Jill2Shay

I'm in block three of an ADN program in Arizona. CNAs are certified here by the BON, but PCTs are not. I can't find any info online how I can get certified as a PCT without taking a course. I can't even find anything about who governs PCTs here. I really don't understand the difference between them, except PCTs can do a bit more... but who defines their scope? Are they just CNAs with more training by their employer?

I sit in the back, but out instructor has a little microphone and can be heard, loud and clear from everywhere in the big room.

Do do you have any repeaters in your class? Do you want to be that person? Study in a room without your phone or a computer

Ask the teacher to address the problem in class. Out instructors don't put up with that crap.

My school recommends Med-Surg Success.

Ok... Let me preface this with I'm only in block two... His meds say he's on an two anti-platelets and a statin drug, so he has/had cholesterol issues and clotting issues. Couple that with his long history of serious medical issues (stress), the cough, SOB, chest discomfort, and labs that indicate kidney issues, which we know are sensitive to poor perfusion... maybe something with his heart? Just a shot in the dark. I'm probably way off... But it does suck to try to figure out what's going on when when his doctors haven't figured it out yet.

APA Citation Style Guide â€" Landmark College Electronic Image - APA Citation Style, 6th edition - Research Guides at George Washington University OR you can just plug in the URL for the page you found the picture on into Son of a Citation Machine and it will give you an APA citation. Son of Citation Machine

And thank you too!

Thank you!

I get that part, but why dangle for 45 minutes every 4 hours?

I have my first real clinical shift of my med-surg block tomorrow. I just picked my patient and ma writing the care plan now. One of the activity orders states the patient can dangle for 45 minutes every 4 hours. What would the purpose of this be? I understand dangling in regards to orthostatic hypotension and allowing the blood pressure to regulate before standing, but what does just dangling accomplish? I've done some searches with different search terms, but nothing difininitive comes up as the benefit of dangling in bed without getting up. The order doesn't say anything about extending the knees or any other ROM activity.

What were his ABGs? Just curious, I'm only in block two and they've drilled into us that alkalosis decreases K+.

Did you get a health history from him?

I get what you're saying, but I don't get why they would teach that method. The brachial artery branches to the radial and ulnar artery, so if the pulse cannot be felt in the radial, it stands to reason that it wouldn't be felt in the brachial either. The brachial artery isn't the easiest to find in the first place, and if you can get an accurate and easily found reading from the radial, why not use it? We learned the 2-step as well, but we palpated the radial and inflated until it wasn't felt, deflated, waited two minutes and then did the BP at 20-30 mm/mg above the original value.

We used Calculate with Confidence. Here's a link to an older addition which is much cheaper. It really helps to break down the questions and offers different calculating styles. Just make sure to know your conversion factors. Take your time. Check your answers. If it doesn't make sense, it's probably wrong. You're not going to give 14 tablets of Potassium. Amazon.com: Buying Choices: Calculate with Confidence, Fourth Edition