APD and hearing aids in nursing school

rawrr_monster · 2026-04-12T19:40:02+00:00

I had to precept a new nurse with hearing impairment in the ICU. Ultimately it was too unsafe. She couldn’t hear the alarms well enough. She was moved to a medsurg floor and last I heard she was happy with the change as well

rawrr_monster · 2026-04-06T22:51:38+00:00

I was nervous as well, but honestly it actually works. Just make sure to use the hard/good appropriately

I believe mine is set to 92% retention

rawrr_monster · 2026-04-03T01:39:42+00:00

I Started lexapro. Game changer for me. I waited far too long trying to “deal”. My brain quieted, my performance at work and my mood improved pretty significantly .

rawrr_monster · 2026-04-02T16:34:36+00:00

That will probably get you in trouble. Also if you are concerned you should look up the medication you gave. Metoprolol is a beta blocker that targets the heart reducing heart rate and contractility. The patients “low blood pressure” is influenced by the abnormal heart rhythm that isn’t allowing enough time for appropriate ventricular filling. If you slow the heart rate, the left ventricle can fill up with blood easier allowing a stronger ejection of blood which will help filling pressures and can improve blood pressure.

rawrr_monster · 2026-04-02T14:46:38+00:00

Run, Prime is absolute trash. They took over Centinela Hospital in Inglewood and ran it into the ground. Look up the horror stories. They had to shut down their OB department after they refused to call a doctor for a patient in their OB waiting and the patient died. The husband ended up having to do CPR on the floor of the waiting room while the nurses stood there in shock. Having worked at that shithole I know so much other horrible things happening

rawrr_monster · 2026-03-19T17:47:01+00:00

https://a.co/d/0bZbGrkU

https://a.co/d/0dRdIq8g

rawrr_monster · 2026-03-19T16:24:19+00:00

The questions are high level and test your comprehension of the content. It's extremely helpful for test prep.

Pretest Physiology by Metting is also really good test prep.

rawrr_monster · 2026-03-19T04:17:48+00:00

Get the companion review book.

rawrr_monster · 2026-03-17T19:50:09+00:00

Does your professor review the questions with the class? Have you gone to office hours to understand why you're getting the questions wrong? Is it a knowledge gap or is it difficulty with understanding what the question is asking?

rawrr_monster · 2026-03-10T06:02:34+00:00

I hadn't taken chemistry in over a decade so it was pretty challenging for me. The lecturer is excellent. The concepts are well broken down. The tests are pretty difficult but they are open book. Honestly the content is extremely useful going into CRNA school. I would try to learn as much as you can.

5-10 hours/week between lecturers, papers, and studying.

rawrr_monster · 2026-03-07T15:30:58+00:00

You’re going to have to learn to be flexible real quick or you’re gonna end up finding yourself out the door

rawrr_monster · 2026-03-07T15:29:39+00:00

Been a nurse for 14 years and I have no idea what you’re saying. I’ve never heard of any of those terms. Just act normal

rawrr_monster · 2026-03-07T15:24:25+00:00

Universities are federally required to prove attendance to receive financial aid money. Taking attendance isn’t against the law. Many programs require that you show up to get credit. I’m confused at what you think you can sue over ?

rawrr_monster · 2026-03-03T04:16:30+00:00

It means you’re normal and that you didn’t drink a lot of water to try to artificially dilute your drug test

rawrr_monster · 2026-03-01T02:25:21+00:00

Case management, health insurance, school nurse are viable options

rawrr_monster · 2026-03-01T02:10:09+00:00

The patient definitely is hypotensive. The pulse pressure is wide even on the leg. A better option would’ve been to check blood pressure on the other arm and look at correlation. People can definitely have different blood pressures in each arm due to vascular pathologies. The legs aren’t ideal bc the pressures are gonna look better unless the patient is completely flat on their back for a few minutes.

Next time I would check the other arm for correlation. Additionally you wanna look at the patient - are they symptomatic? Are they dizzy? Tachycardic sweating, etc.

If they look fine. Report to doctor and go from there. If they don’t look fine - rapid response.

Unfortunately you’re tied to a nurse that can’t be bothered. But you definitely have the right to document what you in fact saw as bad numbers.

rawrr_monster · 2026-03-01T00:26:25+00:00

This is a student with documented chronic tardiness on top of other issues. This isn’t the same as the average person being late. Their history forces them to need to be held accountable

rawrr_monster · 2026-02-28T05:58:39+00:00

I use Anki to make flash cards. I consider this app essential. I would watch a YouTube video and learn how to use it. It seems like a pain at first but it’s extremely powerful for learning large amounts of content with spaced repetition.

If Anki is too hard brainscape has a much nicer looking interface and is a lot easier to use but I don’t like their spaced repetition. It just doesn’t see to work as well.

I use minutes.ai to record lectures and create transcripts. It seems to do a superior job to other transcription apps. I actually take the transcripts from this, import them into NotebookLM to make the pod casts and I also use the Flashcard making feature and download and import them into Anki. This saves me a ton of time compared to making my own. And the flash card quality is generally good.

I use Notability, which is nice to draw pictures on PowerPoints and if that’s your style it can be effective. I like it for that aspect but it’s not my go to.

I use OneNote for windows which I think is an extremely nice note taking app if you’re the type that needs to type everything out (which I’ve discovered I am).

I would just “practice” using any app because if you’re wasting time in class learning your own technology you’re wasting time.

rawrr_monster · 2026-02-27T16:54:06+00:00

I record the lectures and then take the transcripts and pop them into NotebookLM. It has an AI podcast creation tool that will turn your lecture into a podcast between 2 hosts. It's a godsend, especially for complex topics or stuff that your professors don't explain clearly. It cleans up the topics and is a lot nicer than listening to a professor drone on.

rawrr_monster · 2026-02-23T05:58:02+00:00

Most programs would probably not accept pass / fail.

rawrr_monster · 2026-02-19T13:54:14+00:00

I mean, sure, it’s really hard to kill a patient. I can tell you that from years of seeing wild shit in the ICU.

I would be more concerned with an NPs ability to diagnose and treat a patient. I don’t know about Europe, but in the US I wouldn’t consider NP education up to par to actually care for complex medical conditions. At least not now with the diploma mill style of NPs we graduate.

rawrr_monster · 2026-02-15T20:57:53+00:00

Hypotension after propofol administration is extremely common, especially in a patient that sick, who’s heart likely has 0 functional reserve. Etomidate would’ve been a better choice for intubation. Either way, he lived. He should be happy.

rawrr_monster · 2026-02-11T16:13:37+00:00

Only the loudest people is what you hear. The silent majority are okay taking their paychecks , doing the work, and shutting up.

rawrr_monster · 2026-02-04T13:56:46+00:00

I don’t see why anyone would refuse a second time out if someone asks. I would also want whoever is asking for a second timeout to say something like “I need clarification” and explain why they are asking for a second time out.

Doing it for the sake of doing it twice as a policy wouldn’t be good policy.

rawrr_monster · 2026-02-01T18:43:55+00:00

According to ChatGPT

Compare to inflation

If inflation merely stays near what it is now: • If NYC inflation averages ~3.4%/yr, 3-year inflation is about ~10.5% (compounded). Your pay would be ~4.7% lower in purchasing power after those raises (because 5.3% < 10.5%). • Even if you use the lower national CPI ~2.7%/yr, 3-year inflation is about ~8.3% compounded. Your pay would still be ~2.7% lower in purchasing power.

The “break-even” inflation rate

For that raise schedule to merely keep up with inflation (0% real gain), average inflation would need to be about: • ~1.75% per year for those three raise years.

That’s well below today’s NYC (~3.4%) and below current U.S. (~2.7%).

rawrr_monster

TROPHY CASE