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SDboyy

SDboyy

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  1. SDboyy

    ED staffing ratios

    All patients are triaged. 1s and 2s are usually one to one. All others 1 to 4. Charge is not assigned patients and if 1s and 2s come in, charge takes the previous patients temporarily. If no rooms or not enough nurses, patients wait in triage. Generally ratios are honored.
  2. SDboyy

    "My pain is about an eight and a half"

    I guess it depends upon where you are nursing. I have been around patients who have been in pain for so long that they are intimately aware of minute changes. I am saddened, as it really goes to their suffering and understanding of pain, which is far greater than anyone should have to endure. With these patients, I will always round up.
  3. SDboyy

    Hospital nursing or bad management?

    When a certain manager sent out an email to staff on appropriate behavior, I responded with a critique of this manager's specific inappropriate language during training sessions. I did not receive a reply but noted that the manager's language improved considerably thereafter. Juevos Grandes
  4. SDboyy

    Diabetic care plan

    So I always look at what caused the situation and where it could lead, and what you want to prevent. If a pt has COPD which leads to pneumonia, chances are this was the result of an inability to properly clear the lungs effectively. Also, it a pt is in the 400's on blood sugar, there is a risk for DKA. Also with pneumonia there is a risk for pulmonary effusion, right? Now, these are medical diagnoses, so you have to relate them to what interventions you can identity to prevent or assist, but they are fairly easily correlated.
  5. SDboyy

    Is this legal?

    True. But most hospital get a heckuva lot of revenue from Federal programs, which I am guessing could be in jeorpardy for breaking federal law.....
  6. SDboyy

    Interviewing Nurses as a Student

    What about things like: 1) What does school NOT prepare you for? 2) In your experience with new-grads, what do they seem to be missing? 3) As a now seasoned nurse, what did you think nursing was while in school versus what you now know it to be while working?
  7. SDboyy

    Hours spent studying

    The general rule is to expect to study 2-3 hours per week outside of class for every unit of in-class time. So for a typical 4 unit class, this would be 8-12 hours of additional time per week, per class. I think most students who do well find themselves somewhere in this range, probably on the lower-side, to be honest, as there simply aren't enough hours in the day to do more, if you want to eat, sleep, etc. I haven't looked at ADN programs recently, but 18 months and 11 week quarters, while do-able, would be a roller-coaster ride. I would expect to cry alot.
  8. Sounds like the University of San Diego accelerated program. Beautiful campus, well-respected in the community and because it is private and monied, does have some benefits in the San Diego community because the people in the program are connected in the healthcare community. All that said, still not worth it, in my opinion.
  9. Why nurses don't go to oyster bars in flu season...
  10. SDboyy

    Pls help me!!!!!!

    If I were in your situation, I would find a lawyer to assist me with the statement. This is your livelihood and your future, after all. And like the other responder said, find one familiar with dealing with the board.
  11. SDboyy

    I scored extremely low on my TEAS

    Why would you have to commute from Los Angeles to San Diego for the test? Los Angeles has to have any. Or test locations than San Diego. I would not want to drive 2+hours in southern California traffic and then take a test. No way
  12. SDboyy

    Nursing essay due!!! HELP!!

    This is what I would do. I still find some problems with it, but tried to get your thoughts organized a little better and still keep your thoughts and your voice. The paragraph that I start with "The environment of care" should probably be removed entirely from this, but you had some passion in your thoughts, so I tried to keep it. These are only suggestions, so feel free to ignore them. My best friend wasn't expected to make it past the age of five, and she is now twenty-one years old. Struggling with a brain condition called hydrocephalus, she has endured over 300 surgeries. During this time, I have witnessed many situations in which I saw nurses play a huge role. They not only positively impacted the lives of my friend, but also her parents and her extended family. My friend formed bonds with some of the nurses that she never had with anyone else before. They were her shoulder to cry on and her call for help whenever it was needed. They were able to make her feel comfortable and turn her bad days into good ones. Recovery went by faster when she had her nurses around, and my friend would often say how much she loved the nurses who cared for her. I hope to one day have this kind of positive impact on patients, which I have witnessed so many times. As I continue to grow and learn, my desire to achieve the nursing profession only gets stronger. The science of nursing really appeals to me. Science and math have always been two of my favorite subjects, and being able to put them both together in my future career excites me. I have a deep interest in the health sciences and being able to learn something new everyday fascinates me. Science never stops and new discoveries happen every single day. I can't wait to be apart of that. The environment of care also animates me. Anytime I step foot into the hospital my energy just starts to flow,as the fast paced environment invigorates me. Being able to impact a complete stranger, as many nurses did with my friend, is so powerful. It is as if nurses are assisting in miracles right in front of me, aiding them along the way. As a nurse, It would truly be an honor to spread my positivity and knowledge throughout the patient's rooms, while treating them safely and effectively. I am passionate about the challenges ahead. I realize that nursing is nothing like a 9-5 job; it's a lifetime of dedicated work, on and off of the job. Similarly, as a student, I believe one of the biggest challenges I will face in this program is time management--with clinicals, classes, and my life outside of school. It can get to be a lot, especially all at once. I will overcome this by not procrastinating; staying on top of my work, and studying the amount needed each night. I will always put my career first. I will be sure to get an organized schedule down and stick to it throughout this program and my future. Another challenge I think that I will struggle with is not knowing absolutely everything. I will be surrounded by tons of knowledgeable students. I will overcome this by expanding my mind and accepting that I wont always know it all. I will work with my fellow classmates to learn more and help one another out. I love teamwork and I believe that is one of the greatest aspects of being a nurse. I need a unique program that is loaded with education and learning tools to serve as my foundation in my path to becoming an exceptional nurse. I know that a solid educational foundation will complement my soft skills, as I consider myself to be patient, understanding, and determined. Being able to say, "I'm going to be a nurse" fills my heart with pride and joy.I believe that ....School of Nursing can fulfill that for me. I hope to graduate as a ....!
  13. No,no! The patient's dyslexic, and was trying to scream "Oh my God!"
  14. It really depends upon the school you apply to. Alot of the schools I was interested in have such a high volume of applicants that they go purely off of GPA and TEAS scores. They may have additional points for hospital-related volunteer work, but usually not that many. I basically made the calculation that my application was strong enough without it, so decided against. My advice is to really look at the application process and see what they want. It varies alot.
  15. The husband's on the golf course, but he sent his Best Friend!
  16. SDboyy

    HELP! How to get my CNA's to do their job

    So for transparency's sake, I am not a nurse manager, but in my past life was a manager of many people in a large company. You have received some good advice here. I only wish to offer a structure for the conversations that should take place individually with your CNA's. Start with their job descriptions, and make sure that they sign-off on the job duties as outlined in the description. Many HR departments require this, but you should have it locally, too. Also, for department specific tasks and/or individual deficiencies, supplement the job duty sign-off with a letter of common understanding. This would be a more specific list that generally falls under the "other duties as required" that all jobs have. Again, be detailed as to your expectations, and have them sign off, and give them a copy as well. These documents can then be pulled out when you are engaging in warnings and write-ups, as proof that they stated they understand what is expected of them--or did at one time. It is also great HR documentation for any firings that might occur, protecting you and the company from any frivolous wrongful termination lawsuits that can pop up. Also, ask the CNA's if there are any barriers preventing them from completing their duties as outlined. You will get some complaining, I am sure, but you need to give them an opportunity to voice any issues. This also has the effect of taking away any excuses that they may have later when they are not performing. As others have stated, get HR involved and union reps, as needed. This is alot of work, but the key is to monitor, inspect, and address issues immediately, so they all get the hint quickly that previous bad behavior will not be tolerated.