jlr820

jlr820

ED Nursing, Critical Care Nursing

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All Content by jlr820

  1. Most anything that would/could cause a rise in blood glucose in a type 2 diabetic can lead to HHNKS, with an underlying infection being one of the most common. 1. Infection. 2. Kidney Disorders. 3....
  2. What tips would you give a new RN

    go to the following link. it has several pages of tips for new nurses going through their first year in the profession. it takes a while to read through it, but i think it's worth the time to do so....
  3. No urine output- BUN, Creatinine WNL?

    Was this patient hypotensive (shocky, perhaps cardiogenic)? Most sources say you must have a MAP of at least 60 in order to perfuse organs (kidneys included). So his heart failure could have put him...
  4. WBC 19, Lactic Acid 3.2, but not septic?

    When you say "There did not appear to be any infection..." can you elaborate? Were blood cultures performed? Urinalysis? Stool sample for CDiff toxins? Any wounds? The WBC was 19, but what was the...
  5. ER Nurses... I Am so Sorry

    Certainly no need to apologize for this. I suppose sometimes on here many of us vent about patients coming to the ED for so called "minor" complaints. In the end, however, they sought our help, and...
  6. I agree with previous posters. CNA training/experience will be valuable to you down the road. If you can complete the training and work PRN as a patient care technician, that would serve you well....
  7. 1. What is your age? 37 2. How long have you been a nurse? 8 months 3. Did you work as a CNA before becoming a nurse? No 4. If yes to #3, how long did you work as a CNA before becoming a nurse? N/A...
  8. Insomnia

    I can relate. One thing that may help is valerian root. It's an OTC herbal used for sleep/relaxation. Supposedly it works on GABA receptors, similar to what the benzodiazepine drug class does. It...
  9. Head Lice

    First, I know exactly what you are feeling. I was recently involved in a code situation involving a nursing home resident (I'm an ED nurse, and this patient came in by EMS). Following the code, we...
  10. Rehire Eligiblity after leaving the wrong way

    I'm assuming that you listed your previous job on the current job application, thus I would agree with a previous poster who advised not to bring the situation up unless the HR person does. If so,...
  11. This is not the ICU

    Yes, I did "struggle" with the performance of quicker assessments. That's mostly because I am a meticulous person anyway. Over time, I've gotten more efficient with them. In the ED, assessments are...
  12. Comprehensive Health Assessment & History

    The "real world" answer is that you aren't going to do EVERY assessment parameter on EVERY patient EVERY time. True, you are learning this information so that you can be comfortable/competent with the...
  13. I had the very same issue while taking the Kaplan course. In fact I emailed the "Kaplan expert" about it and she basically said that, on the real NCLEX examination the question will specify if/how...
  14. I just checked both the CCNE and NLNAC websites for this school's accreditation status, and it wasn't even listed. So, it doesn't appear to have either accreditation. You better run away from this...
  15. Well, there are a HUGE number of NCLEX prep books on the market right now. Which is best? I'm not really sure that is an answerable question. Anyway, Saunders is commonly mentioned as a good book,...
  16. Lost

    This is normal, and it will get better. I'm a new ED nurse (7 months), and there have been days I swore I wasn't going back. Sometimes the key to surviving in the early stages of this profession is...
  17. Any ideas how to pass medsurg?

    Could the issue be that you have some anxiety with test taking? As others have said, one thing that you should be doing is supplementing your reading with NCLEX style study questions (LOTS of them)....
  18. Get the course syllabus and get a jump on the reading for week 1. Make sure you have a good, current drug guide (I recommend Springhouse or Davis). If you are in an ADN or BSN program, I also...
  19. On Compassion.

    That was an awesome piece of writing! I keep reminding myself that patients (and their family) are only cognizant of their own little "corner of reality." They are blissfully clueless of anything else...
  20. Ed new grads..............this is for you!!!!!!!!!

    Motivated2Nurse, Thanks for posting that. I'm also a new grad in the ED and going on 6 months. I've had a couple of nights similar to what you describe where it seems everything is coming through...
  21. I'm still pretty new to my unit. I get along with almost everyone that I work with, but I still feel pretty much invisible at work. There are only 2 people that I can think of right off the top of...
  22. NCLEX exam

    I think that you will have to choose a state to be licensed in. During the registration process for the NCLEX, you will be asked which state you are licensing in (so that the testing company will...
  23. intravenous drug administration

    I agree with the first poster. Have all the equipment necessary to actually demonstrate all of the various techniques (everything from how to draw medication from a vial or ampule to programming an...
  24. I'm sad to say that I still have almost all of my "stuff." I've been out of school for only 9 months, and there are still occasions that I will refer to the textbooks, drug guide, and lab values...
  25. Hardest part of nursing school

    Hi, All of the subjects in nursing school have their own unique characteristics. Different people have different opinions about what was difficult, etc. The main challenge in nursing school is...