sheilab

sheilab

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About sheilab

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  1. Where are you from?

    hi im from england. i work as a community nurse for the last 7 years before that i worked in nursing homes hosiptals i started my nurse training in 1978 its quite frightening now to think how it has changed.
  2. Question about drug allergies?

    i dont know if this is the same i have a patient that is on clexane injections she has breast cancer and is having chemotherapy she developed a dvt and was put on this drug she got a rash all over her abdomen where the injections are going when we re...
  3. help needed

    the trouble is in england we manage alot of people at home they have carers usually visiting 3-4 times a day and also us and our twilight service which work from 6pm to 7am in the morning it usually works very well. people live in their own homes wit...
  4. help needed

    i am a community nurse and we are about to change the way we work. we will be loosing our twilight and night service and working an 8-8 shift pattern what i would like to know is 1; is anyone else out there doing a similar thing 2 if a patients cathe...
  5. i didnt know what i wanted to do when i left school my friend had gone into nursing so i thought i would follow her she did the two year enrollment and i did what was called the the state final. that was some 25years ago now and i am still doing it, ...
  6. Rapid Response Teams

    our rapid response team is totally different as i am in the community we have 4 nurses and health care assistant, senior social worker, occupational therapist, rehab assistant and physio our idea is to keep people in their own homes instead of going...
  7. Old nurses dont want to learn new tricks?

    i am an old timer i qualified in 1981 i have been studying ever since in different ways. i work in the community and have to do mandatory updates for clinical practise we also do exended prescribing and advanced clinical skills, and i know i can show...
  8. Community Nursing & Category C patients

    we have a rapid response service for this type of thing they are looked after for 3 days and a care package is set up then they are passed over to the district nursing team.
  9. Pressure Staging?

    we stage all ulcers no matter where they are. they are photographed measured then treated appropriately. where is her rationale for what she said
  10. after i finished my training i worked on a busy neurosurgical ward until i left to go on maternity leave. that was the change i needed i then went back to elderly medical for about 18mths went on maternity leave again. went back to nursing on oncolog...
  11. Help with neurological disorder

    it may be something to do with her carotid artery in her neck, but from your discription it may be something like an aneurysm. which is a malformation in the blood vessel usually treatable. it could also be something affecting the cerebellum which is...
  12. Pressure Staging?

    in my experience the tissue vibility nurse orders them they come in their own little vial with instructions how to use them and the main thing is to keep them watered. they are excellent for cleaning sloughy wounds that are not healing and a patient ...
  13. Post-op Wound Care

    why on earth would he suggest cleaning a wound with peroxide. i could understand if it was sloughy but then only 50-50 mix you would be better off with either saline or tap water is just as good!!!!!!!!!!!!! research shows
  14. Wound Care Question

    great photos im a community nurse in england our patients have a shower before we arrive to remove the old dressing, we then lightly pack wounds with aquacel or aquacel ag, if it is deap we would use a gel like intrasite to help granulation, to prote...
  15. Hello

    we have just started first contact programme along with evercare and continuing care the only ones i see profiting from this will be the doctors when people ask for house calls they will be seeing a nurse instead