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Inpatient Psychiatry
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HIPAAPotamus has 3 years experience as a BSN, RN and specializes in Inpatient Psychiatry.

HIPAAPotamus's Latest Activity

  1. HIPAAPotamus

    Nursing Prioritization! Help!

    Yeah, I'd see the 55 yo with chest pain s/p cardiac cath.
  2. HIPAAPotamus

    Are nurses and doctors equal?

    I think each has a value and importance. Saying one is more important than the other, or one is a subordinate, minimizes the idea that all members of the health care team are working towards a common goal: the treatment of the patient.
  3. HIPAAPotamus

    Reserves for new nurse/prior enlisted

    The Army Nurse Corps Reserves requires one year of experience.
  4. HIPAAPotamus

    time from graduation to job offer

    I applied for oodles of positions before graduation and was rejected for all but one, who called me in for an interview ten days before pinning. They asked me to call them when I took the NCLEX, which was about five weeks after graduation. Called them on a Monday, was offered the position that Friday, but didn't start for another five weeks. So from pinning to my first day of orientation was thirteen grueling and impoverished weeks.
  5. HIPAAPotamus

    Rethinking My Choice To Be A Nurse

    Speaking as a newly minted RN who also has bipolar disorder (though in a less acute stage than yours), from one quirky lady to another.. ..This is not the time to go into an epically high-stress major, like nursing. I say "this is not the time", because there may be a time. It's not when you're in such a crisis state that you can't manage the early stages and nod off in class. I so deeply understand the desire to make your mother proud, to prove that your worth her financial sacrifice. But ask yourself this: would she be happier having a daughter who is present, functional, and recognizes her own need to survive? Or does she put however much she spent on those two classes over her daughter's mental health? (Don't answer that, I think it's obvious that I meant the former) You're in a critical stage of a need for self-preservation. You have a long life ahead of you, and this is the time that you need to focus on managing your mental health to ensure that you'll be ready. Give yourself a semester. Two, if you need. But know that you can't push through and fix this biochemistry. And that your mother and boyfriend would rather you functional and healthy.
  6. I give off a perception of confidence and complete assurance in what I'm doing, but the first time I spiked a bag, my hands were shaking. The first time I gave lovenox, I had sweaty palms. Sometimes "fake it 'til you make it" is the best advice.
  7. HIPAAPotamus

    Lousy Professor or lousy student?

    And you're getting too much attention for intentionally inflammatory responses. Bye felicia!
  8. HIPAAPotamus

    Lousy Professor or lousy student?

    Are you just in the mood to play devil's advocate tonight? First the inflammatory "nursing shortage" question, and now this. You mad at something?
  9. I didn't realize how much I loved science until I was fully immersed in my pre-reqs. Turns out, I'm super sciencey. What I did have is an innate desire to care for others, and an ability to communicate directly to patient needs. A lot of nursing is observation and assessment, and I've found a knack in quickly establishing a rapport with patients in order to have them trust me enough to tell me what's going on. I'm just taking a wild guess, but judging by the tone of your post I wonder if you have some social anxiety issues as well. While that wouldn't exclude you from an LPN track, I have found that people who are less "open" to patients have struggled far more in clinical settings than those who can talk freely. In short: yes, nursing is a valuable career, but it may behoove you to speak to counselors - both an academic and a therapeutic - to determine the best fit for you.
  10. HIPAAPotamus

    4.0 in nursing school?

    I too had an unhealthy preoccupation with all As. My first semester I finished with a 4.0, but my second I ended with a 3.73 (A-), which dipped my GPA down to 3.94. And you know what? It made me put life in perspective. I was so focused on getting test scores >94% that I started losing sight on the most important aspect: learning the material for time OUT of school. Sure, I'm still going to work my tush off for grades (since I have MSN programs to apply to in a few months), but I know that my long-term health and learning is more important than the short-term gratification of summa cum laude.
  11. HIPAAPotamus


    OK, here's how I figure it (and I apologize for the impending crudeness). You have three main values: pH (7.35-7.45), Bicarb/HCO3 (22-29), and Carbon Dioxide/CO2 (35-45). If it's metabolic, the main consideration is HCO3. If it's respiratory, the main consideration is CO2. So let's say you hold your breath. O2 transport is inhibited, which means that your CO2 rises. The whole point of respiration is to eliminate CO2. When CO2 goes up, that equals respiratory acidosis. A major risk factor of respiratory acidosis include hypoventilation, because your body is not blowing off enough carbon dioxide. OK, metabolic acidosis is more fun. Let's say you have norovirus, and are suffering from epic diarrhea. A large amount of bicarb (HCO3) is in your gut. When it is gone, and your bicarb (which is an alkaloid) is diminished, you develop metabolic acidosis. I remember it as "out the ass, assidosis." Now, if it was the other way, and you were vomiting, you would lose your stomach's acidity, creating metabolic alkalosis. Hope that helps.
  12. HIPAAPotamus

    What should I study ahead?

    Disagree with above posted. Study now - begin reviewing formats of nursing school/NCLEX style questions, which are not necessarily content-based but critical thinking-based. It's not enough to know a disease, you have to know the immediate steps to take when an interaction occurs. So no: don't ignore your studies, prepare. Nursing school is a whole different style of study.
  13. Don't look now, but I think HR is watching us.
  14. HIPAAPotamus

    My professor told us NPs have no future...

    I'll bet he expects all nurses to be female, wear white hosiery, and genuflect to MDs.
  15. HIPAAPotamus

    O2 question: 80s on room air?! What to do?!?!

    From my experience, COPD patients are generally given NC as opposed to a face mask, due to a concern about oxygen toxicity. Their bodies have acclimated to higher CO2 and lower O2, so a higher stream of O2 can be dangerous.
  16. HIPAAPotamus

    Stethoscope Suction in Ears?

    Push in less?