NIGHTINGALE-RN

Is this question right! patient's ordered dose is 2mcg/kg/hr and her weight is 158 ibs. What is dose in mcg/hr. We usually give answers in mcg/kg/min but its asked in mcg/hr

Hi Delabeaux, If you are studying for nclex then besides practicing questions, try to think about pathophysiology in our body too. Understanding of good electrolytes is important and will help you a lot in answering questions. Metabolic acidosis indicates imbalance of ph level in body. Calcium and phosphorus in our bones and fluid are buffering systems which try to neutralize the acidity produced by acidosis and try to balance ph, the lab monitoring of calcium will show how far its working. Infact calcium and magnesiums act like sedatives for our body muscles and which includes heart also and normal amounts also prevent abnormal DTR's in our body. K, Ca, Mg, are most important electrolytes affecting our body esp heart. hope this helps

With so much MRSA, C-Diff,around me , and having kids around, I go straight to shower asap. I will not sit with my scrubs on my couch even. SARS was spread from hospital nurses to outside world as far as I know.

THANKX EVREYBODY ! YOU PEOPLE R AWESOME !!!!!!!!!! I know where to start now:)

I have ACLS and took basic dysrhythmia course year back.

12hrs positive is that it gives you option for working 3 days in row and off for 4 but after 3rd day you are completely exhausted, drained and stressed too. 8 hrs positives is you get some time in evening to be with family, friends or doc's appts but it also involves more days perhaps 4-5 day per week. it depends on what schedule suits your lifestyle.

Hi, I have to take pretest for tele floor job. its about some rhythms, fatal ones, how exactly should i prepare for it. any ideas , any input please !

thank you so much, i will remember this all my life personally or professionally

thanks guys for wonderful words of wisdom :)

I waited for this job interview call, it happened and after phone interview I am going for face to face. I have to check the floor, my unit etc. I did good in phone but i don't know why I feel nervous. I think its just the new environment fear. What one should do to stay calm !!!! I am not a new grad but still this anxiety :)

I agree with RKpianoman, I had friends who did ADN instead of BSN and kept on saying it does not matter whether you are BSN or ADN but we had a nurse educator/ NP in our nurse residency program and she said that hospitals are hiring more BSN'S than ADN's. The whole hospitals's policies and practices are based on evidence based nursing and research which is taught more in BSN. Offcourse in BSN generally you get treated like adult by your instructors instead of nagging you for stupid stuff. May be after doing BSN, you can go ahead and do Masters instead of dragging your schooling for BSN. Go to nurse hiring websites and most jobs prefer BSN's. In this market where every summer, loads of nursing schools are pouring nursing graduates in market, you always want to have an upper edge. Hope this helps you. With such good GPA, you'll shine as BSN graduate

I work on such floor where discharges and admission keeps coming in. Once I had 2 discharges, 3 admission but untill i got rid of all my discharge papers, I did not take report for admit. Admit can wait for an hour in ER or other floor but if i start getting behind on stuff, its human nature to panic and panic can make us do mistakes. Unless its immediately necessary to administer pain med or abx when patient arrives , i try to do everything one after the other. Anyhow, there are always charge nurses and other nurses to help. My motto has been that due to some reasons meds can be delayed but its better to be safe than being sorry. I completely understand how you are feeling. Your hospital should have more strategies to prevent med-errors. you are good nurse as you are feeling bad about the whole episode and has passion for your patients.

I got it zbb13 :))

How about I say, getting a house will not be a problem. This is not myself living in big city area for 1st time. I have lived in NY for 5 yrs and I understand the subway and bart ride. its just that central valley is not much of happening place reg jobs, weather or vacation places. it feels like central valley is cheap in housing but here also a decent house in good neighborhood in clovis or north fresno is around 250,000 or above because as Fresno and bakersfield are gang areas, professsionals always want to live in safe areas. If I buy 30-40 yrs old house in bay area at or around 300,000, in Hercules, Pinole, Fremont or union city, rentwise it would have more return in future. If I buy house at 250,000 in Clovis or Fresno then it would not rent out at money to even out my mortgage. Why anybody would rent out my house at $2000 when they can get two blocks down house at $1500. In east bay area, the rent for houses starts over $2000. If I stay at my present job and if they lay-me-off next year then it would be so hard to find another decent paying job soon. LTC has never been my cup of tea. If I go to bay area, even if I loose my job, I would still have option of applying to 10-20 hospitals in the area. BTW, I am finishing my MSN this year. I am trying to open up so I can get more feedback.

thanks blackjade, yes the only pro at my present job is my friends. I am only 2 yrs old employee at my job. the work is more now as they cut on CNA''s. mgmt rules here and nurses with 15 yrs exp don't want to open their mouth and they teach same to new ones. its scary sometimes, i believe atleast in union hospital, i will have somebody watching over.