GipsGrl

I feel your pain. One of my clinical instructors WAS a Captain in the Army yuks...she didn't have any kind of bedside manners, whatsoever....My advise: 1). Dress exactly like your dress code states for you too. Including pulling your hair back or just making sure your hair does not swing in your face. (she actually took old fashioned bobby pins and pinned mine back...so embarrassed..but... 2. Jump in and ask questions...anything...even if it sounds stupid..it probably is...they think we are stupid any way, but will let her know your interest. 3. Let her win...if you do something wrong, ask her to explain to you because "you are really really interested" (which we are anyway, but you know a little extra attention to your situation and concern for your situation...would help) 4. I could go on and on and on....but the best best thing I can tell you..is NEVER Let THEM SEE YOU SWEAT IT...Review your procedure if you have to perform in front of her, if you mess up, be interested enough to ask HER for help..but try try try try, to play the stress part off...be confident..if you need to cry...wait until she is out of your presence....not everyone is kind...good luck grl...

Hey, not sure if you used dememtia ( impaired cognitive ability) for the reason for self deficit: self feeding, but here goes Nursing Diag: Self deficit: self feeding R/T: Impaired cognitive ability Patient outcomes:(goals)1.) On 4/18/09@ 0900, Pt's family will demonstate positioning of pt for feedings to prevent aspiration 2.) On 4/18/09 @ 0900, Family members will verbalize s/s of aspiration. Nursing Rx: 1.)Student Nurse will teach family positioning of pt for feeding, at 0900, on 4/18/09. 2.) Student Nurse will teach family member s/s of aspiration Scientific rationales: should be able to find these easily in one of your books. Interventions: 1) Student Nurse educated family members on position of pt during feedings. 2) Student Nurse taught family member s/s of aspiration. GOALS: If family members showed up for teaching of position and aspiration, you would put GOALS met as evidence by attendence of meeting by family. If family didn't come to planned meeting, you would write Goals unmet due to family unavailable for meeting. Also, if they didn't come to meeting, you would need to go back on interventions and write Student Nurse available to teach (educate), on 4/18/09 @ 0900, then on goals you could reword and put unmet due to family not availabe. I hope this helps. I am not sure if we are on the same format, but this is our format, and I hope it helps..let me know and have a great day b blessed

This is great...thank you for posting..I know it wasn't for me..but thank you..b blessed

Thanks so much for your time and sharing. I am a writer..not much of a reader for comprehension...soooo, Instead writing first I am gonna read like you said, then write, then maybe go back and listen, if I have time...thank you so much..b blessed:lol2:

:bugeyes:I am 2nd semester of RN school. Grades started out very good. With care plans, simulation, and everything in between, my grades have dropped somewhat. I am terrified of the finals...lots and lots and lots of info to remember. Does any one have any study tips that you want to share? I record, listen to my lecture a second time, along with power points and book..some of the questions asked may be some where in that chapter, but not necessarily covered in lecture, but still the same...I am responsible for it..so just wondering if maybe someone may have another way that would help. Our next test in Peds covers 4 chapters and parts of other chapters..thank you and b blessed:yeah:

Hi, this LPN deal must be everywhere. I have been an LPN since 1985, lost my job in the OR a year ago, in RN school now, but at 48..it's tough for me..so if you have the chance go to RN school..Have a great day & be blessed. I am from Alabama

Hi, do you have to do your care plan based on the nine needs? Do you have any other lab results? One that I can think of is Communication, Impaired: Verbal r/t- the progressive decline in cognitive function (which this is the def of dementia, but can't use the "word" dementia but can define it, because that is a medical diagnosis) AEB: slow response to verbal communication and commands. Hope this helps. Have a great day.

Hi, I read your post and just wanted you to know that you ARE NOT alone. It's hard to be stong , when you are depended upon to be the strong one. I had thought about suggesting taking a few more days off, to sort things out. But after careful thought of your situation, which is a very devastating one, that will heal only with time...I would like to suggest that maybe you speak with your supervisior, or someone that you trust or feel comfortable talking with, and ask them to relay the message to your co workers, since they already know your were pregnant 1) what and ONLY what you want others to know about your situtaion 2) that you are feeling fine, but dealing with some very mixed emotions at this time & 3) not to be asking YOU, personally or otherwise, questions about what is going on..you can tell them in time, if and when you are ready to talk about it. 4) That you appreciate their concern, but for right now, you just need space. Maybe they could speak to your coworkers and ask them to just treat you as if it was a normal day and when you are ready to talk, you will. God Bless you and May God hold you and your family in the palms of HIS almight hands.

hi, i feel your pain..you just wrote my story. i worked in the or 19 years and decided to go back to rn school. it has been tough for me, especially just basic plain ole fundamentals, but i have been out of lpn school since 1985. you can do it...i think the very very hardest part, wasn't catching up on skills, but like you said, being expected to know!!! and people not understanding that you are equal because you haven't done these things in so long, and being "a know it all". is your first semester doing the mobility courses? if so, after that first semester is when you will join the rn students. my advise is to try not to let them (other students, and some instructors won't really realize it, due to having to deal with so many students) know you are an lpn if at all possible and avoid being in the spotlight if at all possible..(trust me on that) we had to do a head to toe assessment. i went on you- tube and typed in "head to toe assessment" and watched the videos..wow...that helped me so much, because i had no clue since i was suppose to already know!! (& my my, things have changed since i worked on floor) there is also a web site that you can go to, to watch video on basic skills...you can do it!!! just remember you are there for you and what you need to accomplish and in the end, if there are are people who chose to "not be so nice", that 's ok..it's about what you need to do. i am not sure if i can put the web site on here or not, i am new to allnurses (and love it), so if you want me to send it to you..let me know and i will. good luck and go for it and don't looked back..you can do it..be blessed!!:) (ps: i still have 2 semesters to go)

I think you are right..i can't wait to get my test results back to see..so it may be a few days/week before I see the results..but I will let ya'll know..thank you so much for your help. I think this was a " are you critical thinking or just plain ole thinking"...lol...thank you..

I confirmed with a classmate that I copied the question correctly. The only answers I remember on the test was "no correct answer" & like answers in the 50's..One was 53. But any way I worked the promblem didn't come close to the answers I had to choose from...thank you..

Yes, we are taught that way, as well..just hard not to use "cc" after 25 years I worked it like you did, as well..makes sense but other ways makes sense too. Seems if it is 150mg/ML and you would need to know how many mg are in a 50ml bag. Then calculate the problem BUT the first line of the problem says "calculate mg/hr"...what in the world am i missing here..lol..thanks for your time

The problem only ask for me to "calculate mg/hr"..sorry, I know it doesn't make sense...thinking back one of the answers I could have chosen was "no answer is correct"..so maybe that's my sign..But thank you for trying to help, as soon as I find the correct answer, I will let ya'll know..(we are taught to take to the hundredths place and DO NOT ROUND!!) lol..you would just have to know my instructor..:)

Hey, thanks..I called a classmate to make sure I had stated the problem correctly and it is exactly like I had remembered..When I calculated 400mg to be administed from 600mg/4cc, I can up with 2.66cc. I know that's not right.. Wonder if i divided the 4cc into 600 to give me how many mg/cc is where the catch is..thank you for helping..

I think you are correct, it's very confusing. If 600mg/4cc is reconstituted and put in a 50cc bag, wouldn't that mean their is now 600mg in the 50cc bag and that is your concentration? Thank you