CallieBennett

Hi everyone! Working on my care plan for clinicals this past week and have settled on decreased cardiac output r/t altered heart rate & rhythm. Pt was tachycardic (SVT) but cardioverted back into regular rhythm. We have to use SMART goals and interventions. My goal is the pt will demonstrate adequate cardiac output as evidenced by normal heart rate (60-100 bpm) q2h by1200 on 2/26/16. So far I've got interventions that relate specifically to the goal of heart rate only: monitor hr and rhythm q2h, palpate peripheral pulses q2h, and teach patient about signs to report immediately such as fast heart rate, dizziness, confusion, weakness, or fatigue. I'm having a really hard time coming up with 2 more and our instructors seemed stumped too ( everyone was doing deceased c.o. this week 😕) Any ideas here?? They won't allow us to do any "medical" interventions, i.e. administer meds or o2. TIA.

Hi everyone! Working on my care plan for clinicals this past week and have settled on decreased cardiac output r/t altered heart rate & rhythm. Pt was tachycardic (SVT) but cardioverted back into regular rhythm. We have to use SMART goals and interventions. My goal is the pt will demonstrate adequate cardiac output as evidenced by normal heart rate (60-100 bpm) q2h by1200 on 2/26/16. So far I've got interventions that relate specifically to the goal of heart rate only: monitor hr and rhythm q2h, palpate peripheral pulses q2h, and teach patient about signs to report immediately such as fast heart rate, dizziness, confusion, weakness, or fatigue. I'm having a really hard time coming up with 2 more and our instructors seemed stumped too ( everyone was doing deceased c.o. this week 😕) Any ideas here?? They won't allow us to do any "medical" interventions, i.e. administer meds or o2. TIA.

I've got a grip on all of it really, this assignment was just asking us to reach out to those in the workforce (an LPN, RN (ADN) and BSN) for a more personal perspective on this. How it's affected looking for a job in your community, your management opportunities, what you're allowed to do. It's not a research paper, simply a 1 page summary of personal input from those in the situation. Sorry if I wasn't clear on what I was looking for.

We've covered the basics of it all, the different types of RN programs--diploma, asn, lpn-adn bridge programs. Covered the NCLEX-PN and NCLEX-RN. Clearly aware of the differences in opportunities pay wise and responsibility wise. Just looking for input from those already licensed and working about what they see in differences in responsibilities (from what i understand LPNs especially can have a wide range of legal abilities depending on state and setting), it seems as though LPNs are being phased out in many settings and how that can affect the workload of the other nurses, and how much difference it really makes to have a BSN as opposed to RN when it comes to job seeking and starting pay.

looking for insight for class on the differences in responsibilities, licensure requirements, pay scales, job opportunities, and education program from a licensed LPN, ADN/RN, and BSN. Any help would be so appreciated!