nexus

nexus

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About nexus

Married with 3 daughters aged 11, 15 and 17.Worked in ICU for 18 years. Work a mixture of clinical and teaching shifts.

Latest Activity

  1. UK nurses caps

    I trained at Bart's, London 1980 - 83. The pleated cap was worn by students and 1st yr qualifiers. Then you went on to the '5th yr cap'! The pleated cap was formed by taking a well starched rectangle of white linen, lay it on a flat surface with the ...
  2. friends dad/CABG c/o pain

    I'm in the UK and patient controlled analgesia is used routinely for post op patients. Is this not the case in the US? It seems strange that patients are still left to suffer severe pain post operatively when all the evidence shows that PCA is best p...
  3. I love BST

    I love BST too even though I was off at the w/end and should have begrudged my hour less in bed. If the Scottish farmers want to put their clocks back again in October, let them! Why should we? We are a different country after all. But then I guess, ...
  4. Do you have intensivists in your unit

    On my unit in England, all patients are admitted under the care of the intensivists who then make treatment decisions. Their medical/surgical team may be involved in decisions but the juniors aren't allowed to change medication etc. Dee P
  5. Flolan

    We use it as an anticoagulant during cvvhf when patients have HIT. I didn't know it had vasodilatory effects and we certainly don't take all the precautions you mention. What doses are you giving? Dee P
  6. 4 hour deadline!!!

    OK, not 'empty beds'. Ones that will become empty later when the patient has gone to the discharge lounge and home on the twilight transport. :)
  7. I work in ICU and we say if the notes won't fit through the letterbox, we're not having the patient. (In our dreams)
  8. 4 hour deadline!!!

    I work in ICU and we have problems finding beds for patients that are well enough to go to the ward because the bed managers are saving the empty beds for A&E patients. We have even discharged patients home recently.