when we were doing prerequisites, I thought Jan would never get in, but here...
  12. Students that cheat

  13. Students that cheat

    I feel like she is going to make a mistake that could kill somebody because of her shortcuts. I have been in groups with her, I know she does not have much to offer academically. She makes up for it...
  14. Students that cheat

    I know! ANd not only that but they get good positions by shmoozing up to whoever they can. This the instructors know, and even encourage to a degree. For instance, when preceptoring,we were supposed...
  15. Students that cheat

    I am all about everyone sitting down and taking the test at the same time with a paper and pencil. The instructors don't want to do this because it's time and energy consuming. I told them right away...
  16. Students that cheat

    About the online part: One time a test "leaked" out to the main page. It was labeled a practice test, with a caption that said "here it is, look quickly". Well, half af the class looked quickly,...
  17. Students that cheat

    She has a buddy, the buddy takes the test first, then tells Jan what's on the test. Jan has time to research the answers before taking the test herself. She has also been caught copying from another...
  18. working and preceptoring

    This is a small community and the hospital is very closely connected with the nursing program. I got hired at the hospital after I started the program, I'm sure it was a big plus for taking me....
  19. working and preceptoring

    Hi. My program just announced the preceptorship assignments and I was dissappointed not to be placed in the unit I work in, as a CNA, which I love and want to work in. The supervisor said that they...
  20. working and preceptoring

    Well, see, that's the thing, they said they don't let students precept where they work, but they turned a blind eye to two girls who are being preceptored in their work units by their good friends....
  21. The real reason I'm freaking out

    I feel an immense ammount of pressure, like I am going to crack. I am so tired of being evaluated ALL THE TIME. I live in small community, everyone wants to work at one spot, but the problem is there...
  22. The real reason I'm freaking out

    I confided to my instructor that I had problems at home. I don't know if confided is the right word, I had a melt down. I've no doubt this cost me my shot in the more serious units. Now I am scared it...
  23. The real reason I'm freaking out

    Thanks. My feelings are a little hurt because I feel I was not very well placed. A group of students were placed in a very advantageos unit, I was placed somewhat obscurely. I can't help but take it...
  24. failed nclex x2 ashame

    I have not taken the NCLEX yet but am very nervous because I do horrible on tests. It's just not a stregnth of mine. I failed my driver's test twice and didn't get a liscence untill I was practically...
  25. Integrated Practicum

    It is that time in my program where we begin to do our full time clinical rotation (240 hours). We just got our assignments and I feel a little dejected. The director of the program said everyone got...