metal_m0nk BSN, RN

ICU

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All Content by metal_m0nk

  1. metal_m0nk

    Question about student nurses

    If you're the only RN working with 4-6 students at once then the facility needs to have a conversation with the school. I don't know of any facility that allows one RN to oversee that many students at...
  2. metal_m0nk

    Indiscriminate Empathy?

    I don't consider being disagreeable and being empathetic to be mutually exclusive. I can empathize with a situation and still disagree with the actions or context. I empathize with most everything,...
  3. metal_m0nk

    DON a big borderline?

    Are you asking if this incident is evidence that your DON has Borderline Personality Disorder based on what you perceive as "staff splitting"? I'm
  4. from the article: "more than four out of ten (43 percent) of california nurses, who were newly licensed as registered nurses in the previous 18 months, say they could not find a job, according to a...
  5. metal_m0nk

    Misogyny in Nursing

    my take on this discussion... calling out cattiness is not misogyny. cattiness is. cattiness and back-stabbing stem from womens' hatred, mistrust and dislike of other women. when so many women...
  6. metal_m0nk

    Misogyny in Nursing

    This coming from someone who described a young nurse who went to her superior for assistance with another female nurse who was hassling her as a "crybaby". People never cease to amaze
  7. Aaaaaaaaaaaand then there's the renal NH3 production which is heightened in hypokalemia which can cause
  8. ns can cause non-gap acidosis if given in large amounts, but i don't think that's the issue here. severe dehydration is linked to acidosis and ns doesn't prevent or treat it. i too would be looking...
  9. metal_m0nk

    Nursing Instructor Continuously Embarrassing Me

    Stockholm syndrome hyperbole aside...When I advise the OP to stand up for herself when necessary, it isn't because I identify with the instructor. The instructor is a bully. The best way I know to...
  10. metal_m0nk

    Nursing Instructor Continuously Embarrassing Me

    Take a deep breath, plan out what you're going to say, pull him aside and confront the situation respectfully. Show him that you have the confidence to speak up for yourself when
  11. metal_m0nk

    New Nurse/Old Attitude

    Aaaaaaaaaand look who's beating this dead old horse again....BIG surprise
  12. metal_m0nk

    Priority: Allergic reaction or toxicity?

    It depends on the severity of symptoms. If the question had said that the pt was developing shortness of breath as part of the allergic reaction, then the allergic reaction would have been
  13. metal_m0nk

    College too easy for it's own good?

    Grade inflation means that what a student was expected to master in order to receive an A, say 30 years ago, has become increasing less and and less. It means that the overall standard of excellence...
  14. metal_m0nk

    College too easy for it's own good?

    Also... Some sources I've read point out that high school students aren't being adequately prepared for college (grade inflation is happening big time at the high school level) - so colleges feel they...
  15. metal_m0nk

    College too easy for it's own good?

    Ever heard the term, "Grade Inflation"? This has been a problem for many, many
  16. Try Uniform Advantage: Medical Scrubs & Nursing Uniforms: US & US Territories Shipping
  17. metal_m0nk

    Refusing a Clinical assignment

    RE: Pill crushing As a student, if it's a choice between doing what my instructor expects me to do (which is practice safely according to the letter) and impressing a practicing nurse who has the...
  18. metal_m0nk

    How did you save on textbooks? Ebooks or not?

    That is a lot of books. Similar to what they had listed for us for the first semester. The books that we had assigned that I never really used were a medical dictionary, lab values book, and a few...
  19. metal_m0nk

    Need Help With Patho

    The literature suggests that the disease remits in 80% of cases. Plasmapheresis and IVIG are not cures. Plasmapheresis flushes out the immune response by ridding the blood of antibodies and IVIG...
  20. metal_m0nk

    Need Help With Patho

    One more source. This one from the Louisiana Department of Health, pay special attention to the "Treatment" section:...
  21. metal_m0nk

    Need Help With Patho

    Guillian Barre is not cured in the hospital, because there is no cure. Patients with GBS are admitted to the hospital for symptom management and support because the symptoms can be life threatening....
  22. metal_m0nk

    Need Help With Patho

    When the pressure in the brain is uneven? What a terrible question. Is your teacher referring to intracranial pressure (which literally means, inside the cranium - not inside the brain - which is...
  23. metal_m0nk

    How did you save on textbooks? Ebooks or not?

    Honestly? I didn't even buy most of them. I found that I wouldn't even need to use the majority of them. I got just the core books (like the fundamentals, med surge texts, etc.) and any "workbooks"...
  24. metal_m0nk

    Why are my pt.'s RBC, Hgb, Hct low?

    Keep it simple. If she's receiving fluids, check her I&O. If it's on target, THEN you should consider other possibilities. One of the biggest mistakes I've seen in nursing school and in clinicals...
  25. metal_m0nk

    Why are my pt.'s RBC, Hgb, Hct low?

    Is she receiving IV fluids? What's her fluid intake/output ratio? If she's taking in more than she's putting out, I would suspect fluid