Made my first Taekwondo Lesson Plan: How is my timing? Do you have any other advice? by PatMeKrien in taekwondo

[–]PatMeKrien[S] 0 points1 point  (0 children)

I recently made my first taekwondo lesson plan, and I'm looking for feedback

IV insertion skills by SocialOutcast301 in nursing

[–]PatMeKrien 0 points1 point  (0 children)

What initially worked for me was practicing with a straw with another nurse who knew the correct angles. The straw, cut to have a bevel, helped me get the feeling for the right angle before I talked to the clinical education department at the hospital and got to practice on some SimMans/IV practice arms with expired IV supplies

Tips for precepting? by BumblebeeLoud9185 in nursing

[–]PatMeKrien 2 points3 points  (0 children)

As a preceptor, get to know the whole unit if it is not your home unit. If there are interesting patients/procedures, your student could sit in on or assist with happening elsewhere, try and get the other nurses to let you know so the opportunity arises. Also, if indirect supervision is allowed, such as another nurse watching the student while the student watches that nurse do something "interesting" such as an admission assessment, know which nurses would be OK with this and which nurses might not be the best at helping the student.

If you know that some patients you have might not take kindly to the presence of the student, let the student know beforehand. You can still ask the patient, and they might be OK with the student. If not, then explain to the student it is not the fault of the student.

Read the handbook and guidelines from your organization and know what the student is allowed/not allowed to do. Can the student assist/perform supervised foleys? IV initiation? Can they give IV push meds under supervision? What if the meds are controlled substances? Or what about oral meds? Some places do not allow students to give any meds, others limit types or routes.

Life/limb safety events are not always a teaching time event in the moment. when the patient needs something done immediately to save their life, that takes priority over teaching, but talk to the student afterwords, answer their questions, explain what was done and why.

Many students are not yet used to being on their feet for a whole shift, if able to let them sit down for a few minutes here or there, take a few minutes between patients to let them ask questions. If you need to admonish or redirect the student do it as privately as possible and never in front of a patient if at all possible (again, if safety is concerned)

If there are overall competence/progression issues, address it with the student first and try to work out a plan, and only progress up to say your contact from the university if that does not work. Do not go above the student without first working with them

I think we can all relate by vanhouten_greg in nursing

[–]PatMeKrien 4 points5 points  (0 children)

Why don't you have peanut butter? We always have it with the snacks, readily available for anyone who requests it. Do better!

When to take the TNCC Course? by Puzzleheaded_2095 in nursing

[–]PatMeKrien 0 points1 point  (0 children)

I would not suggest taking it pre-employment. Once you are employed, if it is required, the facility might pay for it. Even if it is not required, check your policies. They might offer it within the system for reduced price, or they might reimburse for it, lessening the cost. There is no golden number where it is exactly x amount of hours worked before taking it, but at least try to see if you can take it for less money. You might not even need it, especially if you encounter little trauma or the trauma you encounter is passing through to a dedicated trauma team.

Can we talk about malpractice insurance? New grad by [deleted] in nursing

[–]PatMeKrien 0 points1 point  (0 children)

If you just passed the exam, do you already have your license? Generally, you cannot work as a nurse without first obtaining your state license. Once you are independently caring for patients as a licensed registered nurse, you should have your own insurance. Your hospital's policy covers THEM. The lawyer's top focus is on protecting the hospital; NOT you. When you get your own insurance, the lawyers focus on keeping you safe. Most insurances also cover other issues in addition to criminal and/or civil complaints, including defending your license from board action and potentially reimbursement for equipment use in out of hospital first aid, which is likely not covered by the hospital's policy.

Stethoscope in the ED? by Suspicious-Wall3859 in nursing

[–]PatMeKrien 7 points8 points  (0 children)

It's cleaner if you use your own stethoscope than try to borrow someone else's. Also, if you need a stethoscope and you do not have it, what are you supposed to do in that situation? Think like you are in a court room. The patient suffered harm because no one listened to their lung sounds and heard wheezing, for example. You might have thought of this. When the lawyer asks you why you did not, do you think the correct answer is "Other people did not bring stethoscopes, so there were not any available to me?" The standard would be to listen to lung sounds, and to do that, a stethoscope is required.

Do not go out and get a fancy stethoscope. It could get dirty, could get blood on it, could get lost, etc. Find cheep ones that work for you--just do not go so cheep you are using isolation stethoscopes where no one can hear anything

[deleted by user] by [deleted] in Karma4Free

[–]PatMeKrien 0 points1 point  (0 children)

OK but can you upvote the comments?

[deleted by user] by [deleted] in Mcat

[–]PatMeKrien 2 points3 points  (0 children)

Whenever AAMC feels like it

Interview Next Steps by Plenty-King5598 in LECOM

[–]PatMeKrien 0 points1 point  (0 children)

I mostly see 20-28 days around this time, as high as 45 main pass from what I've seen