russianbear

Hi everyone. I need to do a literature review with a PICOT question. This type of stuff is really my Achilles heel. Is there anyone here that is good at such things? I can PM you with the details. I really don’t even know how to get started.

Yes. Only real suggestion was to take more time on the exams.

I failed pharm and am repeating the course. I’m struggling again. Guys, I have no idea how to prepare differently. I feel comfortable with the material until I get the exam results. Even in clinical I am consistently choosing the correct medications. Where do I look to fix things? How can I alter my preparation?

Thank you very much. It’s in a SICU. Exciting work.

While ago. I have another interview at that hospital which runs the jail. My problem is I’ve been at my current job for only 7 months and I know people look at that and are hesitant to hire me since I’m leaving a god job so soon (VA. I’m going to get fired so I’m resigning before that happens. Long story).

Not really. There were two people. One just stared at me with the stink eye the entire time. The other was very friendly and engaging.

Interviewed. Got a rejection email about an hour after.

I may be losing my current job (long story). I’m probationary at the VA. Had some complaints. Oh well. Anyhow, I’ve decided to find another job. I’ve not gotten much interest but I got an interview for a position at the county jail. What advice can y’all give me to ace the interview? I want the job, even though it’s a significant pay cut.

Thank you for your support. I appreciate that.

The med is ordered IV. We have to know tonmix it in juice and give it PO. There is never a communication order telling us to do that, we just do it.

Boss was totally cool about it. I still feel bad though.

Doc ordered decadron IV on a child, which we mix in juice and they drink. In the hustle and bustle I administered it IM. I told they doc and he changed the order to IM and said it actually would work better. I still feel bad and wrote an incident report. Anyone else ever have a brain fart like this before?

Due to money issues I have no choice but to do the primary care program. Even that is going to make money tight in my home. There are just no grants or scholarships available.

bump please

Please help me choose a program. I was accepted to two different programs. One is ddult/gero primary care. The other is acute care adult/gero. The problem is, I want to continue working in the hospital, but the acute care program costs about $15,000 more. I am paying out of pocket. Loans are not an option. The primary care program I should have enough to pay for. The acute care would be cutting it close. Basically I'd be one financial hit away from having to drop out (big medical bill, car repair, etc). I'm torn because the acute care is more up my alley, but I have to consider the finances. I'm not sure the job market for these specialties either (northern Ohio). Any advice is appreciated. Thanks.

Sure. I'm doing it from the perspective of an NP. One thing I've come up with is using talk to typing software, like dragon, would speed up documentation, as they do a ton of it. Also, prioritization is big. Taking time for oneself outside of work helps improve performance too.

Doing a project for a course. Need to come up with time management ideas. Things that can be implemented to improve time management.

I honestly never knew such programs existed. No wonder we get a bad rap.

Explains why we have a problem in this country.

Clearly you've not been reading this thread.

I found my notes with lab values. Anion gap was slightly elevated. 2+ protein in urine. PH 7.40, CO2 28, bicarbonate 17.3. Physicians diagnosis was DKA. I think the ICU nurse was trying to show off, but was wrong.

I have defended my position admirably. I'm shocked one of you finally acknowledged the existence of drug seekers. Now, will you be courageous enough to say that physicians should not order them narcotics for the sole reason of feeding their addiction?

I love the air of superiority in your posts. Like I said before, I'd love to work in your hospital where "seekers" do not exist.

So if a person comes in with the sole purpose of satisfying a craving for opium, and we give them that, if it's not enabling, what is it? I think if you examine the concept of enabling, and codependency, you'll see that it is. If a cocaine addict comes in sans medical problem, should we give them a dose of pure Colombian?

Please show me where I've advocated inappropriate care. I, however, do not agree that enabling addicts is appropriate care. If a person's sole purpose for here ER visit is to get high, and this really does happen, that is not a reason for admission, nor should he providers be prescribing narcotics for them. If they have medical problems, including pain, we treat that. I happen to come from an inner city ER where we do just that. Known seekers have care plans. It reduces a lot of BS.