All Content by bsnrnoh
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New grad...LTC nights
Read the charts as you can, find one of the stnas to help you identify any pt you are not sure of identification. you will learn them and their preferences faster than you think. Good luck
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has anyone failed a class???
I have no idea how this will affect you getting into the nursing program at your school, but I failed organic chemistry the first time I took it and graduated 5 years ago from a competitive school. If you are a freshman check to see if your school has a Freshman forgiveness program (ask your advisor) and the grade can be dropped from your records. It is what I did and it worked. Sometimes you just overestimate how much you can handle in a semester. Ask around and find out what you can do to mitigate the damage to your record.:icon_hug: Good luck.
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I'm supposed to wear an "Ask me if I washed my hands!" button?!
One more idea for a button I am a NURSE, that means I am here to save your ***, not kiss it. Hope I don't offend anyone with this.:cheers:
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Fibromyalgia
I just wanted to add my to this discussion as a 10 year sufferer of fibromyagia who was recently diagnosed with celiac disease and is now pain free. If you have IBS symtoms in addition to the pain, fatigue and depression get checked for celiac. It has changed my life. I am now pain and medication free, all it requires to test is a celiac panel blood screening to determine if you have it. The treatment is a gluten free diet for life, though I am researching holistic cures at this time that claim to increase tolerance for gluten. Feel free to PM me for information. If you do not have the IBS symtoms it is unlikely but not impossible that you have celiac disease. Best wishes to all and I am not saying that fibromyaglia is not real, I do believe that it is, but if misdiagnoses is the problem then no medication, nutrional advice aimed at fibromyagia, or exercise routine will help.
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patient questions
No question is stupid or insignificant when it applies to YOU. You are the one who will have to live with the recovery, scars, pain, risks. And you deserve to be informed about all of it ahead of time. Obviously no one can tell the furture, but nurses and doctors can tell you the "expected" outcome. Never, never, never let anyone tell you to keep quiet if you are not sure or just want to know something, especially about your own health.
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Nurses Who Shouldn't be Nurses
I personally went into nursing for several reasons. 1. I like people. 2. I wanted job security. 3. I wanted to make a decent living wage.(ie. above minimum) 4. I have career ADD (I get bored doing the same thing everyday and once I learn a job I am ususally bored and dissatisfied with it, not a problem in nursing, never done learning!) 5. I wanted flexible scheduling. 6. I wanted to be able to move my job if necessary (hubby's job can move and he would need to go) There are more I have forgotten I am sure. What other career can give you all of these. I do not claim to have had a "calling" to nursing, and generally I do not get involved emotionally with my pts, though there have been a couple that have gotten to me.
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What's This About Eating Sea Salt Only Instead Of Morton's That We Buy At The Grocery
Sea salt also has other trace minerals (I don't remember which ones right now) that table salt does not have. I personaly use Kosher, sea, and table salt depending on what I am cooking.
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Stna's driving me insane, I feel like a babysitter.
STNA = State Tested Nurse Aide
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Which activities would best promote healthy and maintenance among older adults?
a
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Which nursing intervention will prevent respiratory complications in the client?
my assessment of question
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What did you need ot start?
You need to know what kind of visits you will be doing to determine what you will need. Post-op: bandages, wound measuring devices, lots and lots of gloves, steri strips (you will want ot know whether you take dispoable suplies, company delivers or is pt expected to get them), IV: who is the home pharmacy and what do they deliver vs. what you need to bring. And peds can be a whole other matter, but I have never one peds at home so I do not know what you would need. Good Luck My company suppied all equipment, including b/p cuff and stethescope. You could use your own if you wanted to though.
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telemetry
I worked tele in my first job out of school as an RN and had no previous experience except for clincals. I think that a CNA position would give you a really great opportunity to learn cardiac care and see if that might be an area you want to specialize in after school. In the unit I worked on most of the patients were at least weight bearing and most were coninent of B&B. But just to let you know I only lasted 3 months in this position as a new grad RN, due in part to not knowing what I was getting into up front. (and staffing issuses, but that seems to be everywhere) Good Luck and Go for it.
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PDA's for nurses... Anyone use them?
website to get free drug refrence guide on the web for palm or pocket PC http://www2.epocrates.com/products/rx/ also has great lab, dx, and nurses guide for sale.
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Do I LOOK Like A Nurse To You?
short, fat and proud of that......just like pooh bear:chuckle :chuckle
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Dating Patients
true, I guess I concentrated more on the ethics of nursing as in bedside nursing and accountability and not intimate relationships as I was married during school also. I am not trying to be a pain, this is just outside my normal world view. I guess I should have not said anything.
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Dating Patients
Sorry misunderstood. Have been married my entire nursing career so I have never bothered to look at work policies on dating. :)
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Dating Patients
I hope not as far as his work environment. He may be scum for cheating, but that is not relevant to work. Unless it was in conjunction with violence.
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Skin Care Kardex
one place I worked had skin care on Kardex with all other tx. used a body outline with wound areas numbered. then next to this was an area for notation of wound #, tx and times. updated at each shift change by the outgoing nurse. (everything in pencil for easy changing) also documented in notes and on med sheet in more detail. Hope this helps
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DNR means Do Not Treat
I think it depends on the overall situation. Also are they DNR CCA or DNR CCO, this makes a difference. What were the pts wishes regarding pacemakers and meds? I think you are generalizing too much here, or I do not have enough information to see your point.
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night shift tips
any ear plugs that are comfortable will work, check out your local pharmacy. get heavy drapes or black coating for your windows, start rotating your schedule now if you can to avoid fatigue your first week, and keep a steady sleep schedule even on your off days hope this helps
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Abbreviations
these appear to be national standard as they are all the same in Ohio Good luck
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Antidepressants and Hospitalization
When I was in the hospital for the first time as an adult with asthma I completely freaked out. The meds they had me on ( this was over 10 years ago and I don't remember which meds they were) had me so wired I was threatening to leave AMA and convinced I was going to die. Then the best thing happened to me. A nurse walked into my room after I got off the phone with my husband, I am sure she had heard me screaming to come get me and that I was leaving AMA. She told me it was the meds and that I would feel better once the high doses were out of my system. It calmed me right down. All of a sudden I felt like someone understood and that it was going to be OK soon. Sometimes what is really needed is compassion and understanding not drugs. I think we need to really look at acute versus chronic problems before passing out pills. However I think some docs believe that they have to write an Rx for every problem that comes up.
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What are some of the strangest situations you have gotten into in home health
Walked into a new admit case (COPD). The husband meets me at the door smiling and chatting about the weather. Walk through the house to the living room where the pt is slumped in a recliner, blue around the lips and gasping. Husband is continuing to chat about weather and the vitamins he sells and how healthy they keep him. Pt POx is 84% on O2. I crank up the concentrator as high as it will go and call 911 and ask the husband, since the pt can not talk she is gasping so hard, how long she has been like this. "Oh she has trouble somtimes you know" and (believe it or not) goes into the other room to get samples of these vitamins and brochures. As the ambulance is pulling up, he looks suprised and finally notices that I am running around trying to clear a path for the EMTs to come in and get what I do know about the pt together. As the EMTs are getting the pt onto the gurney, (they had given her more O2 by mask and she was improving) the husband asks if he needs to go with her since he has a sales meeting in an hour. By this time I was completely ticked off at him and told him that it was a matter of priorites and he needed to decide whether his wife or a sales meeting was more important. :angryfire Don't know if he went to the hospital or not. Really don't want his viatmins either as they seem to produce brain damage, and didn't help his wife either. Sorry needed to vent this one really got to me.
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I came a LONG way! How about You?
I was a high school dropout, got my GED a year later, at 26 I went to nursing school and got my BSN and RN. There are not limits to what you can do if you really want it. Good luck.