JSTARZ

hmm...depends. when I started orientation they told us to wear scrubs!! ask ur HR rep or manager...

hmm...i assume it just depends. Here in LA its rough for all new grads. Luckily if you graduated from a college that is a part of a hospital they tend to choose their grads first. As far as the reply that they can pay ADNs and Diploma RN's less...i cant agree. Being since the pay difference here is 25 cents/hour. So Great! you have your BSN!! wow! so that just makes you a "new grad with a BSN" lol the new grad portion is the curse!! Not the degree at all here lol. In conclusion all new grads here are struggling and as soon as you mention the "N.G. word" your application more than like gets the boot. SAD!!! Good luck to everyone!

OK. #1 83 mL/hr is correct however 6 gtt/min is incorrect. The key to drops per minute is to remember this is a two step calculation. First: determine flow rate or amount to be infused (in mLs)/ time (in hours) ex: 1000 mL/12 hr=83 mL/hr Second: determine drops per minutes. gtt/min= flow rate (mL/hr)/60 (minutes) X gtt factor ex. 83 mL/hr/60 mins X15 gtt=21 gtts/min the 60 is constant it shall never change in this formula. #2. Completely wrong. =). To work problems like this you can use simple ratio and proportion. 40000U/500 mL=1800U/X mL. you then cross multiply and solve for X. THis will yield mL/hr. Then you continue on as above with the formula for gtts/min. You should get 23 mL/hr and 8 gtts/min. Hope this helps.

After 2 months of bad luck with the job hunt I decided I would call the units personally and ask to speak with the nurse manager. It worked out for me and I landed a job in the Surgical ICU!!! right out of school. So I suggest you do that, you never know. Besides, the worst that can happen is the manager can say no...ok well it would not be the first no you've ever gotten. Good Luck

RIGHT! "MONA" is only a way to remember the tx. Personally, I would say Oxygen. Yes! they are all very important but if you consider that myocardial Ischemia is pretty much the "underlying" etiology of a MI I would say go with that first. Besides that is the ONE intervention you would be able to carry out the QUICKEST!!! O2 decreases the strain and workload of the heart. However, thats just my 0.02 cents..

I had the same issue when I graduated. Fortunateley after 1 month of numerous denial emails I decided to take things a step farther. I suggest you call the units you applied to and ask for the Nurse Manager...sell yourself and explain how interested u are in a position with them. Most times the Nurse Managers are not opposed to new grads, the HR reps are the issue. Worked for me. I walked right into the Surgical ICU. Good luck!

Personally I worked on a telemetry unit for one year and we usually gave it to cardiovert. So yes! In my pratice the purpose has always been to restart the heart in a "better" rhythm. When used to cardiovert it should be pushed VERY FAST and flushed with NS VERY fast!!! Yes it is a little scary to do. My hands got sweaty and my heart raced EVERY time I pushed this med for cardioversion. Ive only had one situation where it coded a patient, thank GOD the crash cart was present, as it should be. Hope this helps!

on my unit we do a modified team nursing...1 RN 1 LPN and a CNA who is shared with another RN and LPN. So we usually take on ten patients per team me as the RN will take the most acute or the patients who "NEED" a RN (Numerous IVP drugs, blood, and the most critical). So I usually take on the 4 or 5 busies and give my LPN the other less critical 5 or 6. It works great (when I have a good/competent LPN) and I float as needed to those patients assigned to the LPN!!

OMGee really?! The story of experienced nurses "eating our young" goes on I see. I am more than willing to assist you Addison, this is a teaching moment. Don't stress yourself , hopefully NONE of the above individuals who attacked you are preceptors to ANYONE!! To answer your question. NO! 5 mg is not your final answer. Your final answer is 2 capsules both of which are 5 mgs each. You set the conversion up correctly yet you never actually did the "dosage calculation" The 5 mgs is how much each capsules contains. However, your order is for 10 mgs so, you would need to administer 2 capsules. Therefore, you can use D/H X Q ex. 10 mg/ 5mg X 1 capsule=2 capsules. Hope this helps and good luck with Nursing School!

This is an advanced dosage calculation and I have never been a fan of that "dimensional analysis" fellow. I have been at this RN thing a while and ITS TOO LATE TO TEACH AN OLD DOG NEW TRICKS! :) I use a simple method called "FACTOR 15"...It is kind of magical and quick yet perfect for codes...here goes Amount of drug (in 250 mL of fluid) / "15" / weight (kgs) X Flow rate= mcg/kg/min 1000 mg/"15"/72k g X 13 mL/hr=12.03 mcg/kg/min FYI: The "15" is a constant, it does not change. It only works using the amount of a drug in 250 mLs of fluid. However, it does work for multiples of 250 yet you would have to convert and use the amount of drug in 250 mLs. For example if this drip of 1000 mg was in 500mL of fluid as opposed to 250 mL you would need to divide and use 500 mg in 250 mL. This can be determined using simple ratio & proportion. 500 mg /"15"/72 kg X 13 mL/hr=6.01 mcg/kg/min....which makes sense, considering the fact that you have a concentration of 1/2 of the original drug. Hope this help. If not, take it and stick it in your back pocket!! Best of luck!

Med/Surg is great because it is the CORE of nursing!!! I too challenge the critical care nurses to walk a day in my shoes....FUNNY!!! i have seen it one too many times....LOST!!! thats what they are! lol not to bash critical care nurses I know they do their jobs well but we do not have those "fancy" monitors to tell us when our patient is going bad, we rely on judgement, knowledge, and skill!!! Nor do we have a "flowsheet" for everything, med/surg nurses have to think outside the box. And I would not trade it for anything! :)

hmm...I am a charge nurse and I am not too sure what the fret is all about. I see orders like this all the time, nothing unusual. An "IV Bolus" is merely a large amount of fluid or drug dose given rapidly at one time. So yes I agree with "roma4204" run it at 125 mls for 2 hours then switch to 100 mls. The only thing in the order I would consider questionable is the "Saline" part!! Although one would assume NS d/t the clients hypotensive state it is still BEST to double check small things like this. What concentration? NS? 1/2 NS? But yes, It is a very good practice to double check if you do not feel the order is clear enough. Hope this helps. :)

hmm...honestly "I" never use any of that. I just clearly state what happened and what was done. The time stamp tells who the "writer" is. example: "Educated client on importance of splinting incision while coughing, use of incentive spirometery, and deep breathing. Client verbalized understanding. Assisted client with turning and ambulation. My Name,BSN, RN" "Physician contacted regarding am labs, no orders given. My Name,BSN,RN" "Client refused lunch stating, "I don't want to eat that" Educated client on importance of following dietary recommendations. Client verbalized understanding and consumed 75% of tray. My Name, BSN,RN" Ive never had an issue. thats my 0.02 cents. But to each his own.

Personally, i did very very well in all of my med/surg and patho classes. Those were actually my best and most favorite courses. I would suggest not only to study EVERYDAY but also to READ your textbook and get involved in a good study group. To excel in patho and med/surg u not only have to read and study but u have to link the concepts and get a good understanding of the "big picture". That way when u see questions related to the disease process your studying you will be able to rationalize and connect the dots

idk...however, my ns didnt make us pay an additional fee for ATI, unless u were unsuccessful after two attempts. But i do know ATI really really SUCKED! LOL, they say its pretty good for NCLEX prep but i thought NCLEX was hella easier than that crap...not saying NCLEX didnt suck though lmbo, leaving the test site that day i was almost certain i bombed it. but, surprise surprise I PASSED!