ital91

OHLAWWWD. I LOL at those who say "respect is earned in this field, and comes with time and experience." It's called basic common courtesy people, regardless of experience. If you don't feel accepted, then something is off. As others have said, reflect on your situation. "When I am seeing patients, the preceptor interrupts my time with the patients and states, speed it up with your assessments In front of the patients". She also will whisper to the doctors that I take a long time with assessments so now the doctors have started to interrupt my time with the patients." ^ When this happens..in a firm, calm and confident voice you tell her - I'm taking my time to do the assessment so I don't miss anything. The point of an assessment is to find any abnormals. Show confidence in the way you walk, when you speak to others (and w/patients), and in what you know! Some people think they can walk on others if they sense low confidence/uncertainty.

Thanks everyone! We'll see how it goes, there are only a few openings..

I've yet to cath an adult, I'm sure its harder in a child.

what is a new grad residency? Is it like an orientation

I'm hesitant to b/c I don't want to lose my skills, if peds isn't my thing. Any advice if I were to enter peds, like what should I review?

My program also had 1 pediatric clinical rotation & there was limited space for peds insenior preceptorship. I just think that dealing with kids is a bit different than adult pt. population.

Has anyone started on a pediatric floor right out of school? I don't have enough experience in pediatrics, and was wondering if anyone had a hard time transitioning.. Thanks!

I did mention skills, however it is task oriented.. I also mentioned that I'd like to learn a certain number of new skills by the end..I could have a better understand of diabetes management but can't make the goal measurable..

Thanks for the suggestions. My first goal is actually on time management, and gradually increasing pt load. The thing with chemo is that were not allowed to hang up as students.. pain and nausea seems more like a specific goal for a pt care plan rather than a general goal for preceptorship. I get stuck on making goals measurable..

Hello I'm soon entering my clinical preceptorship, and we are required to makeup SMART goals throughout the experience. I'm in oncology BTW.. Any ideas

Hi all, I'm in my last semester of nursing school. I was wondering if you have any tips to improve in time mgmt.?? In clinical were given two pt. assignments to care for, and I always feel like i'm short on time. Were not allowed to pass meds without instructor present, and there's about 6 of us in a group. So that's part of the problem.

Thank you!

Hello all, I recently had clinical and I had a pt. with metastatic cancer with extremity weakness. Pt. was also diabetic. I've been taught that DM is always top priority. Priority concepts I listed were mobility, and metabolism (diabetes). Though diabetes is not what pt. was admitted for and blood glucose is under control, would I be correct as listing DM as my top nursing diagnosis/priority?

I had a 6 mos old pt. with a colostomy due to GI issues. Pt. was NPO but later advanced diet. I need two dx. First one I chose, is anxiety r/t to medical treatments/fear of unknown (for the family). Pt. is too young for body image issues, could pain fall under psychosocial? it's the main thing I dealt with during the patients care..

it might have been the NSNA for students..

When I first started, my school gave us a paper to join the ANA, but I read online now that it's only for RN'S... I'm nearing graduation and I'd like to pad my resume. Can anyone clear this up ? Thanks

What did you have done?

Today I gave insulin via a lantus pen. The lantus pen has a disposable tip- the one you have to screw on. Anyways after I gave the insulin I removed the tip and placed it in the cap. My thumb touched needle part that goes in the pen, not the patient. If that makes sense. I quickly moved my thumb once I realized it and I had gloves on. When I got home I felt like a pinch prick on my thumb. Should I be worried. Im a student BTW..

Nursing student here. I recently had a leukemia patient who had suffered a few months ago from a stroke. pt. is significantly weak on right extremities. Pt. didn't need much intervention. Most of the time, was on a wheelchair. Physical therapy did work a bit with the patient. Immunity and mobility/perfusion I think would be the main focus. VS WNL. I just don't know what appropriate interventions would be applicable. Only med given was for headache..

Sorry, it just sounded condescending. Along with the person who said "have you ever worked in a kitchen."

Chill pill Maverick, you get my point. Anyway, thanks much for the explanation I get it now. The order I gave was an example - 100ml for 8 hrs.. Again, calm your horses.

Chill pill Maverick, you get my point. Anyway, thanks much for the explanation I get it now. The order I gave was an example - 100ml for 8 hrs.. Again, calm your horses.

Now if I had a secondary IV bag, what would the VTBI be set to? the same as the primary?

and yes, I'm a student. IV pumps confuse me..

From what I've learned you always set the VTBI less than because you want it to alert you to change the bag..