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elilop

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  1. I am new graduate and my only wish is to make it in the OR. I was offered a per diem RN position in an eye surgical center and a 4 month preceptorship of 600 hours non paid experience in the OR in St. Josephs hospital... Which one is going to help me more in my future as a nurse and landing a job in the near future? what should I do? Thanks for your advice!!!
  2. If I was a ****** I would not have been the Valedictorian at WCU and graduated with a 4.0 GPA and I actually have 6 years of experience as an LVN and had my resume professionally made by a writer. I have ACLS, PALS, ECG, and NRP certifications. And no no one made a funny face to me when I said I graduated from WCU, if you think WCU is so bad maybe you should consider going to UCLA or other school that is up to your high standards.... or maybe you did not have the prereqs or even the GPA to get accepted to one of those?
  3. I graduated from this school and I think the school is only unorganized for clinicals all the other things run very smooth. Most teachers were good and as with any other school we did have a teacher that sucked once in a while. I learned a lot and I have to agree with the school about bad mouthing the school. There are no many jobs right now for nurses my friend and all these comments do not help all of those that are looking for jobs a lot. Having a license does not mean you have a job, I graduated with a 4.0 GPA and still no hospitals want to hire me, if you look in other threads most students are looking for jobs an average of 6 months.
  4. What 20 credites is UOP asking you to take? how long is the program with them?
  5. What did you decide to do? what school are you going to? Can I ask you what 20 extra credits is that UOP is asking you to retake?
  6. Can someone help me with this: Put the nurse's following priorities in order and state why you chose that order: ___Education ___Pain management ___Fluid volume ___Infection treatment ___Allowing for play or distraction ___Monitoring I think this is the right order but not completely sure: Fluid Volume, Infection treatment, Pain management, monitoring, education, allowing for play. Thanks!!!
  7. thanks, awesome idea about asking her what makes her think she made the baby sick!
  8. My teacher is a bit crazy and asked us to come up with some possible medical Dx. This is what I got for the SBAR: let me know what you think... Situation: The patient _____ in room _____ is a 36 hour old male newborn experiencing a new onset respiratory distress. Background: The patient is a 3.2 Kg baby born at 36 weeks of pregnancy after a precipitous delivery. The mom is a gravida 1, para 1 who had very good prenatal care. She suffered of gestational diabetes during pregnancy which was controlled with diet, all her lab values were WNL but she tested positive for GBS. Assessment: The baby’s blood sugars are stable and he is breastfeeding every 2-3 hours. He also voided and passed stool. Temperature 96.2o F, HR 176, RR 86, mild nasal flaring, respirations even with mild retraction, intermittent grunting, Gr 3/6 murmur, active precordium, pulses 2 +/= in upper extremities and 1+/= in lower extremities, capillary refill 4 seconds. Recommendations: My recommendations would be to take the baby’s oxygen saturation, have an arterial access ready for frequent ABGs monitoring, take a blood culture and CBC to rule out possible GBS of the neonate, and we also will need an echocardiogram in order to rule out CHD. It will be also a good idea to start the baby with oxygen.
  9. thanks!!! all the answers are awesome!!! :redpinkhe
  10. what would you say to a mom that is crying because she thinks she made her newborn sick?
  11. thank you all!!! you are awesome!!!
  12. Can someone help me with a SBAR for this case study? do you know some possible medical diagnosis for this patient? You are the nurse taking care of a 36 hour old 36 week gestational age male. Birth weight 3.2 kg. The mother is a 24 year old G1 P1. The mother had good prenatal care. Mother's blood type is O+, VDRL NR, GBS +, Rubella Immune. This pregnancy was complicated by gestational diabetes, diet controlled. Mother admitted in labor and progressed to precipitous lady partsl delivery within 30 minutes of admission. She received no medications prior to delivery. Infant has been stable since birth, blood sugars stable. He is breastfeeding every 2-3 hours. He has voided and passed stool. Upon your initial exam you note the below: Temperature 96.2o F, HR 176, RR 86, anterior fontanel open soft, eyes/ears grossly normal, mild nasal flaring, respirations even with mild retraction, breath sounds clear, intermittent grunting, Gr 3/6 murmur, active precordium, abdomen soft, flat with active bowel sounds, pulses 2 +/= in upper extremities and 1+/= in lower extremities, capillary refill 4 seconds.
  13. Thanks, I really appreciate your help!!!
  14. Can someone help me with these two questions? 1. The physician orders a 20 ml/kg normal saline bolus followed by D10W with Calcium gluconate at 80 ml/kg/day. What would the bolus volume and the IV rate per hour be? The baby is 3.2 kg. 2. The infant's CBC results show: WBC 3,200, H/H 13.7/41, plt 86K, Segs 7%, Bands 15%, meta 3%, Lymph 50%, Mono 15%, Eos 10%. What is the absolute neutrophil count? Thanks!!!
  15. can you please tell me if this program will transfer to other schools for NP? I really want to do the RN to MSN at WGU but I also want to be a NP and I do not want to have to repeat all my studies.

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