PghRN15

Do you have a NANDA book? That was my go to in nursing school. Keep it simple, they are just trying to teach you the process. I have honestly never used sleep deprivation.

As a hospice nurse I have given Dilaudid 1mg every 10 minutes at times. I know that this is not a comparison, and yes we use the concept that pain is indeed what the patient says it is. If a patient has chronic pain, his or her vital signs may not change. Pain is a symptom that we look for in advanced HIV disease. I am not sure where your patient is at in the process. Is it possible that because your patient HIV he could have been inappropriately labeled as drug seeker?. Is it possible that he is non-compliant with his therapy because he does not have the resources or anyone acting as his advocate? It is also possible that he is drug seeking. My point is that we don't know and we have to meet these patient's where they are. Please do not assume that people are drug seeking. If you have a concern that your patient is over medicated talk to the MD about it. Giving medications as ordered should not make you feel "dirty".

I am. I have 40 units to complete

Hi I am starting 11/1/15. I also have 40 cu to finish.

I started out as a CNA with a hospice agency, I worked as an LPN with the same hospice agency and now I am an RN with them as well. I have never done anything outside of hospice care. I am okay with that because that is where my heart is. I do often wonder if I have limited myself. I have never worked in a hospital.

Nicely done

It sounds like a major inferiority complex.

I work inpatient hospice GIP. It is all I have ever done as a CNA, LPN and now RN. We are a 12 bed unit with 2 RNs, 1 LPN and 1 CNA. In my opinion the biggest skill needed will be physical assessment and teaching. You will continually use the nursing process. You will assess, intervene and evaluate continually. You will teach patient's and families about hospice, medications, the dying process and many other things. The tasks that I use often are: foley insertion, IV starts for IV meds, dressing changes etc. Please remember, anyone can learn to do these tasks. Your skill will be knowledge ad compassion. Let us know how it goes.

The company I work for has an IPU. I work there and in the field. We are a small unit, 12 beds. We are not a hospice house but a short term symptom management unit. Very few hospices in my area have inpatient units.

I attended the Hurst Review in August. I paid $350. I attended with 3 of my classmates. I passed NCLEX the first time in 75 questions. I was the only one of us that passed the first time. Hurst had a lot of good content. I see that it had potential to solidify things that people may not fully understand. It was my opinion that the test taking strategies were more harmful than helpful. I didn't agree with them at all. I passed because I was prepared and didn't need that Hurst review but I tend to over prepare. I had a 4.0GPA and I did thousand of NCLEX questions through Lippencott and Saunders. My classmates failed because they put all their ducks into a Hurst basket and took their advice and only studied Hurst prior to testing. Do yourself a favor and spend $40.00 on a Saunders book and $40.00 on a Lippencott book. Study them cover to cover. Truly understand the rationale behind the answers. This will help you more than Hurst.

October here also!

I have been asked about the PVT and I simply state that it is unreliable. My results were on the SBON within 28 hours. I have a nurse friend that took her NCLEX about 20 years ago. She had to wait 6 weeks for mailed results. Imagine that....... The advice I get is prepare, test, and then relax. It is what it is.

I did a clinical rotation for my LPN - RN program. It was awful. Understaffed and mean employees that went out of their way to NOT be helpful. It was so bad that at one point my clinical instructor instructed us to give report and pulled us from the floor early and we never went back.

I passes my NCLEX in 75 questions on the first time. I mainly had prioritization questions, what would you do first? Who would you see first? I feel that the only way I was able to do this was my preparation. I had a Lippencott Pass Point program and I literally did 5,000 practice NCLEX questions. I maintained a 4.0 gpa in school. I sacrificed a lot to do this. My point is that there are many factors behind passing the NCLEX. I do agree that there should be a refresher after the second failed attempt.

Yea, I thought about that myself. I hope the OP meant mg.