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outrunningzombies

outrunningzombies

ER
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outrunningzombies specializes in ER.

outrunningzombies's Latest Activity

  1. outrunningzombies

    EBP in Home Health/Hospice

    Love GrnTea's suggestion and it's certainly the best first step. I would also suggest checking out the Hospice and Palliative Nurses Association. Professional organizations are great resources for issues in different specialties. They also have local groups with educational meetings, which is a great place to network or learn more about the specialty.
  2. outrunningzombies

    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. If you had a neonate who was hypothermic, hypotensive, tachycardic, tachypenic and inconsolably fussy, what would you be concerned about? You need the NANDA book, not a care plan book. Look on Amazon or in GrnTea's posts for the exact name. Look at the defining characteristics for each diagnosis to make sure you have the appropriate one selected. Always prioritize based on Maslow's pyramid. Your priority should be things that can kill the patient. I would also recommend looking at SIRS criteria.
  3. outrunningzombies

    Case Study #2

    Ischemia takes hours to show up after the initial infarct. The initial CT may show no abnormalities.
  4. outrunningzombies

    Case Study #2

    I want others to explain. I'm that annoying nurse who asks students for rationale.
  5. outrunningzombies

    Case Study #2

    Why are we doing the labs ya'll suggested?
  6. outrunningzombies

    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, from cleaning wounds to assessing patients to administering medications. To me, managers coordinate work and divide it up. A manager in an office may keep track of the progress of all her subordinate's projects and make sure the projects are done correctly. The manager may decide who does a particular presentation. The manager may make sure two departments work together. Your definition mentions delegation. How and what and to whom do you think nurses delegate? Your definition mentions groups of patients. What do you know about nursing with large groups of patients? A RN in the community or in a skilled nursing facility will have a large group of patients and must utilize different skills than the nurse in the hospital who acts more as a provider.
  7. My initial instinct is yes, but what's preventing management from slowly inching back to the (sub) standard conditions?
  8. outrunningzombies

    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 the diagnoses so you can determine if they are the most appropriate ones. Why did you get rid of the impaired perfusion?
  9. outrunningzombies

    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 NANDA book handy but what are the defining characteristics for impaired mobility? Are you concerned about impaired mobility because of the effect it's having on ADLs or is there something deeper going on?
  10. outrunningzombies

    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 and fast on a benign belly pain or one nurse's sole job on a crashing patient.
  11. outrunningzombies

    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 nurses do in clinicals and what you've learned about nursing. What actions match your provider definition? What actions go with your manager description? I will defer to others on the profession question.
  12. outrunningzombies

    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 the start of one P and the start of the next P) and divide that number by 300. You can also measure the number of small boxes as I just described and divide that number by 1500.
  13. outrunningzombies

    Trouble with relating medical dx to nursing dx

    So this might be part of the care plan :)
  14. outrunningzombies

    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 home?
  15. outrunningzombies

    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 because of the lack of NICUs). The ICU will teach you about vents and drips and how to do a thorough, focused assessment. You don't have to like your placement, you just have to learn. Don't do nursery unless you're interested in L&D. In my not very progessive state, most hospitals have closed their nurseries in favor of couplet care. If you want to do L&D, great (someone needs to do it because I sure as hell don't! ), but otherwise you're not going to get a ton of transferable skills like you would on other units. Do medical peds and general peds. Put general peds first if you would rather work there. Capstone is a semester long interview and ideally you want to do it on a floor you want to work on. Seriously consider ICU if you want to do sick kids or ER if you want to do general kids. I promise the ER won't be boring and you'll learn things like septic workups on neonates, how to swab a cranky toddler's throat for strep, and why we give PCP (ketamine) to kids for sedation.
  16. outrunningzombies

    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 nonsurgical patients (MI, CHF). And that's not counting the transplants, who were on a separate floor!