Student Nurse Laura

Orem – "creative effort of one human being to help another human being."

Archive for January, 2011

TPN questions

Posted by Laura on January 31, 2011

1. You are hanging a 1 L bag of TPN which contains 40% Dextrose, 8.25% Aminosyn which is supplied in a 50/50 ratio. You are infusing it at a rate of 100 mL/hr. You put the bag up at 0900 but had to stop the feeding at 1100 to 1200 due to other procedures for your patient. The feeding continues through the day. Your shift ends at 1900 and you need to figure out your I/Os. How many mL of TPN did they get? What was their caloric intake? If the doctor had prescribed some 10% Lipids to run for 12 hrs at 40mL/hr starting at 1300, what is the total caloric intake now at the end of your shift?

2. If you hang a 1L bag of TPN which includes 8.25% protein, 30% dextrose and 20 % lipids all running at 45ml/hr and is at a 40/40/20 ratio, what is your total calories for the bag?

(hint: 40/40/20 means 40% of the bag is protein, 40% is dextrose and 20% is lipids. 40% of 1000mL is 400mL)

 

answers 1 2

Posted in Math, Resources | Comments Off on TPN questions

Math answers cont…

Posted by Laura on January 31, 2011

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Posted in Math, NS 240 - Professional IV, Resources, Semester IV | Comments Off on Math answers cont…

Intersession Precepting

Posted by Laura on January 31, 2011

Insulin Accu√ *, Shots: SQ-*, IVF-*, IVBP-*, Flushes-*, Pills,Pills,Pills IV-2, Foley-1, F/DC-1, JT Nutrition-1pt, JT Meds-1pt, GT Nutrition-2pt, GT Meds-2pt, TPN Lipids NG removal Surg Wound Care-2, Oral Hygiene Trach*, Fecal bag-1, Expired Patient-1pt, Education: Neuro/ICP, Mechanical Vent.,

*too many to count Done! Loved PCU!

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Math answers as I do them. From NS240

Posted by Laura on January 30, 2011

Page 1

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Posted in Math, Resources, Semester IV | Comments Off on Math answers as I do them. From NS240

more math…

Posted by Laura on January 30, 2011

Knowing the answer in the question below, that D5W has ___ grams of dextrose in 100mL, how many calories does one liter provide?

answer

Posted in Day-to-Day | Comments Off on more math…

IV Question

Posted by Laura on January 30, 2011

How long should a port be cleaned with alcohol?

answer

Posted in Day-to-Day | Comments Off on IV Question

It’s math week again!

Posted by Laura on January 30, 2011

Question: How many grams of Dextrose are in 100mL of water for a D5W solution?

answer

Posted in Day-to-Day, Math, Resources | Comments Off on It’s math week again!

IV Push Math

Posted by Laura on January 30, 2011

Posted in IVP Medications, Math, Resources, Semester IV | Comments Off on IV Push Math

NSNA Annual Convention

Posted by Laura on January 27, 2011

Defy Gravity: Reach New Nursing Summits!

NSNA's 59th Annual Convention

Plan Now for NSNA’s 59th Annual Convention
Salt Palace Convention Center, Salt Lake City, UT
April 6-10, 2011

Hotel Reservation Deadline:  Friday, March 4, 2011
Advance Registration Deadline:  Mail (Postmarked)/Fax:  Monday, March 14, 2011
Online Registration Deadline:  Monday, March 21, 2011

This all happens during Spring Break!

Tentative Convention Schedule –

Posted in Day-to-Day, NSNA - CNSA - ANA/C | Comments Off on NSNA Annual Convention

NSNA Membership

Posted by Laura on January 26, 2011

Our school is doing a Membership Drive for the AVC California Student Nurses Association, which is a chapter under the National Student Nurses Association.

A direct link to join NSNA’s membership is https://nsnamembership.org/

If you join, please use the recruiter code: 3036

It helps our group get money!

Our next meeting is February 7th, 3:30pm, Rm APL 102

Posted in NSNA - CNSA - ANA/C | Comments Off on NSNA Membership

Creatine, Creatinine, Creatine Kinase, Phosphocreatine!

Posted by Laura on January 19, 2011

 

So I am trying to pull it all together, what is Creatine, is Creatinine a misspelling?

Why is there this Kinase and why is it important to understanding the working of the Renal System?

All info is pulled directly from our Tabers, Thanks Tabers!!

 

 

 

 

 

Posted in Concepts, Day-to-Day, NS 241 - Med/Surg II, Physiologically, Renal, Resources | Comments Off on Creatine, Creatinine, Creatine Kinase, Phosphocreatine!

Meds and Urine

Posted by Laura on January 18, 2011

Posted in NS 241 - Med/Surg II, Renal, Semester IV | Comments Off on Meds and Urine

Weekly Reading – 1

Posted by Laura on January 16, 2011

My first week in Semester IV will be over Nursing Management and Acute Respiratory Disorders. I created reading cards based on my class reading schedule (RM 114)

.pdf .doc

Posted in Acute Respiratory, NS 240 - Professional IV, NS 241 - Med/Surg II, Reading Schedule 240 241, Semester IV | 1 Comment »

DYK?

Posted by Laura on January 13, 2011

Blood flow to the kidneys occurs at a rate of 1200mL/min,

which is 20% – 24% of cardiac output.

– pg 651, McKenry

Posted in Day-to-Day | Comments Off on DYK?

Did you know?

Posted by Laura on January 10, 2011

The brain consumes 80% of the glucose our body uses.

Posted in Day-to-Day | Comments Off on Did you know?

Student Nurse Flo

Posted by Laura on January 2, 2011

 

Posted in Day-to-Day, Student Nurse Flo | Comments Off on Student Nurse Flo

I wish I was at Labor & Delivery Today

Posted by Laura on January 1, 2011

It is a new year, and I wish I was working at Labor and Delivery today.

The last day of 2010 is when I had the experience of listening to a patient’s special apical heart beat. I’ve listened to so many now as a student nurse, moving my stethoscope to the right location and then moving it around to see where it was stronger, and then counting for a full minute. I can add up my favorite sounds on one hand, and the beat of a new born is definitely up there next to falling rain.

For some reason when I auscultate the human body, I get a mental map of where the sounds are originating from. It’s like a 2 story house with a basement in my mind. I’ll hear the lungs filling and deflating like the house heater turning on and off. I’ll hear the rustle of the gown on the stethoscope like the crows on my roof top. The bowel sounds will fill the basement. And if I am listening to a sim man – Read the rest of this entry »

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My updated RN to LVN delegation list.

Posted by Laura on January 1, 2011

RN Delegation to LVN or UAP in California

Registered Nurse (RN), Licensed Vocational Nurse (LVN), Unlicensed Assistant Personnel (UAP)

Tree to delegate RN to LPN, LPN to UAP


 

Are there laws and rules in place which support the delegation?  no → Do not delegate

yes

Is the task within the scope of practice of the RN/LPN or UAP?  no → Do not delegate

yes

Has there been assessment of client’s needs?  no → Do not delegate

yes

Can the task be performed w/o requiring nursing judgment or critical decisions to observations?  no → Do not delegate

yes

Is the patient stable and not a medically-fragile patient? no → Do not delegate

yes

Can the task be performed w/o repeated nursing assessments?  no → Do not delegate

yes

Is appropriate supervision available?  no → Do not delegate

yes!

♥♥♥♥♥♥♥♥♥♥♥♥♥♥♥♥♥♥♥

RN can: Assess, Diagnose (nursing), Plan, Implement and Evaluate

  • RN cannot delegate assessment, diagnosing, planning or evaluation to LVN.
  • LVN may obtain data for assessment and provide implementations toward care.

o   “Basic assessment” – Title 16, Section 2518(a). The RN cannot merely “sign-off” on data collected by the LVN. The RN must directly observe the patient, analyze, synthesis, and evaluate the data collected by him/herself and the LVN, make a nursing diagnosis, determine the appropriate interventions and make appropriate assignments of tasks and activities (Title 16, Section 1442.5). Read the rest of this entry »

Posted in Day-to-Day | Tagged: , , , | 1 Comment »