nursingstudent_2012

I will ask my preceptor that. Thank you so much. That's a really good suggestion. :)

Thanks for the clarification. That makes sense. And thank you for the suggestions. I found several useful tools from ASIA and am planning to explore both websites. I'll also check out Craig and Shepherd Hospitals' websites. Honestly IDK what to expect so I'm nervous. I'm so used to being in a regular unit like Med-Surg and Cardiac CU. So when I heard Rehab I automatically thought "what's the difference?"

Thank you so much. I was thinking Neuro and musculoskeletal would be the main focus. But reading about SCI a little more, I realized there are a lot of other important things that I need to focus on.

Hi everyone. I'm a nursing student and I found out yesterday that I was assigned to do my clinicals at a Spinal Cord Rehab unit of a hospital. I have never been to a rehab unit ever in my entire 3 years in nursing school and have no idea what kind of assessments you do for patients in a rehab unit. I did research last night but aside from neuro assessments I'm still clueless as to what I need to do for the patients. Can anyone please enlighten me? I'm guessing since it's a Rehab unit it's an outpatient right? So what kinds of assessments are necessary for spinal cord injury patients? Is there a universal assessment tool available that all hospitals use? I need to make a time management tool but I'm having trouble making one since i dont know what you do in a rehab unit.

I was refering to the postpartum stage. Here are the nursing considerations that I have so far: Before: 1. Pt with immunoglobulin A deficiency may develop immunoglobulin A antibodies and have anaphylactic reaction; must weigh benefits of treatment against risk of hypersensitivity reactions before giving. 2. Obtain and review hx of allergies and reactions to immunizations. Keep epinephrine 1:1,000 ready to treat anaphylaxis. 3. Immediately after delivery, send a sample of neonate's cord blood to laboratory for typing and cross-matching. Confirm if mother is Rho (D)-negative and Du -negative. Give drug to mother ONLY IF infant is Rho (D)- OR Du -positive. Administration must occur w/in 72 hours of delivery. 4. Use with caution in pt with thrombocytopenia or coagulation disorders; hemorrhage/hematoma may occur from IM administration. After: 1. Monitor for s/s of intravascular hemolysis (IVH), anemia, renal insufficiency, back pain, shaking, chills, discolored urine, or hematuria for 8 hours after administration. 2. Assess pt for difficulty breathing, tachycardia, back rash, pain, redness, swelling or pain at injection site, decreased urine output, peripheral edema.

thank you very much everyone for the advice. You are all very helpful.

Thank you very much. This is very helpful. I know RhoGam is administered to prevent poisoning the baby if there's an incompatibility present, right? That's what I based my nursing considerations.

So for Tucks, I should still look for signs&symptoms of allergic reaction right?

It's ok. It's something to think about. Thanks for replying.

hi everyone. i am making drug cards for my clinicals this sem which happnes to be in l&d and pediatrics units. i couldn't find info on my drugbook and on the net about the nursing actions on the following meds. can someone please help? 1. tucks/witch hazel pads -- i couldn't find info when i search for tucks pads but i would when i just typed in "tucks" which could be cream, lotion. honestly i am not familiar with this at all. web did not help much coz i could see the actual product. web just showed pictures of the box that it comes in. 2. rhogam -- confused about this one. since basically we are worried about possible reactions d/t blood typing/cross-matching/incompatibilities, the nurse should still watch for signs of anaphylactic reactions after administration right? and if so then that would be one nursing action after drug administration. would there be others? 3. prenatal vitamins --- i have the ff. for nursing actions. are these correct? nursing actions: before: double check if pt has just eaten a nutritional bar because this could result in an overdose on certain nutrients. check if pt is taking any other supplements to avoid overdose. do not crush, break or open tablet or capsule form. tell pt not to chew it. advise pt not to take with milk, other dairy products, calcium supplements or antacids that contain calcium. iron supplementation should not be used with hemochromatosis/hemosiderosis. use with caution on pt with severe hepatic impairment. use with caution in pt with kidney stones d/t calcium content. use with caution on pt with severe renal impairment. after: check for signs/symptoms of overdose such as stomach pain, vomiting, diarrhea, constipation, loss of appetite, hair loss, peeling skin, tingly feeling in or around your mouth, changes in menstrual periods, weight loss, severe headache, muscle or joint pain, severe back pain, blood in your urine, pale skin, and easy bruising or bleeding. sorry for the long question. i already used several sources but still couldn't find what i'm looking for.

Hello RNs and RN students. I am a nursing student. Just started my 3rd semester. It's our first time learning about mother and baby, peds. I am having my very first clinical rotation (of the semester) this FRiday and I am assigned to be in the NICU. I am excited but nervous at the same time. I mean I have never taken care of a sick baby before and these babies are really sick and fragile. Any advice for a student's FIRST TIME NICU EXPERIENCE?

hi everyone. i am making drug cards for my clinicals this sem which happnes to be in l&d and pediatrics units. i couldn't find info on my drugbook and on the net about the nursing actions on the following meds. can someone please help? 1. tucks/witch hazel pads -- i couldn't find info when i search for tucks pads but i would when i just typed in "tucks" which could be cream, lotion. honestly i am not familiar with this at all. web did not help much coz i could see the actual product. web just showed pictures of the box that it comes in. 2. rhogam -- confused about this one. since basically we are worried about possible reactions d/t blood typing/cross-matching/incompatibilities, the nurse should still watch for signs of anaphylactic reactions after administration right? and if so then that would be one nursing action after drug administration. would there be others? 3. prenatal vitamins --- i have the ff. for nursing actions. are these correct? nursing actions: before: double check if pt has just eaten a nutritional bar because this could result in an overdose on certain nutrients. check if pt is taking any other supplements to avoid overdose. do not crush, break or open tablet or capsule form. tell pt not to chew it. advise pt not to take with milk, other dairy products, calcium supplements or antacids that contain calcium. iron supplementation should not be used with hemochromatosis/hemosiderosis. use with caution on pt with severe hepatic impairment. use with caution in pt with kidney stones d/t calcium content. use with caution on pt with severe renal impairment. after: check for signs/symptoms of overdose such as stomach pain, vomiting, diarrhea, constipation, loss of appetite, hair loss, peeling skin, tingly feeling in or around your mouth, changes in menstrual periods, weight loss, severe headache, muscle or joint pain, severe back pain, blood in your urine, pale skin, and easy bruising or bleeding. sorry for the long question. i already used several sources but still couldn't find what i'm looking for.

wow thank you so much everyone for your response. After reading your comments I thought about how to casually ask my other prof about this consistency "issue" without sounding so stupid. I'll bring up all your ideas and see what info I can get from her.

Thank you for the link. I have never given a colace that looks like that. It's either tablet or liquid. I think the syrupy consistency that tinysam was refering to the consistensy that you get when you put thickening powder into the liquid colace that is sometimes put into it or if it's mixed with an applesauce because the pt can't swallow well. So I am thinking that that was the consistency that my prof was refering to. We have 2 clinical profs (one on wed and one on thurs) so I couldn't ask her tonight about it even if I do get the courage to ask her.

thank you for your response. Appreciate it.:)