booradley

booradley

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About booradley

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  1. Gross Things Patients Do

    I had a pt admitted for some respiratory condition that now escapes me. I went to empty his urinal one morning and noticed clots of blood in the urine. I was very concerned about these large clots of blood and tried to ask him about it but he did not...
  2. How many patients you guys take on your duty?

    Australia Telemetry/step down Days: 6-7 Nights 7-10
  3. My inner snowflake

    I notice this too. I have coworkers who are lovely people but will laugh and talk at the top of their lungs right outside a patients room. It makes everyone look bad. It is distracting enough for me, let alone the patients.
  4. Can RNs remove temporary pacing (pacemaker/epicarial) wires?

    I'm in Australia but here we pull pacer wires on the floor. Only permitted mon-fri 7am-1pm in case the pt tamponades. We have a policy about checking vitals x times for x hours post removal and double checking INR and other labs. Most of our pts will...
  5. ER

    You can give O positive to everyone except young women/women of childbearing age without a type and screen in an emergency. One of the other posters linked an article to it above.
  6. How do you feel about being a nurse?

    I have to disagree somewhat to the posts about nursing in Aus/nz as a utopia. I'm an RN in Australia and working full time is either 5x8s, 4x10s or 3x12s, never heard of 4x8 being full time. I work in a hospital that is not in the public system so I ...
  7. Question about Cardiac Caths

    I agree with everyone else. I have cared for patients with Parkinson's post cath and stents many times. Most of them have a mild tremor which is not enough to disturb the angio site anyway, especially post radial if they have a TR band which can just...
  8. Actually, I'm almost certain this is in Australia (obs machine=vitals machine, cannula=IV, sub cut=subQ as well as the familiar problem of having less obs equipment than there are nurses). I have definitely seen a rise in prescription opioid dependan...
  9. ICU with a toxic environment

    Sorry you're finding it tough. I found my new grad year challenging as well, in part because of all the different personalities you have to learn to work with. You don't have to like them or want to see them anywhere outside the hospital but you do h...
  10. How to Not Die in the Hospital

    This is great, a lot of these tips apply to friends and families too. It makes a huge different if visitors etc are on board with getting people mobile. I have had people decline to walk with me because they have visitors but it's great when the visi...
  11. The Perfect Work Day

    No admissions, 1 or 2 straightforward discharges. If they are admissions, the folks who have been through our pre-admission centre so they have a lot of the busywork complete. Doctors answer their phones or even better make sure they have addressed e...