Mike R ADN, BSN, RN

Emergency

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All Content by Mike R

  1. Mike R

    Help with my assignment please!!

    What do you have so
  2. I'm with Ashley. Unless for some reason you plan on working as a CNA in the future and keeping your LPN as a secret, I'd let it
  3. Mike R

    Assisting with Gait belt

    Also: for pivoting, you want the patient to pivot on the strong leg. You will use your same leg and cross your shin with theirs. Example: The patient has a right sided weakness. He will get out the...
  4. Mike R

    Assisting with Gait belt

    The gait belt should be as low as possible on the hips and three finger tight. Like the others said, back straight and bend the knees. Knees to knees and your feet securing theirs so the patients feet...
  5. Southern
  6. Honestly, every nurse I've spoken to just says "good suck" or "poor suck". Nothing fancy at
  7. Mike R

    PSYCH TIPS?

    Adding to srobb11's comment, select the answer that both states an objective observation and a statement that allows the expression of feelings of the patient. IE: "You appear to be upset. Let's talk...
  8. Mike R

    cant move a bed?

    Either it's some obscure hospital policy, she was having a bad day or like what Kim said, the nurse is a control freak. I did patient transport for 3 years and have gotten flack for random things now...
  9. Mike R

    Naproxen question

    I wonder. I took Naproxen a few years back and it gave me the worst heart burn I've ever had. Since "fire chest" isn't an option, Nausea and Vomiting would be my next choice as I don't like the other...
  10. Mike R

    Help with calculations OB

    Los Gatos did do it right. Though just because it's below the maximum doesn't mean it's safe if it's this far out of the range. Many would consider a margin of +/-10% as safe. Especially since it's...
  11. Mike R

    Thoracentesis and hypotension

    I've argued this with my professor before. I thought that since the fluid being pulled out is not part of the vasculature, it would not affect BP. My instructor's argument was that if you pull large...
  12. Mike R

    Decisions....which path to take?

    Couple of points to touch here. I'm in Southern CA, which is just as impacted as you folks to the north. Yes, the nursing program is impacted with a long wait. You should know that radiology, ultra...
  13. Mike R

    Dosage Calc..HeLP!

    Are you sure the answer is 240ml/hr? I keep getting a fraction of your answer no matter how I do it. 500ml/25000units x 1200units/1hr= my answer. Setup your second question like this: You want your...
  14. Ashley had some great comments. I just want to add: 1) PaO2? Cap refill? 6) How is the patient doing psychologically, maybe Anxiety? Depending on the PaO2, check out gas exchange NANDAs? Depending on...
  15. Mike R

    RN student = CNA?

    I just got picked up at local hospital as a UAP. Because of nursing school, I was hired as a Nursing Assistant and didn't need to take the CNA exam. Though I do the exact same things as the CNA's I...
  16. Anxiety R/T clinical rotations, tough exams and strict instructors AEB tachycardia, tachypnea, diaphoresis, loss of appetite, diarrhea, less than 4 hours of sleep Qday (the AEB's go on and
  17. Mike R

    How was your Psych rotation?

    I'm doing mine right now at an acute facility. Initially I was not looking forward to it. Honestly, it's a lot of fun up until lunch. Then the rest of the day DRAAAAAGS. For me, there's only so much...
  18. Mike R

    MRSA & sex

    I was agreeing with you. The whole thing was directed at the OP, not
  19. Mike R

    What are your other degrees in?

    Bachelors in Criminal Justice. Talk about a 180,
  20. Mike R

    MRSA & sex

    This. But is anyone really going to glove and gown up when they have sex? Wear a face mask if in the nares? Haha, I'd like to see anyone try. It's more than likely going to be spread without...
  21. I bet the authors forgot to include it in the text. That's like giving Lasix without checking K+. Or like pulling the trigger playing Russian Roulette. Well, maybe not that drastic, but you get the...
  22. The V is roman numeral for 5. The question states: on hand, each tablet contains 5 grains. There are 60-65 mg per grain. In this case, there are 65mg/gr. When you do the math, 1 tab is correct. Show...
  23. It took me a year and a half to do the pre-reqs (work full time, school part time), a two year wait list and we have a two year program. So when the dust settles, it will have taken me 5 1/2 years to...
  24. Mike R

    shafted

    Last semester, out of 5 guys in our class, all of us were asked not participate in natural deliveries explicitly by the mothers. The staff was fine, the mothers were not. The demographics were...
  25. Mike R

    Help With Weight dosage problem

    You'll set it up like this: (4.4mg/1kg) x (1kg/2.2lbs) x (80lbs/1) x (250ml/200mg) x (1/4hr) = answer Docs ordered dose X conversion factor X pt's weight X available meds= ml's to give. The last one...