Daisy9739

How do you handle sexual assault patients and evidence collection? In my neck of the woods we have a sexual assault nurse (SANE) that comes into the ED, and handles everything. However, my "great" hospital does not contract with them. So to make a long story short, we run around like chickens with our head cut off. So here is some questions. Do you have a policy in place if so what is the basics of it? Do you have a cart with all the items you need, and if so what items are on it? Do you use an action plan, i.e. charge RN takes over primary RN's assignment until evidence collection is complete, or untill some one is called in to replace her. Evidence is locked in specified locker, with key in pyxis. etc. I would also like to here from any SANE RN's or Facilities using them. Thanks so much any info will be helpful, I'm trying to organize a new policy as well as an in service.

i agree that everybook has different lab values. for me, i'm remebering just the avg.'s. i've used this since the begining of classes and even at work, and i always get it right. in my book normal labs are: k+ 3.5 – 5 ca+ 4.5.- 5 mg 1.5-2.5 phos 1.8-2.6 na+ 135-145 cl 95-105 crt .5-1.2 bun 10-20 ptt 60-70 or 1 ½ times higher if on heparin pt 11.0 - 12.5 or 2.o -3.5 times higher if on coumadin inr 2.0-3.5 for coumadin wbc 5-10 rbc 5 hct 40 hgb 15 ph 7.35-7.45 (40) co2 35-35 . for me i’m going to remember: on vacation i - [color=#3366ff]ate 4 bananas with 5 glasses of milk, read 2 magazines about 2 fossils. [color=#3366ff]spent $140 on napkins and a $100 on clear heals. [color=#3366ff]did 15 bun exercises and drank 1 creatine shake . [color=#3366ff]met, 3 idiots , 11 pets and 65 hunks. ate 4 bananas (k+ found in bananas) with 5 glasses of milk (ca+ found in milk), read 2 magazines (magnesium) about 2 fossils (phosphorus). spent $140 on napkins (na+)and a $100 on clear heals. (cl) did 15 bun exercises and drank 1 creatine shake (creatinine) . met, 3 idiots (i for inr), 11 pets ( p is for pt) and 65 hunks. (h is for heparin’s ptt). i don't have anything for wbc, rbc, hct, or hgb. for some reason , i just seem to remember those, i hope this helps you. it does for me.

Hi soulshine75 I love A&P, but the class is extremely difficult. And I was a dedicated honor student. However, every college and professor is different. My professor was a perfectionist; she would take points off for everything from spelling to stapling papers in the wrong corner. I'm not kidding. I will say this much, I took it along side Spanish, and thought I would die. But it all depends on what kind of student you are. Do you have employment commitments, family, married, do you have time to dedicate all of your waking hours to studying? I'll say this much, a good friend of mine from Europe, was a borderline genus, (she had taken classes at Harvard, 4.0 GPA, tested into Calculus 2, at the entrance exam, and had toured internationally reading her own personal writings.) Sadly, because she had not received her renewal visa in time she ended up having to take classes at a community college, until she did in order to continue at Harvard (some legal crap). Anyway to make a long story short she took, A&P 1, Chemistry 1, Music history, Advanced drawing, Spanish II, and English Comp II; keep in mind she had only been speaking the English language for a year and worked 50 hours a week. At the end of it all, she ended up with an A in everything. But let me tell you she was an extraordinary student. She told me as well as others that after class she would work till 11:00pm take a nap until 2:00am make coffee and study until class started at 9:00am and on Saturday and Sundays she would work nights and study during the day. If you ask me she was a genus slash insomniac; but she claimed it was just that her education and up bringing in Europe is just more advanced, which gave her so much more advantage. However she admitted to me, she struggled very bad with A&P and swore she would not advise taking all those classes with it. In fact, when it came time for A&P 2 she only took it with Microbiology and Music history 2.. So the moral of the story is: it depends on what type of student you are, what are the other classes you plan to take with it; and, are you willing/able to give up the rest of your life during the semester. My opinion, keep all the other classes as simply as possible, and find out if perhaps some classes can wait till summer or the next semester, A&P 2 is a little easier then A&P 1 especially if the other classes are some what simpler. P.S. As for my friend, she is now back at Harvard going for her MD, what she didn't realize is that they don't except credit from Community Colleges. :angryfire

:balloons: photocopy it, and realize... it was all worth it. :balloons:

Before I went to Nursing school, I was an EMT for 9 years. Most classes are about (depending on your area and school you choose eg. private vs. a college) $600 and are only about 6 months. And I'll tell you I learned a lot. The experience alone was worth it. What's great, is you can always work part-time, full time, per-diem, I would pick my own shifts. Some like to work 24 hour shifts or 3, 13 hour shifts and some work just 5 hours on Sat. The flex is great and the experience is priceless. And if an ambulance is'nt your thing, many ER's will train you as their tech, I worked for an ER, that trained me in Foley's, phelbotomy, EKG's and a host of other duties. Check it out, just a thought.