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Dan's Sunshine

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  1. I just took the NCLEX RN and I had too identify breath sounds using a headset. I think they are trying it out to see how it works before they add it in April. I would take the test before then. The sooner you take it after you graduate the better your chance of passing. Good luck!
  2. Tonight will be the first night that I will be able to sign my charts as RN instead of LPN. Just thinking about it give me goosebumps. I can't wait to go to work!!
  3. I took mine today too, it also shut off at 75 questions. I felt like I failed, but I think I got the good pop up on PearsonVue. Good luck to you!!
  4. You need to check with your BON to see if you can hang chemo. I am an LPN in Florida - according to the state I can hang chemo but my hospital will only allow oncology certified RNs to hang chemo. As for the KCL, I would be comfortable hanging that without a pump. You can do a max of 20meq in 1 hour on a regular med surg floor. If it is 500ml I don't think you would be able to infuse it too fast unless you were trying to. Even if it ran faster than you wanted and infused in 2 1/2 hrs it would still be fine. Hope that helps.
  5. I am an LPN in FL. I do IV therapy. I initiate and hang abx. I push all kinds of meds including narcs. I push meds using both peripheral and central lines. I start peripheral IVs. I hang blood under the supervision of an RN. There are very few things that I cannot do in my hospital, and the hospital rules are stricter than the state rules. According to the state of FL there are only 3 things I cannot do - insert a midline, insert a central line, and administer a clot buster. That being said - all my orders are double checked and signed off by an RN. Also, the RN does the 1st assessment when a patient is admitted. The pay is a lot lower for an LPN, about $6 to $8 less starting pay. B~
  6. I took my test 2/8 at 3pm and got my results on Sat at 4pm. They should be there. How did you do???
  7. I took my test yesterday 2/8. I'm in Florida and we do have quick results. Should I expect it to be there this weekend or will I have to wait until Monday? Does anyone know???? Thanks, Brandy
  8. Our clinical group has been asked to participate in the teach in this year. We are divided into groups of 3 and can basically teach anything we want having to do with heath care. We are going to a middle school with 6th, 7th and 8th graders. Besides the basic pulses, listening to heartbeats, and first aid does anyone have an exciting idea? We really want to engage and involve the kids. Thanks for the ideas!!! Brandy
  9. We were required to buy supplies, but we also had to sign a waiver saying we would not practice on another human or animal.
  10. I work for a magnet hospital. I don't know much about it but I can tell you a few things. Every patients care is overseen by an RN. There are lots of LPNs on staff but they have an RN to sign off on the dr orders. There are few CNAs but lots of PCTs. As far as staffing, on my floor its max 5 without a tech, max 8 with a tech.
  11. I am working on a study guise for my cardiac test and cannot find this answer anywhere. Can anyone help? Why may a post op aneurysym patient develop renal failure? Usually I am able to reason out an answer but this one has me stumped. Thanks!!
  12. My hospital offers $2500 a year in tuition reimbursement, no contract. I am currently in an earn as you learn program. All tuition and books paid up front plus an hourly stipend to sit in class. I signed a 2 year contract. For me getting paid to be in school is worth it. Brandy
  13. I did my first injection at clinical the other day and had a horrible experience. My patient was very thin. I was injecting 1 ml with a 1 inch needle. I asked if I should use a smaller needle, instructer said no. I asked if I should go in at an angle instead of 90 degrees, no again. I also asked if I should still spread the skin. She said yes. :uhoh21: So, I spread the skin, went in at 90 degrees and hit bone. The needle was only halfway in his arm. She had me push the med anyway. I feel like I did something wrong but she insists it was fine. Just curious if it really was ok to do this. I knew I was going to hit the bone before I even filled the syringe. He was just so thin. Is there anyone who uses another technique for thin patients?
  14. Thank you!! I really appreciate it :)
  15. I have to demonstrate the use of a moist hot compress tomorrow. I have all the reasons for doing this (promote circulation, reduce edema, ect..). One of the reasons is to consolidate exudate in a wound. Can someone explain this to me? Is exudate the fluid draining from the wound? By consolidate are we just keeping it from dripping? Not sure why this concept is not clear to me. Can anyone help? Thanks :) Brandy

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