Qtip

The average human male is stronger than the average female. Fact of nature.

Seems that if you plan to move around during your career, it is advisable to get the med/surge base. If you know where u want to be/go and plan to stay there then skipping it is probably fine. I may eventually go for my NP and so I think the med/surge experience will be invaluable, otherwise I would attempt to go straight into an ICU. Also, while I'm sure you can be a more than capable nurse without the med/surge experience, I think you will be a better nurse no matter where you end up if you have it. Anyway just my 2cents from what I've gathered trying to decide on my own route.

It's hard to find time to study between all the busy work and working. Never thought much about it, but this post made me think, and I don't spend nearly enough time. 4-6 Hours a week maybe, and I always get in a good 8+ the day before the test, reviewing all the material. I consistently get B's, but when I increase my study time I have not noticed any increase in test scores.

Rumor is 50% for our school. Almost half way through the program and we have lost 30% of our original class. I have a lot of experience with college (previous degrees), I'm basically a professional student. I do not really consider the ADN program college, it's akin to boot camp. The material is not difficult, nor is most of the skills (to this point), but you are constantly bombarded with tests, projects, papers, skills, assignments, busy work, and places to be. You are constantly threatened with being kicked out of the program for x, y, z, p, q, r, and s. And much of the test questions are subjective. Every instructor has their own pet peeves, focus, and preferred methods of performing skills and careplans and many of them have the "My way, or the Highway" attitude, which really sucks when you don't have experience with their way yet. So yeah it's very hard, but an unconventional hard, and in a much different way than I had expected.

ADN is becoming a waste of time and money especially if you already have Bachelor's. Get into an accelerated program, be out in 1 year with a BSN. Hospitals are really getting anal about hiring only BSNs now, you will be hired sooner and not have to spend time or money going back for your BSN either.

Math test first week of class each semester. 100% required. Fail twice and your booted.

As would be manifested by, similar to as would be evidenced by (AWBEB). For whatever reason our school has us using manifested.

Yeah I understand what your saying but problem here is the baby is healthy I don't have any blatant symptoms to work with. Which is why I have a risk for, if I had some symptoms it would be much easier to write the dx. All newborns are a risk for infection as I understand from textbook which is why breastfeeding and erythromycin, etc. are encouraged, on top of that the mother is GBS + which on it's own puts the baby at risk. I really don't see how I'm forcing this one to work, but I do see how I'm forcing the NANDA related to's. I also I generally try to go by what we (me and the nurse) were focused on or worried about during the day of care to write my dx. And for this baby along with normal assessments we were consistently checking her temperature and notified the pediatrician of the fact the mother had spiked a temp which i understand is a significant risk factor for the baby.

Trying to write this ND for a newborn would love some feedback. Mother is + GBS, baby was delivered by CS. No prolonged rupture but mother did have a slight fever during labor. I think I understand whats going on but don't love what I have been able to articulate on paper. This also has to be a postpartum ND which I feel it is because the infection would manifest postpartum, but would have been acquired intrapartum., so I'm having my own internal conflict deciding whether my instructor will except it as a postpartum newborn ND or not. Opinions appreciated. Risk for infection r/t inadequate acquired immunity, environmental exposure, and maternal fever 2˚ + GBS mother AWBMB Fever, respiratory distress, or unstable blood pressure Obviously I would have a better case if delivered lady partslly.

Awesome, thanks for the responses. It's clearing up now.

I need some help understanding hyperthermia. Within both books and from instructors I'm getting conflicting answers on what and how hyperthermia is/caused. Maybe I'm just not understanding it? (Pediatric patient by the way, if that matters) From the Nursing Dx Handbook by Ackley/Ladwig and textbook it defines hyperthermia as "Body temperature elevated above normal range" but then it has a note, differentiating fever from hyperthermia. Where hyperthermia is "an unregulated rise in body temperature and caused by heat stroke, heat illness, etc." Basically saying a rise in heat not caused by infection which is a change in the hypothalmic setpoint. Then from a careplan text I have under pediatric hyperthermia it lists r/t as respiratory infection. (My patient has pneumonia) I also had a classmate who was marked down by our instructor for not setting hyperthermia as the priority dx for a pt with pneumonia. When she didnt include the dx because as she and I understood it, fever is not hyperthermia. But if you go by definition of "Elevated body temperature above normal" than fever would be included. As you can see I'm going in circles here. Any insight would be appreciated. I have a patient with pneumonia, temperature on admission was 104, a day later when i provided care it was around 101 and relieved by Tylenol (from my text hyperthermia is not relieved by antipyretics). So can/should I used Hyperthermia?

Our instructors encourage us to work in the hospitals in any capacity over summer and winter breaks. CNA, volunteer, etc. They also strongly advise not working while schools in session. I myself work 2-3 days a week in a restaurant (14-20hours) during semesters and volunteer at a hospital 1 day a week during school breaks. Working can make things difficult certain weeks such as those with a test but I also find it somewhat of a relief as it gets my mind off school for a little while. I don't know if working 1-2 days a week as a CNA would provide the same stress relief as your mind never really leaves nursing but It would seem to help in other more practical ways. Personally I think it would burn me out.

Appreciate the story! I have been worried about a disturbing the peace infraction from 12 years ago. This makes me feel better.

You have a lot info to work off of, 3 dx should not be a problem what do you have so far?

Yeah I agree with katia, your Dx is "Risk for Infection" the end. All the other stuff you want to add on goes in the related to. You would obviously want to clean it up though. And yes you can have multiple related to's but you will need to address them in your care plan, so some times its easier to leave them out if your instructors allow. I know if your first semester they probably don't expect you to list more than 1 r/t once you get to third they expect it in my exsperience. You probably have other things you could add as well judging from the info you gave. Whats the hgb/hct/wbc?