nurse-on-duty:

Asking patients directly about thoughts of suicide is important. The nurse never ignores any hint of suicidal ideation regardless of how trivial or subtle it seems and the patients intent or emotional status. 

Intervention:

• using an authoritative role
• provide a safe environment (remove any item they can use to commit suicide; staff observe patients q10 if lethality is low)
• initiating a NO-SUICIDE contract

(via college23girl)

My beautiful Grandma! Miss you. (Taken with instagram)

(Source: allofyourwaysandallyourthunder, via nocturnalnurse)

Happy National Nurses Week!

To all my nursing friends and nursing student friends! WOO!

Thank you! You too :)

Infectious Mononucleosis, better known as “Mono”

tr-i-life:

@cupcakern Peds

More pediatrics!

(Source: hippieontheinside)

More Psych! 

(Source: hippieontheinside, via tr-i-life)

Psych memory notebooks.

(Source: hippieontheinside, via tr-i-life)

tr-i-life:

another great mnemonic for OB is VEAL CHOP

The trick to this mnemonic is writing it so each letter is associated with the one beneath it, like so:

1. Variable decelerations are associated with cord compression. (V and C)
2. Early decelerations are associated with head compression. This is generally a benign event. (E and H)
3. Accelerations are associated with oxygenation – which explains why they’re generally a good prognostic factor. (A and O)
4. Late accelerations are associated with placental insufficiency. (L and P)

Variable decelerations are the most common of the decelerations but also the most complex. The exact shape of the deceleration is determined by whether the uterine artery or vein is occluded first – but the important thing to remember is that it’s caused by compression of the umbilical cord. Unlike early and late decelerations, variable decelerations are not gradual. This works to your advantage, as their relative abruptness makes them easy to pick out in a monitoring strip.

The “early” in “early deceleration” refers to the lowest point of the deceleration occurring at the same time as the peak of the contraction. They are a result of increased vagal tone secondary to head compression and are generally benign when they occur during the 1st or 2nd stage of labor – but they can be a sign of cephalopelvic disproportion if they persist.

The “Late” in “Late decelerations” refers to the lowest point of the deceleration occurring after the peak of the contraction. Maternal contractions constrict the placental blood supply, thereby limiting the fetus’ blood supply to what’s already stored in the placental reserve. In the case of uteroplacental insufficiency, this lack of oxygen results in a deceleration which occurs as a result of (i.e. after) the contraction.

AIDS misconceptions!
“How you don’t catch it” 

Preventing the transmission of AIDS in a health care setting!

Clinical Manifestations of AIDS! 

Sure!!