NCRNMDM ASN, RN

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  1. NCRNMDM

    Fluid bolus with BP 140s/100s?

    Also, you said the patient desatted to the 60s upon arrival to the ED, but then said that he had suspected COPD. Don't COPD patients normally hang out at a lower baseline saturation when compared to...
  2. It all depends on your area. I live in North Carolina, and ASN nurses are still hired here in all units of the hospital, and in other medical facilities. I am in an ASN program, but I plan to apply to...
  3. NCRNMDM

    Critical Care Clinicals

    In a basic medical ICU, you will see DKA, HHNK, CHF, COPD, respiratory failure, asthma exacerbation, sepsis, ARDS, acute and chronic renal failure, hypertension, hypotension, drug overdose, GI bleed,...
  4. NCRNMDM

    Best one sentence handoff report

    I did some CNA work in an ED prior to starting nursing school, and came in on night shift one summer. The dayshift nurses looked like they were totally done in, and one caught me and one of the night...
  5. NCRNMDM

    Fluid bolus with BP 140s/100s?

    [color=#1a1a1a]i'm only in nursing school, but i hope to be a critical care nurse after i graduate. some of what zaphod said makes sense to me, but some seems odd. i could be wrong, and, in fact,...
  6. NCRNMDM

    Critical Care Clinicals

    What type of critical care unit will you be in? My mom currently works in CVICU caring for post-open heart surgeries, lung surgeries, transplants, vascular surgeries, etc. Before that she worked in a...
  7. I think that it's horrible that you have to wait so long to get your grades. In my program, we answer both in the test book and on a Scantron sheet. After the exam is finished, we all go somewhere...
  8. NCRNMDM

    why is med/surg so difficult?

    I'm in a two year ASN program at a community college and our pre-requistes were as follows: Bio 168, 169, and 275 (Anatomy and Physiology I and II, and Microbiology. All of these classes were the,...
  9. Nursing school is expensive, and there are tons of hidden costs. Don't be fooled if your tuition and books for one semester aren't outrageously expensive (although that would be a miracle). There will...
  10. NCRNMDM

    Pediatric Infusion Rate Calculation

    Wow, I was way off. I'm usually really good at dosage calculations (adult ones, at least). We are going to start pediatric dosage calculations next semester, so I guess I will learn all of that then....
  11. NCRNMDM

    Pediatric Infusion Rate Calculation

    The way I see it, and this could be wrong, you have 570 mg of medication in 10 ml of fluid. You want to administer that 10 ml, with the 570 mg of medication, in thirty minutes. If you divide 10 by 60,...
  12. NCRNMDM

    MICU vs SICU

    I am currently a nursing student, but I have a few questions regarding MICU vs. SICU. I know that I want to be an ICU nurse after I graduate from nursing school, and I am pretty sure that SICU is the...
  13. NCRNMDM

    MICU vs SICU

    I just found out that a large (800 plus bed) teaching hospital in my area has a new graduate program that places new graduate nurses in the critical care setting. I graduate in May of 2013, and I can...
  14. NCRNMDM

    should i pursue a career in nursing?

    Sorry, I was in a hurry to write this (I did it on my five minute break while studying for a nursing final) and it never occurred to me to hit enter and make a new paragraph. I guess all this studying...
  15. NCRNMDM

    should i pursue a career in nursing?

    First, let me address your questions. No, not all nurses work in the emergency department during their career. There are tons of options for work environments, and not every nurse wants to work in the...
  16. NCRNMDM

    Gloves or not for IV meds?

    I don't wear gloves when dealing with peripheral IV lines or central lines (as long as there isn't any risk that I am going to be contaminated with blood). I do wear gloves when drawing blood from a...
  17. NCRNMDM

    Attendance policy at your school

    Our program says that if you miss class, clinical, or lab twice in a semester then you fail. Also, your absences are all counted together. For instance, suppose you miss clinical today, and class...
  18. NCRNMDM

    Nursing Dx

    This is just food for thought. I realize that her electrolyte levels are low, but they are being corrected, and will soon be at the correct levels. Since she has a history of renal insufficiency (I...
  19. NCRNMDM

    How to self-study Pharmacology?

    In my program we have to know trade name, generic name, indications, action, side effects, adverse effects, nursing considerations, teaching points, assessment values, any lab data that the drug...
  20. NCRNMDM

    what are you doing during the break?

    I plan on sleeping in, staying up as late as I want at night, not worrying about exams, clinicals, or what time I have to be in class or at the hospital, and just relaxing in general. Our next...
  21. NCRNMDM

    clinicals, nursing thru the day

    A focused assessment means that you aren't doing a full head to toe on every patient. In a focused assessment, you are going to listen to the lung, heart, and bowel sounds, assess the skin, and check...
  22. NCRNMDM

    Wondering teenager

    babyRN had great advice. You should look into becoming a neonatal nurse practitioner. Medical school is a long, hard, road, but if that's what you want you should go for it. However, if you are going...
  23. Also, writing these statements takes time, so don't beat yourself up over it. If you can find one, buy a care plan book, or a NANDA book that lists all the approved diagnoses. This will give you a...
  24. Does it have to be written on comfort? If the patient denies pain, and has only one month to live, I would focus more on the psychosocial aspect of things. For example, Fear r/t bladder tumor and an...
  25. NCRNMDM

    My first nursing care plan!

    Focus in on her atrial fibrillation, kidney disease, diastolic heart failure, and DM. What are you worried about with atrial fibrillation? What's happening to the heart, and what complications can...