NCRNMDM ASN, RN

Member
  • Content

    465
  • Visitors

    10,012
  • Followers

    0
  • Likes

    11

All Content by NCRNMDM

  1. NCRNMDM

    new grad in the ER?

    You can indeed do ACLS and PALS while in nursing school. As a nursing student, you have all the skills required to partake in these classes. You know how to start IVs, you can perform basic life...
  2. NCRNMDM

    Angina-first intervention

    Give the oxygen first. In situations like these, I often find that it's sensible to pick the quickest, and simplest, intervention that is likely to help. Since angina is caused by cardiac ischemia,...
  3. NCRNMDM

    Very first concept map.. Help!!!

    Esme12 did a great job of answering your questions, and I don't really know how to follow that. My first piece of advice is to look all of those laboratory studies up. Look at the normal values, and...
  4. NCRNMDM

    Clinical Judgement

    I totally agree with what you did in this situation, and I have to say congratulations for getting a second opinion from the primary nurse before giving the medication. When I find myself in these...
  5. NCRNMDM

    How important is ATI???

    I say stop complaining because I remember how much I complained the first time I had to take a proctored ATI exam. I spent two days complaining and feeling sorry for myself instead of studying. I...
  6. NCRNMDM

    LPN's Role in the ICU?

    I live in NC, and LPNs are rarely hired at hospitals around here anymore, and they certainly aren't hired in the critical care setting. I'm a nursing student with 11 months left until I graduate, and...
  7. NCRNMDM

    Am I taking on too much????

    I thought the first semester of nursing school was the easiest thing I had ever done in my life, and I came out of that class with a 97 A. It wasn't hard, it wasn't all that much work, and it wasn't...
  8. No, it isn't the same thing. NICU is the neonatal intensive care unit where premature babies, or critically ill babies go to be treated. These infants are on ventilators, heart monitors, ECMO, and...
  9. NCRNMDM

    How important is ATI???

    We didn't get any points for ATI exams, but we had to pass them to remain in the program. You were allowed two tries, and if you failed both times, you were removed from the program. Be thankful that...
  10. NCRNMDM

    I hate nursing exams

    anonymousstudent, I couldn't agree with you more. You hit the nail on the head. Great
  11. NCRNMDM

    Patient died...

    First, let me say that I'm sorry to hear you've had this experience for the first time. If you continue in nursing, however, this certainly won't be the last time you experience this. Caring for a...
  12. NCRNMDM

    new grad in the ER?

    One large (900 plus bed level one adult and pediatric trauma center) medical center in my area hires new grads in the ED. Before being hired, you must have your RN, BCLS (basic cardiac life support),...
  13. NCRNMDM

    I May be in huge trouble....

    Everyone makes bad decisions, and it's good to see that you've learned from yours. At my school, we had to submit a record of our vaccinations, we had to have a physical exam, and we had to take...
  14. NCRNMDM

    First care plan ever! HELP

    Physiological needs are higher on Maslow's Hierarchy, so they take priority over your diagnosis of Risk Prone Health Behavior. Is this patient in pain r/t the dislocation? Did you assess pain at all...
  15. NCRNMDM

    biggest gauge IV??

    14 and 16 gauge IVs are very common in the ED, trauma, burn, etc setting. Any unit that relies heavily on fluid resuscitation, rapid, and massive, blood transfusions, or other rapid infusions, will...
  16. I'm about half-way done with my nursing program, and I have two semesters left. Our instructors do this all the time. They lecture out of one book: Nursing A Concept-Based Approach to Learning by...
  17. NCRNMDM

    Stopping IV infusions

    I'm not taking any chances, so I won't be stopping anything. I am a nursing student, and I always leave my patient's pumps running, and help them to the bathroom if they can't wheel the pump on their...
  18. I go to PACU Monday, but I will tell you what I heard other students say they did. In my program we can give IV push drugs, hang IV meds, and administer fluids, PO medications, and IM and subcutaneous...
  19. I thought first semester was a breeze. I'm in second semester right now (which is divided up into med-surg, pediatrics, oncology, and advanced med-surg) and it is killing me. I ended up with a 97 A...
  20. NCRNMDM

    Bad preceptorship assignment

    I understand why you're upset, and I know this seems like the end of the world for you. I get that it makes you angry to see people who didn't do as well as you being rewarded with their number one...
  21. As you work with more and more drugs, you will learn what is hazardous and what is not. You will begin to better understand the risks involved with each drug, and your knowledge base will increase. My...
  22. You're welcome, I'm glad I could help
  23. As others have said, I seriously doubt you harmed him. You seem really upset about this incident, and I can tell that you care a lot about your patients and their safety. This was an honest mistake,...
  24. Diarrhea leads to metabolic acidosis through excessive loss of bicarbonate ions. Recall that metabolic acidosis is characterized by a pH of less than 7.35, a normal CO2, and a low bicarbonate (less...
  25. NCRNMDM

    My First Care Plan -- Help!

    I could be wrong in saying this, but I would have prioritized these differently. Here is how I would prioritize these, and I hope someone will correct me if I'm wrong: Ineffective Airway Clearance...