snwflknurse

snwflknurse

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All Content by snwflknurse

  1. How do you monitor for cervical ripening?

    In the process of rewriting policies/standards of care on monitoring for cervical ripening. The shift in our facility has been from cervidil and vaginal cytotec to oral cytotec, although we still do occasional cervidil. Here are our current monitor...
  2. Fluid Volume Deficient Care Plan

    Can someone help me with writing my NANDA R/T AEB? Here is what I had Fluid volume deficient R/T effects of dehydration AEB diarrhea, syncope, lab diagnostics but then I got to thinking....the R/T "effects of dehydration" is the same as fluid volume...
  3. Describing Skin Turgor

    Maybe I should know this, but how do you describe skin turgor in terms of measurement? Is it just normal or abnormal? Moderate? What are the standards for measurement. My clinical patient this week, when I pinched her skin, it took like 1/2 a second ...
  4. md-surge to L&D nursing, what was it like??

    i worked a year in med-surg, then transferred to L&D. i had a year experience in OB as a nurse tech doing postpartum care, which i think was invaluable in my knowing the department before starting. our unit is LDRP and we average 200 deliveries...
  5. balancing charting and pt care

    i am a new rn to l&d/antepartum/pp after 1 year in med/surg. i am loving things so far, off orientation x1 month now and doing well for the most part. what i really struggle with is how to keep up with the charting demands (ex: fht's every 5-1...
  6. balancing charting and pt care

    thanks for the reply. we have computer charting (electronic fetal monitoring) but our monitors also print out a paper strip (which is handy to quickly jot a note of an event and then transfer to computer when time allows). our paper records are ar...
  7. tid dressing changes

    Order states: "Wet-to-dry dressing changes to ______ tid." No scheduled times. I work afternoons and am increasingly becoming frustrated that when I report off at 2300, it is somehow my fault that it didn't get done three times that day. In the pas...
  8. What am I doing wrong? Argh...

    I just started on a busy med-surg unit in October for my first job. I did a little bit of clinical time on this floor, but it wasn't recent. I only had three weeks of official orientation, and am a part-time 24 hour week, 8 hour a day position. Th...
  9. OB techs?

    I currently work as a nurse tech in OB. They only let you be a NT if you are going into your final year of nursing school here. I work with an RN and together we have anywhere from 5-8 postpartum couplets (so 10-16 patients). Our hospital is roomi...
  10. How to unwind after work??

    The advice about turning the mind off... It used to be hard for me to leave my mind off the patients. I think that giving a great report to the next nurse helps me sleep the next day. Not only did I give great care to my patients throughout the nig...
  11. Just wondering what those of you lucky ones (like me) are doing to get back in the mindset for school. I feel like I should be brushing up on my knowledge before I get thrown back into the wolves! I am working as a nurse tech this summer so I feel ...
  12. need tips for fundal checks

    I am working as a nurse tech in OB this summer caring for postpartum couplets. I am doing great so far with most of my duties, but am having trouble sometimes with fundal checks. Sometimes, especially on a larger patient, I have such a hard time f...
  13. Amenorrhea-help!

    I went on BCP's when I was 16 for the same reason....would get like 3-4 periods a year and they would last like 12 days and be terrible. I stayed on BCP's for a few years (three?) then went off them. My cycles were still irregular and sporadic My ...
  14. "don't get stuck in women's health"

    I would like honest feedback from those of you who are currently in L&D. I will graduate May 2006 with ADN and am open to lots of areas, but would love to do L&D. I just was offered an internship position as a nurse tech doing postpartum c...
  15. "don't get stuck in women's health"

    I did take the position. I just wanted to see what you all thought. Thanks everyone! I kinda thought it was weird advice, but wanted to ask those of you who are in L&D your thoughts. I've never heard anyone in L&D say that they wish they ...
  16. tax question R/T student loans

    Anyone know if I'm supposed to claim student loan money as income? It would seem like it, but I just went through the whole Turbo Tax thing and it didn't ask about student loans. Also, it would seem like if it's something I'm supposed to claim, tha...
  17. student..help osmolarity of dialysis?

    My patient I will have later today is on CAPD, with a solution change every 6 hours. Of course, last night did all my research on the procedure, condition, drugs, etc. The one thing I can't figure out is about the osmolarity of the solution. My instr...
  18. First Foley!!!!!!!!!!

    Yay! Doesn't it feel great! I just did my first one a few weeks ago, so I know how you feel! Makes you want to do a bunch to practice your new skill "for real". Congratulations!:balloons:
  19. My patient I will have later today is on CAPD, with a solution change every 6 hours. Of course, last night did all my research on the procedure, condition, drugs, etc. The one thing I can't figure out is about the osmolarity of the solution. My in...
  20. help...explain osmolarity of dialysis solution

    Thanks, I will post it over there!
  21. Med-Surgi & Phamacology

    I'm in Lifespan (med-surg clinicals), and Pharm II. 26 contact/credit hours. Frankly, the only thing getting me throgh each day is prayer and coffee, and sometimes not in that order, LOL:chuckle I agree, review, review review. And ask questions. ...
  22. what is a kvu?

    My patient at clinicals this week had one, I think it's a radiology test? I looked it up on several lab test websites and no luck........ any ideas what this is? i thought kvu's were units used to measure radiation, not a general type of test?
  23. what is a kvu?

    (slaps self on forehead) duh. that makes sense now...pt with abdominal distention, had a decompression colonoscopy. thanks!
  24. pharm ? re: reflex tachycardia

    Hoping someone out there can help me. I have a question I am having trouble with and can find nowhere in my book (or anywhere else for that matter). The question states: Describe what causes reflex tachycardia. What types of drugs would you antic...
  25. pharm ? re: reflex tachycardia

    yay, thanks! I did some more searching and found that it seems to be triggered by low blood pressure, whether the cause is from antihypertensives or from reflexes of other drugs. hope i can pass this test tomorrow!