nurseap

Thank you all very much for your replies. I'm going in early to check the hospitals policy, which I should have done rather than ask someone else.

Hi, I'm a new RN working on a medical oncology unit and went off of orientation last week. Today a Dr came in and told me she'd like me to administer 2 units of PRBC's. She added that she'd like the patient's fluids, normal saline, to be reduced to 70 ml/hr during the infusion and returned to 125 ml/hr (the current running rate) after the transfusion was complete. I know you're typically not supposed to mix anything with blood, but being that it was normal saline and that's what we prime the transfusion line with I went to ask my trusted past preceptor what he thought. Together we agreed that I would get a second pump to run the blood through using the Y-port tubing, which is standard on our unit, and then connect it to the line running the NS. I connected the blood line to the lowest port, closest to the insertion site, on the fluids line. When the night shift came on I got reamed for making such a mistake. I don't know if what I did was truly wrong or if I was just being bullied. The RN II on nights is very mean to new nurses, but my colleagues have stated she's especially rough on me. Spending my ride home in tears is pretty commonplace. Anyway, I've spent the last 3 hours googling and haven't found a concrete answer. Though some sites indicate it's ok to run PRBC's concurrently with NS. My old preceptor pulled me aside before he left and told me it was fine and that they're compatible. The RN II said I read the order wrong. The Dr had not written the words "run concurrently". The order just read reduce rate to 70 and then return to 125. But when she verbalized it to me I took it to mean run together. I'm exhausted with anxiety. Besides answering regarding this issue, can you also tell me if things get better... Right now I feel like a failure, because no matter how many times I'm told I'm doing well, this woman (RN II) makes sure I go home feeling incompetent nightly. :/ Thanks in advance fellow nurses!

Congratulations! In this job market I'm impressed by your ability to land those interviews and the job! May I ask where you're located?

thanks for the advice. i will group it together. i feel i should put it below hospital b though, in order to continue with reverse chrological order. hospital b july 2011 - present na hospital a june 2011 - present pct june 2011 - present tele tech january 2012 - present sj73201 i'm very thankful!! i started applying at hospitals when i was doing my prereqs for nursing school. it wasn't until i completed the first year of my adn program that i got any response! so it took two years and i was very persistent. when my classmates were studying i was on the hunt for a hospital position! it's a lot to juggle with school, but i'm hoping i can get a new grad rn role at one of the facilities after i graduate in may. fingers crossed! :)

Hi, In June I was hired as a PCT at what I'll refer to as "Hospital A". In July I was then hired as a nursing assistant at "Hospital B". My resume currently reads: Hospital B July 2011 - Present NA Hospital A June 2011 - Present PCT This month I was offered to become a Telemetry Tech at Hospital A and will be finishing up the training this week. When I list the new role on my resume I'm assuming I will put in ahead of Hospital B, since it's my most recent experience. I don't know if I should have the two different roles under one heading for Hospital A though... I will also continue as a PCT there btw. Both roles are per diem. Any idea how I should present this?! Normally I follow a chronological format, which would result in: Hospital A January 2012 - Present Tele Tech Hospital B July 2011 - Present NA Hospital A June 2011 - Present PCT OR should it read with only ONE heading for Hospital A with the two roles? If so, am I moving it up above Hospital B? How should it be written? Any help would be greatly appreciated!! :)

I'm a student practicing for the nclex and came across this description of the difference between certain terms: The patient is obtunded if he can be aroused with stimulation. If the patient shows no verbal or motor response to noxious stimuli, he’s comatose. If the patient remains in a deep sleep and only responds to vigorous and repeated stimulation, he is stuporous. If the patient has limited spontaneous movement and sluggish speech, he’s lethargic.

I wish I had more insight, but I never asked anyone what their initial letter said. I would definitely place a call to the department to see if they can shed some light on what possibilities you may or may not have. Just for peace of mind, so you don't spend the next 2 months making yourself crazy! I know I would be!! I'm hoping their is still a chance for you as well!!

I got in with an 84.5. I know two students who were admitted last year towards the end of the summer after other people declined acceptance. One had a score of 79 and another was in the mid-70's! That second one didn't recieve notice until very late in the summer. I would not lose hope with a score of an 80! I know people who were applynig to Bergen as a backup in case they didn't get into the accelerated BSN programs they were applying to. Stay positive and good luck! :)

I also tried registering, but it wouldn't let me. Although, it seems a few classes are showing spots having been taken. (Ex: 12/15 instead of 15/15) I thought it was strange that for each of the core nursing classes their are only 3 sections available with only 15 seats in each. Were only 45 people admitted? That doesn't seem right. I guess we'll see if they open up more sections. I'm eager to register and get my schedule settled!!!

I've also made it in!!! Just checked and it says admitted! Congratulations to everyone and I look forward to taking this journey with you! :)

There it is! Thanks so much for explaining that. I don't know why the advisor didn't get what I was asking!! Lol Mine still says Ready to Test. Fingers crossed! Congratulations!!!!!!!! :)

Where exactly does it say Admitted or Ready to Test? I had gone to a counselor to ask why I was reading that candidates webadvisor was reading differently than mine and was told it didn't matter. This is just frustrating, because I don't know how I will tell unless they change my major. I was hoping to have a definite indication before the letters went out next week.

Thanks for the info. I scored an 84.5, which I'm hoping will be good enough to make the cut! We will see!! Good luck to all!

tdag90: I'm having trouble accessing the Reach testing and Remediation portion on the Evolve Reach Testing and Remediation website. Would you mind copying & pasting the current class averages for each subject? I just saw someone was nice enough to do it on a previous post, but it was for last years group. I've taken the Hesi and I'd love to see how I faired. Thanks, I really appreciate it!!