kathy_79

i just started my work as nurse extern at one of really good hospital at illinois. we have orientation where theyc were talking about pain assessmnet and managment. one of the wprkers talked about research which are done on it and this hospital was also included: how to manage pain and if there is risk of addiction (similar topic). what the educator told us is that per 100% people taking pain medication only 1% become addicted, and they compare it with smokers per 100% who smoke or take anything containing nicotine 90% become addicted. this is proved clinically (sorry, i do not remember name of woman who is leader for this research, but she was at my work place last year during nurses week at conference that include also pian managment). i just want to mention it because as student nurse on my clinical site i met lots of people neglecting right to recieve proper pain managment. lots of those pts were post op 1 or 2 days, some severe cases, and unable or ashamed to ask for it. no one can assume that pts do not have any pain. it is highly subjective. somettimes people will laught, will jump, will cry, will scream from pain but no one can say that it is not real. i wish at the moment when each of us making assessment nurses put oneself at your pt postion. what would you feel when other ignore your pain and right for control it, what would you feel when they left room and laught at you because you are asking for pain meds, or what would you feel if ask nurse for pain med and never get it at the proper time or not at all. we nurses are our pts advocates, not jugde, just stop and think what is your priority in your job performance. :)

search google. com i found for you and hope this help following website: http://www.travmedusa.com/ good luck and let know how things are going on, :)

what about if you could get advice from lawyer who is oriented in nursing law at your state? i think the state board or even school where you want to apply should give you any info or some kind of counseling available to you. i hope you find solution and if becoming a nurse is what you really want to do so fight for it. good luck, :)

mavnurse what i thimk happen, you were not comfortable with situation ostly because you felt it was not good for pt to practise so many times as pt became sort of subject to do what you have to do than real human being. it is not your fault and this what people say, practice when you can, more experience you get, more comfortable you will. i know school is not the same as real life but what our teachers do not realize, they give us - students- first look how it should be, just teaching us instructions not always helps to be well prepared and not to afraid to do what we have to do. do not lose your hope, time will come you become as good as some of our friends here. practise and be gentel so you feel good with procedure and your pts as well. :)

aneroo, i just ot bronchitis last week, so i have very merry christmas. it started with cough persisted over a week now, plus pus lots of that, no fever, pain at chest, stuffy nose, blowing whenever i can. i just got lower resp infection, i know because week before this week i started with congested nose and cough and i have to go for medical check up to my new work, and they did x-ray for tb check for me and i saw my alveoli full of mucous, so i know this way. now i am taking amoxicillin 750 mg bid, but it does not help lot so i am going to my doc on monday. hope you feel better, :) i am hapy that it happened now when i am off from school, nursing is not for be sick...

i say the same, just nice way inform pt's friend that you cannot give any closer info about pt condition and friend can talk to pt and refer him to pt's md. md should handle it too, that is his job. :)

you suppose to have some explanation at your fundamental nursing book. there is no AEB for risk dx, you put only current status (include your subjective and ibjective data). this is risk for so there cannot be any signs of and symptoms of anything: ex infection. you susspect but there is no evidence, you want to write your interventions and rational how to prevent it, that is why it is "risk for...". i would fail my care plan now if i would put AEB for "risk for...". i can give you example from book which i use at my school craven "fundamental of nursing. human health and function." ACTUAL nur dx: three part statement includes diagnostic label, related factors, defining characteristics, ex: acute pain r/t surgical trauma and inflammation AEB grimacing and verbal reports of oain. RISK FOR nur dx: two part statement includes diagnostics label, risk factors, ex: risk for infection R/T surgery and immunosupression. i hope it helps, :)

as a nurse you work on human body. how can you put a needle, insert catheter, give meds, check vs, make your physical assessment, if you would not know what to look at, what part of body you are working on, how is it going to affect the pt, how to understand disease and its pathophysiology. study it well, realy well, it will save your time at nursing program. it will help to appreciate human body and your pt working with. :)

i also approve what Scavenger'sWife says. you can file civil case for assault esp. if pt is A&Ox3. if you have any witnesses who heard what hospital staff replied to you it would help. i think also go chain of command. ask for advice and what the best thing to do in your situation, but do not leave it like this. you were harmed and it is not right. if we have to respect our pts, they need to do the same. i understand that pt was in pain, but if you explained him that you cannot give him iv med and why, and you was going to notice his nurse, what that man did is out of normal, respectfull behave and ethic. good luck, get well soon. :)

except obvoius medical problem, the girl has aslo psychological needs which are not met. she needs attention from her parents ,who probably are separated or during divorce, she wants to have her father with her (he is at navy), maybe she has impaired relationship with her mom because of what is going on in mom life and girl too. i just thinking about immediate physician consult, but also what is hard for mom i would suggest some type of therapeutic consult too. it is not that she is bad mom but all what is going on in her life has huge impact on her daughter. if she will not open her eye that her baby needs her and screaming for attention and love, there can something bad happen. i hope the girl will get better, i pray for her. and also for you, you are good friend and if any chance help baby girl who needs that. god bless you. :)

"Becuause the pt was on bleeding precautions, and had a very low platelet and RBC count" what about risk for injury. describe her current situation, meds, labs, head -to-toe assess. godd luck, i am on my second care plan workshop now. it is time consuming but very helpfull for me to focus on pt and develop knowledge. :)

just like you Dixie i like to watch it. even if they show many mistakes that normally nurse would be write up or terminated, i am not talking about md position i am not so oriented in their scope of practice at least yet. i am also student and when i watch it can recognize what is going on, what they talk about, ... last episode i love because they show what we as staff sometimes forget, how people want to die with dignity and at place where at least by the end they can find peace. i just hated when they were talking about procedure and did not explain it to patient and what mostly scared me and disgust they ignore patient. what the he..., for whom are we there at medical settings as a staff? please, do not ignore or disrespect your patients this way!!! put yourself in their position, how would you feel being in situation like this? HIPPA. RESPECT. LOVE. CARE.

first, he should be in isolation room. you need to wear mask each time you have a contact with your pt. this is airborne droplet transmission, prolonge exposure leads to infection. from infection to show signs of tb reaction, it takes about 2-10 weeks. it does not mean you have infection, you need to follow with your md. we had one pt on our icu last summer, they suspect tb but it took 5 weeks before they pt him on isolation. i use precaution because i do not want to get anything from my pt and also having small baby make me more awear what i need to pey attention to. good luck, i hope you are fine, :)

there are two types of nursing diagnosis: 1. acurate which are three parts nursing diagnosis - problem stated related to (r/t) - underlying cause, pathophysiology or/and psychosocial issue as evidence by (aeb) - subjective, objective data ex: impaired gas exchange r/t sorth of breath, or decreased cardiac output, or excess fluid in lungs (or all of those) aeb vs t 98.9 bp 138/80 rr 24 hr 70 ; sat oxygen 92% (specify what was used- nc, mask, nb mask, venti mask or room air how many liter per minute or percent) head to toe assessment: level of orientation: alert but disoriented 2x (place , person) circumoval eyenosis, shallow breathing, sob on excretion, nasal flaming, how is pt capillary refile, lab values, meds, subjective describtion from pt, caregiver, family never put current status here it is active infection, actual, visible problem (need) of pt to "fix" 2. risk for nursing diagnosis - problem stated "risk for...", no visible evidence just suspect for... r/t - current status never put aeb, there are no evidence, you suspect something to happen ex: risk for infection r/t surgical procedure or immunosuppresion, or both current status vs; t, hr, rr, bp; awake or confuse (mental status); head to toe assessment, surgical site assessment, lab values, meds, subjective data, i put you sample what we use for out care plan: Nursing Dx: R/T Objective data: subjective data: current status ____________________________________________________ hope it helps, good luck to you and others, :)

motrin is the best for high fever, but for me 103.9 in 20 months old baby need to get doc concult as quick as possible. my baby was the same age and after all she run out strep throat infection. but i had really hard time to get her fever down. i hope he will get better. :)

first, do not take any items ever out of pt room who is on isolation, no matter what type of. you should go and get another cup or call for this but not taking out infected thing. i am nurse student too, recently, i had pt with MRSA too. this is contact isolation so you should be fine, at least, if you did not touch bare hands anything in pt room amd pt thmselves (wound, non-intact skin, equipment that they touched). we learn all the time, just remember no-no is to take anything out. on my unit we even have disposal silverwears, cups, plates, stethoscopes, so everything sttay with pt and is discard at room. later housekeeper need to desinfect what can be reused. besides, follow the policy at your work place, to prevent nosocomial infection and transmittion on others. good luck, it gets better, :)

i also agrre, leave the place ASAP. report to department of public health. it is not safe place neither for you nor for residents there. poor managment and responsibilities skills, lots of other important things is disobe, do not hesitate to run out. the best wishes for you, :)

i am taking microbiology and i am mom of two year old babygirl. it is hard and time consuming but with support and time managment skills is doable. i have lots of friends taking A&P2 with our nursing courses and they do well on both. i am As student but now oncentrate more on nursing courses than other one, so i just need to pass it with C or better. and it is really first time when i do not care if i got A or lower from mocro i just need to go thru it and nursing is priority for me. i can always come back later to repeat micro for transfer. it is doable and set me up with good time managment and study skills for future. good luck to you.

only one advice: quit that job. it is not worse your time and health. you are at risk for being sued not even from your fault, you are at risk for health problems. eople, it looks like, need professional help. most of you, employee, are not able to do it. i am sure there are some other places to look for job, just not stay there to suffer any more. good luck, :)

yes, yes, yes, i have had my clinicals for a while now, first thing i noticed was polypharmacy. most of my pts were on 20-30 drugs each day. i just cannot imagine how come their body can stand so integration, we all know aging process and its consequences so i just am amzing and scared that mostly this people still are alive because of drugs and its addiction. i know the deseases require treatment but at some piont it is too much ingeration. i hope i use to it more thru my school and later on, :)

i think you need to reconsider if you really want to go for rn. it is hard but pleasure way to go through but you need to be sure that it is for you. if you asking for advice that means you are not into it yet. no one esle can make decision for you, this is your future to deal with and you need to take responsibility for yourself. i do not want to sound mean or mentor but you are you and your choice is your life and future. good luck, i hope you will find your way. my advice, find want type of work is psychologist does and nurse does. ask people how it looks their working day. you will see and compare and maybe then you can decide what is best for you. remember this is your choice and your life, not mine and anyone else. :)

i just have had my clinical pt with on staph isolation. it is mostly mrsa infection: methicillin-resistance staphylococcus aureus. the type of nosocomial infection, one that is required at hospital or healthcare facilities. because most of bacteria are treated with antibiotics, some of them developed resistance to it. one of them mostly known are resistance to penicillin and related to pencillin. you can find out more going to http://cdc.gov and search for mrsa, you will find good explaination of it. bacteria develop on skin and are not infected untill person has factors that predispose to infection: ICU and BURN unit patients, open-wounds, immunosupression, there are no symptoms except those that predispose for infection: fever 103-104. F, swelling, rash, the doc order tests for cultures in blood, urine, feces, if there are any they will look for specific bacteria, so doc can choose proper treatment for this infection. my pt has open-wound and she was treated with cefazolin (ancef) + ointment to affected area. it is contact isolation so just follow standard precaution and you will be fine. take care, :)

you did great job, i agree with monica, 15 to 2 and i know about 5 to 1 if i am not wrong you do this way when you are alone so above is for two people doing cpr you are very good person, i bet you save more lifes, :)

i was nervous at the first time, really , i mess up with bp. i work as cna almost 3,5 years and really never it was like that time for me. i took it right, i heard my systolic right but because it was not sostrong like second sound i just ignore it ( i swaer it happens to me maybe 1/100) but it was this 100 for me this time. i told my instructor that i heard this soung afterall and she accept it just want me to not ignore it next time and believe what i hear. later it just comes to me bacuase i always try to not think about instructor watching me only concentrate on pt. we practiced our vs, transfer, positioning , body mech, med asepsis on oartners, we watched videoes, we never did washing on each other, it was done on our real pts. i just practice more and never assume that i am good all the times i take bp. every pt is different and i try to remember it. good luck to you, :)

i have to take prerequisites for my program, which took me 1 year, thay have points ranking addmition so i tried to have As at least Bs. now i am finally in and l;ove it so far.:)