HazelGrace

Forgot "Cox's Clinical Applications of Nursing Diagnosis" in the earlier list of books needed for 1st Quarter.

I take the bus 90% of the time from Northgate area. My commute was almost 1.75 hours each way because of connections from my poorly located part of town. I have the option to take an earlier commuter bus that gets me directly there but it's not relevant each day as the schedule is random and the bus is only available for three runs in the morning and evening. The other 10% that I actually drove, I had other appointments on the Eastside or wanted to go hiking in Issaquah after class. If you live in Belltown you have great access to buses. Take Sound Transit 554 and get off at Eastgate P&R--a 25 min ride, it's a Clinicals are a whole other story. You have to be on time. If you know who will be in your clinical group you can carpool to West Seattle (Mt. St. Vincent's, I presume) especially if they live by you or are willing to come pick you up. I did a carpool in exchange for lunches. Metro says that it's only 25 mins at 5:30am to get to Mt. St. Vincent's on the C-Line or the 21 from near the Belltown Inn. You would be there by 6-6:10am. Not sure what time your clinicals will officially start but from what I remember the instructor will designate a time that the group HAS to be there by. Prior to the start of clinical go out and do a dry run of getting there on the bus in the early morning to see if it will work for you. Overall, you will be fine without a car given your current location. I would get a clinical buddy that you can carpool with just to be safe. The Sound Transit trips can be expensive so look into getting a discounted pass from the school.

Leahlynne: The first three weeks are loaded with classes, lab time, and appointments at clinical sites for computer training and badging. If you are used to working and going to school I think you could do it. The only problem I could see is times not lining up to make it work on time. The class is split to give everyone ample time in lab; no switching because it's based on clinical groups. For example, I had mornings twice a week 9-12 but others had 1-4. My classmate also works at Evergreen and she does 3 days a week evenings. Her days were fixed, as I assume yours are, and she was able to arrange switches once the quarter calendar was available. She made it through first quarter fine but second quarter was a struggle because the reading is actually important, she had to switch to an occasional night shift because her clinical days switched during second quarter (we were Th, F; she got moved to Tu, Wed). All but 5 students worked in some capacity first quarter and many kept their full time jobs. Basically, it depends on the class and clinical schedule given but flexibility at your employment is key. Oh, the quarter schedule changes often; we had 7 editions before the second week of class. In sum: yes, you can work. There are many days that you won't have much to do besides go to an appointment for skills testing (there was a day I was on campus for all of 15 minutes). When clinicals start it is not uncommon to have an entire day off because you won't be going to lab much. I had Wednesdays and Mondays off for 7 weeks around clinical times due to all the holidays in Winter. Weekends would be the way to go since they don't interfere with classes then add a weekday in here and there. Congrats again on getting in!

Hi all! Congrats on getting in! Your life will be busy the next two years but make sure to exercise, sleep, and get a good study spot or two. I'm currently in the program starting Med Surg 2 in the Fall and wanted to give you all some info. Please contact me if you need any info or a sanity check at any point. -If you are pressed for funds hold off on buying all the books. We used Wilkinson Fundamentals w/ CDs, Davis Drug guide, Jarvis Physical Examination & Health Assessments and Nursing Today (early readings assigned but the exact same content was also assigned in Wilkinson). There was exactly one reading in the Med Surg book first quarter, so... -Buy Fundamentals Success, do problems before exams and read rationales for all answer choices. Discuss with friends to cement why the correct choice is most correct. -Start looking for patient care exposure; volunteer at a hospital, work as a per diem PCT or CNA, work in child care if you think Peds might be your thing, etc. This will look great on your résumé and provide great networking opportunities for highly competitive new grad positions in our local hospitals. It doesn't have to be extensive hours weekly but the main goal is to interact with specific populations and clients/families outside of clinicals. -if you can get two sets of scrubs do it. People will puke, defecate or whatever on you. There likely won't be time to do laundry while working on your care plan overnight. -Get a digital crockpot; Pinterest has many easy recipes -Nap if it feels right; studying in huge blocks is a killer and often a waste of time. Napping secures the info for the future. If you run out of study time for a test, choose sleep. Overall, remember that you are where you were meant to be. Have fun! You are amazing!

Titrate the propofol down and/or go wide open on the .9 saline to raise the bp? Seems the propofol rate is too high or increased too quickly. Monitor sedation level, allergies

I'm a student so bear with me. I'm thinking he has lead or pesticide poisoning that is causing hemolytic anemia. Perhaps he inhaled pesticides--Central Valley is known for agriculture. Also rash at shin level suggests leaning up against bushes; perhaps to harvest something or he was walking and spraying pesticides at knee level. WBCs are elevated to clear the particles and that could be the infiltrates seen on the cxr. I'm not sure if giving more oxygen or preparing for intubation is wise; he has good ventilation but poor carrying capacity. I'd anticipate orders for packed RBC and chelating therapy. What business is his father in? Where do they live/farms nearby that do crop dusting?what home remedies have they tried?