Episteme

Education, research, neuro

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All Content by Episteme

  1. Episteme

    Interpret this ABG..

    Episteme replied to ctvo's topic in Nursing Student Assistance

    Metabolic acidosis. You have a fixed buffer consuming bicarbonate. There is some respiratory
  2. Episteme

    Nurse freelancing?

    Episteme replied to fiveriver's topic in Nursing Student Assistance

    I think it's called "Home Health" not "Freelancing". Or am I confused about your
  3. Episteme

    Should Nurses help Doctors in Physician assisted suicide (euthanasia)

    Episteme replied to Caleb12's topic in Nursing Student Assistance

    It was years ago, and maybe things have changed... but Canon Law (i.e., the Pope and his homey's) did NOT call it immoral if physicians, nurses, family and other involved parties allowed the mortal...
  4. Episteme

    Losing my mind!

    Episteme replied to jesilyn1220's topic in General Students

    I have a success story. Husband was abusive, she divorced him got custody of the 7 year old. Then he starts court proceedings to get custody. She had court dates that interfered with classes and...
  5. Episteme

    New to board!

    Episteme replied to Jental1982's topic in General Students

    Yes. Recognize that nursing school is more than a full time job. You need 40 (at least) good hours each week for devotion just for study. So clear your life of clutter and anything else that can...
  6. Episteme

    Medsurg final with no direction

    Episteme replied to iamoph's topic in Nursing Student Assistance

    LISTEN UP!!! You must get 7-8 hour of sleep prior to the exam. Good evidence in the education literature that getting sleep is worth on average 10 extra points. After the exam (don't worry about this...
  7. Episteme

    Should I not buy (or rent) any text books?

    Episteme replied to ThatNursingDude's topic in General Students

    Books are obscenely expensive. I believe you should have full access to an excellent Med surg text (I like Lewis, actually) and a good pharmacoloy text. I can't speak to peds or ob or
  8. Episteme

    Quality of nursing care

    Episteme replied to lcnursingstudent's topic in Nursing Student Assistance

    Yeah... sorry. You're right, we get better at organizing our plans of care and it does make our workload seem lighter (sometimes.) My suggestion is start with your state student nurses' assn. And...
  9. Episteme

    Post-op care carotid endarterectomy-

    Episteme replied to bella14k's topic in Nursing Student Assistance

    Sounds about right to me... but some of this is our assumption. See if you can find a reference, some "evidence based practice" to prove we're right. Wow your instructor
  10. Episteme

    What prompts you to suction a trach....?

    Episteme replied to bella14k's topic in Nursing Student Assistance

    This is a good example of the way NCLEX questions are written. Sometimes you'll find more than one "right" answer. But you must chose the BEST
  11. Episteme

    Post-op care carotid endarterectomy-

    Episteme replied to bella14k's topic in Nursing Student Assistance

    I don't know, honestly. Suppose I could look it up. But any patient who has or might get fluxes in their intracranial pressure is maintained with the head above the level of the right atrium. I...
  12. Episteme

    New ABSN student overwhelmed by reading assignments

    Episteme replied to guest99$3's topic in General Students

    What is
  13. Episteme

    Medsurg final with no direction

    Episteme replied to iamoph's topic in Nursing Student Assistance

    Is this the first exam of hers that you've taken? The final? What about a midterm? Has any other cohort of students ever taken an exam that she wrote? If this is her first rodeo (exam...
  14. Episteme

    Nursing assessment for stroke patients

    Episteme replied to GE90's topic in Nursing Student Assistance

    Dear GE90... we don't know how far along you are and how much pathophysiology you've had. Maybe if you told us that, it would give us some idea. I am not sure how they do things in Australia, but...
  15. Episteme

    Should I ditch the pinning ceremony for a possible job?

    Episteme replied to bella14k's topic in General Students

    No one wears pins any longer. (Well... I do, but I'm old and people have grown to expect me to do old-fashioned things.) Odd that we've hung on to that tradition. Cap (gone) white uniforms (gone)...
  16. Episteme

    Using "Medical" terms

    Episteme posted a topic in General Students

    I would like to ask students how/if they have been instructed to use "medical diagnosis" in formulating their care plans. Medical and nursing diagnoses are two very different things. The whole thrust...
  17. Episteme

    Using "Medical" terms

    Episteme replied to Episteme's topic in General Students

    From a teaching stand-point, I think that's a good approach. So, a student could say "Impaired gas exchange RT COPD AEB hypoxia and hypercapnea". It wouldn't be wrong... (I mean, it's accurate.)...
  18. Episteme

    i need a nursing dx for non-compliance

    Episteme replied to jbeazer703's topic in Nursing Student Assistance

    So, you're in Domain 1, (Health Promotion) Class 2 (Health Management). I think the best defining characteristic is "Inability to take responsibility for meeting basic health practices" and your...
  19. Episteme

    Using "Medical" terms

    Episteme replied to Episteme's topic in General Students

    If it seems like I'm ambivalent about this... I am. Very
  20. Episteme

    Using "Medical" terms

    Episteme replied to Episteme's topic in General Students

    This is an excellent point. You always have to remember scope of practice. And yes, I've told my students treating "pneumonia" is not our role... We don't order antibiotics. On the other hand, I...
  21. Episteme

    Using "Medical" terms

    Episteme replied to Episteme's topic in General Students

    RunBaby and smf0903, What you say seems reasonable to me. Would you be allowed in your assessment data to write "2nd admission in 3 mos. for respiratory failure." Or "diagnosed 2 years ago with...
  22. Episteme

    Nursing assessment for stroke patients

    Episteme replied to GE90's topic in Nursing Student Assistance

    I think this is an excellent explanation and run down Esme. But it seems the OP is unwillingly in some game where the he/she is not allowed to say "stroke". Maybe not even "brain"? To the OP: If...
  23. Episteme

    Nursing assessment for stroke patients

    Episteme replied to GE90's topic in Nursing Student Assistance

    STROKE PROTOCOL... HELLO??? So in this scenario, a (what?) family member student nurse... is just stolling around (the hospital? the home?) and sees gramps slumped in a chair paralyzed and aphasic....
  24. Episteme

    Supporting a friend

    Episteme replied to 504 medic's topic in General Students

    I'm assuming the school sided with the physician. Is there any guarantee they would allow her to
  25. Episteme

    Quality of nursing care

    Episteme replied to lcnursingstudent's topic in Nursing Student Assistance

    Question #1. Yes. But it remains for the next generation of nurses to do the research to prove it. EMR is so new, it was supposed to save time and increase accuracy. (Lunacy!) But it has done the...