Chris189

Thanks for the other recommendations. She'll likely be going to Villanova for her MPA(Masters in Public Administration). We figured she would have a better job market closer to a larger city, with a degree such as that.

Yeah. I was trying to finish my BSN before moving anywhere, but like I said my fiance is likely going to graduate school at Villanova. I looked at Jefferson and Einstein, but a lot of their listings say "BSN required" as well. I know that isn't always the case. For example, every job I applied for at Upstate said "Minimum 1 yr. experience", and i was hired as a new grad. With magnet hospitals does every nurse have to have their BSN, or just working towards it? I have an aunt who grew up here, that now lives outside of Philly. She tells me when there's 4 inches of snow on the ground everyone is in a state of emergency. Up here that's a good day! What hospital do you work at?

Hello. I'm a long time follower here, but I don't post much. Anyways, I'm in need of a little assistance. Next year it is very likely that my fiance and I will be moving to Pennsylvania, very close to Philadelphia. I would really like to work at Penn Medicine, because I like larger, more acute hospitals, and I know they have a nursing school. I'm working on my bachelors part time at the moment, but really just got started. After doing some research it seems like it's a relatively prestigious hospital. Anyone in the area care to comment? If it's is true, I'm concerned if I would be able to find work there. I currently work at Upstate Hospital in Syracuse, NY. It's a level 1 trauma center in Central New York. By the time I would be arriving near Philly, I will have 2 years of acute care experience on a med/surg floor. I will not have my bachelors by that time. Will that put me at a large disadvantage? I saw a lot of their job listings required it. Any other hospitals you would recommend? Thanks!

Thanks for the replies. I take the HESI Exam in a couple of weeks. Then I can see where my weak areas are and focus on them. I dont do very well with just reading text. I prefer to talk it out with others. Maybe I will just review problems areas identified by the HESI and work on test taking strategies. What do you think?

What are some good books for strictly content? I won the Saunders Comprehensive Review at a job fair, but the 1000 pages of text is a little daunting. I feel like its almost too much information,and I wouldn't really benefit much for reading it cover to cover. So, what are your suggestions? Thanks!

Im thinking about taking one of the Kaplan NCLEX review courses in June before I take my boards. My questions are: 1. If you took the course and have taken your boards, how well do you think it prepared you? 2. Do you think the "in classroom" or "classroom anywhere" were more effective? Thanks!

Everything was going fine. I was passing PO's, hanging IVPB's, etc. Around 10am I passed some PO's to a woman. No problems. I then hungg an IVPB with my instructor in a another room. As im documenting for the IVPB I remembered I had to sign for the PO's I had just passed. I was going to finish documenting the IVPB and go document for the PO's. Right then the primary nurse came and asked me if i had passed those 10am meds. I said yes and I was coming over there to document that right now. She knew that I was passing all the meds for that pt and had watched me pass them. As I walk around the corner I see her with the MAR and talking to my instructor. My instructor comes over and said that we needed to talk. She said that she going to fail me for med pass because of unsafe practice. Now I understand the importance of documenting right after you do something. Im not downplaying that I made a mistake. My instructor said what if the primary had passed those meds again(however unlikely because she knew I was doing them and watched me pass them). I guess im not really sure what im trying to say. Just frustrated with the whole situation. Feel free to chime in here.

Ineffective protection from bleeding. She is on heparin until her coumadin is up to therapeutic range and then she will be sent home. My instructors are very picky about time frames. If you dont have it for everyone you can consider it wrong. I looked at the those threads but I didnt see much specific to my question. The only independent nursing action I have so far is: Arrange room to reduce clutter q shirt rationale: @font-face { font-family: "Arial"; }@font-face { font-family: "Calibri"; }p.MsoNormal, li.MsoNormal, div.MsoNormal { margin: 0in 0in 0.0001pt; font-size: 12pt; font-family: "Times New Roman"; }div.Section1 { page: Section1; } Pt's on anticoagulant therapy are at an increased risk for bleeding. An unorganized room with clutter will increase the chance of the pt bumping into an object and causing trauma. Keeping the room organized will ensure safe maneuvering and decrease the risk for bleeding. @font-face { font-family: "Arial"; }@font-face { font-family: "Calibri"; }p.MsoNormal, li.MsoNormal, div.MsoNormal { margin: 0in 0in 0.0001pt; font-size: 12pt; font-family: "Times New Roman"; }div.Section1 { page: Section1; }

Sorry if that was a little vague. By "do" I mean independent nursing actions.

Im working on my care plan and I need a little guidance. I have a pt who came in with a DVT and is on heparin and coumadin therapy. First, does my diagnosis sound alright? Ineffective Protection r/t abnormal blood profiles secondary to anti-coagulation therapy aeb ptt greater than 150 Goal: Pt will remain free of bleeding Also, I have about 10-13 interventions but they are almost all assessment and teaching. So far I have: Assess vital signs q4h Monitor PTT q day Monitor PT/INR q day Adjust IV heparin rate q day per protocol Assess for s/s of bleeding q4h Assess for changes in LOC q4h Teach client signs and symptoms of bleeding by day 3 Teach the client bleeding precautions by day 3 Teach client to avoid foods high in vitamin K Teach client to wear medical alert bracelet by day 3 Avoid use of aspirin products/NSAIDS what can I actually "do" to achieve my goal? Im not looking for a hand out but im really stumped. Thanks!

What would a MD order if someone had a BG above 400?

It is there but very incomplete. any resources online i could use?

If someone were to come in with a MI, what would would you expect the doctor to do(order labs, etc.), and what would you expect the nurse to do(start IV, O2, etc.)? I need to list what would happen in this scenario and I cant find anything in my book. thanks!

Im having trouble with my rationale. I worked with a 94 yo female in a long term facility last week. I got my care plan back and the only thing she didnt like was my rationale for "assess BP q shift". Heres my data: 94 yo Osteoarthritis Osteoporosis 2 assist with t-belt Glaucoma History of fall My daignosis was Impaired Physical Mobility r/t joint stiffness aeb 2 assist with t-belt. My rationale for "assess BP q shift was "Orthosatic Hypotension as a result of cardio changes, disease, and medication effects are comon in the elderly. Orthostatic hpyotension can cause diziness, and light headedness. Assessing BP can indicate orthostatic hypotension, and impaired physical mobility." Reading back over it I can see where I veered from the daignosis. She wrote "Relate this back to physical mobility joint stiffness". Can someone give me and idea as to the rationale for BP r/t Impaired physical Mobility? I dont want someone to write a rationale for me, just some direction. Thanks!

Just realized I spelled "independent" wrong. oh well. Any help would be greatly appreciated!