jgtdolphin

Maybe I wasn't very clear on my post, sorry;( I know the nrsg dx part of the care plan. However, under the H&P I have to write in the medical primary and secondary dx. Then make a concept map on the primary dx of that patient. I have several nursing dx from my assessment, but I am really stuck on which would be considered the primary dx. I am thinking its ERSD, and then the risk factors would be DM & HTN. But then I think that DM should be primary. I hope I explained it better. Thanks for all the input.

My care plan patient has multiple dx, and I am not sure which one would be considered a primary and then secondary. Admission MD dx:hypoxemia,potential sepsis, diffuse edema, left leg swelling, obtundation, anemia. Also included are: End stage kidney disease secondary to diabetes and hypertension. He is on dialysis 3x week, He has a rt partial foot amputation. He came to the hospital due to a left foot unhealing wound that went sepsis, they amputated his left lower leg at calf, and will be going back to surgery in a few days to half more cut off, so its a below the knee amputation. He has hx of MRSA, so on contact isolation. I know my care plan has to focus on the primary medical dx, but not positive what that may be. Would it be DM, and then secondary would be end stage kidney disease or CRF? I am really lost. My focus on nrsg dx is more about his inability to move & cope with this, but I don't think an amputation is a primary med dx. I have to make a concept map of the primary dx as well. SO I am stuck until I figure out the primary dx. Any advice would be soooooooo helpful. It figures I end up with the most difficult care plan pt(at least he is sweet).

The wait list the other post is referring to is referred to the "Alternates". If someone who made it in the program decides not to take the spot, then the spot it offered to an alternate. Some refer to it as a wait list.

I was hearing all these rumors as well. I know several people who have been nurses for 15+ years w/ degrees not from IvyTech, and they say that Ivy Tech's nursing program is outstanding, and hospitals are pleased with the nurses that come from there. I'm in central Indiana. Perhaps some areas prefer BSN over ASN, but overall, IvyTech is not a bad school. As for getting in, its on a point system, and it really just depends on what the points on for that semester of entrance. I have been accepted into the ASN fall program at Anderson with a 162 or 167(I'd have to go back & look). I also applied at Lawrence, but only got accepted into PN. I have a 4.0 gpa. Most colleges will tell you that you pretty much have to get A's in all your pre-reqs to get into the program. For the most part, it is true, but I have heard many have gotten in with a B or two. I personally chose IvyTech because of the location and the cost. I briefly went to IUPUI 15 yrs ago,(there was a wait list to get into the nursing program &very competitive back then as well), I reapplied to the college, met with the advisor, and she told me I'd have to get straight A's which is impossible, and should look into something other than nursing. Nice huh!! After the 40 min drive & seeing the cost, I transferred to IvyTech. I have managed to get all A's, it took a lot of work, and I really want to go back to IUPUI and shove my transcript in that advisor's face:) It is competitive everywhere for nursing. The lowerest gpa they except is usually 3.8. I heard Univ Of Indpls(I think that one) lowered there gpa to 3.1 to get more students into their nusring program. Not sure if I helped with your question or not, but just know it is competitive, but it's not impossible:) Best of luck

It can be frustrating. You have done so great, and would have totally gotten in at the CC around here. Don't give up. I am 36 and have always wanted to be a nurse, and had to give up college 15+ years ago. I finally am in a place to go back, and my old college(IUPUI) basically told me I'd have to get straight As to get in, and that that wouldn't be likely, and to find something else to do. I ignored the counselor, and do to finances I transferred to Ivy Tech. Well, I managed to get all A's w/ a 4.0 gpa. I was a nervous wreck about getting in, and when I got the letter as alternate I was alittle bummed, but remained hopeful. I got into the PN program, so I thought its better than nothing..but I really wanted the ASN. Last week I got the call that a spot opened up, and as alternate I can have it. I immediately said YES!! So keep your head, you may get that call. It is a stressful wait, and your stomach will sink everytime that phone rings. If you don't get the call, just keep appyling. With your grades, you will get in. Best of luck,

lilboop, I called my highschool and they no longer have my vacc records ( I graduated in 93). SO frustrated. THe little booklet my mom had for me when I was a child is not all the way filled out, so some vaccs are missing on there. Looks like I will be getting a Titer. Sigh!

I felt alittle overwhelmed. The cost is okay with me, because I know it is more than three times as much at other colleges. Still hurts to have to pay that much, but we've been preparing to spend it. I am getting overwhelmed with the vaccination records. I have had all my records sent to my pcp(from birth to now, I'm 36), and I called, and they told me that dont show any records of my vaccinations. WTH!!! So I'm on a records hunt now. Just take a deep breath..of course I need to take several:) Best of luck.

Good news... I got the call from Anderson today, a spot opened up and I have been accpeted into the ASN program. I'm so excited. I was happy to be in the PN program, but really wanted to go straight into the ASN. Doin' the happy dance!!:)

I'm feeling overwhelemd with starting in the fall. I think because I am taking Microbiology right now, and it ends July 31, and we go away for a week vacation, then the kids start school, and then I do. So not much of relaxation or down time. Plus I have the orientations to go to, and get all the PX and vaccs done, and get my CPR recertified. Fun summer:) It's worth it!

You should do fine. I took Chemistry in HS, and even a college Chem... that was 15 yrs ago, and I had to retake the Chemistry now due to it expired. I didn't remember anything from back then, and I managed to get an A in the class. Some of the stuff was alittle difficult, but I got through it. Best of luck!

Maybe some people lose their passion, but only you can speak for yourself. (Just a sidenote example, my sil is a dancer, and began teaching dancing becuase she has always been passionate for it... well it became a "job", even though she wasn't passionate for that job, she was and still is passionate about dancing, even though she no longer does it.) I know my opinion can't be as valid since I am only in nursing school, but I know I will always be passionate for nursing. I have wanted to be a nurse since I was 4 yrs old, never anything else. I have been around the medical field growing up, and have worked in many areas of the medical field, even the holding room at the hospital(where I had an inmate throw urine all over me). I enjoy it, even the extreme bad days. People who meet me & know me will tell you that they can't see me as anything else other than a nurse. It's just my nature, and is all I want to do, even with the bad days that come with it. Only you can keep your passion alive and be true to yourself, don't let others rain on your thoughts just because they might have lost their passion(which maybe there are other circumstances that made them feel that way). Hope that all made sense:)

I've only been through 1 week of it so far, and can say it's going to be a rough summer. I have spent at least 3-6 hrs a day trying to understand and remember everything. I'm curious to see how poorly I will do on the exams. Our class was told that the exams are strictly comprehensive/ short essay form. UGH, my weakness. I may understand a concept, but not sure I would be able to do essay form, but we shall see. From past experiences for studying, I find writing stuff out over & and over to be helpful, as well as reading it outloud. If you have someone to study with that is beneficial, but I haven't really had that luck. I'm just hoping I can come out of this class with at least a C(even though it would cause me to lose my 4.0). It is a really neat class, just too much to take in in such a short time. Goodluck

Yikes 4 weeks?? I just started the 8wk class, and am feeling the pressure. Idon't think it would be as bad if it weren't comprehensive. I'm not sure how well I can do with that. I guess all I can hope for is to get a C or better, so I wont have to retake it. I wish you luck.

Congrats to you all:)

Congrats mmills63!! so does that mean you will turn down the alternate spot in Anderson :)hehehhee Sorry, I just really really want to go straight into ASN, instead of transitioning.