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Clinical Failure
Do u take any responsibilty in this? Are you ever held accountable outside of school? Doesn't sound like it...
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L&D is def. what i have to do...
CONGRATULATIONS!!!! I graduate in Dec 12' (1 more semester in Sept), did you do any intern/externships? Do share interview tips:bow:
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17 yr old hep b vaccine and titers....still around?
I had the series done at 12 or 13 yrs. When I had to have my titers done it showed I had not sero-converted. I had to do the series again and it worked this time. However, if I did not convert I would have had to do the series 1 more time and if still did not convert I believe I would have had to sign off on something. It does not prevent you from starting nursing school whatsoever. You just need to start the vaccines and stay on schedule. One of my Prof. had never converted so she is just at an increased risk, obviously.
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My review log for NCLEX-RN exam.
Does it matter what version the Lacharity book is 2005 vs. 2010? I'd like to save $ if possible. TIA
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No wonder our profession is messed up
I usually see a NP at my Dr.'s office. Of course, you need to wait days to weeks to see one of the Dr's there. I went in for a rash my GYN (at my yearly) said the previous day was a staph infection:eek: so I was like should I go to the ER??? He said no just get to see your DR asap. I go to my NP the next day and she was a little baffled but looked at me like I was nuts when I said my OB/GYN said it was a staph. She was like ummm no!! She then said it looked like pityriasis rosea but got in the head Internal Dr to take a look:uhoh21:. He was not as sure as her, he was thinking a fungal infection or Psoriasis. They prescribed a fungal cream and said to see a Dermatologist if it doesn't get better. The cream seemed to work slightly but then just stopped. I headed to the Derm a fwe days later. He looked at my stomach and said immediately Pityriasis Rosea!!!! Doctors DON'T always know everything, my NP was right. I was p***** and still am that my GYN said staph and was sure about it... Just wanted to add that even as a student in an RN program right now, some of the students can be so freakin NASTY if you ask a question. I'm even talking about ones who have failed the semester you are in with them right now (b/c they are taking it over) and they are know-it-alls, God forbid you ask a question, they answer it like you are an idiot. Umm you failed this last semester so if you were so smart you wouldn't be in this class right now . It all boils down to jealousy. And if it's not jealousy it's misery....cuz it LOVES company!!!! LOL And one last thing, they all can make mistakes!! Consent forms....
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IV solutions Question!
the only commonly-used intravenous solution containing dextrose that is considered isotonic is d5 1/4 ns (~320 mosm). solutions containing dextrose are somewhat tricky, however. once infused, the dextrose is also immediately metabolized (within 5 minutes of entering the bloodstream) and you are left with the osmolarity effect of the underlying solution. so, even though d51/2 ns is considered hypertonic initially, it will have the effect of a hypotonic solution after a few minutes in the bloodstream (1/2 ns is left and it is hypotonic). d5w is an example of a hypotonic solution. it is made by placing 50 gm of dextrose per liter of distilled water. it does not provide any electrolytes. it is hypotonic on initial administration, at 252 mosm/ l). once the dextrose is metabolized, however, (in about 5 minutes), it provides free water for renal excretion and promptly leaves the intravascular space to expand the intracellular fluid volume. it also provides 170 calories/l (about the same as 4 gs shortbread cookies) for metabolism. it is never safe to infuse pure sterile water (will kill a patient by lysing the blood cells and putting the patient into renal failure). d5w is generally a very safe way to dilute serum osmolarity. of course, with all dextrose solutions, you want to consider the effect of the dextrose on the client's serum glucose (especially if the client is diabetic). each gram of dextrose supplies 3.4 calories. as earlier stated, 1000 ml of d5 solution furnishes 170 calories. hypotonic solutions are used to provide free water and treat cellular dehydration. maintenance fluids are usually hypotonic solutions, because normal daily losses are hypotonic. provides greater amount of water than electrolytes: decreased osmotic pressure. increases intracellular fluid. the fluid leaves the intravascular space and rehydrates the cells. out of one liter of fluid, only about 85 ml stay in the intravascular space. these solutions also promote waste elimination by the kidneys. hypotonic solutions should not be administered to patients with increased intracranial pressure because it can increase cerebral edema. also, not for clients with third-space fluid shift. hypotonic solutions should be given at a slower rate than isotonic solutions. one of the best guides to a safe rate of flow is the reaction of the patient . therefore, the nurse must observe signs and symptoms carefully (such as shortness of breath, dyspnea, coughing, cyanosis, increased respiratory rate—all symptoms of pulmonary edema). monitor blood pressure, pulse rate and respiratory rate frequently.
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Drug Math Question
I'm not sure of the question you are asking. Is there an order for 750mg Vanco diluted in 15 mL NS? Shouldn't it be what's available, not the drug book?
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What to expect the first year at NSCC
I don't know the differences in nursing schools and how their programs are run; or what is expected but this is from the website at my CC: Ocean County College has become a powerhouse in producing highly qualified nursing graduates. More nursing students graduate from our program than most other community colleges in New Jersey.Our pass rate for state boards is one of the best in the state. I think you get out what you put in...
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What to expect the first year at NSCC
At my community college, it's a 2 year RN degree. The first semester is 9 credits, second is 12 credits, 3rd is 9, 4th is 12 credits. The workload is intense because it takes up a lot of time. I have 4 kids but I do it. The 1st smester I was enrolled in the onsite online which was from 7am to 7pm 1 day a week. 2nd semester, not enough students passed so our class had the choice to go traditional (classes on campus) or wait out a semester for the the next OSOL. My husband and I were able to arrange for me to continue with the traditional classes and not wait. So the second semester consisted of 3 morning classses and a full day clinical at the hospital. I'm now in my 3rd semseter and I'm enjoying not having an extra class so it's 2 morning lectures and one clinical 7am to 4pm. A fellow classmate of mine who I am closest with has a Bach degree from Rutger's Univ in biology. She still has to read/study and all. I don't think it's all that much easier for her just because she has a degree already. It's a tough program and requires a big commitment. Your nursing dept should be able to give you an idea of an est. study time recommended for the program. I was told in the begining at least 40 hours a week...I was like yeah right. Well, it depends on the content you are studying and such. I don't count I just study as much as I can in between my mom/wife priorities. There are many days and weekends where I can't attend events b/c I need to read and study or do practice questions. If you really want it, you'll figure it all out, GL!!
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PICU without wearing a gown?
I thought that depended on your specific hospital regulations?
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Not sure about Nursing School acceptance?
My school has basically a zero tolerance absence policy, it is so strict it's almost not fair but it is what is is. It sounds like it is a risk u r going to have to make if u choose to start school. Or enjoy the pregnancy and reapply after the baby...oh the joys of motherhood and the sacrifices we have to make. GL whatever you choose :)
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Things you would love to say to your fellow nursing students!
- PTSD nclex question
My first thought is B. Is PTSD the client's fault? I mainly think of the military (not in every case of course) with this disorder so why is it their 'fault?' I just finished 1st semester so I'm not 100% sure. Then again, just b/c the client is out does not mean they are healing/healed....gotta love critical thinking without reading into it, lol- "Students with good grades = not good clinical nurses"
Keep doing what you are doing. Don't let comments like this bring you down. All people say stupid things at one point or another. Remember, our nursing Prof./instucters are just there to guide us. They will not be holding our hand throughout school and you may never even see them again once you work as a nurse. I had a situation happen a couple of times my first semester (final is Fri). I would here a fellow student talk about how our Prof. was building her up and not to worry about her F's(very nice girl btw and I really hope she passes the final). It kind of bothered me b/c I felt like where was my pat on the back for pulling A's??? I finally got recognized, eventually, which did feel really good . I think b/c nursing is pretty tough, and it should be, the encoragement is for those who struggle but have some hope, reallyneed that positive reinforcement so they don't drop out prematurely.- What to do when you literally HATE your classmates?
Save yourself all the stress and aggravation...worry about YOURSELF and not everyone else. Are you jealous of your classmates? Who are people to judge others and say they are only in NS for the money, W*F, impossible. I don't think nurses are paid enough for everything they do. - PTSD nclex question