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eukaryote

eukaryote

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  1. eukaryote

    Help! I think I'm going to accidently hurt or kill someone

    I think you did the right thing. You assessed the pt's vital signs and found he had a high blood pressure and increased pain. You gave the blood pressure medication that was scheduled *at that time* and gave appropriate pain medication per the order. His blood pressure could have been elevated because of pain, or because he was due for a blood pressure med, or some other reason. I would have done the same thing, and then rechecked the blood pressure in 30 minutes, and then an hour. If it was still elevated, then I would have initiated the protocol. If I had called the doctor right away, the conversation would go something like this. "Hi doc, my pt's blood pressure is 188 systolic. They are in pain and have a blood pressure med scheduled." Doc: "Did you give the med?" "No, not yet, I'm instituting the hypertensive protocol." Doc: "Well give the med and call me if it's still high in an hour if it's still elevated. Click."
  2. eukaryote

    Stroke hemorrhagic conversion

    Like the previous poster said, it is a core measure for stroke patients to be on ASA, antithrombotic and a statin by day 2 of admission. There is a risk of conversion, like you said, but it is small. I also work in a stroke center, and I've only seen it once. This isn't research based, just my opinion, but I would say the risk of the pt. throwing a secondary clot would be greater, particularly if they are in a-fib and/or immobilized d/t the stroke.
  3. eukaryote

    A Nursing Student with Epilepsy?

    Seriously. My daughter has epilepsy and I have witnessed hundreds upon hundreds of seizures of any and all types. Never once has she injured anyone and/or herself for that matter. If she ever wanted to be a nurse I would be thrilled because of all her experiences and empathy for others with health issues or disabilities.
  4. eukaryote

    A Nursing Student with Epilepsy?

    How could she hurt someone during a seizure? By falling on them? I know plenty of nurses w epilepsy, and even met an NP w epilepsy the other day. Epilepsy has a spectrum of effects on a person, however, most people who are well controlled live normal lives and function just like the rest of us.
  5. eukaryote

    Preceptors what do you want out of your students?

    Thank you everyone for the great advice! Just wanted to give an update and say that my preceptorship is going awesomely so far. You are right, I have made a few mistakes but I have looked at them for opportunities for growth and reflection; and I know that they make me a better, more responsible nurse. My preceptor has been awesome at guiding me through the nursing process for each patient and helping me to process all the crazy things I have seen (my floor is high acuity). I am learning so much and getting to practice all kinds of new skills. Even though I am scared, I never turn down an opportunity to try something new. So far I feel like nursing is slightly terrifying, exhilerating, nerve-wracking, and awesome. Watching a patient get better and go home, or cope with their pain, makes it all worth it!
  6. This is great advice. Thank you for bringing me back down to earth! I always get so worried that I'm doing everything wrong. And as students there's so much pressure on us to be perfect and if we don't follow the perfect path (CNA in school, med-surg after graduation) then we're just gonna be screwed. I have to keep reminding myself to just accept things and know that I am doing the best I can. I am really excited about my preceptorship and the blessing in disguise has been that since I'm not working I have time to really prepare. I joined ONS and completed some Classes (cancer basics, genetics of cancer) and got my ACLS. Hopefully this will help me too.
  7. I graduate in December and had been hoping to follow the advice that is commonly given on this website which is to work as a PCT/CNA or intern while in school. Well here I am with o e semester left in school and still jobless. Unfortunately, I live in an area with a tight job market where most tech and CNA jobs go to foreign educated RNs waiting for their license and a huge glut of nursing schools. I applied to so many positions for CNA/pct, coop, internship and nothing materialized. But it was not for lack of trying. So, in the meantime I have been volunteering with our local medical reserve core, dept of health TB clinics, children's hospital, domestic abuse shelter. Basically, anyone who will take me. I also work part time for a physician's office (a surgeon) that I worked for before starting school. She has been gracious enough to let me come in and work "prn." Now, going into last semester with my capstone and research, I feel that it would not be a good time to start a new job. I'm hoping to put my best foot forward during my preceptorship and hope they will keep me. (Doubtful, but doesn't hurt to dream). I did at least get lucky enough to get my preceptorship on my dream unit and dream hospital so this feels exciting. But now after reading here I feel worried that I did not get a job as a CNA. Anyone else have positive stories about new grad employment who didn't work in school?
  8. eukaryote

    What didnt you do in school?

    I have done a lot...trach care, trach auctioning, IV insertion, IVPB, wound care, burn care, NG insertion. Pretty much most general nursing skills. The only thing I haven't done is hang blood, simply because I haven't had the opportunity yet. In my program the only things I can think of that we are not allowed to do is administer TPN and change the dressing on a PICC.