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JustBeachyNurse 75,216 Views

Joined Aug 5, '10. Posts: 36,365 (21% Liked) Likes: 22,368

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  • Apr 24

    Quote from Kit.Kat
    Thank you for responding! I did graduate with my associate's, but I will also be graduating with my BSN this August 2017, and as of then I will have 1 yr experience.

    I appreciate your response, I just feel the urge to venture somewhere because at 27 without a family & having studied a long 7 years without much self-exploration is motivating me.
    Those are all personal reasons to move, what are your professional reasons? Are you you knowledgeable about the Australian health care system and nursing practice? If so, what is it about their systems that make you feel like you will be a good fit? How will you prove to AHPRA that you are a competent nurse with safe practice, without a letter from your employer? Moving to another country entails a lot of preparation and planning. It's best to gain a strong understanding of the laws, rules and regulations and cultural expectations of a country before moving, otherwise you may find yourself unemployed or underemployed and experiencing culture shock.

  • Apr 23

    Once upon a time, long ago, and far away, new nurses and future nurses actually respected and listened to experience. Those days are gone. It's all about ageism and bashing old nurses for even having an opinion on the threads where they ask for----opinions. Times have changed. Everyone wants to shoot straight to the top and experience or wisdom be damned. I worry for the future of advanced practice. It's going to lack experience, wisdom and maturity. Makes me really worry for primary care in the near future. I will stick with my "old" PA and MD. At least they have experience and time and know more than book and school knowledge. As these guys retire, I will have to worry that the practitioner will even know what they are doing. Questions will be asked. If there is no real nursing experience, I will move on to another NP or PA ( with some actual medical experience) who have them. Sad.

  • Apr 23

    The easy answer...you prevent the need for an enema in the first place.

    I worked in the nursing home industry for six years. Most demented elders received a daily combo of a stool softener, usually Colace or Surfak, plus a senna glycoside laxative to prevent constipation.

    If a demented elder became constipated, they received a "butt blaster" concoction of PRN Dulcolax chased down by warm PRN Milk of Magnesia mixed with prune juice.

    If a demented elder with combative behaviors ever reached the point of needing an enema (which was rare), we would premedicate with a PRN benzodiazepine or antipsychotic prior to administration.

  • Apr 23

    Quote from Nursing_excellence
    Hello!

    Hi, I'm supposed to make a case study presentation about burn victims with complications! I would love to hear your experiences about burn complications and how you handled the situations. The hardest part of this assignment is that we should use humor in presentation and that is where I am gonna need help.

    Any help would be appreciated. For those who's gonna call me lazy student, you're not being helpful. I do my readings I just want to come up with a realistic story and one with HUMOR..
    I almost died from playing with matches and lighting myself on fire when I was a child. I wasn't supposed to live, lost a breast, lost the ability to have children, and I'm still dealing with the ramifications and 3rd degree scars 44 years later. My first hospital stay was 2 years long, and there were countless stays and surgeries for many years afterwards, and still ongoing.

    Please tell your instructor/school that there is NOTHING humorous about a burn patient. Or better yet, let ME tell them.

    I realize that I am very biased, but the HUMOR component of this assignment seems insulting, unprofessional and irrelevant.

  • Apr 23

    So you happen to "see stuff on this persons phone" which seems like an invasion of privacy to me. This person did nothing to cause suspicion. His care was all outstanding. His charting was all good. He even was HELPING YOU! No one had anything bad to say about him, he gave you no reason to suspect he was high. But you saw something private on his phone and felt the need to go tell on him. Investigation was done and Jon was found to provide excellent care and charting and is clearly a team player. You then hear him joke with a co-worker and run to tell on him AGAIN after apologizing to him for telling on him the first time?


    I suggest you stay in your lane and mind your own business unless someone does something at work to cause concern and pt safety that isn't from you seeing private things on their phone or inside jokes with friends.

  • Apr 22

    Where you can get in trouble with your license in the OR:

    Forgetting you're on call, drinking, and showing up drunk when you're called in. Affidavit: Pennsylvania VA nurse drunk on call and likely during surgery

    Acting outside of your scope of practice and running a c-arm when you're not an x-ray technician or surgeon with privileges to do so.

    I worked with a nurse who took a patient into the OR before the surgeon on call assessed the patient and got consent (the case was booked by the off-going call surgeon; the surgeon doing the procedure needed to get consent). She lost her job, but that was it. There were no repercussions to her license.

    I've made med errors. Fortunately they were small and the patient was not harmed. I still have my job and license and didn't even receive a write up for them. A coworker made a major med error that resulted in a teenager now being on a cardiac transplant list. She was not fired for that, but did eventually get fired for attendance issues. No BON involvement.

    Seriously, this fear of losing a license is far more than it should be. Know your nurse practice act, know your scope of practice, practice as a prudent nurse should, avoid illegal activities or showing up to work when impaired, and your license will be fine.

  • Apr 22

    Quote from not.done.yet
    Patient was having burning with urination. Discovered her contraceptive ring had been somehow inserted in her URETHRA. All of us were scratching our heads on that one. Had to have been some lube involved somewhere, surely.

    You just reminded me of one. Pt presents with complaint of "my vagina is closed shut", we all look at each other with that knowing "Maybe this isn't a bad thing and maybe we should found out how to make this a thing"

    Of course we didn't think it actually closed shut

    So patients story was that her and her boyfriend went to have sex and it was too painful and they couldn't do it because her vagina had closed shut. Stated it was fine two days prior. So set up the bed and all that for the exam.

    Doc goes into the room with a standby and wouldn't you know that the patients vagina had ACTUALLY BEEN *CLOSED* SHUT!!! She left out that she had a colposcopy that morning. (would be surprised she even was trying to have sex but nothing surprises me anymore when it comes to that) Turns out that used a ton of betadine and the patient never cleaned after or they didn't.

    End result was that the betadine was so tacky and there was so much of it that the opening to her vagina had literally been stuck together.

  • Apr 22

    I just did my final role transition in the ER. A nurse grabbed me to start an IV on a guy with reported abdominal pain. The nurse started questioning how long the pain had been affecting him, the patient replied "an hour" while texting away lol!! The nurse told the patient we would be back and then told me "We will let the doctor deal with that one." Its not a crazy complaint but I was amazed someone would come to the ER after having a stomach ache for an hour!

  • Apr 22

    I'm back, too.

  • Apr 22
  • Apr 22

    I totally agree. There is is just no way to incorporate humor into this scenario. If I was a student with such an assignment I think THIS would be the hill I would choose to die on. I'd rather take a zero than make fun of one of the worst possible things that can happen to another human being. I'm actually sick to my stomach just thinking about it and I too have an extremely developed gallows humor. OP if you catch any flak about not having humor in your presentation maybe you should show your instructor all of these replies from nurses who are absolutely horrified at the prospect of learning about burn care through humor.

  • Apr 22

    Quote from Nursing_excellence
    i understand what you mean. i was in tears watching cases of burn patients. and yeah im almost done with my case study. i jsut dont know how or when i can incorporate humor in my presentation.

    I know. Do your presentation, then after tell your teacher that you thought long and hard about how you could incorporate humor into a presentation regarding a burn patient, tell the teacher you even consulted with a bunch of nurses and you came to the conclusion that you CAN'T!!! Tell them not even sick humor. Because let me tell you, I worked briefly on a pediatric burn unit and there is nothing even remotely funny.


    I am someone with a very dry and warped and sick twisted sense of humor, working Emergency we often will get chastised for the inappropriateness of our humor, but even with that even we have lines we don't cross or that we feel shouldn't be crossed.

    Do you know on a lot of adult burn units you will find not a single mirror?? There is a reason why. You will hear more screams coming from a burn unit than a labor and delivery unit.

    So stand up for yourself and your case study and tell your teacher there is not a way to incorporate humor into this type of patient unless you want to dumb it down to a low degree sunburn and have humor in the different patterns the person got. Which would be a waste of a case study. Part of nursing is knowing when to stand up and advocate for what's right!

  • Apr 22

    What an awful assignment!!!

    I wonder if alteration in body image will prove funny when suicidal ideation occurs!

  • Apr 22

    I would have to say that one of the most challenging things for a burn victim is not only the need for good IV access and to beware of losing body heat dependent on the degree of burns, but to look out for compartment syndrome which can occur from the swelling. A much needed fasciotomy will help to alleviate that potential problem.

  • Apr 22

    Wow...there is nothing humorous about burn injuries. What a boneheaded thing to assign. If it were me, I would probably leave humor out on principle and accept the lost points.

    So in your reading that you have done, what burn complications have you learned? I see you are making a connection between facial burns and airway -- good start! But yes, let us know what you've come up with so far, and we can go from there.


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