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MissJulie

MissJulie

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I'm a first generation college student. I already had a AS in Biology before going away for a year to complete my BS in Biology. However, I got burnt-out and returned to the community college I had previously graduated from to do the ADN program.

MissJulie's Latest Activity

  1. MissJulie

    What do you ACTUALLY DO in clinicals?

    I take my nursing fundamentals final tomorrow (wish me luck) and during our clinicals, we did vital signs, physical assessments, bed baths, clothing and bed linen changes, med passes, catheters, d/c IVs. Of course, as we progressed through our skills in lab, we added more. I mean, we didn't start with catheters on the first day! We built on, little by little. I think my favorite day was actually when I had a patient being discharged and d/c the IV and catheter, did some teaching for at home meds, etc. that evening, I felt like a "real nurse"!!! :)
  2. MissJulie

    Can a Nursing student cover an MA?

    That is basically what I do, without the phlebotomy (we have an in-house tech that does all of the draws). I started out in reception, then moved to billing (in the beginning, the office wasn't taking insurance, then when they started, instead of hiring someone outside of the company, one of the owners trained me and I'm now certified on the system we use (still not certified as a coder, though)). After I got my CNA, I started floating to the "floor" when someone was on a break, etc. Side Note: My state, KY doesn't require any certification as an MA, as long as the MD is willing to let you work under his/her license, you are "okay."
  3. MissJulie

    Why hire RN's when other disciplines can do the job

    The problem is that nurses have lost a lot of their/our skills. Someone actually asked me if a nurse was allowed to do an ABG because they're not respiratory! Of course, I've also had people ask me if nurses are even taught to draw blood at all anymore, since techs can do it... Of course, I wanted to smack these people! I'm a student, not a nurse yet, but I still get defensive of the career path that I have chosen. I think originally it was a good idea for nurses to "share" their responsibilities with other fields, but now, it seems that nurses aren't expected to do those things. Then again, it's like my instructor told us, anybody can be taught to give a shot or insert a catheter (for example, patients having to do so in the home setting), but nurses are taught the proper technique, proper sanitation issues, what to do if something goes wrong, etc. It's time for nurses to become nurses again, skills and all!
  4. MissJulie

    How would you respond to this??

    Granted, this is coming from a student, but from my current view point, working with one patient at a time kills me, but when you consider that nurses have 5+ patients each, for 12 hr shifts, the thoughts make me want to run screaming from my clinical site! I would have given her a run-down of what you do in a shift: - Assessments - Med pass - Dressing changes - Foley inserts - Dealing with lab/doc - etc. I had a similar interaction with a student not in the nursing program a week or so ago on campus at the cafeteria. We were in line, and I had on my uniform (I was in lab that day), anyway, she asked me if I was in the RN or LPN program (my school uses the same uniform for each). "RN," I said proudly. Her response floored me, so to speak, "I think I'd want to do the LPN program, you get paid almost the same, and there's only one class different anyway. RN doesn't seem that hard." Now, granted, LPNs are nurses, and I'm not down-playing the importance that they have to the healthcare setting, but there is a BIG difference in LPN and RN. Of course, one of the biggest, at least at my school, is the education level. RN is an ADN program and LPN is a diploma. That means there are two semesters difference between the two programs, and in those two semesters, 6 courses. I simply responded that if that was what she thought, she may need to speak: to the program coordinator or dean and get a rundown of the difference, and walked away!
  5. MissJulie

    so I found out...

    I say let it go! Think of it this way, since you were discussing something with the instructor, and I'm assuming that you were holding your own in the discussion, it's possible that he was jealous that you could have an intelligent conversation with the instructor and not get talked under the table, so to speak. Take it in stride, you didn't do anything wrong, and he sounds like a bit of a jerk anyway!
  6. Between school and work, I have no free time! I do manage to find time to keep teaching Sunday School, though, because the time studying the Bible and preparing the lesson helps to keep me centered :) Plus, the kids help me to have a laugh (I teach 10-12 y/o). Other than that, here's my week: Monday - Lab from 8:30 - 12:30; Work from 1:00 - 6:00; Studying until 12:00 Tuesday - Clinical from 8:30 - 12:30; Work from 1:00 - 6:00; Studying until 12:00 Wednesday and Thursday - Lecture from 8:30 - 11:00; Work from 11:30 - 6:00; Studying until 12:00 Friday - Clinical from 8:30 - 12:30; Studying until 12:00 Saturday and Sunday is filled w/ laundry, grocery shopping, preparing for Sunday school, and, oh yeah, STUDYING!!!
  7. MissJulie

    nonparenteral v. enteral

    Nonparenteral is oral meds (pills, capsules, syrups, etc.), topical meds (ointments, patches like nitro), suppositories (vaginal and rectal), etc. Pareneteral is anything injected into the body: intradermal, subcutaneous, intramuscular, intracardiac, and intravennous, etc. This includes parenteral nutrition. Enteral is anything placed directly into the digestive tract: NG-tube, J-tube, PEG tube. Hope this helped :)
  8. MissJulie

    No soap?

    Never heard of that... The LTC I was at for clinicals this semester had a "shower room" supply that consisted of body wash/soap for residents as well as shampoo and lotions, etc. Most of the residents had their own supplies, though. The hospitals around here also have individual sets that they give patients with shampoo, body wash, deodorant, etc.
  9. MissJulie

    What does he do?

    I'm not a nurse, yet, but relying on the state to remind you of when your nursing license expires would be like the state reminding you to renew your drivers license, wouldn't it? It seems to me that if a person put in the work to become licensed, either as an RN or LPN, or even certified as a CNA, etc. that they would be sure to renew the license in time. I know the exact date when my CNA cert. expires, of course, I hope I'll have my RN by then :-)
  10. MissJulie

    Who actually ENJOYS clinical?

    I'm glad you had such a great day at clinical! I love clinical myself, just not my instructor But, we're changing instructors next week, and I'm going from LTC to acute on a med/surg floor. Even though I'm just a first semester, we're already doing assessments and meds (po, topical, subcut, intradermal, and IM), I've loved all of my patients, but I'm looking forward to some different diagnoses, I've learned a lot from the patients that I've had, but 3/4 had dementia as the primary diagnosis, and the other was COPD.
  11. MissJulie

    im injection

    I am currently a student in an ADN program, and was taught to aspirate on every IM injection. If I remember correctly, the reason that the instructors gave was because of the possibility of accidently hitting a blood vessel and actually injecting IV instead of IM. From the research on line, though, I haven't found much support for aspirating with IM. But, since I'm in school, if my instructor says to aspirate, I'll aspirate! Plus, one of the instructors became an RN in 1976 and she was originally taught to aspirate a subcut injection, so go figure!
  12. I work in a pain management office, so we get some "shady characters," so, here goes: - No, it doesn't matter if the doctor you used to go to prescribed you #180 Oxycodone 80 mg for 30 days, you're not getting that here! If you "need" that for pain relief, go back to that doctor! - If you have cocaine in your system, don't try to become a new patient! - Yes, I will believe the Kentucky Kasper report from the DEA over you telling me that you didn't go to Dr. Such-and-such and get the #120 Lorcet 10/650 mg a week after your came here. Oh, and we also do weight loss, so here goes for them: - No, you won't lose weight if you eat a package of Oreos, by yourself, every week! At least try something sugar free! - Listen, I get it, I like chicken noodle soup, too, but regular old Campbells isn't exactly diet food. (Can we say hypernatremia?) Shew! That feels so much better!