RedHeaded2bNurse16

Are you doing a full care plan on her? Or is this a different kind of assignment.

Anyone :)

M working on a care plan for my patients who presents with confusion, weakness stomach pain. She has cirrhosis. Sodium is critical at 107. She is on 3% saline. She is a non compliant alcoholic that is underweight. Also her pt and INR are elevated and she is not on anticougulants. They have put her on vit k. And has thrombocytopenia. I have my fell diagnosis statements done but I'm struggling with prioritizing. I have a risk for bleeding and I know they aren't usually a priority but I'm not sure in this case: Acute confusion Risk for bleeding Impaired nutrition less than body requirements Noncompliance Thanks in advance!

Thanks for this! I'm working on a care plan with a pt with hyponatremia, cirrhosis, etc. this helps a lot!

I'm a student currently and doing clinical on a MedSurg floor. I find that most nurses are willing to teach you as long as your not arrogant or lazy and are willing to work and know your place. By know your place, I mean get up when your looking at a chart and offer your seat to the nurse, same with the break room, etc. some nurses just don't want to be bothered with a student and I always ask if they mind if I am with them when I introduce myself.

I absolutely LOVE clinical! I'm on a Med-Surg floor and the time flies. I always want to get my hands on something new and challenging! I really love that everything starts to connect and looking at the bigger picture! A big thank you to all you Nurses who take time out of your day to help teach us!

I agree with PSU-13. I'm a student and happen to be on top of my class. I would NEVER do that to one of my fellow students. First of all looking into pts that weren't yours is just wrong and correct me if I'm wrong but also a HIPAA violation. At my hospital you are not to be looking up other patients info. If you happened to know of something, I would've approached to student first in a supportive manner. Of course, being insulin there could have been life threatening repercussions so if the student didn't act on it I would feel obligated to tell either the Nurse or Instructor. As far as the FB thing... It just comes off as arrogant. You don't want to make enemies and now you've put a target on your back. So I agree with the others that say keep a low profile. I am lucky that I with a class where we support each other immensely. I would most certainly want my fellow students have my back instead of sticking a knife in it and I would hope the same for my Nursing career. Good luck to you!

Are the doctors put under this much scrutiny? I always find this dilemma in female dominated fields, it always comes down to our bodies. Of course we "should" be an example to our patients but we are only human too. I'd take an overweight nurse, doctor, medic whoever as long as they know what they are doing. No one is perfect. Intellectually we all know how we are supposed to eat, exercise, not smoke, eat meals and take breaks (yeah right), oh and get plenty of rest. I don't know one nurse who can manage all of the above never mind of you have other stressors such as being a single mom etc. People need to get off their high horse and stop being so judgmental.

Congrats!!

It most certainly should be the other way around! I've never heard of that. Everyplace I worked, the doctors bought. We would chip in a small amount and get the doc a gift but not pay for the party.

Yes LPNs do care plans as well.

Thank you! That's what I've been leaning towards but just wanted to verify!

I'm sorry I should've been more clear. No the wound is not a result of his suicide attempt. More as one of the many reasons he is feeling helpless

Pt was admit for "trying to hurt myself" He is a paraplegic (20 years). He is also being treated for a dishenced wound that is mrsa positive. He was on a 1013 but the md released it. He has a plan in place for counseling etc. and the main reason he is still being treated is the wound. I'm not sure if I would make my diagnosis related to the wound higher than my diagnosis related to the suicide attempt. Physiologically, the wound but I would also think the suicide attempt initially bc of restoring his physiological factors but now that is stable so maybe not! I appreciate any insight on this. Thank you

I was taught to do the same procedure but use the radial pulse and wait for it to disappear. Deflate add 20-30 mmhg to make sure you are above systolic.