BGSRN

Some great resources - thanks!!!

Hi - I am looking for medical graphic resources for powerpoint presentations. I have seen some wonderful illustrations from McGraw-Hill - I know there must be a cost involved but if someone could point me in the right direction I would appreciate it! Thanks!

Yes - great idea. Thanks so much!!!

I will be teaching a class to BSN students on fluids and lytes and am looking for an innovative way to accomplish this. I would like to have the students involved as much as possible and do not want to base it all on lecture or Powerpoint. I would truly appreciate any suggestions. Thanks! :studyowl:

The amount of hours that a nursing instructor CAN put in is so variable. Students will tell me how some instructors seem to be just "coasting" doing the bare minimum. As a new clincial instructor I probably overdo at this stage w/prep work but each semester I find this is getting easier. However - if I were to figure out an hourly salary for ALL the time I put in it would probably be between $20 - $25 an hour. In retrospect - I make almost $45.00 (straight time) at my "regular" job. I can not afford a full time postion at a college or school of nursing.

Thanks for your responses. I am wondering if there are any acute care hospitals that are using primary w/no charge RN and how that works.

We are in the midst of discussions related to the Charge Nurse Role. Currently we have a unit where there is a charge nurse. The unit usually has about 20 pts. The charge nurse signs off orders (that are transcribed by a secretary) makes calls, speaks with physicans, basically oversees the unit and is an extra pair of hands to help. She has no patient assignment. Consequently, staff can have up to 6 pts. Another unit prefers no charge nurse so the patient assignment for each nurse averages 4 pts and is seldom if ever 5 pts. Each speaks with physicans, makes calls and oversees all aspects of the pts care. The secretary transcribes the orders and the primary nurses checks and signs off. My question is what is everyone else doing out there and what are the feelings of a nursing module with a charge nurses with no pt assignment vs a primary nurse model with no charge nurse. I have been looking for research on advantages/disadvantges of each model but have not found much. You feedback would be greatly apprciated!

Congratulations on obtaining your CNE!! :balloons:

Thanks so much for the information and the files!! Another question - did you recently obtain your CNE?

Hi -we are working on a hospital orientation program for AD and BSN students as they begin their clincial rotation and would truly appreciate any thought/ideas since we are developing this from scratch. Also - we are thinking of including some online content in the form of an interactive web page and would be interested to learn of anyone's experiences with a dual type format. Thanks!!

These suggestions has been very helpful. I am also new to evaluations - Thanks!!

I am currently only taking one class but work 3 12hours shifts and 2 full days of clinical a week as an adjunct facility for a BSN program. Next semester I will be taking 2 classes so will have to cut down my adjunct faculty postion to 1 day a week. It is not easy and I have ended up using some vacation time to make ends meet time wise.

It is really interesting to see such a varied response. Thank you all for your input. I do think I will continue to advise my students to glove for all IM/SC injections although they are seeing a great variety in the practice of the nursing staff where we are doing our clinicals. True - this does not protect you from needlesticks and nothing replaces handwashing and both of these facts can not be argued. However, I really can not see any problems from wearing gloves (unless someone had an allergy) to advise otherwise.

Thanks everyone. According to one article that I was able to locate the CDC and OSHA do not indicate that gloves are mandatory (according to this source) however there may well be caveats r/t possible contamination. It makes sense to err on the side on safety and I have advised my students in this regard. However, they are watching varying practices from different nurses - I really would like to find some true evidence on this rather than a secondary source. I have tried the usual searchers w/only minimal success. So, if anyone knows of a good source I would appreciate a nudge in that direction! Thanks:thankya:

What is the practice out there for wearing gloves for injections - IM's and SC's?

Thanks to the advice from everyone on this board clinicals are going very well. I did take that first day and use it for orientation and it was a great idea and set the tone. The first few weeks were focused on the basics and improving assessment skills. They are so eager to learn and have become quite adept at picking up not only abnormal lung sounds but also abnormal heart sounds. They are making the connections between theory and practice as well as making the connection to what is "on the chart" and how the patient presents. It is so rewarding to watch this growth. With a little guidance the students have intervened and advocated for intervention changes with physicans. For example - a patient with a postive fluid balance that was developing crackles, the student discused the IV rate with the physican and her concens and the physican heeded her suggestion! If you could have seen her beam knowing that she made a difference for her patient- I am still smiling about this. Again - this site is wonderful and everyone so helpful for someone who is so new to this role. THANKS!!!!!

Great! Thanks so much for your help :)

If anyone can point me to a resource that has a focus on writing clinical objectives I would greatly appreciate it. Specifically - surgical and ambulatory clinic observational experiences. Thanks!!

Thanks for the information!!

Hi - I am working on an outline of what needs to be accomplished the first day of clinicals/orientation to the facility. The students are juniors in a BSN program with limited or no hospital exposure. I am interested to learn how others accomplish everything that has to be done? Are students usually expected to provide patient care the first or second day? All suggestions/ideas truly appreciated!!

Nursing opens up a whole new world. So many opportunities. Sure, it is scary at times but know that your not alone. Good luck!!!

We have a program at our hospitals were nursing students are paired up w/experienced nurses during the summer in a mentor type program. The students are employees of the hospital in this role. Staff volunteer and to date our experiences have been very positive. With that said - it is very time consuming to incorporate meeting the needs of an eager learner with the needs of your patients. Patients come first and our students are well aware that some days might have less "learning" and more "tasks" than others. Many of our summer students have returned to our facilities seeking employment as nurses.

All I can think of w/color coded nurses is Brave New World. "Oh right your an Alpha you can wear blue - and that Gamma over there has to wear brown."

Thanks for your insight everyone. Interestingly - I was talking to a new graduate who told me that her experience was that the instructor would go over the patients at pre-conference while the staff was listening to their taped report. Once the staff was completed with report the students would listen to the tape on just their patients rather than the whole report. Thought that might be worth a try also

I am curious what the current practice is as far as having students listen to shift report along with the nursing staff? Thanks!