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RN_Pink

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  1. I am a ICU nurse and have worked in ICU for the past 5 years. I am not ready to sit and test for the CCRN but feel that I would be able to pass the CMSRN. Can a ICU nurse test for CMSRN? My facility is requesting that all nurses become "certified" so I felt this would be the best route for me at this time. I am currently going back to school for my nurse practitioner and can't really put a lot of time into studying for the CCRN at this time. Though it is one of my goals but there is no way I could pass at this time. Thanks for your suggestions!
  2. I just want to get others opinions on this subject. I searched on here and saw where there were some old threads regarding this topic but I wanted to start a new one. The hospital in which I work started using a tracking device system called Responder 5 about 2 years ago. The staff wears a tracker that has "Versus" on it. I have no problem wearing something that shows that I am working and doing my job because I do just that. This system has a light over the doors of our rooms and the light indicates who is in the room, the CNA, nurse, LPN, etc. I work night shift and we have had ongoing problems with these trackers. First of all, it is supposed to cancel our call light when we walk in the room of the patient calling. It does not work half the time. Then we can be in the rooms giving meds, turning patients, etc. and come out and the light was never on. I have had this happen several times. With our tracking devices, if they are turned backwards or not pinned up on your shoulder area, they do not work. In my opinion they can be a huge failure and not mistake-proof unless you are constantly making sure it is turned right. If the battery dies you most likely won't know until someone notices your light is never coming on or if your director pulls your tracking report and confronts you saying you have not been in your rooms. If you are on the "get rid of list" you will get fired over this. I have seen many get fired or written up over their tracker and in some cases it has been the battery is dead. I feel that the facility I currently work in is so focused on these trackers and it has made everyone very nervous. I know when I go in my patient's room I am constantly wondering, "Is my light on outside the room?" It is almost to the point you cannot provide the care you need because of worrying about "not being picked up in the room." Also with our unit they are worried about call lights and we must answer them in a certain amount of time. Well the tracker is supposed to cancel the light when we go in the room. Most nurses take for granted that the tracker is going to do just that and it doesn't which then sends the light into "overtime" and then we have to explain to the nursing supervisor just why did our light go into overtime. I understand the fact that my facility wants to ensure great patient care but I feel that this tracking device is not the solution. I feel that there needs to be a much more mistake-proof tracking system. We have a lot of issues with being in the room and the sensor never picks us up. I have tried to discuss with my director but I get a answer like, "have the battery changed". I have had my battery changed along with my co-workers several times and still nothing changes. I just want to see what everyone else thinks and if anyone else has the same issues with this system.
  3. Took mine today at 1pm and got the good pop up! I still won't believe it until I see my number posted! Hope mine is posted tomorrow!
  4. Congrats! I test tomorrow! I am so nervous and trying to figure out things to look at last minute! A few of my classmates have already tested and all got the good pop up and it has been accurate for my class so far! Any last minute suggestions for me?
  5. Please help. I am a LPN and bridging to my RN. I missed 1 question on my drug calculations competency test today and so I have to retest next week which my instructor informed us would be harder. I am a nervous wreck. Some of the questions she advised us to look over have to do with time. I am not sure what formula to use for these problems. One she had on a worksheet but didn't work out for us was this: A patient is to be given 1000 ml by IVI using a controller with a drip factor of 15 drops/ml. The infusion starts at 8.00am and every four hours the patient is given a 1hr rest. If the drip rate was set at 25 drops per minute, how much liquid would be left at 3.00pm?
  6. I am a recent graduate as an LPN though I am not new to the healthcare field. I have been a EMT-I since 2003 and have worked doing that part time. Full time I worked in a clinic with 5 physicians as a Medical Asst with a physician as his nurse. I drew labs, EKG's, breathing treatments, assisted with different surgical procedures like mole removals, toenail removals, etc. So I just graduated LPN and took my boards last week and passed. I have been under our hospital in our small town for 8 years doing EMS and working at the clinic. I want to stay with that hospital if possible due to retirement I already have and just time invested. So I applied for a position in the ICU (it was listed for an RN but the director does have 1 other LPN working). The director was interested in starting me out on night shift 7p - 7a which is fine with me. I just want to work. I had a "peer interview" this week with some of the crew I would be working with and that seemed to go well. I just wanted to ask from others who are more experienced LPN's do you think I will be alright in ICU? I am eager to learn and love critical care! Our hospital is not a trauma center either if that helps. Most really bad cases get sent to other hospitals in the neighboring counties. Also I am working on core toward my RN and hopefully will be in that program sometime next year. Any suggestions!
  7. I took my NCLEX-PN at 9:00am this morning. I was done around 11:00am and had 85 questions. I thought it was difficult and felt I guessed at a good bit of the questions. Around #30, I thought I was going to start crying because I felt they were all wrong. When I got to my car I immediately tried the PVT and it said I passed. What a relief! I seriously dont think I have had a good nights sleep for a week due to studying and preparing! I have already started on my RN core! Ready to finish that but dread having to sit for NCLEX-RN! Now on with the job search! Hopefully I can land my dream job!
  8. I just took my PN & immediately logged in & got the good pop up!!
  9. I am scheduled to take my NCLEX - PN on Thursday 10/20 at 9:00am. I have been studying and reviewing my review course videos and Exam CD. I still feel there is much I need to review. I dont feel that my mind is refreshed. I am worried about medications and the side effects and toxic effects. I am also worried about the SATA questions. Should I move my date up??
  10. Was this for your RN or LPN? I take LPN boards in 2 days and I am very nervous. I am worried about the SATA questions.
  11. Do you feel that you were prepared for NCLEX throughout LPN school? I just finished LPN school this week and take boards on 10/20. I desperately hope that my instructors have prepared us the way we need to be for boards. I know too that you have to study and practice and I am doing that daily until 10/20. What do you feel were your weakness on the NCLEX? Were there lots of questions you had to guess at?
  12. I will finish LPN school on Monday. My instructor submitted our registration today to take our NCLEX. At the end of the board registration there was a consent form which we all have to sign and mail in, not fax, not scan & email, regular mail. Before this we had to be fingerprinted which is something they just changed as well without notifying instructors. My instructor called the board today to see if she could fax in those consents and they said no and not to expect ATT for 25 days. Her last class she registered on Tuesday and they had ATT's on Friday. I mean really, we go from 3 days to at least 25 days. Anyone else encounter this problem??
  13. My client this week had Cirrhosis with Esophageal varicies. I need help with the top 5 diagnosis for her.
  14. I have to do a care plan on my client for this week. I am not sure which diagnosis would be considered #1. He had decreased cardiac output due to cardiomyopathy. He was in fluid overload. He was fatigued, short of breath, etc. Also he has chronic renal disease. I am not sure which would be #1, the decreased cardiac output or the Ineffective Tissue Perfusion (Renal) - renal disease. Any suggestions!
  15. I know my diagnosis for my care plan is going to Impaired Gas Exchange. I am not sure what to relate it too. My patient's impaired gas exchange was because she was anemic. While taking care of her in clinicals she would not keep her oxygen on which was causing her O2 sats to decrease. Any suggestions on how to relate this?

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