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student? eeek! Maybe more, probably not less. I think of myself as a lifelong learner!

hsienko's Latest Activity

  1. I hopefully will finish up in May. My immediate plans for after graduation are to get my diploma, buy some nice new bedding, eat a crazy big meal, and sleep, and by sleep I mean sleep for as close to 24 hours as humanly possible. After that, I'll follow up with 1 to 2 entire days doing nothing but reconnecting with all the non-nursing students & family who have been parlayed. Finally, I'll spend the other 27 days or so studying for boards. But, oh how I crave the thought of a night of sleep without having some sort of nursing school nightmare where I have to pack wounds in a hosp-fish patient while being watched by a large carp (instructor) who has incredibly large eyes on each side of her body allowing me no where safe to hide ^_^
  2. this person sounds like a death trap. ph is 1.5? how about risk of immediate death r/t to caustic-super-acid rust monster-type acidosis aeb ph 1.5 edit: then smile and tell your teacher ...oh phosporus...
  3. hsienko

    Was asked if I was bisexual?!?!?

    The question could have been reworded, and more specific, but it does have some relevance to the potential dangers associated with pthalate comprised assistance devices employed by females. However, would you rather the question "are you bisexual" or "do you use dildos and/or sex toys of any nature" which one do you prefer really...
  4. hsienko

    Med Surg....UGH

    Nursing school is it's own unique beast. Having come from a background with a 3.8 in education, a 3.0 MS biology, and a 3.7 in electronics engineering, I'm thankful for each and every day that my nursing school gpa is a 2.7. Nursing school in at least my setting does NOT give out A's except to 1 or 2 students per year, and the odds of any student getting more than 2 A's in the program seem infinitely small. Simply put, nursing embodies every aspect of learning, every aspect of teaching, and every aspect of doing. Very few people out there are the michael jordan's of Basketball, the Michaelangelo's of painting, and the Mike the super nerd of test taking. You may, sadly like me, have to be willing to tack on extra years of schooling, to help offset your grades in nursing. It's not medical school, and there's never a single right answer (okay, maybe that could rub an instructor or two the wrong way) but you have to keep an open mind and realize the human body, people, everything, is so complex that the best you can do is work on bed side manners and study daily for a few hours until you either quit or die while doing nursing. To disclaim i've yet to get a single A in nursing school but i'm just about done, and I've managed to get 4 b's.
  5. hsienko

    What is this statement telling me to do?

    discuss how drugs can be used (sans or without) therapy to help in the management of mood disorders. Psychopharmacology is the use of mood stabilizers, benzos, ssri's maoi's etc to help fix a chemical imbalance. How does fixing the electronics, or the chemicals, or the couriers of your body effect the overall treatment of mood disorders. If you're giving someone buspar, fluoxetine, Haldol, and Seroquel, how could this effect the messagers of the body? what kind of responses are likely? What will these things you're having your patient swallow likely DO to your patient? and why? that's your psych-pharm.
  6. hsienko

    New job and nervous as all you know what...

    hate to say it, but if you can't manage to borrow a thermometer for a few moments, your future in health care in the supervisory role may be less than ideal. Take this opportunity to reflect on why you failed in a paid role, and how you could have better responded. If you can't hack being at the bottom of the pole, how can you sympathize with your cohort (pre-license) while advocating and providing exceptional care for your patients? We all go home having days we feel like utter brown-exudate from the rear, the difference is some of us want to be change makers, at least for the 8, 12, or 13 and 3 quarters hours we're there. Had to edit this, staph, or staphlococci, is only contagious if you utterly fail to observe universal precautions or go licking wounds. Your role in knowing the patient's disease state is yes, and i agree with you somewhat here, advantageous to you in providing safe care. However, if the care you provide is likely to be compromised by you worried about the disease process for a contact-spread disease, then you're definately in the wrong field. I'ld definately sympathize if someone was droplet or airborne precaution and you were sent in blindly, or contact and you not having the opportunity or access to a PF gown, however, you need to constantly be aware of your own body location lest you unplug a vent or rip out an iv for a contact/universal precaution patient. Sorry to come down so hard on you, but during schooling my views have changed a lot as I've continued to grow. I now understand the logic behind nurses that I once felt the exact same way as you.
  7. hsienko

    I need some CNA career advice....

    your work load in the hospital setting is what i'ld be interested to know. in ltc it could be 15+ patients, in a hospital setting it's likely it's less than 10 (although that's just a guess based on the workload of cna's in hospital settings I've encountered as a student) I'ld advocate finding out your work load, and comparing the reduction in terms of percentage of patient load versus reduction of pay. If you can get a 50% reduced work load for a 10% reduced pay it sounds favorable, but there's too much to know without some numbers. Definitely the hospital is more likely to have continuing education reimbursements that exceed long term care however.
  8. hsienko

    GN having trouble with exit exam

    i hear kaplan is supposed to be good, either should be fine, from my understanding the NLN exit examinations are in sort of a pilot-beta product phase and shouldn't be used to keep people from graduating.
  9. hsienko

    Urgent! Case study of the child with a burn

    gate control pain theory might be worth looking at, also for #2 non pharmacologic interventions could be a possibility, no not a makeup set, but coloring, video games, or reading a story could reduce anxiety with a secondary effect of reducing reported pain.
  10. hsienko

    Working with student nurses

    Perhaps, but if the as the primary nurse have taken report on, and a student goes running around putting 16 french foley catheters in the pts nose or goes around making med errors, or whatever neat little trick they come up with it very well could be on your dime...ur license. I dunno. I generally get along with the floor nurses as a student. I pretend everyone's (the patient, the primary nurse, the UAPs, etc) is just a particularly nasty family member and tread lightly until I establish rapport with all the new faces each day (how's that for a clinical goal?), then I work on achieving my other learning goals, and I always remember to thank the nurse for everything even if it's something I might later *think* I already knew.
  11. hsienko

    Are you man Enough to be a OB nurse?

    I enjoyed L&D, but there's no way with the 2 weeks of my rotation (out of 14) that I got to stock shelves, and the constant battles for right to provide care with nervous husbands coupled with the ability to sue through the age of 18 of the newborn that I would consider it as a career. Not trolling, my first couple in&out catheter sticks were on patients with contractions less than 30 seconds apart during the rotation and I did a great job, it's just too much to deal with the spouses and the stigma as a male, plus I was always killing my back pushing baby carts as they're not designed for anyone over 5'8!
  12. hsienko

    Taking Micro, Phsyio, and speech together?

    I've heard that if you can handle an A in A&P and micro that you can rely on it as an early indicator of your ability to pass the nursing program with at least a C. I took micro and physiology together and our speech is integrated into other courses. I got A's in both classes and have struggled ever since the nursing courses began watching my 4.0 sink like the titanic ramming the iceburg....but true enough i'm passing and only a short hop skip and a leap of faith till I reach the wizard of Oz.
  13. I remember the start of nursing school. I used to shake so bad everytime I was trying to give a subQ that I would joke it off and tell the pt I'm just making sure that i get the insulin gets mixed up good - not to mention having to use a shelf to rest needles on to draw medications from the vials because i was so nervous from being watched by my instructors.... Confidence comes with time, and practice, and realizing the instructor's not gonna send you home for missing an iv stick....and finding out the patient isn't gonna scream bloody murder and refuse your care. The biggest confidence booster honestly is as a new nursing student with just 1 or relatively few patients you have the TIME to give a patient exceptional (even if it's slow) care, companionship and therapeutic communication. The bed making and basic skills stuff will fall in place eventually but try to make sure you always have a good bed side manner.
  14. I've decided to start sharing sort of updates based on my experience in nursing school, and pose things as a question. Last week, I had the worst time with clinicals -- the treatment by patients as incompetent and inept, this week, I received hugs and appreciation....which leads me to the following question: Can I look forward to more than upgrading from off-brand cereals and soups when I graduate? It may seem a silly question, but I on my way out from clinicals today, while eyeing their "dinners" carefully, I made the astute observation and commented today "wow, that's...real lucky charms" and "wow, that soup is campbells...no wait it's progresso?!?!?" I think it's important to keep a tongue and cheek view of what we're all doing as students, and realize that if we don't finish the program, we may never end up eating brand name foods, but even if we do graduate, the ferarri isn't going to magically appear in the driveway (or perhaps it would if the diet was 100% ramen noodles)
  15. the biggest thing about moving "down south" to NC to get a job as a LPN is that the LPN/LVN is not highly sought after in our already oversaturated market. Most hospitals I'm aware of require a minimum of either a ADN RN or BSN RN, and most LPN's end up working in LTC. You may wanna investigate the market seriously with just a long "stay" before comitting to a move, because I feel strongly there's not that much demand for LPNs here and I'm so not trying to be rude, just trying to say before you pack up and quit your day job to investigate the market (a 4 week stint or lining up some interviews prior to moving and hotelling might be beneficial)
  16. just wanting to start a thread related to a certain topic that is lately becoming near and dear to me. My children -- before I entered nursing school were amazing, and they're still amazing and good kids....but the behavioral changes, and r/t outlashing are jeopardizing my progress in the program (school disciplinary problems, general family tensions, etc.) Today, there were outbursts by 2 of my kids, causing significant tension between caretakers, school, and me. Has anyone else, student or post graduate, either noticed some tension between their kids and adjustment, or their family r/t nursing school 2ndary to limitations on availability? I'm starting to think I won't be given the opportunity to finish up the program unless something changes, and unfortunately, nursing school doesn't spend a day on lecturing how to transition and maintain sanity in the homestead. thanks! sien