Cassaundra

I am an OB nurse and am always of the opinion that it is a bad idea unless the baby is going on 42 weeks. Women have had babies for eons and it's not natural. C-sections are even worse without a solid medical reason. Fetal monitors are a big cause of that problem. Anyway... there's a massive rant in the making. We'll just leave it at that.

We're too small to have a podiatrist, but we only cut nails on a doctor's orders - Hospital policy.

My thing is spinals. I cannot deal with that needle going into the back. Once it's there, no big deal - until then I have to turn my head away and even the thought can be rough.

You're not a doctor. It was not your call.

I was never tought to use it and I graduated in May. We were given a specific list of abbreviations that were "legal" and had a minor amount of leaway, but WDWN was not on the list.

We just implemented CPSI.... What a pain in the rump! I don't know how much of it has to do with the admins trying to work the layout and how much is just the general cumbersome nature of the system, but it takes us 3 times as long to take care of our charting and med administration. It looks and acts like a DOS program.

D5 W is just sugar water - no sodium. D5 NS is salty sugar water.

Our facility is going all navy on January 1st. Supposedly it's so the pts can tell the difference between their nurse and the housekeeper. I agree that it is better than all white.

I can relate to what you're feeling. I started back to college at the age of 35. I can suggest that when you notice yourself acting like that, excuse yourself from the room for a few moments. Get it back in check, then go back. Make it a point to set school aside - out of your mind - while you are taking "me" and family time. What I had to convince myself of was the fact that I could do it and letting it stress me out was not going to do me or my future any good. Remind yourself that you will be where you need to be when you need to be there if you just do your best and learn from your mistakes. Also, get help if you need it before things hit the ditch.

Organization and flexibility - Keep an idea of who needs what and when, but remember that things happen and your best plan will be changed.

Well, I must say it is this type of attitude that prevents new breakthroughs in medicine or anything else. I am a Reiki healer and I find it does work. I did a demonstration for my class in clinicals one week when I was in school. I have used it in my practice. If you take the time to learn about the mechanics of it all you might have a better insight, but I digress. If you want to discuss this privately with me, then message me. Otherwise, this is going my only remark.

You can try looking here http://www.arsbn.org/praclink.html, but I don't see where it makes a specific list if that's what you're looking for. Also, your hospital should have a paper copy of the NPA if you want to look it all up.

I loved my chemistry classes. It was a big help to learn how the molecular structure of medications make them work or not work. Also, it makes a big difference if you actually know what potassium and sodium are.

Our facility has a hospitalist, but he only works on the weekends. He stays on premise from Friday evening to Monday morning. I can't say he has increased admits. He's usually pretty conservative about that. The rest of the time we have our regular MDs. There is an MD in the ER at all times in addition to the others. The Docs love it because they can get their golf and family time in on the weekends with little to no disturbance.

Our mantra when I was in school is there is a major difference between NCLEX world and real world. For your tests you go by the book - not common practice.