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XB9S Guide 56,861 Views

Joined Sep 7, '06 - from 'United Kingdom'. XB9S is a Registered nurse. She has '22' year(s) of experience and specializes in 'Advanced Practice, surgery'. Posts: 8,625 (25% Liked) Likes: 3,909

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  • Oct 25

    Quote from Sky4
    Thank you XB9S for that. I read some of your blogs and got some ideas from there. However only seen it today and my interview was on Wednesday, but I got the post as a band Seven ward manager.
    I guess the previous comments made me realise that I shouldn't get help from strangers in the internet...
    Congratulations

  • Oct 11

    Things to consider is no paid annual leave, no paid sick leave or any other leave for that matter

    There's no guarantee of work in areas you would like to work and there is less support should you need it

    If you make an error then areas will just not book you again and although we would all like to think we wouldn't your only human

    Should you need support with practice areas through capability or disciplinary there will be less support

  • Oct 11

    Things to consider is no paid annual leave, no paid sick leave or any other leave for that matter

    There's no guarantee of work in areas you would like to work and there is less support should you need it

    If you make an error then areas will just not book you again and although we would all like to think we wouldn't your only human

    Should you need support with practice areas through capability or disciplinary there will be less support

  • Oct 8

    Do you mean biopsychosocial?

    I think you do. Take a look at what that means, think about a wholistic approach to care and how something like mood for example can impact on physical health.

    I don't really want to be giving you all the answers, nursing is about looking through information and picking our what's important so have a go.

    Does that help?

  • Oct 8

    Nobody likes to be moved, and it sounds like your very comfortable in your 8 beds with your 30 day surgery patients popping through them.

    Yes its busy but a safe manageable workload even with your ward sister out of the numbers your talking of a ratio of 1:4. That's an excellent staffing ratio. You will only have 1 patient in a bed at any one time. Busy but certainly safe.

    If your struggling with those numbers you sound like you may need extra support to prioritise and plan your workload.

    I've worked in that type of environment for many many and know exactly what its like, so I can speak with some experience.

    It may help if you put a different perspective on things, rather than feeling like things are being done to you and concentrating on how unfair things are take the stance that your working as part of a bigger team and supporting colleagues who aren't as fortunate as you are.

    If it were me, I'd be volunteering to help out struggling wards to make sure all patients had access to good nursing care, being mindful that its not about "me" its about making the best use of the resources available to keep ALL patients safe.

  • Oct 4

    So you have 3 nurses for 8 beds. Yes its a busy unit with lots of admissions and discharged but you'll only have 1 patient per bed so the reality is that's an excellent staffing ratio.

    I work on a 32 bedded unit with 1 nurse to each 7 patients. I'm afraid if your staffing levels are that good then your likely to have someone moved. From your bosses perspective its about balancing safe staffing across all areas.


    If my area had staffing like this I'd expect and understand why we would be asked to move as well.

  • Sep 15

    Think of what the roles and responsibilities are of a band 7, key performance indicators and focus around that.

    Finance and recruitment is likely to feature along with motivating and leading teams in today's health care system.

    Specific challenges around your particular unit will give reassurance you have insight into culture and challenges within that particular area.

  • Sep 4

    The medical team should be having a conversation with mum about transmission risks with regards to the above advice.

    It is worth googling laws around medical staff and communicable diseases.

  • Sep 4

    Quote from Horseshoe
    Does Dad have a right to know he is at risk himself after having had unprotected intercourse with Mom? What are UK laws with respect to informing sexual partners of HIV infection?
    The General Medical Council has issued guidance to doctors.

    "Informing sexual contacts of patients with
    a serious communicable disease
    10 You may disclose information to a known sexual contact of a patient with a sexually transmitted serious communicable disease if you have reason to think that they are at risk of infection and that the patient has not
    informed them and cannot be persuaded to do so.

    3 In such circumstances, you should tell the patient before you make the disclosure, if it is practicable and safe to do so. You must be prepared to justify a decision to disclose personal information without consent."

  • Jul 8

    Quote from GrumpyRN
    Very impressive XB9S, I would never have thought of that... Maybe I am a dinosaur after all.
    Aww shucks, thank you very much

  • Jul 7

    Quote from Lourdes123
    I am a scrub nurse for 15 years in general theatre, I'm looking for a good presentation about "I have"???? need to present in 5 minutes duration. Any idea, maybe about I have ....what changes I can offer, or any development I can have to offer??? Please can you advise or give me a topic to present! Any help I will appreciate it much. Thanks
    I would start with "I have so much to offer this service"

    Then you have a blank canvas to sell yourself.

    You can talk about knowledge, experience, skills and your ideas for change or improvement.

  • Jul 6

    Quote from Lourdes123
    I am a scrub nurse for 15 years in general theatre, I'm looking for a good presentation about "I have"???? need to present in 5 minutes duration. Any idea, maybe about I have ....what changes I can offer, or any development I can have to offer??? Please can you advise or give me a topic to present! Any help I will appreciate it much. Thanks
    I would start with "I have so much to offer this service"

    Then you have a blank canvas to sell yourself.

    You can talk about knowledge, experience, skills and your ideas for change or improvement.

  • May 30

    I would recommend that you Talk to your occupational health team about your concerns. They will be able to give you the appropriate advice and support up I through this.

  • Apr 14

    Quote from MunoRN
    C diff that results from being on antibiotics isn't actually something you catch from staff or other patients, it's usually that you already had C diff bacteria in your GI tract which is held in check be the rest of your normal GI flora (bacteria), then when you take an antibiotic that kills everything but the C. Diff bacteria, the C Diff is now unopposed and flourishes.

    You seem to be describing a failure of staff to wash rather than gel when coming into the room which is actually necessary when coming into the room of a C diff patient, only going out of the room.
    I'm sorry but I'll have to respectfully disagree with you here.

    C diff can be transmitted by touching contaminated surfaces as a result of poor hand hygiene techniques. That's why it's classed as an infectious disease.

    Although it may not pose a problem in healthy individuals it is a risk to those who are unwell, frail etc. Cross infection is a real risk which is why hand hygiene and barrier precautions as so important.

    Antibiotics interfere with the normal gut flora which allow the spores to flourish.

    I've added some information sheets for you to read

    Clostridium difficile - NHS Choices

    Fact Sheet – Clostridium difficile (C. difficile) - Public Health Agency of Canada

    The World Health Organisation 5 moments describe before during and after contact hand hygiene to prevent cross infection.

    WHO | About SAVE LIVES: Clean Your Hands

    It's good practice to clean your hands when you enter a patient space.



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