Latest Comments by XB9S

XB9S Guide 56,953 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: 8,626 (25% Liked) Likes: 3,909

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  • 0

    Depends on the employer

    NHS will usually seek references from successful candidates but private providers may seek references prior to interview

  • 0

    It may be useful if you could give us some of your ideas to give us something to work with. We don't know your areas or passion and your presentations have to come from you.

    Basic presentation skills, introduction - yourself and your ideas
    Main body - elaborate in those ideas

  • 0

    Quote from Kittykeely
    I have accessed occupational health again recently. My start time has been changed to 9am instead of 7am. And they have advised my employer to look at my anxiety as a disability rather than sickness. But other than that there isn't a lot that has been said.

    I preferred community in my training. I had my management plcement there but i still didnt fully enjoy it. I am on an acute ward I have been told by many that rehab may be my best bet. I have applied for jobs but have been turned down due to my sickness record so at the moment it looks like no other option but to quit my job :/
    If your sickness is problematic then ask Occi Health about redeployment, you'll get preferential choices prior to jobs being advertised. It maybe rehab will be more manageable for you but even that's not a breeze.

  • 0

    As a manager I would be cautious of someone who job hops as you are always looking for commitment and loyalty

    I would tend to disregard research posts in that as they are temporary and give valuable experience

  • 2
    GrumpyRN and skylark like this.

    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

  • 1
    dishes likes this.

    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?

  • 1
    GrumpyRN likes this.

    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.

  • 1
    GrumpyRN likes this.

    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.

  • 0

    Quote from Kittykeely
    It was but nothing like this. However, when I went to CBT they did say that it was work that was doing this to me so if I'm out of work I may feel better but then when I go back I may be in the exact same position. However, I do feel like a more set area that's less acute may help it's just my sickness record that's stopping me currently
    Have you been to occupational health? If not I would recommend you go. Also does your trust have an employee well-being team that you could access.

    If your a member of the RCN they have a well-being service, give them a call.

    The sickness policy is there to support and identify what can be done to help you stay healthy.

    As far as sign off for IV meds, I'd agree with your manager, you need to be less stressed at work before taking on additional roles.

    Community is challenging, you'll be a lone worker and access to support is limited while your with patients, could I ask what specialty you work in, if your on an acute ward you may find a rehab area more fulfilling, its still busy but in a different way.

  • 1
    Sky4 likes this.

    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...

  • 0

    Ok so why do you think a patient flow coordinator would need leadership skills
    Who are you going to be interacting with
    What challenges may you face and what leadership will you need to use to resolve this
    What leadership styles are there, what is your style and how will that help you do your job.

    Do a Google search of leadership in patient flow to get some ideas.

  • 1
    Sky4 likes this.

    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.

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    I moved after I qualified and it was a great experience although lonely until I'd settled and made some friends.

    Bristol is a lovely city to work and live and being a from a rural town I found it far more tolerable than some of the bigger cities. I struggled in London and Manchester because of the size of the cities and number of people, to be honest ( and I'm biased) some of the friendliest places I have lived and worked are in Wales. I've returned home now and wouldn't leave again.

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    Quote from FolksBtrippin
    Okay, so we are talking about the United Kingdom here. I don't know if Dad's rights are equal to mom's under the law in the UK. And they are much more lax about healthcare privacy, particularly concerning reproductive stuff in the UK then we are in the US. My sister was in the UK when she was trying to get pregnant, and the nurse called from the office and told her husband that her pregnancy test was positive over the phone, without asking for her. That would not happen here.
    And it shouldn't happen here either, absolutely unacceptable disclosure of personal information.

    Also, in the US you cannot disclose someone's HIV status without their permission, period. As a student I had a patient who was HIV+ from birth, had two children with a man, and never disclosed her status with him. Both of her children were negative. She kept him in the dark, even after having suffered fungal meningitis which left her disabled with a trach. The social worker continually encouraged her to disclose to her husband, but she never did. None of us had any right to tell him.
    It would be covered under communicable diseases and our public health teams would support here. You would have to had tried everything to encourage disclosure before you told dad but if that failed you can disclose but would need to evidence your attempts with mum and justify the risks for dad when challenged.

  • 0

    From my own experience lots of nurses I work with are retiring, I work in a hospital in a small community and many have worked here their whole career. There aren't the numbers of students ready to replace them. With brexit there are far less coming from EU countries. The wards are short and its hard to constantly work short handed.

    We are lucky in that once we recruit people don't want to leave our hospital but the bigger hospitals really struggle to recruit and retain.