amydayre

One concern you might need to address would be having your circulation compromised for 12 hours. If you are on the knee walker for that long your foot may take longer to heal. Most places are willing to work with someone who really wants/needs to work. Do you have short term disability?

Aerobics will probably help more than pure weight lifing, and in my personal opinion a circuit training routine is very beneficial because of the cardio/strength training. If you don't do anything though, you will feel it more when you are up for 12-14 hours on your feet!

Anytime there is a question on a test that deals with Airway, Breathing or Circulation, that is exactly how you approach it, A, B, C. This is to get you in the mode of thinking I need to establish a clear airway before I can breathe for the patient...When this happens in real life though, you call for help, so you have more hands on the patient and can give the epi while someone else manages the airway.

You need to give the epi first, but if the patient has an edematous airway, you need more help than just you in the room. One individual (usually the most experienced with the airway) needs to manage the airway with the most basic maneuver to keep it open. This may be by a head tilt chin lift, with a NRB in place or something more advanced such as intubation. If the patient is swelling extremely quickly the provider may elect to intubate to avoid having to do a cricothyrotomy.

ETCO2- end tidal carbon dioxide, is the exhaled or "end tidal" CO2 in a breath. For most intubated patients it is a standard of care to monitor ETCO2, norms are from 35-45, and capnography is the method by which end tidal CO2 is measured. We use it on all intubated patients that we transport, but I have never seen it used in a facility. That said, I have been a transport nurse for about 6 years now, so I have been "out of circulation" And Auntie, the only stupid question is the unasked one

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Find out which wrist the pt wears her watch on, usually the "snuff cuff" the radial aspect just below the thumb has a nice fat vein. The arm the pt wears her watch on will have more engorged hand and wrist veins. Don't know the mechanism, just 15 years of experience stickin' em! :)

Hey, I am a flight nurse on the Navajo Reservation in Arizona, you can PM me. Worked most of the night though, so it will be later this afternoon before I check it.

One more thing you might try would be if she is in a hospital type bed, position her legs higher than her head for about 15-20 minutes a couple of times a day. This may help her venous return. Good luck with Krebs...it never really goes away!

Not related, but I have a 21 year old with CP, when she was very small we did "Jane Fonda's" to strengthen her legs. It may help. You begin by manipulating the ankle, flexion and extension, then doing the knee, then the hip and back down. It helped my daughter to finally be able to walk.

When I graduated from RN school the best preceptor I had was an LPN, she took the time to actually explain why we were doing what we were doing, never was rushed, even when she had 7 or 8 "low acuity" patients. LPN stands for Licensed Practical Nurse, yes, you are absolutely a nurse. Don't ever let anyone tell you otherwise.

Another problem may be the fact that the muscles in her legs just don't get used. The body uses the natural muscle action around veins to return blood back to the heart and then onto the kidneys where excess water is filtered out. Because your daughter sits so much of the time her muscles don't have the chance to help move the blood back to her heart. I would absolutely look into passive range of motion exercises for her, and maybe have the edema evaluated by a physician. Especially if your daughter is overweight it may signal some new onset congestive heart failure. Good luck with the wound care!

Several years ago we had a new admission to the ER from a local nursing home. The poor old lady was febrile and delerious, and she needed to be changed. While we were changing her, cleaning her up, putting in the foley, taking the temp, she kept hitting, scratching, clawing and pinching myself and my friend, Jackie. Finally Jackie had enough, grabbed the lady's hand and said "No, no ma'am, we don't hit!" Even though it sounded like she was talking to a 4 year old, the little old lady settled down and quit hitting us!

Hi, transport/flight nurses, embassy nurses (they actually live at the US embassies (? sp) overseas to take care of ambassadors). Good luck!

Hi Viper, I just used a template available online through Microsoft for my resume. I don't think they look for any particular style. I have a job offer, just waiting on the security clearance. Another thing, you are going to have to send in additional "stuff" so you will be in contact with your recruiter off and on until you get an offer. Good luck!