Guest 360983

Guest 360983

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All Content by Guest 360983

  1. Need help with careplan

    A nurse who is much smarter than me told me that the elderly are like babies--neither group compensates well and both have initial presentations that are very different from the healthy young adult....
  2. Case Study #2

    Ischemia takes hours to show up after the initial infarct. The initial CT may show no
  3. Case Study #2

    I want others to explain. I'm that annoying nurse who asks students for
  4. Case Study #2

    Why are we doing the labs ya'll
  5. Real life examples ; Roles of a nurse

    That's a fairly tough assignment for a pre nursing student. When you mention a nurse cleaning wounds as a provider, I think you're on track. To me, providers do stuff. Nurses do a variety of things,...
  6. My initial instinct is yes, but what's preventing management from slowly inching back to the (sub) standard
  7. Prioritizing Nursing Diagnosis

    Good! Now grab your NANDA book and make sure your diagnoses are in it. I know risk for PE isn't one. I imagine there's a nursing way to say it. Make sure to look at the defining characteristics for...
  8. Prioritizing Nursing Diagnosis

    Use Maslow's hierarchy to help you prioritize. In the ER you get the highest priority if you have a life or limb threat. EDIT: I think you're missing some important risk diagnoses. I don't have a...
  9. How is ER charting different than floor?

    I don't chart care plans. I chart my initial assessment, reassessments per floor policy, reassessments when change in condition is noted, interventions and discharge instructions. This could be simple...
  10. Real life examples ; Roles of a nurse

    Tell me about what you think of when you read provider. Next, tell me what you think of when you read manager. Seriously, write this down before you go futher. Now think about what you have seen...
  11. Determining HR on strip (NCLEX)

    I'm lazy so I count the number of complete QRS complexes in a 6 second strip and multiply by 10. You can measure the number of large boxes between the same part of consecutive complexes (say between...
  12. Trouble with relating medical dx to nursing dx

    So this might be part of the care plan
  13. Trouble with relating medical dx to nursing dx

    What did your assessment show? What did the nurse spend most of her time doing with the patient? Why is the patient hospitalized and not getting antibiotics via PICC at
  14. Trouble Choosing a Capstone

    If you like sick kiddos, don't underestimate the value of an ICU or ER rotation. The ER sees every age group, including pediatrics (unless you have a children's hospital in the area, which I doubt...
  15. CSICU same as CVICU? Interview HELP!

    When my MIL had cardiac surgery, the hospital she was in had a cardiac surgery ICU and a separate cardiac ICU. One took all the surgical patients (CABG, valve replacements) and the other took...
  16. OB question!! Help please!

    I'm an ER nurse, not an OB nurse. I have a few accidental catches and several late miscarriages under my belt, however. I would be VERY concerned about hypotension in a postpartum mom as she should be...
  17. High WBCs with acute GI bleed?

    I think you're doing a fantastic job with this case. He may well have only vomited once, especially with the NSAID use. Most of the Mallory Weiss tears I've seen as a ER nurse have been in pregnant...
  18. High WBCs with acute GI bleed?

    His WBC was likely elevated from gastritis (vomiting that causes a tear is rarely a one time thing) and/or stress response/inflammatory changes from the body reparing the tear. It's not the bleed so...
  19. OB question!! Help please!

    What are you concerned about in the postpartum patient? What assessment findings are consistent with this concern? How do those assessment findings compare to the information provided in the question?...
  20. i need a nursing dx for non-compliance

    I know this is probably late but for future students: So tell us more about your patient. I see he is diaphoretic, tachycardic and tachypenic. What did your abdominal assessment reveal? What did the...
  21. How is her interaction with baby? How is her interaction with
  22. High WBCs with acute GI bleed?

    A doc once told me viral illnesses raise WBCs higher than most bacterial infections. I don't have any evidence for this, so take it with a grain (or a shaker) of salt. Like Esme said, don't...
  23. RN's in the ED

    I think you need to shadow some nurses and midlevels in the ER. Even at the busy trauma hospitals, trauma is VERY far from the majority of patients. I've heard the busiest trauma ER in the country is...
  24. Difference in NP & PA roles in the ED

    In the two hospitals I've worked at, the NPs and PAs are used the same. At the trauma center, the midlevels weren't allowed out of urgent care. At the community hospital, they see non dying patients...
  25. sepsis protocol

    New York City Severe Sepsis Project I'm assuming you are in the ICU based on previous posts? I used this site to help revamp our ER sepsis screening protocol. Definitely check out the Surviving...