ANRN2B

Central Pa diploma program person here. Almost all grads are offered positions at the hospital, and the local Penn State campus is where we complete our 1 year RN to BSN program. Starting rate is fantastic considering the low cost of living. Unfortunately, not much in terms of fun activities to be had here. Hospital also still pays 100% of that BSN (the last I heard). A friend graduated in 2013 and had no problem getting into Penn State Hershey Med after a few months experience at the school hospital and just her lil 'ole diploma. Diploma program doesn't necessarily mean career suicide in some places yet.

Thanks, Don! You hit on what I did eventually figure out, that your total mL will be 52, not 54 because the order is for 20mg, not 40mg. I knew there was something I was missing at first, it just took me a few extra minutes to figure out what it was. phillygirl: The way I set up this problem is: total volume 52 x gtt factor 60 gtt/min divided by total time 60 min. to get a final answer of 52 gtt/min. Just like I learned on DosageHelp.com, which I discovered thanks to the helpful people of this site gtt/min = total volume x gtt factor total time----> I can't get "total time" line up right, but I hope you get the idea.

Ok, I think I may have figured it out. A microdrop set equals 60gtt/min. So I have taken 54ml x 60gtt/min and divided that by 60 min. to come with an answer of 54gtt/min. I'm still not 100% sure I'm correct because I'm thinking there is still more calculating to be done. I need to think about this some more.

I'm having a problem with the following question: Order: Pepcid (famotidine) 20mg IVPB q. 12h. The label on the 4ml. vial reads 10mg/mL. The manufacturer recommends adding the famotidine to 50mL of D5W and infusing the medication over 60 minutes. At how many microdrops per minute will you set the IVPB solution to infuse? This is exactly how the question is written. I am at a total loss here. Do I first figure out how many mg need to be given in 60 min? Am I crazy in thinking that I need tubing calibration info in order to ultimately solve this problem? I'm so lost

Stargazer, if I was assigned as your student nurse I would consider myself very fortunate indeed. You really seem to get where us students are coming from. It's not a matter of laziness, or unwillingness to help. I'm simply following the rules of my program. Of course we will have the opportunity to do the more complex tasks as we advance in the program. And once I've been signed off on more than just therapeutic communication and vitals, I will be the first to run up and down the halls looking for RN's, LPN's and CNA's to offer my assistance to. And I will be the first to step up to participate in complex bedside procedures. Oh well, thank goodness the nurses I actually deal with in real life have no problem with our temporary limitations. Apparently there still are advantages to hospital based diploma programs. By the way, our program is actually VERY liberal in what they allow us to do in clinicals. We have 100% job placement (you read that right), and has been around since the late 1800's (you read that right as well), but we've only had 2 clinical days so far so we're not exactly at the point of being capable of running around shoving various objects into unfamiliar orifices.

Is this thread seriously for real? Nurses getting upset over the fact that students won't break the rules?? Wow... This has nothing to do with not being motivated, not wanting to take charge of my education, or stepping up to the plate, or being "brave". It has everything to do with not getting kicked out of my program. Period, end of story. Student nurses and new grads seemed d*mned if they do, and d*mned if they don't around this place. Sheesh.

We risk the same fate. For as much as I would love to assist and learn new tasks, I will not take the chance of getting in trouble or getting kicked out of my program. My instructor has made it VERY clear we are not to go beyond what we are allowed to do, which at this point is nothing more than therapeutic communication and doing vitals. The other day I could not even assist the RN with giving the pt. a boost. I appreciate the fact that my awesome instructor is easing us into this whole new world and I know my time to shine will come :)

I would like this 1,000 times if I could.

Did I miss some details along the way? How does "sharing a chair" suddenly become "making out"??

Thanks! :) By the way, I'm not a new grad. Oopsies...

For all we HONESTLY, TRULY know is.....absolutely nothing. This whole story could be made up in an attempt to yet again down the "young, pretty" types.

Planning outcome and evaluation is in there as well. Check out chapters 5 and 6.

I know exactly which Snoopy watch you are talking about and I have wanted one ever since I was a kid! Haven't got one yet though

..........Thanks for sharing?.........

I see. I attended public school in the 80's and we basically had three choices, the academic course work, business course work, or vocational training. We were never given a syllabus of any kind. I do believe that today's students have no reason whatsoever to not achieve honor roll status. During my pre-req studies I found that the amount of resources now available such as Youtube and Khan Academy make earning exceptional grades almost ridiculously simple.