BriGuy31

Hello, forgive me if this topic has been covered before. I am currently a BSN nurse that has been practicing in a Burn ICU for the past 2.5 years. I am trying to decide which NP program to complete, the Family Primary or Acute adult..... both MSN degrees for now. I like the critical care aspect of my job and enjoy managing drips, CRRT, wound care, etc. The night shift is brutal on myself and family. I am in a pickle and would appreciate any help. I'll try to state my opinions in bullet points: -I am not sure if the ICU will loose the "rush" if I am not physically caring for the critically ill. -I really would like regular hours. Weekends are ok sometimes but night shift will be avoided like ebola. -I have never worked with peds but I'm sure I would like it. -It's hard to find Family NP job postings in South East Michigan area, so I'm not sure on job outlook. -I think I would really enjoy assisting in the OR and then following up with the patient. -The diverse nature of the FNP seems to hold long term value if I ever get "burnt out" with ICU care. Sometimes when I cover nightshift for a few months...I start to dread my ICU job. These are my feelings. My perfect career would be OR and patient care split, no on-call or nightshift (family is most important to me). Can I be a FNP and first assist? Then transition into the traditional FNP role in 10 years or so (41 years old by the time I graduate with my MSN). Sorry this post is poorly written...very sick and I'm not thinking sharp. Thanks, Brian P.S.- I plan to shadow an Acute and Family NP very soon.

Hello, Currently I am formulating an Albumin protocol in the event that our Parkland formula is not working to the desired effects. I am interested in any possible information that might be available to help me in this process. I understand not every burn center as a clear Albumin protocol and I was wondering if you had something in place. If you already have something in place, would you be willing to share it in order to provide the building blocks for our protocol? I am looking to progressively educate our nursing staff on the overall fluid resuscitation process by having a couple protocols or guidelines in place as a starting point, with deviation as directed by our physicians. I would appreciate any time that you can offer. Thank you, BriGuy31, RN

Even with the promo code above, I can only get it down to $70. Why are they charging me $11 to ship me an access code? Does anybody have a code that gives free shipping? Any other good/bad reviews out there. I have 8 months before NCLEX so I thing it would be worth it if this is better than the book(which I have). Thanks and God Bless.

Study medical terminology, pharmacology, and a ton of NCLEX review questions. Even if you get the questions wrong, you will learn the rational behind the answers(i.e.-almost never answer with an absolute, these two answers are really stating the same thing so rule them out, or don't ask "why" questions) If you still want more, study pathophysiology. Once you understand the disease process you won't have to memorize facts as much. Take a deep breath. If your smart enough to get into a nursing school, then you will be OK. Although, I've meet "smart" people that I wouldn't want to be my mother's nurse. Work ethic is most important!!! Don't just study to pass a test. Study to give your patients' the best care, which they deserve.

Hello, I'm in a RN Associate's degree program. I just passed my last class of the first year!!! I have the next two months off and I plan to enjoy the time with friends and family. That being said I want to prepare for Med/surg 2 &3, and Peds. Med/Surg 1 was my best grade in the first year and I loved it the most. Should I take this time to study on what I feel are my weaknesses(pharm and patho) or shall I study for next years course work. I plan on spending about 2-3 nights per week keeping focused, because I don't want to feel dull and behind when next year starts. Doing NCLEX questions and looking for a part-time nurse tech job is also planned. Thanks for the advise.

I talked with my instructor and she said a "newborn" is 24 hours or older. A neonate is under 24 hours of age. Does anyone have a reference for this info, in my Maternal Health book the two terms are interchangeable. I can't just use "because you told me so.":) Thank you. Also why would the RN prepare a medication 24 hours in advance. The question stated the mother was in labor, which med should the nurse prepare to immediately give to the newborn?

I know Vit. K and erythromycin should be given within one hour of birth. Is it standard practice to immediately give Zidovudine for an infant whose mother is HIV positive?

I was given a question during my OB rotation and need a second opinion, Is it correct to give Zidovudine to a newborn immediately after birth from a HIV positive mother. My drug book stats PO only after 12 hours of age, but should an IV route be used until then? The question asks for the first drug to be given to the newborn. Other choices are Vit. K, erythromycin, or Ampicillin. Any advice would be great. Please supply rationale if you can. I was going to site my drug book for my answer unless you think I am wrong.

I am having trouble deciding the titles of the NIC and NOC. I have it narrowed down between these two. I think Pressure Ulcer Prevention is better for my NIC. Can I use activities that I found in the NIC book under another title(Pressure management). They still would help my patient. The other question is what NOC title to go with. I am hesitent to use Tissue Integrity: Skin and Mucous membrane because I don't believe any mucous membrane is at risk. But can I use some indicators(NOC) found under each title. The indicators that must be charted with measureable outcomes. I think I can come up with enough actions specific to my client to help him. I just need help picking the best NIC and NOC titles, and the best related to characteristics. I am also confused if it is accecptable to use measureable indicators found under NOC titles that I did not choose. I am sorry if I am confusing. I would like my first NCP to be good. Thank you all ffor the help, it means a lot to me, Brian

It's my first NCP from the ECF. I HAVE to use Risk for impaired skin integrity. My resident has Parkinson's, has intermittent bladder incontinence, and 80 years old. He can ambulate slightly by himself when not have an episode. I only spend a few hours with him for two days. His brief was dry the whole time and ate very well. The is documented at a 13 on the Bradins scale. I have a few questions regarding choosing my R/T, Noc, Nic. First I came up with two different R/T: 1. R/T-Physical immobilization, moisture(bladder incontinence), extreme of age 2. rigidity, decreased range of motion, inability to turn self in bed 2* Parkinson's disease, increased shearing forces and pressure on sacrum 2* necessity of keepin HOB in semi-fowler's to avoid aspiration I like the second one better, but he is able to readjust when he is not having an episode. NOC: 1. Tissue integrity: Skin and mucous membranes 2. Immobility Cosequences Physiological I like the second one also. Nic: 1. Pressure Ulser prevention 2.Pressure managment Now do my indicators have to be only related to my chosen NIC? I found some from each above NIC that I would like to use. I need at least 4 indicators. This is my weakest part, I believe. I need one more also and would like to hit on asses, assist(or care), teach, and manage. So far: 1. Pressure sores(maintain free from pressure sores) 2. Joint movement(maintain joint movement as much as possible) 3. Nutrition Status(maintain nutrition staus throught stay at facility) This is my first NCP. It is difficult because I'm only with him for 3 days. I have not seen any indication of any impaired skin integrity. I want to use indicators that I can identify, keeping it simple. This is my first nursing course, so any suggestion would but extremely helpful. Thank you for your time, Brian

Hi, I missed the accelerated program by 0.015. But hey, I'm still in nursing school!!!

Will we find out which program we will be in? (Accelerated or traditional)

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Congrats!! That is great to hear. Do what you have to make sure you are 100%. It's all about the road not what is at the end of it. Brian

I'm on the fence. It would be nice to finish eight months earlier to look for a job before 250 others will. I would have to take pharmacology and fundamentals together. With the standard track I think we can take pharmacology in the summer. I would like to intern at more than the DMC. I know they have a lot of different hospitals but my mother-in-law works at Receiving. What are you planning on doing? Any advice would be great. I do not plan on working either way, so money is not a huge factor. Thank you for your time. treeguy- GOOD LUCK. Help me represent male nurses