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CaitlinLiz

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  1. Hey there! I am nearing the middle of my last class before completion of my master in nursing administration. I am looking for a CNO that would be willing to do a telephone or E-mail interview with me as a requirement I have for the final project in my class. I would of course have an in depth interview with you at a later time, but right now I am just needing to submit a proposal to my instructor to show intent. The following is the information I would request now, to send my instructor, and I attached the information about the assignment I will be completing for my final project at the bottom. I would appreciate any time you may be able to give me! For proposal: CNO name: CNO credentials: Organizatio name and address: CNO telephone number: CNO email: Description of the healthcare agency: Type of facility: Scope of services: Accreditions: My project requirements: You will schedule a 1-hour interview with your approved CNO. (I live in Fairbanks, AK and have asked my school for permission to do my assignment remotely.) Recruitment and retention of nursing staff Managing the needs of Millennial nurses Implementing and managing changes in the organization Managing time and organizing competing demands and initiatives Interprofessional collaboration and nurse/physician communication Patient safety initiatives and promoting a Just Culture Transforming the patient experience Workplace incivility and violence Emotional Intelligence Team communication strategies (e.g. TeamSTEPPS, The Joint Commission, etc.) Quality and Safety Education for Nurses (QSEN) Regulatory demands (TJC and CMS) Healthy Workplace Initiatives Promotion of learning environments ANCC Magnet Recognition Program In addition, you will select two additional topics for discussion with the CNO. The topics may be from the above list, or you may develop two of your own related to nursing leadership.
  2. Interesting! That is how I originally thought the dye would be used... although, in my mentorship program it was drilled into me that we "never" paint... only highlight what is already evident to make it stand out in photos. Do you by chance have any literature backing this procedure up that I could present to those telling me not to do it that way?
  3. I am looking to understand why so much dye is being applied that you need to actively remove it. You are rolling it on over a suspected injury, and not painting it all over, right?
  4. Hey guys! I have an assignment for my Nursing Informatics class where I need to interview a nurse informaticist. It is completely casual, and only consists of two questions. I will post the questions following this paragraph, it would mean so much to me if those of you who work in informatics could answer the questions for me!! Thank you so much in advance 1. As an informatics nurse, do you report to the nursing department, the IT Department, or do you have a different reporting relationship? 2. What do you see as the advantages and disadvantages of your current reporting relationship?
  5. Hey there! There are printable questions at each link: http://www.lahc.edu/classes/nursing/PRACTICE%20MATH%20FOR%20NURSING%20333.pdf http://www.delta.edu/files/TLC/Math%20for%20Nursing%20and%20Allied%20Health.PDF http://www.laniertech.edu/downloads/Nursing%20Math.pdf http://brookdalecc.edu/PDFFiles/Nursing%20Dept/NURS%20161/Microsoft%20Word%20-%20mathpacket.pdf Nursing 823 Medication Dosage Practice Exam
  6. What I understood from your post is that you know that you are unsure of yourself sometimes, and that you want to do better. That is the first step forward. It sounds to me like your instructor might just notice that you are unsure of yourself and because of that she is guiding you through skills more closely than someone that takes charge and doesn't give it a second thought. This is not a bad thing- although I totally understand your frustration. You are being assessed based on your performance, but don't feel you are being given a chance to perform in the first place. What I would do, is ask the teacher where she feels you could improve. Then find out if there is a time that you could meet with her in a skills lab and practice those skills. Let her know that being in the ICU is really important to you and that you would do whatever practice it takes to become competent enough to make her comfortable with you doing the rotation. When I was in the first semester of my senior year one of my clinical instructors hovered over me consistently when I was setting up IVs while everyone else was able to do it on their own. This made me feel bad about myself and unsure of the skill because I knew there was a reason she was watching me more closely. I asked her what I could do to improve and she said practice, practice, practice... you are unsure of yourself, and that makes me unsure of you. So I did exactly what I'm telling you to do- I went to the skills lab with her outside of class, I prepared & hung IV's will all the different sets of tubing & sizes of bags until I was blue in the face... and the next week she was no longer tagging along while I hung IVs. Sometimes it's the little things that make a major impact. Keep your head up, practice makes a world of a difference!!
  7. Hey guys! So I try hard not to post homework on here because I am a strong believer in doing it yourself and learning it the right way etc, etc. But I am totally stuck regarding psychosocial diagnoses in my care plans. I had one due on Thursday, which I had a horrific time with because of the psychosocial diagnosis (1 out of 3 has to be psychosocial) and I have another one due Monday. I have the whole care plan done, with exception of the 1 psychosocial diagnosis & interventions. I would appreciate any help anyone could give me... even if it's just psychosocial diagnosis help in general! Here is an outline of my patient, and what I have thought about so far. 14 Month old female 7.3 Kg Admitted to pediatrics on 01/20 for aspiration pneumonia 3rd aspiration this winter that put her in the hospital Meds: D5 1/4 Normal Saline, Unasyn, Robinul, Motrin, Albuterol nebulizer treatments. Previous Med Hx: Trisomy 18 & Ventricular Septal Defect (VSD) Patient can not walk, talk, sit up on her own, or support her own head. SEVERELY developmentally delayed. Still drinking formula at 14 months old- has to be thickened to prevent aspiration. Mom is a single mom, baby lives with mom & grandparents. I find it extremely difficult to do psychosocial diagnoses on patients that can not speak to me... but especially for children. I have considered doing a diagnoses for the mom instead, which my instructor suggested. I thought about knowledge deficit... but the mom is VERY informed on the condition, and not deficient. I thought about using ineffective coping... but again, the mom is very prepared, well informed, and is coping well. I am now thinking of using 'Caregiver Role Strain' as there is not a father figure... but does that fit, since they live with the grandparents who are probably helping fill the gap? (we don't know this for sure, but its probable) I'm just not sure where to go from here. I would appreciate any pointers! Thank you so much!:redbeathe
  8. I came on AllNurses this evening looking for an example of a focus note and found yours to be very helpful. It was one of those light bulb moments for me. So thank you for the example! :)
  9. That is a really good question. I have noticed people doing this as well. I think personally, that being in nursing school is like an honor. When someone asks what you are going to school for, and you respond "I am in nursing school" there is almost always an oooh-ahhh factor. People who are doing pre reqs most likely realize this, and saying they are in a nursing program puts them on a little bit of a pedestal as well... why they say it when they are not in the program is beyond me, because personally I would feel dumb if I had said that and someone further questioned me!
  10. Is it really necessary for you to continue to talk through the lecture AFTER the teacher has asked you multiple times to be quiet? For goodness sake... TURN OFF your cell phone... is the text your writing really that important? No. We don't want to see the teacher assess you because you have two different sized pupils, it's actually not going to help. No... we don't need you to tutor us- I mean, many of us have gotten higher scores on the tests than you anyway. We know how to read the book and how to study...believe it or not! And no, we don't care that you were a medical assistant first- many of us have previous health care experience, it doesn't make you any better than the rest of us- we are ALL here to learn!!!
  11. In my opinion, something like a nursing pin from graduation is a big deal. It is something that I would spend however much money as necessary on. That pin holds all of your memories from school, and it is a constant reminder of the fact that you did something many people don't get the chance to- you are a nurse. You worked hard, and you have made so many accomplishments. And you should remember that always. And I think your pin does a wonderful job of that.
  12. While reading this post, I saw both sides of the situation. As a once very shy student, I can say that I totally understand that being called out in class when it is visible that you are not understanding a subject can be very frustrating (especially if you already feel that you are targeted by instructors). BUT I also have to say that I am no longer shy or withdrawn... and I am no longer afraid to ask questions. That change came about for me because the teachers kept calling me out. They did pick on me and they did push me. They kept pushing me to do my best, to ask questions, and not to be afraid of what others thought if I didn't understand something. Nursing school is hard work, and sometimes doing it the hard way is the way you will remember it forever. It sounds like your instructor may or may not see that you are having a hard time. She may want to clarify it for you if you don't understand, but wants to make sure that is the case. You never know, maybe next time when she calls on you say something along the lines of "you know, I am just not quite understanding the material." Then add in a specific part that you don't understand. That will help to let the teachers know that you are not just uninterested, just a little bit behind. Hang in there, the future rewards are 110% worth the hard work now.
  13. Unfortunately, yes. I have been a CNA for years, and every facility I have worked at in two different states pushes for their employees to show up for their scheduled shifts, sick or not. There was a time where I had Strep throat and had been given medication THAT DAY and had a 102+ fever and the DON still wanted me there and working. I think a lot of it stems from being low on aides, although that is not an excuse. A majority of those residents have low immunity as it is and do not need us running around spreading whatever germs we have! I think it is horrible.
  14. Yes, yes and YES! We have 4 or 5 different instructors, all of which have different views on things and teach things a little differently. They disagree often and a lot of times make it known to the students. It is difficult because each teacher teaches specific topics. If one teacher gives us the lecture on a topic and then we go to skills lab and do it that way on the manikin, a lot of times the instructor who is teaching the lab disagrees and scolds us (a lot of times by yelling or humiliating us) for not knowing the information. It is difficult and frustrating, to say the least.

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