All Content by don2
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How long does it take to learn the role of scrub/scout?
this is an old trend.. but for my experience.. depending on the number of cases you experienced during elective surgeries.. before one can be assigned in the night shifts which is usually caters emergency surgeries only.. that depends on the number of cases the nurse can experience.. an OR nurse for a decade but havent experienced cardiac surgery is still a novice to that case.
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Will I pass NCLEX? what's score is a good predictor?
CONGRATULATIONS! so whats next?
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Recording output from a CTT drainage
Its the flag of the Philippines. a country in southeast Asia, producer and importer of nurses, A country under Spanish Colony for more than 300 years and ceded to Americans and a strong ally of USA.
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help me, should i include this on my employment history?
I would put in my resume my 8mos CNA job and make no mention about ur RN job from other facilities though theyre of sister company yet its another workplace, afterall, if nursing experience is an edge to be employed, what then 13days experience be beneficial for your personal and professional growth, nevertheless, it is insignificant and be doubtful if u mention it. besides, be it a one month or 13days experience, it is still a level entry nurse youll be functioning and be paid. gudluck to your career, let us know about ur progress! Godbless!
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Critical care drips
your question is bit complicated can u make it simpler?
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Will I pass NCLEX? what's score is a good predictor?
60-70% for nclex 4000 and 70-80% for saunders, dont want to cause you anxiety but I would be more helpful if you can reschedule your exam date, if your making that score in KAPLAN test thats a goood predictor, anyhow, Goodluck! we never what knows comes out! what state you are applying anyway?
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Will I pass NCLEX? what's score is a good predictor?
60-70% for nclex 4000 and 70-80% for saunders, dont want to cause you anxiety but I would be more helpful if you can reschedule your exam date, if your making that score in KAPLAN test thats a goood predictor, anyhow, Goodluck! we never what knows comes out! what state you are applying anyway?
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Will I pass NCLEX? what's score is a good predictor?
i studied KAPLAN, SAUNDERS, EXAM KRAM, LIPPINCOT MADE INCREDIBLY EASY, and i find the best source is KAPLAN, though the exam format is like nclex 4000 type, but kaplan strats are way helpful, but most of all going back to MS books is helpful.. I passed at 75. critical and analytical thinking is the key.
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What is your admitting procedure to the floor?
ive used to work at private hospital ang government hospital, all both has different protocol procedure in admitting patient, but both of admitting patient from the ER to ward needs a courtesy call for transfer so as the ward nurse can prepare and anticipate the needed care approriate for patient such as,, preparing IV stand, E-cart, Oxygen tank, etc. in Government hospital which i used to work now has "NO refusal policy" regardless of that policy it is the ER or OPD medical staff responsibility to inforn the nurse on ward before the patient can be sent, it seems uncourteous just to send patient without proper information coz it may delay the care due to him/her. as a Ward, we also observe cohorting, we cant place patient with communicable problems with one patient just with hypogylcemia, thus, it is important that someone calls before admitted on the floor, You may refuse admission on your floor by not accepting endorsement and call your supervisor, perhaps the ER or OPD staff needs to be reminded by protocol. in common and practical sense, it is just a matter of courtesy. Hope it Help!
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NG tube and NPO question
its better to call the doctor and ask for clarification rather than assuming and performing the procedure. though its seems complicated PO with NGT, what then NGT for.. lavage only? btw. whats the patients diagnosis?
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New Nurse Needs Advice
then nursing is not for you, you want an office job, you should have sticked with your old career, because, bedside nursing is the fundamental function of the nurse and will always be for the rest of your career, if the chance being promoted to be moved on at Nursing service Office then you should proved something first on the floor.
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Who should read a skin testing result?
the doctor, it is the primarily doctors duty to interpret and to order the medication be given if the no allergy has been noted, the nurse perform the skin testing for allergic reaction prior to antibiotic administration, the nurse perform intradermally, .09 PNSS + .1 medication, documents the time the procedure performed and rechecked after 30mins, if allergic reaction has been noted the nurse informs the doctors and it is also the nurse advocacy to safe guard the doctors order to give or not to give the medication depending on the skin test result. In short, The nurse performs the skin testing per doctors order, the doctors evaluates/interprets.
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New Nurse and so Frustrated!
your just a new nurse and fire of being a nurse just heated up, in years time,, you may be like your co-staff especially when you get the raise or your loan was not approved.lol
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Anyone ever heard of anything like this?
that would be the nurse liability when patient complaints of 2/10 pain scale, patients may be liars too and giving another extra dose may depress patients RR, both have legal and medical implications, thus, nurses here in this cases is tied on his hands and legs, better quite, that a disrespect for the nursing profession, nursing are oath to the profession to maintain the highest standard of practice, this implies, moral, legal, esteem of the professional bearer. Get out of that system, dont victimize yourself, that LTC is making some frauds for insurance and money things at the expense of its employee. Resign now!
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clinical question that puzzles you?
"Why can't registered nurses in New Zealand catheterise males" In the hospital i worked, catheterization is primarily a doctors job, but in certain cases or emergency cases with proper order, nurse do the catheterization, catheter pull-out order; is a nurse job, We do also observe gender issues, male nurse cath male patient; viz-a-viz, In NZ perhaps, these practice may be bound to transcultural and gender issues. however, "will you not save a lamb from the cliff because it is sabbath?
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clinical question that puzzles you?
Why do we measure a persons vital signs every 4 hours?" all patients admitted in the hospital are considered to be unstable, it is important to monitor patient vital sign, since mostly patient admitted in hospital are given intravenous therapy, thus, monitoring of fluid intake via intravenous is important to determine patient volume status, such as hypo or hyper tensive, and any changes of vitals sign calls for medical attention. "Does home visiting improve health outcomes?" yes, it evaluates patients outcome and effect of discharge instruction, as well as monitoring post hospital coping. "When someone is having a blood transfusion how frequently should you check for transfusion reactions? every 15 minutes until stable, and every 30 minutes, it is important to monitor patient for signs of headache, pruritus, chest pain, Difficult of breathing, itchiness, changes in baseline vital signs, etc. these are signs of BT reaction, which BT should be stopped at once and informing the doctor immediately is a primary nursing responsibility. check ur fundamentals of nursing,
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MSN vs. MAN?
MAN is designed to cater filipino population, for us to improve academically and clinically, thus improving standards and accreditation from different agencies may be in school or hospital accreditation. furthermore, with MAN degree going to US to work as a nurse, in common and practical sense, in the delegation principles. even a experienced nurse when pulled-out to other areas not of his specialty is considered as new entry nurse, thus, with none or 10 years experience as a nurse here will still make a level entry nurse in US plus passing the NCLEX. MSN are certified by agencies such AACN, nevertheless, MAN degree which US curriculum also has, which does not give further certification or examination, makes the bearer of the degree on edge in clinical leadership for the improvement of institute or hospital, ironically, both degrees are pre-requisited for further studies such as Ph.D, NP,. MAN and MSN ironically, these, degrees are more for institutional accreditation which it bearers gives an advantage for job security and tenure. NP or nurse practitioners are certified and licensed degree of nursing profession in US, these requires both masters degree may it be MAN or MSN, and experience before being accepted in the curriculum. MAN or MSN,. both gives advantage to its bearer, may it be in the advantage of his employer or to his/her personal growth. both, yields a security tenure at work (school or hospital), personal development and prerequisite for future doctorate studies. Most, importantly, Experience in the best teacher, "this where the rubber meets the road". thus, I advised to fresh graduate nurses who do not have enough experience not to enroll in graduate school yet unless they have gain some experience, its the same pathophysiology 20 years ago, question is how will place your insights against the actual and theoretical when you only have the book? secondly, you want some management level in nursing or in NSO, get yourself employed first so you would have something to say what are routines, protocols, schedules, in the hospital. Ive seen a lot of students who enrolled themselves in masters and I can see lots of pretensions yet with big question marks, masters are like more on sharing, comparison of ideas and actual experiences. Experience is the best teacher. to end, florence nightingale said: "Nursing is above all, a progressive calling, Year by year nurse have to learn new things and improved methods such as medicines, surgery and hygiene improve, Year by year,nurses are called to do more and better of what than they have done. Slide 79 .O {color:white; font-size:149%;} a:link {color:#FFFFCC !important;} a:active {color:#666699 !important;} a:visited {color:#FFCC66 !important;} Nursing is, above all, a progressive calling. Year by year nurses have to learn new and improved methods as medicine and surgery and hygiene improve. Year by year nurses are called upon to do more and better than they have done. Slide 79 .O {color:white; font-size:149%;} a:link {color:#FFFFCC !important;} a:active {color:#666699 !important;} a:visited {color:#FFCC66 !important;} Nursing is, above all, a progressive calling. Year by year nurses have to learn new and improved methods as medicine and surgery and hygiene improve. Year by year nurses are called upon to do more and better than they have done. Slide 79 .O {color:white; font-size:149%;} a:link {color:#FFFFCC !important;} a:active {color:#666699 !important;} a:visited {color:#FFCC66 !important;} Nursing is, above all, a progressive calling. Year by year nurses have to learn new and improved methods as medicine and surgery and hygiene improve. Year by year nurses are called upon to do more and better than they have done.