tsm007

tsm007

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  1. Distant heart sounds?

    So I bought a spiffy new stethoscope and was testing it out last night because I really struggle sometimes hearing lung sounds. I was so happy with my purchase I could hear lung sounds clear as a bell with it, but no matter where I put the stethosco...
  2. I'm taking Straighterline A&P and going through the labs. One of the labs I did not get the results that I should have, but after repeating it 3 times I turned it in as is with the results I had. Anyhow, my question is from looking at the grade...
  3. Very frustrated. I cannot figure out how to renew my RN license. Anyone renewed their license with their new database.
  4. COPD and O2 use, am I wrong?

    Going to give you background information and then want some feedback. I am new to med surg, been here about 2 months, been a nurse about a year. My preceptor has been a nurse a few months more than me, but all med surg experience. I go with the flow ...
  5. Renewing my license with the new MiPlus

    Extremely helpful! It looks like they added instructions at the top in orange to help to find where you're actually supposed to click to renew. I wonder what genius designed this. I did get mine renewed. I never did receive any email though about ren...
  6. Renewing my license with the new MiPlus

    This is what I got back after emailing their help email about where the "RENEW LICENSE" option was. Guess I just hate to wait.
  7. Now what??

    That would make me extremely uncomfortable! I do not perform well when someone is standing over me like that. I have absolutely no desire to work in a place with that kind of culture. Personally I'd be looking for another job ASAP. Also, they very w...
  8. Getting a "head start"

    Take anatomy and physiology if it's offered in high school and medical terminology. Those two classes will help you a lot to be ready for the college level material.
  9. Wow, serious troll food. I can't believe I'm going to bite. Plenty of RNs worked their butts off to get there. Please don't act like everyone who has an RN degree just had rich mommies and daddies to pay for it. I can tell you I put myself through sc...
  10. New nurse who feels like a failure

    Heck, all of those sound like typical new nurse mistakes. Heck, most of them we've all done! I don't do it a lot, but I have thrown out a med still before scanning it when I'm tired. It happens! For me mistakes are just a part of how you learn. I'll ...
  11. Navy Corpsmen Caught

    Does not surprise me at ALL. Navy veteran here. Corpsman are more than CNAs. They do get a lot of training on "skills". They can do a lot of skills that traditional techs would not be able to do because they are under military laws/guidelines (but on...
  12. Spouse vs. MPOA and feeding tubes

    Pet peeve of mine, nurses who quote things as laws or policies and don't actually know where said law or policy is in writing. It's a 50/50 shot whether it actually IS a policy/law or not. I almost always find the dang policy in writing then put on m...
  13. I'd take the semester off. I had my baby the last semester of nursing school and didn't have to take a semester off because he was due end of November. Our clinicals ended the week before he was due and then we had a gap in clinicals again until Janu...
  14. I work on an orthopedic floor and am still feeling inadequate understanding the different anesthesia used and the implications for me as a nurse taking care of a pt the first 24 hours after surgery. We use generals, spinals, and intrethecals on our f...
  15. General, Spinal, blocks, oh my 411 please

    This! I want to thank all of you who responded. I have a much, much better understanding now.
  16. Online Nursing Schools vs Traditional Schools

    I went to WGU's prelicensure ONLINE program. It's hybrid. Theory online/clinicals in person. Love, love, loved it. I got more hands on clinical time than most of the other students I seen at the hospital. I got to actually do stuff because I was pair...
  17. General, Spinal, blocks, oh my 411 please

    Okay, I *think* I may have found the problem. I think the nurses I work with may just not be using precise terminology and that's why I am confused. Maybe??? I found this article I think what they may be referring to is intrathecal OPIOIDS vs loca...
  18. General, Spinal, blocks, oh my 411 please

    Well maybe that's it. I see "intrathecal precautions" on our floor, but you know I think you may be right. I am going to start reading all the anesthesia notes and comparing it to what I hear in report and see if that this is just one in the same and...
  19. General, Spinal, blocks, oh my 411 please

    Last question, I have been reading and searching, but lost here. What the heck is the difference between intrathecal and spinal? My searching is getting me nowhere on this.
  20. General, Spinal, blocks, oh my 411 please

    Boy, I feel like a dummy. Okay, I watched this youtube video. It was made for patients, but extremely helpful to me.I realize why I've been so confused. I'm mixing up the 'anesthesia' with the 'sedation'. Now this is all making so much more sense. ...
  21. General, Spinal, blocks, oh my 411 please

    Yes, this! With them switching blocks recently I am getting different thoughts from different nurses and honestly not sure that any of them really know.
  22. General, Spinal, blocks, oh my 411 please

    Yes, this is what I'm looking for. They just switched to Exparel and I think that it is not as great as they are hoping it to be. People are moving faster, but I'm having trouble anticipating pain needs with it. Also not quite sure why intrathecals a...
  23. Already failed three exams in one class! Help!

    Work on your test taking skills. Here's my best nursing school test taking tips. Test taking strategies If I am stumped and there are two answers and they both are similar for example you have 4 answers and two of them were say - lack of appetite an...
  24. CDiff Handwashing Protocol

    Definitely wash your hands IN THE ROOM. There are a couple pt rooms where I work that the sink is not near the exit to the room and that's very frustrating to me. We actually had this discussion recently and our safety/infection nurse who is very kno...
  25. General, Spinal, blocks, oh my 411 please

    That was helpful. Question though when an adductor block is used what kind of anesthesia usually goes with it to put them to sleep while the procedure is done?