CTrain

Latest Activity

1. How do you deal with untherapeutic situations on the unit?

   CTrain replied to RNdynamic's topic in Relations

   This is really disappointing to read. I work in the ER and actually have a coworker who hid in the bathroom while HER patient coded. I honestly don't trust her with anyone at this point and have zero respect for her as an RN. It comes with the territ...

2. Nurse pt ratio in the er

   CTrain replied to floridaRN38's topic in Emergency

   We have a 4:1 ratio for ER patients. If the patient is ICU, you are 2:1 unless the patient is unstable then its 1:1, or someone else gets the patient set up until the primary nurse can care for both. If it is a step down from ICU it is 3:1. I think t...

3. Confused with new onset CHF

   CTrain replied to CTrain's topic in Student Assist

   So, is it possible that he has early emphysema that could also be interfering with O2 exchange. He does have home albuterol, and clubbing of the fingers which shows me something has been going on for a while. But by the same token he clearly has a la...

4. Confused with new onset CHF

   CTrain replied to CTrain's topic in Student Assist

   As far as I know, there was no mention of valve dysfunction, and no mention of right side having any issues. The pt. denied SOB with exertion but was on bedrest, so that may be why he denied it. I checked for edema around the sacrum and it was not p...

5. Confused with new onset CHF

   CTrain posted a topic in Student Assist

   My pt. is a 67 yo male (BMI 24) Chief complaint: SOB, weakness, syncope HX: HTN, hypotension, syncope, GI bleed - av malformation in stomach (2 negative guaiac as of my shift), GERD, ESBL in the urine x3 years, pneumonia, type 2 diabetes mellitus ...

6. Postpartum Nursing Dx. Help

   CTrain replied to CTrain's topic in Student Assist

   I have to use a wellness diagnosis.

7. Postpartum Nursing Dx. Help

   CTrain posted a topic in Student Assist

   Pt. Info: 22 year old, G3P3, repeat c-section with intrathecal analgesia at 21:52 on 3-27 (I gave care on the 28th), dermabond to incision. GBS negative, Rubella immune. NKA. Pt. has been given phenergan and zofran for nausea. Pt. has venodines a...

8. Risk for neurovascular dysfunction

   CTrain replied to CTrain's topic in Student Assist

   Also, the "Risk for peipheral neurovascular dysfunction related to swelling" came from my med/surg book required by my program, which is from 2010. That may have been the problem.

9. Risk for neurovascular dysfunction

   CTrain replied to CTrain's topic in Student Assist

   Please disregard previous post. I couldn't figure out how to change it, so this is what I want to say. Okay this is what I was wanting to know! Thank you, you are a godsend! I wasn't even thinking logically about DVT. It would be due to the 52 yea...

10. Risk for neurovascular dysfunction

    CTrain replied to CTrain's topic in Student Assist

    I bought Nursing Diagnosis Handbook by Betty J. Ackley. The section under peripheral neurovascular disease just confused me because my med/surge book flip flopped about compartment syndrome and DVT, so I wasn't 100% sure that DVT was represented unde...

11. Risk for neurovascular dysfunction

    CTrain posted a topic in Student Assist

    Hello, I had a pt. who was a 91 year old male with right hip fracture and right wrist fracture from a fall, mind you this is before surgery. He was in moderate pain from his hip fracture. His right arm was very swollen in comparison to his left arm. ...

12. Infant risk for injury

    CTrain replied to CTrain's topic in Student Assist

    Grn Tea thank you so much. I always feel like I'm not quite getting it or not paying attention to important things.

13. Infant risk for injury

    CTrain replied to CTrain's topic in Student Assist

    I just ordered a nursing dx book yesterday, but it won't be in until next week unfortunately.

14. Infant risk for injury

    CTrain posted a topic in Student Assist

    I'm working on a care plan for an 8 month old female child who was admitted for broncholitis due to RSV. She was in respiratory distress when she came to the hospital as I was told by the night shift nurse who had admitted the patient 2 days prior. S...

15. Need care plan help.

    CTrain replied to CTrain's topic in Student Assist

    Also, I'm working on getting the Nanda book.