SlyckRN

I'd have to agree with the original poster. I was never a CNA before I became an RN and I love my regular CNA's that I work with. A lot of times I will help them with changing a patient or getting them something they want, taking them to the bathroom, changing their lienens or emptying a foley. Ya'll do some great work, and it's horrible that some nurses feel as thought they aren't going to lift a finger to help. Nursing is all about team work and what is best for the patient. I wouldn't have any structure to my day without my CNA's. I tell them I appreciate them all the time for their hard work and dedication. It's not easy and can become extremely hard when the case load is extensive d/t a call out or high patient count. KUDOS to ya'll.

IF there is a leak in your chest tube you have lost pressure. Depending on if you are on a water or waterless system. You won't see the bubbles in the sterile water, or you won't see the flucuation in the tubes either. Both mean that you have lost pressure.

Ok, that's a great start. Hopefully this post isn't too late. What else can you notice about cardiac? Did you hear any murmurs? Was the heart rate rhythm normal or did you hear gallops? What about pedal pulses? Are they on any cardiac medication or diuretic? Did they have any orthostatic hypotension? Cardiac and respiratory go together. Were the lungs clear to auscultation in x5 lobes? Also, you can't write a nursing diagnosis related to a nursing dianosis. Doesn't exactly work like that. More like Ineffective tissue perfusion related to ( what causes it in nursing terms) aeb..... Ineffective tissue perfusion r/t low hgb hct levels aeb 2x3x2cm leg ulcer. Care plans always need to be the highest priorites. When you patient comes into the ER with heart problems or cardiac arrest, yes we will worry about his BS being in the 400's but it isn't out highest. Remember your ABC's.

Oh my lord if I happen to hear another inservice on handwashing I will probably scream! That and the need for peds patients to get shots. How about ideas on how to cure boredom in ped patients. When they don't have family there, they often need entertainment due to short attention spans. Proper age materiel, health snacks for certain types of illnesses, or activites that are possible in a hospital setting.

He told you wrong if you live in Virginia. You can practice on your RNA for 90 days from date of graduation, yet you only get to start working once you've registered with the VA board of nursing to get your letter. If you fail it, that's it until you pass your boards. LPN is something completely different.

I write Q 72 Hours, usually only use it with Fentanyl patches.

Unless done within your company, they usually don't have them. The chain of command has to do with the level of your licensure.

You want to use the diaphram of the stethascope. That is the larger end. The bell or smaller side is used to listen to heart sounds such as murmurs. The systolic is read when you first hear the heart beat, the diastolic is the last number when you hear the heart beat. Just because it is starting to fade, you need to keep listening. The needle will usually jump also, but it's based on what you hear. Also remember the size of the cuff counts. If its too big/too small it will directly affect the read BP.