WanderingRN2Be

I am currently employed by IU Health, just got my RN in May. I owe a work commitment as IU Health paid for my ASN, through the University of Indianapolis using my tuition reimbursement benefits. My recruiter told me Friday of last week that all positions are "under review for budgetary concerns"...meaning IU Health is having a hiring freeze, again. As a result I was relieved of my work contract (WOOHOO FOR FREE EDUCATION!) but am now looking at losing tenure, vestment in my 401K, and other benefits because if I want to work as an RN, it won't be for IU Health anytime soon... Weekends are required by the units on a per unit basis. I have interviewed for several positions...some were every 7th weekend...others were every 3rd.... Tuition reimbursement benefits are available, but only with a 2 year working contract at completion of your program. All of this information aside...there is nowhere else I would rather work. Despite changes in benefits (moving to HSA's and NO PPO options...cost going up...), hiring freezes, and a shift to no full sugared drinks (on the units for patients, in the cafeteria, no vending machine caffeine) I would stay here in a heartbeat if I could get an RN position...as IU Health is really the leader in the healthcare in Indiana. If you have any other questions, please feel free to let me know!

Good morning all! Just wanted to touch base with some UIndy people. Yesterday was the first day of my 201 semester. Med Surg. Books are HUGE, tests every week. Clinical rotations in Gero, Renal, and Ortho. Should be an interesting term, combined with being a leader for our Community Service Learning projects, as well as being class rep for the 3rd semester in a row. 9 months to go before graduation. Can't wait to be done with this program so that I can move on! Hope everyone else is well!

Can a newer thread be started for people who are questioning this?

Esme, I think you are right on when you say they will have issues that lead to regression. I think the point I am trying to make is that with recurrence (or the possibility of) I am wanting to do teaching that will lead to the patient gaining and maintaining as much normalcy and independence as possible....but the interventions are where I am stumped. I think the way to go may be switching up the DX. Thanks for your input! Pixie....I know when I am sick, I want someone to help take care of me...but at 16, no matter what my issue...I would NOT have wanted my mom to bathe me. Just seems like a pretty severe regression, although, situationally its understandable, and this girl is not me. Thanks for your insight and suggestions!

Hey Pixie, thats totally possible, but her pain was 3/10 when I woke her up for vitals this morning...and after getting a dose of dilaudid for the removal of her posterior chest tube (she still has an anterior tube) her pain was a 1/10...and this is after getting cleaned up and in a new gown, ambulating and eating. So, I guess I wasn't looking at the pain aspect as she rated it so low, even though she hadn't had pain meds since last night...until the dc of the post chest tube today. Normally, she won't take pain meds even when she is reporting 6/10. I think she took the dilaudid the MD offered her more because she was scared of the pain she might experience with the d/c of the post chest tube. So, again, I wasnt factoring in pain when I decided on a diagnosis.

Maybe I am better off going the...readiness for enhanced self care...route...bleh.

Thanks GrnTea....this is looking a little bit better, but still, not all of these interventions seem appropriate, or at least, they are what I am imagining they should be. (scratches head) Im still swimming in my NANDA trying to find exactly what I am looking for....

had a clinical today, and i am having trouble coming up with a teaching plan that must include 5 areas of instruction.... so, the run down.... patient is a 16 y.o. female, chronic asthma and pneumonia, which led to her family md having a ct scan done. mass found in the lower right lobe. bronchoscopy lead to determining the mass needed to be removed, as the md had concerns that it was a carcinoid tumor. upon removal of the lower 1/3 of the r lung, carcinoid tumor was confirmed with biopsy. complete excision was accomplised and the mds are not anticipating a recurrence or need for follow up radiation/chemo. patient is doing well, postoperatively, o2 sats are a 98 with no movement, and ambulation, and all vitals are wnl. however...i feel like the patient has had some regression with self care tasks, as she tells me that she normally does her own hair, and takes care of her self at home, but in the hospital she requested mom help her with bathing, combing hair, brushing teeth, and other general self care tasks. so, my nursing dx is....risk for delayed development related to chronic illness. but when i am in my nanda, the proposed interventions are mostly geared at children much younger than her, and interventions include promoting parents to take child in for regular health care visits (already being done), provide parents realistic expectations for attainment of growth and development milestones (which just seems unnecessary, given her age and normal development of older siblings), assessing whether parents/client may benefit from internet/electronic support groups. to which i say....*****?? (which seems to be happening a lot in nursing school! haha!) can anyone give me some other interventions that seem fitting for this patient? my worries are that her possibility of lots of time out of school, away from friends may leave her with the inability to keep up in school, lack of ability to obtain drivers permit/licenseure due to lack of time to practice....things of that nature. any help will be greatly appreciated! thanks in advance!

Just got accepted for clinicals starting August this year! WOOOHOOO! Just wanted to post here in hopes of finding others that are starting in the fall! The more study buddies the better!