dayna.tulip

Honestly, if you cannot take more than one of the prereq's a semester and get A's, you won't be able to handle nursing school. You do not get to take classes one at a time in nursing school. I worked full time and took Micro, A&P, and intro to nursing all at once, along with a university level biology classes in the Fall 2013 (I had already taken English). I got A's in everything except a B in the Intro to Nursing. I am starting in October.

Is the first thing we have to do the criminal background check by the 15th? IS there anything else that needs done right away?

That is correct. Everything immediately life threatening had been ruled out. A CT chest would have shown PE, signs of aortic dissection, or another pulmonary process. Cardiac enzymes would have shown if there was cardiac damage. However, sometimes there is a process that is life threatening, that is not evident at the time. But when the patient was d/c, there were no abnormal studies to suggest that he had a life threatening process going on at that time. I'm saying though, that often I have seen one negative Troponin, and then the next one was significantly elevated and the patient is diagnosed eventually with NSTEMI. If they did not do more than one Troponin, then they have not completely ruled out cardiac damage. It takes hours after cardiac damage occurs for Troponin to come back positive, and if his symptoms started just shortly before coming in, say 2 hours, and the first Troponin was negative, there is still a good chance that the second one would have been positive However, with a negative Troponin, D-Dimer, CBC, electrolytes and renal function, and with normal vitals, and ECG, AND a negative CXR and chest CT, it is VERY unlikely that there is an emergent process going on at that time. Perhaps the patient is having early signs of cardiac disease that have not yet caused measurable heart damage, which is why f/u and treatment is important

Then where I work, where the docs tend to be as I understand, kind of conservative, they would at least keep for serial cardiac enzymes, monitoring, and some kind of cardiac rule out testing in the morning such as CTA or stress test in the morning. Stress tests are limitedly helpful if someone has multiple risk factors as the "normal stress test" results expire within a year or two. But if you cannot get someone's heart rate down below the 60's for a CTA, it is very difficult to do. If the patient had reliable f/u and wanted to go home and felt better, he may just be d/c'ed, however, depending on the doctor

Any stress test over a year old is practically useless, and an old normal ECG is also useless, other than for comparison to an ECG when the patient is having symptoms. Given that PE was ruled out, and I'm assuming the imaging of his chest was otherwise negative, as well as negative Troponin,with normal labs, my main consideration would be that his symptoms represent anxiety, especially with the complaints of "rushing feelings" in his extremities and the itching in his hands. However, his pulse ox is kind of low for anxiety, as usually these patients hyperventilate (which can cause the "rushing" symptom, or symptoms of numbness or tingling to the extremities) and have pulse ox of at least around 98%. Was he a smoker? Did they do cardiac enzymes x3, or just one? Because sometimes a negative Troponin x1 is not enough to rule out cardiac damage. Also, you did not provide an ECG. Something else that could cause his symptoms would be something like a cardiac dysrhythmia, PVC's or PAC's which can be generally benign, or some kind of atypical pericarditis. Since he is 38 and obese, with h/o HTN, if he had a strong family h/o CAD or was a longterm smoker, he would likely be admitted short stay where I work for further cardiac workup and monitoring, such as a CTA coronaries. But, if there is no emergent process evident, you have to remember that this is the ER and that when there is no emergent process evident, and with minimal comorbidities, it is not always practical to admit these patients if they have close f/u with their PCP. If there is no solid reason to admit, it is reasonable to d/c them

How hard is it to get into rehab nursing? I am currently a new nursing student, and work in the ER, which I would like to continue to work in the future. However, I am also very interested in rehab and psych facility nursing, as these kind of problems hit home and I feel like I could make a big difference. I don't know how competitive it is to get that type of a nursing job as a graduate

My rank is 56. I think that means I start in October. Super psyched!!

What is the nursing seminar?

Don't give up! If nursing is what you are set on there is nothing that can get in your way, except for giving up.

I got in with a 92 Hesi and a 3.65 GPA. I don't know when I start but I guess I'll find out by June. I wish I could join the facebook group but I don't have a facebook and do not plan on reactivating mine! :/ But I'll see you all at orientation! Congrats to everyone and good luck to all the alternates! I'm so pumped!!!

That is a bummer! Thanks for the warning because I would have been freaking out wondering when I start! It's funny how they make us wait. What a gyp.

Just what the GPA and hesi scores are that they are using for ranking, and that we have until the 23rd to call them to like, argue it if its wrong basically. Nothing else really

I think its around 160 right? that they accept..then they probably rank a few more people, like 20-40 in case people don't want to do the program after all or whatever.

My GPA was lower than I calculated as well. But a LOT lower. The thing that confuses me is that they gave me a 3.65 GPA and a 92 HESI. I have never, in any semester at MCC, had lower than a 3.8. So I'm really confused. The only thing that I can think that happened is that they used my B+ in honors english from WSU as my composition score...which makes sense, except that when I calculate the GPA using that grade, it is still higher, at a 3.7 something. So I don't understand...I'm calling them tomorrow. I hope this just means that I'll be a later start, unless i can clear it up with them when I call them. Does anyone know what the lowest GPA scores/hesi scores were that got in, in previous years? I thought I remember it being around a 3.5 somehting GPA?

I have a total GPA of around 3.85. My HESI was 92. I have an A in Micro, an A in A&P, and a B in the intro to nursing class. I tried for an A in the intro to nursing but the tests questions were very confusing and my teacher even had to give people points at times because her tests contradicting themselves. That class is so short and was so difficult for me to do well in. I have a B+ in the composition, because it was an honors class taken at a university and transferred. I'm really hoping I'll get it. I'm nervous, with the transfer english class at a B+ (it would have been an A at MCC, but honors english at WSU was much more difficult than an MCC composition would have been) and with the B in intro to nursing. I'm really crossing my fingers. Good luck everybody