Latest Comments by XB9S

XB9S Guide 55,190 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: 8,622 (25% Liked) Likes: 3,908

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  • 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.

  • 0

    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

  • 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.

  • 0

    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.

  • 0

    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.

  • 1
    brownbook likes this.

    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.

  • 1
    brownbook likes this.

    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."

  • 0

    1) How long have you been qualified?

    16 years

    2) What recent change has had the most impact on you as an adult nurse? why?

    Brexit as it is increasingly more difficult to recruit and retain staff and our European colleagues are seeking to return to their home countries.

    3) Do you belong to the RCN?

    Yes

    4) Does the Code of Conduct work in your favour for example does it keep the workplace running smoothly?

    The code is embedded in my daily practice, I'm not sure it keeps the workplace running but it reminds us of our responsibilities and accountability to do the best we can for our patients at all times.

    5) How effective do you believe the multi disciplinary approach is in your workplace?

    Very, I work in a rehab unit so all decisions are MDT led and care is planned using an MDT goal planning approach.

    6) What influence (if you have any) do you believe you and the professional body you work with have on health care policies?

    Not sure if you mean the NMC or my work organisation

    NMC probably, work maybe

    Hope that helps


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