Episteme

Education, research, neuro

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All Content by Episteme

  1. Episteme

    VA problems are in most hospitals

    Episteme replied to rnpatrick's topic in Activism, Healthcare

    OK... you guys appear to be talking apples and oranges. Apparently it's not that hard to get rid of doctors and nurses at a VA. But the executives are quite another kettle of fish. After a...
  2. Episteme

    Paramedic to nurse/nursing student

    Episteme replied to Jayjormom's topic in General Students

    I don't see what the big dark secret is. We clinical instructors know who is EMT and/or LPN and/or RT etc. Maybe if you're going out of state it would be different. I have had really positive...
  3. Episteme

    Pharm Studying

    Episteme replied to nursinggirl11's topic in General Students

    Do you have your pharm
  4. Episteme

    Clinical Question

    Episteme replied to tbbtpeach's topic in General Students

    Good stethoscope, ballpoint pen, pen-light, bandage scissors and I recommend hemostats. Also a watch with a sweep second hand. If you use a watch with the digital display you'd be surprised how many...
  5. Episteme

    Nursing Interventions for Maintaining Normal Lab Values

    Episteme replied to MikesRN06's topic in Nursing Student Assistance

    Wait Mike. Back up. What is wrong with your patient? From a nursing, not medical frame of reference. And I mean that in the "Walmart Test" sense of things. Why is this patient in the bed and not...
  6. Episteme

    Critical thinking skills help

    Episteme replied to beckyboo1's topic in Nursing Student Assistance

    Let me tell you why (I think) the NCLEX style questions eventually turn on the light bulb in some students' heads. NCLEX is all about the nursing process which is the formal way nurses think (which...
  7. Episteme

    Question

    Episteme replied to mg1303's topic in Nursing Student Assistance

    Not sure what a UPN is. But in our state, the board of nursing retains control over the training of CNA's and their certification. That makes a huge difference. At least they are all starting at...
  8. Episteme

    nursing priority advice needed

    Episteme replied to nannanbear's topic in Nursing Student Assistance

    You are obligated to fill in the SADPERSONS inventory in the EMR and report it to the physician and document that you did it. (At least in our facility.) Is your question whether her very clear...
  9. Episteme

    Let's talk about the VA

    Episteme replied to Episteme's topic in Activism, Healthcare

    I don't know. I just watched the History Channel presentation on the Chosin Reservoir. Oh, dear, dear, God. How could someone keep a set of double books, putting veterans in a holding pattern so...
  10. Episteme

    I don't think I want to be a nurse anymore

    Episteme replied to Poly123's topic in General Students

    You have many of the symptoms of clinical depression. What are you doing to fix that? Even depressed people have a will and they can choose to try and get out of their funk or wallow in it....
  11. Episteme

    I am having trouble with this question, my mind is drawing a blank...

    Episteme replied to Nursing2102's topic in Nursing Student Assistance

    Dear OP: For every nurse's brain, there is probably a unique way it would work through the problem. Here are the series of questions I ask myself when solving the problem. 1. If there are 10 drops...
  12. Episteme

    Nurses letting other nurses chart on their account

    Episteme replied to DQstatus's topic in General Students

    Bring it up to your clinical instructor. Let him/her pass the word to the unit manager. You don't want a student causing a dust-up that could cost your school a clinical site. (They're not easy to...
  13. Episteme

    Let's talk about the VA

    Episteme replied to Episteme's topic in Activism, Healthcare

    God willing, we will find those VA's that work and those that are crooked. I hope administrators that created two sets of books get investigated by the justice department (a suggestion of Senator...
  14. Episteme

    Pathophys (Prostate cancer) HELP!!

    Episteme replied to KyleL311's topic in Nursing Student Assistance

    I don't understand your problem then. Does the paragraph you transcribed constitute everything you know about prostate cancer? Or did you cherry pick facts you thought matched your patient? Go back...
  15. Episteme

    Worked 24 hours/3 consecutive 8hr shifts

    Episteme replied to marcjuico's topic in General Nursing

    How hard did you press your DON when the time progressed and no help was on the horizon? How much did you get up in her/his
  16. Episteme

    Pathophysiology

    Episteme replied to SunkissedRN2b's topic in General Students

    All of our students have taken AP 1&2. But when it comes to the patho of heart failure, they can't get why left sided failure causes pulmonary edema, and why right sided failure causes edema...
  17. Episteme

    Study techniques for Patho?

    Episteme replied to TheNoviceNurse16's topic in General Students

    It depends upon what you define as "success". Understanding the various disease states, or passing the exam. Study methods for both will overlap a lot. But there are still some differences. What...
  18. Episteme

    Pathophys (Prostate cancer) HELP!!

    Episteme replied to KyleL311's topic in Nursing Student Assistance

    OK. What is your assessment data on your patient? How does he "fit" or not the textbook description of prostate
  19. Episteme

    Let's talk about the VA

    Episteme replied to Episteme's topic in Activism, Healthcare

    The funding of the VA has tripled since the World Trade Towers fell and we entered into protracted combat. I would not mind tripling it again. When the current administration came on-board, they...
  20. Episteme

    High WBCs with acute GI bleed?

    Episteme replied to suzw's topic in Nursing Student Assistance

    I don't know why they didn't do a diff. I've seen it a lot and it honks me off. I wish it was a policy of the clinical laboratory services that any CBC with a WBC above (you pick the number) always...
  21. Episteme

    High WBCs with acute GI bleed?

    Episteme replied to suzw's topic in Nursing Student Assistance

    Vis a vis elevated white count and stress and viral infections. All of this is true. Add to the list generalized seizures (very brief... if a CBC is drawn immediately afterwards the results can tell...
  22. Episteme

    Summers off?

    Episteme replied to sometimesagreat...'s topic in Nursing Educators, Faculty

    It depends upon the school (accelerated programs don't stop in the summer). But it also depends upon the contract you sign. In baccalaureate programs some faculty sign 9 month contracts, some
  23. Episteme

    Case study: Need inputs!!!

    Episteme replied to mg1303's topic in Nursing Student Assistance

    Wow. A challenging case study, indeed. You hit almost all the things that occurred to me as I read it. But I'd like to raise one other concern. John's over-stepping his scope of practice is a...
  24. Episteme

    High WBCs with acute GI bleed?

    Episteme replied to suzw's topic in Nursing Student Assistance

    Well... leukocytosis only tells you that there is an inflammatory process going on. Most often it's an infection, but it doesn't have to be. When his esophagus tore, could some blood have spilled...
  25. Episteme

    Nursing care plan

    Episteme replied to 2016New's topic in Nursing Student Assistance

    You know what? Maybe the vagueness could be a blessing. I think you should get the NANDA-I Nursing Diagnosis Definitions and Classifications. Honest to Pete, that vague scenario gives you a chance...