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spartan_nurse

spartan_nurse

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spartan_nurse's Latest Activity

  1. spartan_nurse

    Nursing Research for publication

    Hey Y'all, I was just accepted into an evidence based nursing practice fellowship program. I have proposed a project that would look at how we as nurses handle healthcare associated delirium (HCAD) in the acute care setting. Specifically, I will be looking at developing a unit specific proactive screening tool for identifying pt's at high risk for HCAD and if such a model reduces length of stay. I work on a medical stepdown/internal medicine unit. I will be working with an advisor who has experience oversees this fellowship, but I will not have a topic advisor. At the end of the fellowship (1 year) I will present my findings in a poster presentation at a nursing symposium at my hospital. I would love to set this project up for eventual publication in a nursing journal, but have no idea how to set myself up for success. Any nurses out there publish articles on unit-based projects and how to set myself up for the possibility for publication? Thanks
  2. spartan_nurse

    I'm a sexless nurse

    I think being self aware like you are is so important to be empathetic and provide good nursing care. However, I think we are forgetting how to provide patient centered care and tayoling what procedures we do to our patients. I think as male nurses, we are responsible to be competent in all the same care as our female counterparts. In that regard we are equal, but we do bring a different perspective and the male gender has a certain meaning in our culture. In cases of intimate care suck as catheters or peri care we need to ask the patient tpher preference. Script it iut. Maybe something like, " I am able to perform task x, are you comfortable allowing me to provide that care?". This way we are being professional, men, and not over tasking other nurses. I will! say this though. As nurses it is our job to be comfortable providing care to all people regardless of how their anatomy differs. Maybe ask yourself why you are uncomfortable performing such care. Is it because you are uncomfortable with female anatomy? Is there an assumed level of being uncomfortable by the patient? Are you trying to legally protected yourself?
  3. spartan_nurse

    Lost my first patient

    I am senior nursing student in my final rotation through an ICU. During the day my preceptor had the code pager. We responded to a cardiac arrest code. We did compressions for 45 minutes while pushing emergent medications (Epi, atropine, dopamine) and shocked twice, and paced for 15 minutes. But despite our best efforts we lost the patient. I was mid-compression cycle when a family member put his hand on my shoulder and said "let him go". It hit me like a ton of brick. All the adrenalin running through my body vanished, everything went quiet, I stopped compressions and looked up, totally bewildered. I felt so empty in that moment as I silently stepped back, gave my name to the code recorder and walked away. My preceptor and I walked in silence back to the unit. All the while thinking "how do I go back to the happy and positive nurse my other patients need?" So, nursing students, experienced nurses, and everyone in between, do you still remember the first time you lost a patient, how did you finish your day? I was able to decompress a bit, but I'm still thinking about it a week later.
  4. spartan_nurse

    Professional Attire

    GrnTea, that's genius!!!
  5. spartan_nurse

    Professional Attire

    Please keep personal disagreements to private communication. Thank you.
  6. spartan_nurse

    Professional Attire

    The vest would be worn without the jacket and I agree first impressions are HUGE! I appreciate the feedback.
  7. spartan_nurse

    Professional Attire

    Thank you for your response. You touched on a culutre difference so I really appreciate that.
  8. spartan_nurse

    Professional Attire

    Hi All, So I landed an interview with Vanderbilt University hospital. I am over the moon, but as I started to do my interview prep, I started to think about what I should be wearing. I'm a male new grad interviewing for the residency program at VUMC. I have a charcoal suit that I'll be wearing, but I am wondering if I can wear just the shirt/tie and vest or if I should stick with the shirt/tie and jacket? Personally, I'm partial to the vest with the shirt/tie, simply for layering. I'm from Michigan and so I'm not use to the Southern summers. But I understand the classic image of the jacket. As far as shirts go I own a classic white shirt and a dark grey shirt. With both I wear a purple tie that I bought with the suit. Suggestions?
  9. spartan_nurse

    Multi-state Licenses

    Yes, thank you. I know it's 2 seperate licenses, I just say "transfer" for the sake of not typing it all out. I'm kind of still in college mode where transfering credits is a thing. So I'm moving from one universtiy health system to another so my brain just goes "transfer" if that makes sense haha.
  10. spartan_nurse

    Multi-state Licenses

    Thanks for the info! I'll probably get licensed in Michigan then and transfer the license once I have it an dif I need to. I just hope the employer will be patient if I have to transfer my license.
  11. spartan_nurse

    Multi-state Licenses

    So I'm graduating from my BSN program in August (8/7...88days 2 hours and 38 minutes in case I was counting). I live in Michigan, but will be applying for jobs in Tennessee and Michigan. When I register for the test can I register for multiple states so once I pass the NCLEX I will be licensed in both states?
  12. spartan_nurse

    New to homecare and I need some help

    We've talked about a HHA, but she is really resistant to the idea. I didn't drive her in my personal vehicle, it's part of an ambulant care. We have a protocol, a partner, and EMS training on how to transport patients. I appreciate the suggestion and concern.
  13. spartan_nurse

    New to homecare and I need some help

    Not in my personal vehicle. I worked for an ambulatory home health service. We have a specially equipt vehicle and stamard protocol for transporting patients using a partner. Simply we're home care nurses with ems training.
  14. spartan_nurse

    New to homecare and I need some help

    I'm relatively new to geriatric care and definitely new to homecare and I have a question for you all. A client lives at home with her husband and grown son. She is in her late 50's with a complicated medical hx. Hx includes hx of myelodysplasia syndrome, GvH in her lungs (lung function ~30%), Avascular necrosis in right hip, COPD, GERD, Aortic insufficiency. She is on a million meds including beta-blockers and steroids. She has a past history of falls which leads to my question. She was found on the ground the other day at home. She had fallen 10 minutes before I had found her. Her husband was out of town and her son was at school. She stated that she tripped over her oxygen tubing. She has a home concentrator with 50 ft of tubing. I drove her to the ED where they did x-rays of her right arm and hip. She has been diagnosed with a simple fracture and an avulsion fracture at the greater trochanter. She has a difficult time doing ADLs but with good family support manages well (although reluctantly -- she is not ready to give up independence). Since the fall, we have removed all trip risks including clutter and throw rugs (the bane of my existence). We have done all the things we can do right now, but what can I do about the darn tubing? She likes having so much because she can go anywhere in the home (a 1 story ranch style) and out to her car to get groceries. We've discussed carrying her cell phone with her at all times incase this happens again, but that tubing is still a major tripping hazard.
  15. spartan_nurse

    Frailty in the Home

    I'm relatively new to geriatric care and definitely new to homecare and I have a question for you all. A client lives at home with her husband and grown son. She is in her late 50's with a complicated medical hx. Hx includes hx of myelodysplasia syndrome, GvH in her lungs (lung function ~30%), Avascular necrosis in right hip, COPD, GERD, Aortic insufficiency. She is on a million meds including beta-blockers and steroids. She has a past history of falls which leads to my question. She was found on the ground the other day at home. She had fallen 10 minutes before I had found her. Her husband was out of town and her son was at school. She stated that she tripped over her oxygen tubing. She has a home concentrator with 50 ft of tubing. I drove her to the ED where they did x-rays of her right arm and hip. She has been diagnosed with a simple fracture and an avulsion fracture at the greater trochanter. She has a difficult time doing ADLs but with good family support manages well (although reluctantly -- she is not ready to give up independence). Since the fall, we have removed all trip risks including clutter and throw rugs (the bane of my existence). We have done all the things we can do right now, but what can I do about the darn tubing? She likes having so much because she can go anywhere in the home (a 1 story ranch style) and out to her car to get groceries. We've discussed carrying her cell phone with her at all times incase this happens again, but that tubing is still a major tripping hazard.
  16. spartan_nurse

    Elder abuse care plan

    I am using Nursing diagnosis applications to clinical practice (14th ed 2013) by Carpenito so it's still "x diagnosis" r/t this s/t that AEB these things. I have not used or instructed to use the new NANDA-I 2015-2017. Thanks for the feedback though. I will look this book up.