Sunshine
Trust the pie.
- Dec 17, 2009
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Personally, I have a fairly literal way of understanding things.
I like to be able to visualise something in my head.
If I can work out a way of seeing in my minds eye how an equation works then I can understand it.
Something like quantum mechanics will probably always be a mystery to me because I can't visualise how it works.
If you were my patient in a hospital, I would be able to calculate your IV drip rate, you medicine to the nearest nanogram, and count out all your pills for the day. A lot of nurses these days cannot do any of that. We always gave a math question on our tests. Here was my question:
You are a community health nurse. You have an indigent patient who needs medication but has no insurance. The doctors order reads: Zyprexa 20mg by mouth every night. You have on hand samples of Zyprexa the pharm rep left last visit. Each bottle contains 7 ten milligram pills. It takes 28 days to get the patient on Tenncare. How many bottles will you give him to last until he has insurance. They would turn in two pages of equations and still have the wrong answer.
Another. Doctors order says: Haldol Decanoate 150mg IM every 4 weeks. You have on hand Haldol Decanoate in 100mg/1ml vials. How many ml do you give the patient IM every 4 weeks? I can figure these in my head. But your nurse likely will not be able to solve either one of them.
Scary isn't it?
I didn't read any further in the thread. Is the answer to the first problem: the patient would need a total of 56 10mg pills, so 8 bottles total would be needed?
I have no clue on the second question ... I don't even know what IM stands for.
Don't they teach how to do these types of things in nursing school? Yeah, in addition to what you'd learn in school in general ... but with ml and IM and all ... don't they teach that?
It is not possible to teach nursing math to someone who scored a whopping 5 on the ACT, even if they did finally get their C in remedial math after 3 tries. That is what colleges are having to cope with these days thanks to the liberal philosophy of social promotion even in college. They simply forget that there ARE people who need to know how to read, write, and do math. I had a nursing student who got to third semester nursing and could not read. That means she was socially promoted through all her science and math classes and 2 semesters of nursing before she met up with someone who had the intestinal fortitude to flunk her ass out of school.....ME.
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