MSNce1

MSNce1

med-surg, mother-baby, teaching, peds

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All Content by MSNce1

  1. Parish Nursing

    Joy, I saw your posting as a Faith Community Nurse. I appear on Westberg from time to time and get the Journal of Christian Nursing but albeit there are other faith based nursing journals out there. Currently practice dual nursing as a faith communi...
  2. A Day in the Life of a Hospice Nurse

    Loved the article on hospice nurse experience. I learned that even non-hospice home care shared many of the same attributes of nursing care approach. Keep writing as your perceptions are very helpful and enlightening.
  3. Positive thoughts and prayers

    Of course prayer is needed. As a faith community nurse I feel you are absolutely aware of the influence such event has not only on this student's family but the peers as well. The awareness of such mental health disparity in the community has grown b...
  4. Does anyone get paid hourly any more in home health?

    One of my nursing jobs involves home care and the company I work for is still paying hourly which benefits Medicaid/Medicare and other insurance in that sometimes care delivery can occur in smaller packets of time. I was pleased to see you examined h...
  5. Feeling left out amidst efforts

    If you choose a reaction based on what others think of you life will be robbed of joy. It could be such student(s) are not angry at you rather embarrassed at not being prepared. Presentation will influence your responses such as "From what I gather.....
  6. How old is too old to safely practice?

    Like Juan I believe making decisions based on passe' beliefs about aging leaves little room for true understanding that aging is not in and of itself a disorder. There could also be rationale for this choice to obtain a DNP later in life which regard...
  7. bullying? racism? or overreacting?

    I totally agree with concerns expressed about client outcomes secondary to mismanagement of resources ( a secretary making nurse assignments-the clinical director is not taking responsibility) and lack of effective leadership. Call behaviors inducing...
  8. Need insight

    The time you have with your 'lil' one goes by so fast. If it was me, I would take just one a course at a time until your child is at least in a pre-school/day care program. Meanwhile you can share what you learn with your colleagues which enhances th...
  9. Broviac Allergy

    Sounds challenging but you have found something that works. Thank you for sharing with the rest of us.
  10. Client (in this case via a family rep) abuse is never acceptable. The fact remains such volatile reaction not only affects those personally involved but others around them. Holding your ground by remaining calm and professional is a testament to your...
  11. Accusing Hospice

    I know someone at 92 who is at end stages of vascular dementia and so I understand from an emotional standpoint both sides of this very creatively composed story. Interestingly enough, it is some of the nurses who are caring for this woman are having...
  12. Does anybody else feel guilty about calling off?

    If you are sick you are sick and state of mind when ill is altered but not in a good way. So yes by all means stay home. If your kids are that ill, it will be hard for you to concentrate while at work which could lead to a med error, slower work, or ...
  13. What to do to prepare for PP practicum?

    I worked mother-baby many years and loved it. Like Silver1 said there are protocols to follow which I believe you will learn quickly. Look at a U tube ahead of time on feeling a fundus though hands on is more effective learning but you will at least ...
  14. Hurst. Pn review

    Lovelyeve27, as a nurse educator I have inside information that Hurst is the most successful NCLEX preps used for nurses. To me that would be worth it though many of the study where I teach love Kaplan and hate HESI. The latter does teach students ...
  15. I Passed Ortho Nurse Cert Exam!

    You should be proud. That is not only hard work but takes a lot of self discipline. I did my certification years ago as maternal-newborn nurse and boy I was surprised how much respect one gets for certification specialties. It amazing what you learn ...
  16. Changing Attitudes of a Psych Nurse

    Wingding, I agree with Silver 4 and 2. Breaks and emotional support are mandatory for all nurses. I have heard that psychiatrists have to go see other psychiatrists to help them stay balanced. Did you ever see the movie 'What about Bob'? the psychia...
  17. Nursing Project Help

    Syringes and vials are older methods while Insulin pens are newer so I would say 'Out with the old, In with the new" or even 'Vials or Trials, the evidenced base approach to the newest insulin administration practice and compliance rates. Hope I am n...
  18. Kaplan Post MSN FNP

    kap2013, I like your comprehensive answer which covers all angles of SweettartRN's questions. I graduated with my MSN in 2012 from Kaplan and at the time the FNP program was not accredited by CCNE but the it was being worked on. Other MSN degrees we...
  19. Please help! Cholinergic v Adrengergic

    Very helpful response to others and well delivered:)
  20. Adrenergic VS Cholinergic

    Are you thinking just the opposite or the opposite within that opposite category like when you spoke of alpha and beta with the sympathetic and parasympathetic within each category. Writing this down in z picture like format will help you a lot:)
  21. Nursing Diagnosis Help

    Think about the treatment for the pain and what it does to a branch of the CNS then that effect on the bowel.
  22. Nursing Diagnosis Help

    She needs to focus on the physiological factors that are impairing the GI track to .....
  23. CAREPLAN OB HELP

    Regarding uterine atony risk, client's uterine tissue as definitely been affected my multiparty so she does actively have Altered tissue integrity r/ t excess uterine or r/t endometrial injury with grand multiparty. Now you will need the AEB portio...
  24. CAREPLAN OB HELP

    Breastfeeding on her next baby will be painful as the cramping is worse with each subsequent delivery. So in volition pain will be a very active problem but the risk for diagnosis others mentioned are also possible. Remember to use your NANDA, NIC an...
  25. Switching specialties to L&D

    Go inpatient for a year or two at the facility where you want to be in L&D then request transfer up to Mother-Baby, couplet care or in small hospitals a Women's care into. Unit . Always good idea to work in a high risk area before going to L&...