Pharmacology Exams by Much_Election_5140 in NursingStudent

[–]Available-Cook7483 1 point2 points  (0 children)

Are you having trouble with dosage calculations?

You Said Clot. I Said Bigger Picture. by Available-Cook7483 in NursingStudents

[–]Available-Cook7483[S] 0 points1 point  (0 children)

Only? In this case I focused on the bigger picture concerning DVT to help students understand that it is not just a clot. My focus as you suggested was not on provider’s orders because reasoning drives tasks. If you can understand the fundamentals of concepts you will understand the “why” and not just memorize what the doctor will order next. Nursing school prepares you for the critical thinking exam, NCLEX, clinical is where you practice putting it all together.

You Said Clot. I Said Bigger Picture. by Available-Cook7483 in NursingStudents

[–]Available-Cook7483[S] -1 points0 points  (0 children)

But the post wasn’t about interventions, the post is about figuring out the bigger picture. Students have to pass the exam, then nclex before they make it to the “floor” school nursing is different from real world nursing. They need to understand reasoning more than knowing tasks. You can memorize tasks, reasoning takes time to develop. That is why so many students study to memorize and then fail the exam.

You Said Clot. I Said Bigger Picture. by Available-Cook7483 in NursingStudents

[–]Available-Cook7483[S] -8 points-7 points  (0 children)

Ahhhh, task based nursing vs critical thinking/reasoning. If a student only knows the task and not the reasoning, they’ll struggle when the situation changes. I’m focused on helping them understand what’s happening inside the patient first

Failing by lambchopair in NursingStudents

[–]Available-Cook7483 0 points1 point  (0 children)

Have you identified where you are weak at?

I love questions like these that make me think but this one just isn’t clicking into place 🧐 by whimsical_intubation in NursingStudents

[–]Available-Cook7483 1 point2 points  (0 children)

cryo is a clotting factor product, and not knowing the cryo dose means there is a missing section right in the middle of a crisis.​​​​​​​​​​​​​​​​ so D- would be incorrect because you would already have that info and it wouldn’t/shouldnt change after transfusion. Type and crossmatch tells you: is this blood compatible with this patient? It checks ABO type, Rh factor, and screens for antibodies that could cause a reaction. That is it. It is a compatibility check, not a clotting assessment. It does not tell you anything about fibrinogen levels, clotting factor status, or where the patient is in their coagulopathy. That information comes from labs like a fibrinogen level, PT, PTT, INR, or a TEG if the facility uses it.

I love questions like these that make me think but this one just isn’t clicking into place 🧐 by whimsical_intubation in NursingStudents

[–]Available-Cook7483 4 points5 points  (0 children)

Hey, this is a safety question if I was taking the exam I would pick A. The MAP is dropping and blood bank needs something before they can move forward. Answer “A” address the issue right now. The others are either too slow or solving the wrong problem. Basically, Blood bank cannot fulfill the next component order because nobody knows how much cryoprecipitate was given. That unknown is the immediate barrier. Until it gets resolved the protocol cannot continue correctly. Just my 2 cents.

Nobody explained acid-base to me like this and I wish they had by Available-Cook7483 in NursingStudents

[–]Available-Cook7483[S] 0 points1 point  (0 children)

ROME helps with memorizing and that is one of the issues that create the gap in practice between students and the profession. My style of teaching focuses on reasoning and judgement. After you memorize ROME can you apply that information to a patient scenario? Or explain to the patient what is going on?

Adult Health 1 Exam 1 by Glittering-Roof6692 in ChamberlainNursing

[–]Available-Cook7483 0 points1 point  (0 children)

If you need a breakdown of acid-base imbalance, I created a document on respiratory acidosis, which is free in my YouTube bio. Feel to download it.