Latest Comments by XB9S

XB9S Guide 60,503 Views

Joined: Sep 7, '06; Posts: 8,669 (25% Liked) ; Likes: 3,981

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  • 4
    VivaLasViejas, psu_213, elkpark, and 1 other like this.

    I've found this whole thread refreshing and very enlightening. I can't imagine living without Universal. Healthcare and I am often intrigued at those who advocate against it.

    What is refreshing is that the debate on this thread has actually been about the ethics of the decision making and who has made that decision rather than demonisng UHC (although I appreciate there are some who still believe the "death panels" exists)

    Excellent thread and discussion.

  • 0

    Quote from Roberts20
    A great motivation for me to enter back into clinical side...thanks
    I love it. I was out of clinical nursing for 15 years, it didn't take too long to get back into it. It is like riding a bike you never really forget.

  • 1
    Roberts20 likes this.

    Most international nurses will come to the UK to work at the bedside, there is likely to be an induction period although this will depend on where you work.

    I am not sure why you think 43 is a problem for bedside nursing, I am closer to 50 and still work clinical shifts, and love doing so. Being cooped up in an office or classroom just does not appeal to me at all.

  • 3
    RainMom, GrumpyRN, and Coffee Nurse like this.

    Quote from broughden
    It was a brain dead body, there was no humanity left. It would be the equivalent of advocating against using a cadaver lab during nursing or med school, because of their "humanity". Frankly, Im not going to "spare the feelings" of someone who doesn't seem to understand basic physiology and yet claims to be in the field of medicine.

    I will ask you the same question I asked the OP, do you think the pt with a cranial cavity full of fluid and lysed neurons was going to spontaneously recover? If so, how?

    I will await your explanation.
    I don't think coffee is questioning the physiology at all but highlighting this is a emotive issue, we can debate and remain compassionate to the tragedy of the situation whilst expressing our thoughts and feelings.

    At the end of the day this was someone's child, and we can acknowledge the futility of further intervention in a respectful and compassionate manner.

  • 4
    Tenebrae, psu_213, GrumpyRN, and 1 other like this.

    Quote from Coffee Nurse
    I keep thinking of that heartbreaking photo that was circulating after Alfie was extubated. His mother was holding him and someone -- presumably his father -- was propping up his arm to make it look like he was hugging her shoulder. The contrast between what his parents wanted to see in him and the reality of his closed eyes and slack body, to me, just encapsulates the fundamental problem with saying his parents were the best people to make decisions on his behalf.
    Both families have had their grief manipulated and extorted by the media and other fanatics wanting to make a point. What they needed was honest support reflective of the dire situation both they and their children found themselves in.

  • 5
    Tenebrae, Lucydog14, broughden, and 2 others like this.

    Quote from Tenebrae
    And before anyone wants to accuse me of being rude and nasty, I'm sick of reading opinions from people whose only experience of univerdal healthcare and medicine is what they read in the media.

    Because we all know how much the media likes to tell the truth.

    It seems that for many if the opinions formed based on media hysteria contradict the actual experience of those who have lived with, and worked in a single payer system, then actual experience takes a back seat to media hype.

    IF what some of you posit what goes on in a single payer scheme actually happens. That would make the nurses and doctors who work in the service some of the worst criminals in the world.
    I liked your post, it made me chuckle.

  • 10
    K+MgSO4, RainMom, Pippynurseuk, and 7 others like this.

    Quote from tacticool
    Quality of life or not, the parents had their CHOICE and PARENTAL RIGHTS abrogated by a know-it-all National Health System. Their alternative for care in another country was independently funded. They should of had the choice. Socialized medicine equals death panels, plain and simple.
    I have worked in the UK for 30 years the last15 in very senior positions. In that whole time I have never encountered your so called "death panel"

    We occasionally have disagreements between what families believe is in best interests and what the medical teams are advocating at which point we will hold a best interest meeting. At that meeting all interested parties are represented and all have the opportunity to input into that discussion. The views and beliefs of the family are very much considered and extremely important.

    If no agreement is reached and all options to reach that agreement are exhausted (and from my experience w try all options seeking second and even third opinions ) then the medical teams would involve the hospital adult or child safeguarding teams for support. A strategy meeting would be held with an independent reviewer and if this was not able to find a way forward then they would contact the hospital legal team to ask for guidance.

    The legal processes are independent of the hospital (and the government) and provide an impartial review of all of the information to support a decision which is in the best interest of the patient.

    Do we always get it right - no
    But this view that we have death panels is just not accurate.

    There are many flaws in our system, it's not perfect.
    We are underfunded, over stretched, many of us working in the NHS don't like the direction we are heading, driven by finance which sometimes feels at the detriment of quality. BUT most of us are passionate about our NHS because despite that the care we deliver in the main is excellent.

    If you want to demonise Universal Healthcare there are many other reasons you could look a and use but, this case is not one.

  • 2
    K+MgSO4 and Lucydog14 like this.

    Quote from Apple-Core
    Is the OP from the UK?
    No I believe the OP is a US nurse.

  • 2
    ruby_jane and psu_213 like this.

    Clostridium Difficile is an bacteria found in peoples bowels, it can be found in healthy individuals where is causes no symptoms. It causes problems when normal gut bacteria is compromised for example after taking antibiotic.

    firstly I would ask if your residents are symptomatic, so are they having active diarrhoea? If not then they are likely to be GDH positive (GDH is the abbreviation for Glutamate dehydrogenase, which is a chemical found in C.diff. 2. whether it is causing you an infection. ... If the chemical is found, the result is termed 'GDH positive' which means C.diff is present in the bowel.) But toxin negative which means the bacteria are not active so no infection.

    As far as how you protect yourself, hand washing between each clinical interaction is the key.

  • 7
    nrsang97, broughden, GrumpyRN, and 4 others like this.

    Quote from GrumpyRN
    No, it is not.

    It is emotive, unsubstantiated opinion. It was written by someone who has a qualification in "Political Science" from a catholic university. She has no knowledge of medicine.

    It is another piece that seeks to demonise the nursing and medical staff who have looked after Alfie for a very long time and have an emotional attachment but are being harassed, bullied and victimised by stupid, ignorant people.



    I was trying to stay out of this but seriously guys, get a grip. This child was suffering, he was dying and the decision was made by the MEDICAL staff - and this would have included nursing staff (his parents would also be involved) - to remove interventions and allow him to die peacefully and with dignity. The courts agreed - nothing to do with the government - several times. We would not allow an animal to suffer, why then do we want our children suffering.
    Grumpy i am so relieved you replied first, you are far more articulate than I could have been after reading that absolute tripe.

    I got as far as the mouldy vent tubing and came to the conclusion it was a poorly written, ill informed piece of rubbish by someone who has no idea about how UK hospitals operate.

  • 0

    As you've said the NMC do not have any separate registration for NP in the UK, it will depend on where you work as to the specific requirements of that post.

    Will there be a separate process? The NMC have talked about it on and off for years but always decided not to. Its a shame as there is a great deal of variation in what is required for each post.

    Where I work we are required to hold the MSC in Advanced Practice however at my last place of work this wasn't the case and the requirement was Surgical nursing experience and being able to cannulate.

    I felt much better prepared, and a safer practitioner with the MSC behind me than many of my colleagues who were task orientated and picked up the jobs the Junior Docs didn't want / have time to do. Whereas I was able to practice independently with my caseload of patients making my relationship with my medical colleagues more as a colleague than handmaiden.

    Your PA colleague wouldn't have been licenced in the UK because there is no requirement for PAs to be registered with a professional body (at the moment, although this is likely to change) its a relatively new introduction to UK health care so our processes for licensure aren't there yet.

    If you want to work as an ANP in the UK its a case of searching for the right job and applying if you meet the criteria for that post, the criteria will depend on the manager who wrote the jib description.

  • 0

    Most AMHPs will undertake the role as part of their job, they will be experienced practitioners and the responsibility will be described in their JD.

  • 1
    rn1965 likes this.

    Do you have any ideas yourself, what are the expected outcomes stated in your job description and what ideas do you have from that.

    Its difficult to give any more detailed advice without knowing what the aims of the role are.

  • 2
    sirI and rn1965 like this.

    Its a UK nursing grade.

    Mods can this be moved please.

  • 3
    spacemonkey15, GrumpyRN, and K+MgSO4 like this.

    Quote from poppyflower
    thanks for your reply, but you didnt answer my question. Put simply, i am asking whether you can get a promotion from band 5 to 6 in the same department without having to apply, and go through an interview for it as level of education and skill increases.
    Unless you were appointed on a trainee contract which specifically states promotion will be gained after successful completion of ........... then no, you should go through a fair and transparent interview process.

    I do agree with Grumpy, and Having managed a pre-assessment unit I am surprised this practice of automatic promotion was allowed at all. Although you have different skills to some other specialities I would not classify pre-assessment as a specialist role, there are clear guidelines and protocols to work within and your assessments will be generalist assessment for fitness for anaesthetic rather than complex diagnostics.


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