Episteme

Education, research, neuro

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All Content by Episteme

  1. Episteme

    When All Else Fails... Assess Your Patient!

    Episteme posted a topic in Nursing Student Assistance

    Real nursing is not what happened at the ends of your fingers the last time you cared for a patient. No. Genuinely professional nursing is what went on between your ears when you planned the care,...
  2. Episteme

    Should I leave this racist town?

    Episteme replied to ChutneyFries's topic in Patient, Colleague Relations

    I am really sorry this is happening to you. I just tumbled upon your post and the many responses and I apologize I didn't (couldn't) read every word of every response. Let me channel some of the...
  3. Episteme

    Let's talk about the VA

    Episteme posted a topic in Activism, Healthcare

    I live in a city that has (far as I know) a fine VA. A friend of mine was being seen for a chronic pancreatitis problem and in some of the images, the radiologist saw a teeny tiny spot on the guy's...
  4. Episteme

    What if?

    Episteme replied to NaCl-ty's topic in General Students

    1. When you begin working, you should have a robust new-grad orientation program wherever you apply. 2. Once you land on the unit that will be "home", you will begin to develop a systematic method...
  5. Episteme

    Pneumonia Priority Nursing Diagnoses

    Episteme replied to Mancoww's topic in Nursing Student Assistance

    Mancoww, I'd like to tag onto what GrnTea said and comment on Esme's mention of the Defining Characteristics My question is this. How can you make this diagnosis (impaired gas exchange) without some...
  6. Episteme

    SOAPIER and GPAL

    Episteme replied to DawnJ's topic in Nursing Student Assistance

    When did SOAP notes rise like a zombie from the dead? We were glad to see it go away back in the 70's! Maybe someone found the corpse, dug it up, dressed it in fancy clothes and (having written a...
  7. Episteme

    Obamacare? what are your thoughts

    Episteme replied to nija315's topic in Activism, Healthcare

    So I quoted from the Quarterly Journal of Economics, on hard data, from events that happened on a state level, can be examined retrospectively with statistical accuracy in a study given the thumbs up...
  8. Episteme

    Obamacare? what are your thoughts

    Episteme replied to nija315's topic in Activism, Healthcare

    This is an abstract taken from a round-up of abstracts published by Science magazine. I tried to get it directly from Science but they have a paywall. But it was published intact on...
  9. Episteme

    Obamacare? what are your thoughts

    Episteme replied to nija315's topic in Activism, Healthcare

    I will correct you before our progressive friends. The VA is not a single payer system. It is overtly socialized medicine where the government owns the facilities and the people that work in them....
  10. Episteme

    Obamacare? what are your thoughts

    Episteme replied to nija315's topic in Activism, Healthcare

    No... single payer doesn't work flawlessly. Consequently, some of the "big boy" nations are allowing people with resources to operate in a better, parallel system much like we can still remember. So...
  11. Episteme

    VA problems are in most hospitals

    Episteme replied to rnpatrick's topic in Activism, Healthcare

    I was just yanking your chain. We Southerners don't play the victim card. We know who we are and let the world think what they want. No worries. By the by... My daughter was an Internal Medicine...
  12. Episteme

    I thought I knew, but I had NO idea

    Episteme replied to CareQueen's topic in General Students

    Oh, my yes... Do not be put off because another student can put on gloves w/out contaminating themselves. Listen, in some ways the CNA/LVN/EMT thing can hold students back because they have a hard...
  13. Episteme

    BSN student questioning my career in nursing

    Episteme replied to NursePick's topic in General Students

    You go girl! I think your story is a real saga that could encourage a lot of people who will be coming up behind
  14. Episteme

    BSN student questioning my career in nursing

    Episteme replied to NursePick's topic in General Students

    Get established with a BSN and some clinical experience. Then... consider becoming a nurse entrepreneur. You have outstanding credentials and can obviously see a market, put together a business...
  15. Episteme

    paying for "life" while in full time school

    Episteme replied to juliesemer's topic in General Students

    You are incorrect on the hour ratio. If a theory (lecture) class is worth 3 credits, then figure 3:1 hours (9) of study for that. If you have a lab course (med administration, for example) it's...
  16. Episteme

    Any Advice for New Nursing Students?

    Episteme replied to jrabbit0811's topic in General Students

    Can anyone know what nursing school is like before they experience it? Hmmmmm... It's rather like becoming a parent, don't you see? When I became pregnant for the first time, (I'd already been to...
  17. Episteme

    I thought I knew, but I had NO idea

    Episteme replied to CareQueen's topic in General Students

    Thank you for your observations. I teach seniors and every semester at their last post-clinical conference, I ask them to close their eyes and remember the person who walked into the School of...
  18. Episteme

    How do you go about it?

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

    For sure. You cannot "diagnose" anything that is outside your scope of practice. But sometimes (IMO) there are diagnoses that you'll make about which no one can do anything. Still... it's a part of...
  19. Episteme

    How do you go about it?

    Episteme posted a topic in Nursing Educators, Faculty

    I find that the ability to articulate a nursing diagnosis is THE greatest stumbling block for students. I know if you're a nurse educator, you're working with students on this. In one form or...
  20. Episteme

    Hand Held Device Requirement for Clinical

    Episteme replied to tbbtpeach's topic in General Students

    Was the device and software requirement advertised and known before you enrolled in the program? Is it required per their course syllabus? A school can't just drop these sorts of things on students...
  21. Episteme

    Laptop vs Paper

    Episteme replied to PaulBaxter's topic in General Students

    I think the jury is out on whether or not this is going to work. I believe (please correct me if I'm wrong) a lot of the research was done on children at the secondary education level. Please let me...
  22. Episteme

    Hand Held Device Requirement for Clinical

    Episteme replied to tbbtpeach's topic in General Students

    That is very interesting. We do not let our students have any hand-held, any cell-phone/tablet/whatever on our clinical unit since they all come with cameras. Our students know to not photograph...
  23. Episteme

    Survey Estimates Net Gain of 9.3 Million American Adults with Health Insurance

    Episteme replied to NRSKarenRN's topic in Activism, Healthcare

    You know how it is, right? You do a neuro check on a new admit and something isn't right and you think... uh, what is it with this otherwise totally normal person? Then you figure it out. He has a...
  24. Episteme

    Survey Estimates Net Gain of 9.3 Million American Adults with Health Insurance

    Episteme replied to NRSKarenRN's topic in Activism, Healthcare

    Single payer. I think that brings us back to... what? Oh, yeah. The VA. That's what I can't wait
  25. Episteme

    VA problems are in most hospitals

    Episteme replied to rnpatrick's topic in Activism, Healthcare

    I don't know about the reference to Southerners. Let's see... there's UAB where the transplant service is amazing. Hmmmm... how many Nobel Laureates are at Southwestern Medical Center in Dallas...