tulip5

tulip5

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All Content by tulip5

  1. Help!! Case Scenario 45 y/o M w/diabetes post op revascularisation (PAD)

    tulip5 replied to Nurse_Sian84's topic in Nursing Student Assistance

    So if I understand your current question(s). (1) Why am I adamant his priority problem is dehydration? The answer is: fluid imbalance (current... not risk for) always ranks everything else except...

  2. Evolution and Nursing

    tulip5 replied to TheFowldogg's topic in Coffee Lounge's Lounge

    When do you know if something is "proven"? What threshold of proof do you

  3. Passing but not learning?

    tulip5 replied to Lizzle15's topic in General Students

    What is

  4. Help!! Case Scenario 45 y/o M w/diabetes post op revascularisation (PAD)

    tulip5 replied to Nurse_Sian84's topic in Nursing Student Assistance

    Your priority is dehydration. Why? Because after oxygenation (which appears OK based upon the data you give) the next most important basic human need is fluid and electrolyte balance. You did not...

  5. Prioritizing care of a post-op patient within first 24 hrs

    tulip5 replied to kerrySN's topic in Nursing Student Assistance

    Oh, actions... I think some of this takes adjustment of the analgesics. May need something with the opiate. NSAID (ketoralac if she's not bleeding) works GREAT. If she's on morphine, try...

  6. Prioritizing care of a post-op patient within first 24 hrs

    tulip5 replied to kerrySN's topic in Nursing Student Assistance

    Oh... likely nursing diagnosis: (depending upon exact assessment data) Impaired gas exchange RT respiratory depression (opiate/anesthetic) and splinting AEB (vital signs here), pt. not coughing deep...

  7. Prioritizing care of a post-op patient within first 24 hrs

    tulip5 replied to kerrySN's topic in Nursing Student Assistance

    You've gotten some really good responses here, and I am just going to give you my simple-minded approach to the pretty-freshly-post-op patient. First of all, you must have a system for prioritizing...

  8. Risk for bleeding nursing diagnosis

    tulip5 replied to KarlaNolan's topic in Nursing Student Assistance

    Ya know what... there are people walking around who have AAA's and don't know it. There are others that know it and are just being monitored... to make sure it doesn't get any worse. And then there...

  9. Nursing Dx/care plan help

    tulip5 replied to kaylaas's topic in Nursing Student Assistance

    I agree with LauRN. In addition, as you're learning about clinical reasoning... always remember that "RT" (related to) requires that you address causality. I have students who will write a dx like...

  10. Urgency vs Anxiety

    tulip5 replied to elijahvegas's topic in General Students

    I'm an instructor. But my approach to sizing up students is much like my clinical style... I don't make judgements based upon one thing. If (1) the student looks way too casual during clinical, and...

  11. AIDS during the 80s

    tulip5 replied to Irish_Mist's topic in Patient, Colleague Relations

    Yes. I was an RN then. I did not know any RN's who refused to take care of Gays, even those with what we were recognizing as Gay-related diseases such as Kaposi's sarcoma and pneumocistis. But we...

  12. Still on my soapbox

    tulip5 replied to Guttercat's topic in General Nursing

    Our state fought back the "non-licensed assistive personnel" push years ago by lobbying our legislature really hard. As a result, certification of CNA's was put into the Nurse Practice Act and is...

  13. Working while going to school?

    tulip5 replied to MizMaverick's topic in General Students

    Yes... almost ALL my students that work while going to school do so because they MUST. (Their job is where the health insurance is, or divorced spouse is not paying child support or whatever.) There...

  14. NANDA NIC and NOC

    tulip5 posted a topic in Nursing Educators, Faculty

    I get that we need(ed) a standardized, agreed upon language for research and publishing and it's handy to have all of it (diagnoses, outcomes and actions) codified in EMR for the purposes of our own...

  15. NANDA NIC and NOC

    tulip5 replied to tulip5's topic in Nursing Educators, Faculty

    Our school uses Ackley and Ladwig which... in its own way (this section for this... that section for that... flip here, turn there...) contains the 3 N's. And I know that Med-Surg I and II faculty...

  16. Tell an instructor how to teach better.

    tulip5 posted a topic in General Students

    I tell my students that PROFESSIONAL nursing is what goes on between the ears. And I put a lot of emphasis on teaching students how to reason about patient care. Here are my questions for you... 1)...

  17. Working while going to school?

    tulip5 replied to MizMaverick's topic in General Students

    Nursing school (doesn't matter ADN or BSN) is harder than you can possibly imagine. Not impossible. Just unbelievably demanding. My recommendation is that you clear the decks, make sure your car is...

  18. 10 states with 30M uninsured hold key to ACA success

    tulip5 replied to NRSKarenRN's topic in Activism, Healthcare

    Yep. Read an analysis today that said that some small % of people who have signed up for insurance post ACA were genuinely unable to get insurance previously. It made the case that by expanding...

  19. Evolution and Nursing

    tulip5 replied to TheFowldogg's topic in Coffee Lounge's Lounge

    I have done 15 years of bench science (yep... whole deal, microscopes, tissue cultures, radioligand binding, measuring calcium transients with fluorescence, grant writing and publishing,...

  20. If you like your health insurance, you can keep it your insurance. Period

    tulip5 posted a topic in Activism, Healthcare

    Um... where are all those valiant defenders of ObamaCare that were here a year ago? Totally flaming anyone who dared to have any doubts about how Democrat promises square with reality. Debacle. Train...

  21. If you like your health insurance, you can keep it your insurance. Period

    tulip5 replied to tulip5's topic in Activism, Healthcare

    Not so much, bankruptcy due to medical bills is the number one cause of bankruptcy in the US. If everyone's insurance was working that well then few if any of these bankruptcies should have occurred...

  22. If you like your health insurance, you can keep it your insurance. Period

    tulip5 replied to tulip5's topic in Activism, Healthcare

    This is not a free

  23. If you like your health insurance, you can keep it your insurance. Period

    tulip5 replied to tulip5's topic in Activism, Healthcare

    I think you are exactly the sort of family this program was supposed to help... and I'm gratified that it has helped you. According to CBS (as of several days ago) 2 million American families have...

  24. If you like your health insurance, you can keep it your insurance. Period

    tulip5 replied to tulip5's topic in Activism, Healthcare

    The excuse de jour from the administration is that no one had to leave the health plans that they liked. But, you see... people are just being "transitioned" from "inferior" policies that did not...

  25. Is health care a "right"

    tulip5 posted a topic in Activism, Healthcare

    Now that the affordable care act is rolling out I wonder if we should revisit this notion. AND (maybe more particularly) if it is a right, is the federal government the best instrument to provide