canigraduate

Or that they are non-American articles not submitted to American journals. The original question asking why non-American articles aren't published in American journals was self-answering, I thought.

That would be a "Nope."

Yeah, what Wuzzie said. I was let go during orientation on the day they found out I would be moving. In the middle of a shift. It was very annoying.

I would ask for more training so you can deal with this child appropriately. The current plan sucks. I am a bit upset that you tried to force the kid to take the medication. That never works. It just escalates the behavior. It sounds like this child has some behavioral issues on top of his ADHD. My younger brother used to act like that, but he was abused before we adopted him. I don't know what's going on with your student, obviously, but he may need further evaluation. The best thing you can do in an intense situation like that is to remain calm. Getting agitated only inflames the child's behavior. If his behavior escalates secondary to stimuli, then the next thing to do is stop doing whatever is bothering him. Back away and leave him alone until he settles down. If he is unable to calm himself, then it's time to call the parents. Forcing meds on a child in the midst of a meltdown is a good way for someone to get hurt. If your school system has a special needs teacher or program, I would suggest that you get in touch for immediate solutions. For long term solutions, you'll need to get the whole team involved and get plans in place.

If it keeps coming back, it's likely from a home source. I used to get it from my dog. You could send a letter home with the class's students educating the parents about possible home sources. From Sources of Infection | Ringworm | Types of Diseases | Fungal Diseases | CDC The fungi that cause ringworm can live on skin and in the environment. There are three main ways that ringworm can spread: 1. From a person who has ringworm. People can get ringworm after contact with someone who has the infection. To avoid spreading the infection, people with ringworm shouldn't share clothing, towels, combs, or other personal items with other people. 2. From an animal that has ringworm. People can get ringworm after touching an animal that has ringworm. Many different kinds of animals can spread ringworm to people, including dogs and cats, especially kittens and puppies. Other animals, like cows, goats, pigs, and horses can also spread ringworm to people. Please click here for more information about pets and ringworm, and click here for information about how to stay healthy at petting zoos and other animal exhibits. 3. From the environment. The fungi that cause ringworm can live on surfaces, particularly in damp areas like locker rooms and public showers. For that reason, it's a good idea not to walk barefoot in these places. Click here to learn more about how to protect yourself from ringworm.

I'm not one to call "bully." I usually denounce the mistaken assumption that someone is being bullied. You, however, are being bullied. I would report the principal. A) His remark about your wedding planning was inappropriate. B) He is attempting to make you violate your professional ethics. C) He is using threats and intimidation, which is causing a hostile workplace. He should be more worried about you suing than the parents.

1. When providing basic patient care (turning, perineal care, dressing change, etc), I always pause the patient's parenteral nutrition. False - I don't see the point. The residual in the stomach isn't going to magically go away because you paused the TF. It took me a few years and some cases of TF aspiration to figure that out. 2. On average, in the last 3 months, I have forgotten to restart the parenteral nutrition... Never - I don't get TF patients much any more. When I did, I would forget to restart them all the time until I stopped pausing them in the first place. I honestly think it's more important to keep up with checking the residual. 3. I pause the parenteral position when providing quick patient care because NA - I don't 4. I'm aware that there is new evidence based research that says pausing tube feedings when providing basic patient care is not necessary. No - I wasn't, but I am now. 5. I would stop pausing tube feedings for brief periods of time when providing basic patient care if evidence based research showed it was counterproductive. Again, N/A. My thoughts on the matter: a) a survey redesign would be beneficial to reflect that some nurses don't pause, b) if your project is also about positioning, you may want to add some questions about that, c) tube feeds need to be carefully managed and stopped at any sign of reflux. Make sure your doc knows if the patient has any GI history, especially GERD or bariatric surgery. Always, always, always check residual, especially on patients that are new to tube feeding. If there is too much in there, it's going to go up, not out.

Neezy, I read through about the first 10 pages. As some of the long-term posters know, I have ADHD and the attention span of a puppy. I may have missed some important things, but I did want to comment on what I saw in your posts. I want to tell you that what you feel is valid. Your emotions are your own and there is no right or wrong way to feel. You can't just manufacture feelings, they are what they are. It sounds like you have a lot of stressors in your life, not even counting your experiences of violence. You sound a lot like I did after my Mom died. I was depressed, hopeless, and suicidal. I had experienced a lot of trauma at a young age and losing my mama triggered a lot of that. I couldn't see any way out of my situation. I finally got help once I realized that I had a true plan to kill myself. Scared me into making a change. Believe it or not, it was the thought that my husband would take the cat to the pound if I died that got me motivated. (Good thing I love that cat.) I first saw a psychiatrist, who gave me antidepressants. That literally saved my life. Once the worst of the depression lifted, I was able to find a good therapist to help me work through my troubles. I think it most important, in your case, to collaborate with your healthcare team to get yourself emotionally stable. There are several therapies targeted towards resolving traumatic experiences. I would recommend asking someone you know in the military or in law enforcement for a recommendation, as those therapists are experts at dealing with trauma. I used to be a part of the "put up or shut up" crowd, much like Sour Lemon. In my own time of crisis, I found that "tough love" hurt more than it helped. There were times I had to leave the house to get away from the various implements I could have used to kill myself. I always seemed to reach for those more when I reached out for help and was told that I was the problem. There's nothing worse than to feel like you're dying and everyone is slapping at the hands you're holding out for help. You become more hopeless when you believe that you are so worthless that even fellow nurses tell you that what you're feeling is your own fault. The best thing I ever did for myself was to find a compassionate therapist who believed in helping me. The next best thing was ignoring people who tried to minimize or dismiss what I was feeling. I'm glad you reached out online. I want you to know that you are not alone in what you feel. I also want you to know that you are a valuable person, that you don't have to be nurse to be validated, and that this, too, shall pass.

You may get a better response in the ICU forum. You can go to the help desk and ask them to move it for you.

I thought it sounded racist, too. littlepammy, I am sorry you experienced discrimination. It is very hurtful.

No, it isn't. It is perception. Sometimes you need a change of perspective to get a view of the truth. That being said, I was bullied by a nurse when I was a CNA. It wasn't any of this "she's so mean to me" whiny crap, either. She systematically set out to get me in trouble and set traps for me so I would get written up. Luckily, I am from a dysfunctional upbringing and know the signs. She was never successful. I left the position within months and have not encountered any bullying since. Incivility in the workplace, yes. Lots of it. But that is something entirely different. I have been called a bully by a new grad and by an ex. The new grad wanted me to kiss her boo-boos and take care of her patient for her. I wanted her to tell me what she thought she should do, listen to the rationale behind why she was wrong, look up what she should do, and then do it. I have to give her a hug every time I see her and tell her she's wonderful and amazing to get her to function. I finally referred her to a good therapist. Hopefully that will help. The ex was just mad that I wouldn't compromise on multiple dating partners.

Nobody sets out to overdose in front of their kids. Addiction has been recognized as a legitimate medical problem. It isn't a character flaw. Please watch this video. It may change the way you approach addicts. Uplift Connect - Timeline | Facebook Instead of providing Narcan to the kids, go to the source of the problem and provide counseling for at-risk parents. Education and compassion will take you much farther than condemnation.

This type of patient is manipulative and is pushing to see where your limits are.

This thread is hilarious. That's a lot of snark! While it is funny, not many of the responses are actually appropriate. The key to this is to maintain a professional attitude. Smile, be polite, but be firm. Nice is not the same thing as passive. Look up therapeutic communication techniques. And, by golly, don't apologize. You aren't doing anything wrong. The first time you say, "I'm sorry," you're validating their perception that you just don't want to help them. Being obsequious always backfires. Dialysis patients often have family members who cater to their every need. You need to teach them by treating them like a perfectly able person that they ARE able. Just because they're hooked up to a dialysis machine doesn't mean the rest of their body doesn't work. There's no need to be rude or huffy, or even passive aggressive. Just treat them like they are patients.

The two kinds I have worked with are the Versus Visibility Companion and Hill-Rom Staff Locating. Here's a definition from http://www.centrak.com: [h=1]What is RTLS?[/h] Real-Time Location Systems (RTLS) provide immediate or real-time tracking and management of medical equipment, staff and patients. This type of solution enables healthcare facilities to capture workflow efficiencies, reduce costs, and increase clinical quality. RTLS solutions are comprised of various tags and badges, platforms (Wi-Fi, Infrared, Ultrasound, and others), hardware infrastructure (readers & exciters) and other components (servers, middleware & end-user software).Typically, an RTLS solution consists of specialized fixed location sensors receiving wireless signals from small ID badges or tags attached to equipment or persons. Each tag transmits its own unique ID in real time, and depending on the technology chosen, the system locates the tags and therefore the location of the tagged entities. Depending on the solution, varying degrees of granularity can be achieved. Basic RTLS solutions can enable tracking in a hospital's unit or floor, whereas clinical-grade systems are able to achieve room, bed, bay, and even shelf-level tracking.

I think it would help to contact a professional resume writer that targets healthcare. If you can't afford that, here is my advice: While the language is pretty, your letter is wordy. Recruiters and hiring managers don't have time to read all that. This letter is your sales pitch to a bored audience. You have a limited window of time to grab attention with this letter. It needs to showcase how you will fit in. Address it to the correct person. Make sure you reflect the company's values. Make a few short, pithy points that demonstrate how you will be an asset to them. Remember that your letter is one among possibly hundreds, if not thousands. If every letter is a short story, the recruiter simply won't have time to read them and will end up throwing most of them away. Be considerate and make it easy for them to fall in love with you. Don't make them work for it. Here's an example of what I mean: Dear (recruiter mentioned in job listing or the ever-popular Hiring Manager), I saw your listing for xyz position on xyz.com. I am interested in learning more about this opportunity. I offer a compassionate nature, an internal drive to excel, and previous experience with fragile babies. My last supervisor has given me many compliments for my work ethic and my ability to accomplish the work of several people at once. I embody your company's values of such-and-such by doing -whatever- in my daily routine. I would be an excellent asset for you. I am available for interview and can be reached at 123-456-7890, or at [email protected]. Thank you for your time, Sincere Job Applicant. Repeat phone # and email address Hope that helps!

I learned that it's a lot easier to write a rant or a personal experience than it is to write an actual article with references. I learned that I miss my AN friends when I am busy with life. I learned a LOT about the limited access that mental health patients have to quality care, and the hoops that mentally incompetent people have to jump through are unintentionally designed to make sure that they can't get care. I learned a lot about rape culture in colleges and how medical professionals are trying to take a stand for women's rights. I learned that I still have no patience for willfully stupid or manipulative people. Patients included, unfortunately. I need to get over my bias. There is a disproportionate amount of drug users and BPD in the population I treat. 9/10 are OK, but that one... I really need to develop some kind of cone of objectivity for the patients who get on my last nerve. I also learned that aspirin and lovenox are perfectly OK to give to a rule out stroke patient, but you really shouldn't combine them with Plavix. Also, check behind your docs so you aren't giving three antiplatelets. Oh, and check behind them and make sure you're not giving ANY antiplatelets to someone whose platelets are already under 90. (Just saying... doc's are busy, too.) Have a good week, y'all.

Sep 16 by OrganizedChaos, LVN When I would work I would shower after work. I'm not a morning person so if I can sleep in a little later because I already took a shower, that makes me happy. 😊 For some reason, my quoter's not working. Eh. I have nothing to add, I just wanted to give you a hug, OC. You and I haven't had any play dates recently and I miss you!

You're welcome. It sounds like you read a lot in to my post that wasn't there. I carefully read the OP. I read the whole thread. I didn't come out swinging and I make no apologies for what I didn't say. If you were hurt and confused, I am sorry for that. I did not say you were stupid. I still think the situation described was stupid and I hope nursing has progressed well beyond that kind of petty nonsense.

If you have trust issues in your marriage, that doesn't have anything to do with nursing school. I would recommend counseling.

Because everyone is giving their personal opinion on what it means. It's a term with a definition. I mean, a spoon is an eating implement to me, but to a baby boy it is a wall-decorator, paintbrush, or drumstick. He doesn't know what a spoon is. If I didn't know what a spoon is, I would appreciate it if someone would tell me. I think I like joanna73's the best, though. Clear and to the point.

"Please dress in professional business attire (no jeans, athletic attire, shorts, sneakers, sandals, etc.). If you are interviewing for a clinical position you are permitted to wear scrubs." This means wear a suit and bring scrubs. Professional business attire is what the corporate bigwigs wear. Here are some images: I would only wear scrubs if you look like this in them:

It's not a big deal to me. Companies have trained their people not to talk about it so they can get away with unfair business practices. If you don't want to say anything, then don't. "I don't talk about my salary" is easy enough to say.

There was no anger in my post. It was merely a reflection of yours. I mirrored your own questions back to you. If that makes you angry, perhaps you should rethink your communication style. You aren't giving any of your own opinions, just picking apart other's posts. Here is some more fodder for the grist: I thought the doc was rude for leaving a mess and expecting others to clean it up. I thought the oncoming nurse was rude for being loud and angry, which is unprofessional, to boot. I thought the offgoing nurse was uncivil due to the passive aggressiveness displayed by not dealing directly with either the doc or the oncoming nurse. They were all disrespectful of each other. What a toxic environment! Which is stupid, because respect, civility, and fostering teamwork makes for a less stressful environment.

Call the facility directly and ask for the recruitment office. Verify that the recruiter you spoke to is an actual employee. If the person is an actual employee - yay! Check your inbox and check your spam folder. If the person is not an actual employee - oh, crap. You just handed them enough details to steal your identity.