hajordan

Latest Activity

1. Feeling guilty about calling in sick.

   hajordan replied to Becca, RN's topic in General Nursing

   You can't care for anyone else if you can't care for yourself, right? Just think the patients were better off without you being there sick. I always feel guilty, but you can't be a martyr for your patients. Don't forget to take care of yourself too.

2. Refusal of treatment in nursing journals

   hajordan posted a topic in General Nursing

   Hi everyone, I am currently doing my post grad diploma in critical care and I need to focus on an episode of care I gave of a cardiac patient. This particular man had been diagnosed with dilated cardiomyopathy, and was prescribed the appropriate medi...

3. Should I leave the ICU?

   hajordan replied to tachynut's topic in Stress 101

   I feel like you just spouted out all of the things I am feeling! Cardiac, severely understaffed etc. I have made a big decision in the last few days, I need to leave. I feel after 5 days off, I am still not sleeping right, and I am anxious all the ti...

4. Cath v/s EP

   hajordan replied to Flyboy17's topic in CCU

   Would the purely cath people rotate into EP every now and then? Push then into a different environment, their attitude might change. You unfortunately can't force mutual respect, you can only give it a helping hand. Putting them into each others shoe...

5. Chest Drains - removing one at a time?

   hajordan replied to hajordan's topic in CCU

   So you would pull both together, and not pull one, tie purse strings, then pull the other, tie those purse strings?

6. Chest Drains - removing one at a time?

   hajordan replied to hajordan's topic in CCU

   Ah ha, see here's where it might differ for me then, MendedHeart; I am an Australian nurse, trained and registered in Australia and worked for a couple of years before moving to Ireland and working there now. We removed chest drains in both places. U...

7. Chest Drains - removing one at a time?

   hajordan replied to hajordan's topic in CCU

   It's a nurse-led procedure at my hospital, and on the rare occasion, the consultant may do it if he feels he put them in in such as way that may cause damage as they come out. So it falls to us to make sure we're doing it right. Maybe it's just my pr...

8. Chest Drains - removing one at a time?

   hajordan replied to hajordan's topic in CCU

   There's my problem. We don't have a library, and any online access I'm using through my college. Our hospital is fairly new, so we're working through policies and procedures now. But does anyone have any ideas about whether it's one or two at a time?

9. Chest Drains - removing one at a time?

   hajordan replied to hajordan's topic in CCU

   Hi Rose_Queen, thanks for the suggestion but our policies...If I can find it.....are usually fairly poor! I just can't find any literature to tell me one at a time or not. I'm also compiling a new education pack for new staff and this I think will be...

10. Most Ridiculous Med Order

    hajordan replied to fitzfan82's topic in Emergency

    1 inch?!? Unless he has a very LARGE fissure, that sounds ridiculous.

11. Most Ridiculous Med Order

    hajordan replied to fitzfan82's topic in Emergency

    Hi Christy1019, Yes, I've seen it a few times myself, and the idea is to use it sparingly, because quite rightly, syncope and hypotension is a risk! And lol at the women mixing up the creams. A bit of an ewww too at that!

12. Most Ridiculous Med Order

    hajordan replied to fitzfan82's topic in Emergency

    Vodka T PRN nocte. He was a geriatrician. On reviewing the second patient that day, he tried to prescribe it for her too! Apparently to stimulate the appetite. I suppose I get a bit hungry after drinking a bit of booze!

13. Chest Drains - removing one at a time?

    hajordan posted a topic in CCU

    Hi All, I was working yesterday and was helping a collegue pull out 2 chest drains. He wanted to do both at once. I wanted to do one at a time. I would have assumed one at a time would reduce your risk of pneumothorax, but I can't find any literature...

14. What nursing task do you loathe???

    hajordan replied to richardgecko's topic in General Nursing

    Was pseudomonas what I could smell? OMG it was bad. Thank god we managed to discharge that one!

15. What nursing task do you loathe???

    hajordan replied to richardgecko's topic in General Nursing

    Urine. It just gets up my nose. And I think it's evaporating so it's some kind of sick urine steam. UGH. And I've started to despise talking to families. In the last week, I've been yelled at 4 times. So naturally, this week, it's not a task I like a...