leannanavy

Saying that there are a lot of any type of questions, such as meds, prioritization, SATA questions is not an apt description. An apt description is something like this person is dramatic, do you A. tell them nicely, B. tell them not nicely, C. respond passive aggressively or D. ignore them. After reading many of your responses, I selected C. If people want to know what to expect in regards to question styles, don't try to persuade them not to. Surely when you were preparing for a test, mentally, you were curious about the style of questions. That is hardly cheating or divulging. The National Council of State Boards of Nursing breaks down the content areas, are they guilty of divulging when they share the detailed test plan for candidates so they know what content areas the most recent NCLEX will focus on? If so, attack them about their rules of discussing content because what they give candidates on their website is far more descriptive and detailed than any posts that I have seen in regards to the content on the NCLEX. https://www.ncsbn.org/2016_RN_Test_Plan_Candidate.pdf I cut and pasted the link if you're interested, by the way, how well did you score on practice tests in the area of therapeutic communication?

Hello, Breyson, I'm also a veteran who will be graduating with my ADN in May. I am rated 60% disabled. Wondering how you were put in contact with the VA recruiter? Were there specific requirements (beyond the graduating from a nursing accredited school and a school accredited by a state nursing board) or attributes that might make candidates more competitive for employment, especially for new grads? I was considering going on and getting my BSN while working too. Not sure there. I'm 41, have a 4 yo and a 17 yo. I've been going to school for almost 8 years (with a two year break for baby) and I am honestly tired of it. Also, prior to the baby's arrival, I had a 3.75 GPA but after starting the nursing program, my grades have really declined. I think my overall nursing GPA is 2.5 But my overall GPA is still in the 3.0s bc I had so many hours when I started the program. Anyway, any tips would be greatly appreciated to assist w/my getting hired by the VA. The reason I chose this ADN program was bc I wanted my 10 year Navy time to count towards retirement. Thank you Leanna Any suggestions would be greatly appreciated.

I'm a SN. During clinical (ended two days ago) on med-surg floor, a 29 y.o. lactating mother of three was receiving 2mg of dilauded IV q2h prn for (dvt in one leg with 2 large hematomas f/unknown source) and klonopin 5mg po q6h. She brought her pump to preserve the milk for an 8-week old w/nka uncomplicated vag delivery. Pt described baby as thriving. During shift change, the oncoming nurse planned to tell pt to pump n dump (bc of the diluaded) but big mouth me said (during shift change) I thought narcotics were safer than benzos. I think I offended the nurses I shadowed by sharing my opinion. My rationale for the big mouth statement; I got 10mg percocet PO Q4h for both c-sections, one in '98 at 36 weeks, 2nd in '11 at 40 weeks. I shared concerns about percocet to both (different) lactation nurses, both said it's ok. I got a Satisfactory and everyone else an Outstanding (it's not an F and am thankful I passed.) I initiated a conference w/my nursing program director and clinical coordinator to discuss my clinical experience because I was unhappy about not getting an O. They (director and coordinator) said dilauded is a Cat C drug and thus not safe. They said it's good to share knowledge but nurses tend to have egos (and when I become one I'll understand) and may have felt "like I showed them up." I explained feeling Klonopin was more dangerous than dilauded they ignored the Klonopin comment. I then came home and researched both diluaded and Klonopin and discovered dilauded is a cat c and klonopin is a cat d drug, but the med/surg nurses weren't worried about the klonopin only the dilauded. Pt didn't have a substance abuse hx (f/what i understand even if she did, her pain should still be treated) My question is if you're the nurse of an 8 week old (healthy) pt, would you recommend the mother pump and dump, if so, why? Which of the two drugs would pose the larger risk and why? What would you have done in this situation and Any advice (regarding what I should've done and what you'd have recommended to the pt) is greatly appreciated. Not sure I want to go into peds but in the event I do, this info will come in handy if not, it's still good to know in the event I'm confronted w/this situation in the future. Thank you, thank you, thank you in advance. Leanna