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care&share

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  1. Thanks for your info. There is some sediment in the urine. Patient has a neurogenic bladder. Seems like we're going to start antibiotic therapy and re-catheterize.
  2. It has been changed quite frequently over the last month, although there's an order for routine monthly catheter changes, and PRN. I've been having this issue for awhile and it was changed about 1.5 weeks ago. Trying to avoid too many cath changes, to avoid the risk for frequent infection. It could be that the HHA's are not giving the patient enough fluids throughoout the day, a common problem in homecare.
  3. It has been changed quite frequently over the last month, although there's an order for routine monthly catheter changes, and PRN. I've been having this issue for awhile and it was changed about 1.5 weeks ago. Trying to avoid too many cath changes, to avoid the risk for frequent infection. It could be that the HHA's are not giving the patient enough fluids throughoout the day, a common problem in homecare.
  4. One of my patients gets a foley irrigation three times weekly. Lately, I've been meeting a lot of resistance when I flush the catheter. It's taking me a lot longer and I'm not sure why there's so much resistance. The catheter is in place, intact, and draining urine. Any suggestions why the resistance is happening and how to irrigate smoothly?
  5. One of my patients get a foley irrigation three times weekly. Lately, I've been meeting a lot of resistance when I flush the catheter. It's taking me a lot longer and I'm not sure why there's so much resistance. The catheter is in place, intact, and draining urine. Any suggestions why the resistance is happening and how to irrigate smoothly?
  6. My program was an ADN program. The three weeks is a specialty semester where the student choses where they'd like to spend two 12 hour shifts per week. Otherwise on the regular OB/Peds rotations (14 week semester)we spent one or two days in L&D, Nursery, NICU...
  7. I am a recent new grad and my last semester consisted of three weeks in the NICU (like an internship), where I worked two 12.5 hour shifts per week. It was an unbelievable experience for me, especially since I always knew I wanted to work in a NICU. I'm glad I had these three weeks in the NICU in case I don't get a job there right away. I had different preceptors over the three week period, and most of the time these nurses were ready to take on the challenge of orienting a student to the NICU. On my last day, I accomplished a tremendous amount: I actually got to suction a 27-weeker on a vent, pass OG tube and administer gavage feedings, run meds via IV pump, PO, and IM injection! Thanks to all those nurses who enabled me to grow confident and showed confidence in me to work with such fragile babies. Nursing students are thirsty to learn and perform new tasks. It is those nurses who are willing to go the extra mile to "take on a student", who make a difference and inspire students to continue their most rewarding position.

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