Latest Comments by GrumpyRN

GrumpyRN 14,931 Views

Joined: Aug 26, '10; Posts: 683 (73% Liked) ; Likes: 2,419

Sorted By Last Comment (Max 500)
  • 13

    Got to agree with macawake, it seems that you are failing as a species. America is - or used to be - better than this.

    Trump is not welcome in the UK by the people - the politicians of course will crawl all over him.

  • 4
    CityofAngelsRN, ICUman, JKL33, and 1 other like this.

    Quote from broughden
    Symptoms such as feeling like you are choking and chest pain are common symptoms of anxiety/panic attacks. Its why myocardial infarctions are often mistaken to be panic attacks in women.
    Talking in full sentences, SpO2 of 100, undistressed steady breathing, lying quietly with no obvious signs of pain - not even tetany caused by hyperventilation? Oh and of course the biggest reason that MI in females was not missed - HE IS MALE!

    Perhaps you did not see at the bottom of my posts where it says 30+ years in Emergency and that I am an ENP. This is not my first time with anxiety attacks. Narcotic pain relief will do nothing although may make him feel better. I could have understood if he had asked for a Benzodiazipine, that may have been more therapeutic.

    And yes, I still think the doctor was appropriate. The patient was fine and needed to go home.

    Before you think I am completely heartless, I have had 2 episodes of anxiety in the past. Both were related to receiving chemotherapy.

  • 0

    Yep, what skylark said.

    I worked in a unit that did not do labs and EKG's unless they were clinically indicated or it was going to change management. Also we did not see GP problems. This enabled us to meet the 4 hour target 98% of the time.

    Another difference - although this may just be us - is doctors are not allowed to scream and shout at nurses (some still do it but were taken aside and told to stop) and there was not really a divide between staff, very much a team effort.

  • 4

    From the video that was linked to the only thing I could see wrong was at 3:15 where the doctor swore. Everything else was fine. I don't understand how you get pain from 'anxiety' and I don't understand what the breathing difficulty was.

    As far as I can see the doctor was not willing to put up with the BS and reacted accordingly.

  • 5

    Quote from inthecosmos
    For what course? I have never had anyone other than an RN teach a nursing course.
    Way back in the 1980's in the UK we would have a medical person teach us about their speciality. When they were finished the nursing tutors would teach us how to look after these patients. That way not only did we know what to do we knew why we were doing it.
    This would be medical and surgical doctors.

  • 1
    psu_213 likes this.

    Not a critical care nurse so not going to confuse the issue with my thoughts but... What does NQN stand for? Never heard of it.

  • 1
    Silverdragon102 likes this.

    Easy, in your day it would be A,B,C,D,E,F,G,H. Now it is Band 1,2,3,4,5,6,7,8.

    Staff nurses start at bottom of Band 5 - the old D grade. Charge Nurses will usually be Band 6 or F and Senior Charge Nurses Band 7 or G. There will be some crossover ie. some staff nurses can be a Band 6 etc.

    Within the Bands are scales which mean you should get a small rise every year until you reach the top. To earn more salary you have to move up a band but it is job dependent not person dependent. If you want to have a Band 6 salary you must apply for a Band 6 job.

    The actual pay scales are here NHS pay scales 217-18 | Royal College of Nursing

    Hope this helps.

  • 0

    Quote from Kooky Korky
    Naturally the Queen would be very gracious about the encounter and then not have to pay the ticket. Mayors, governors, president, and all that, you know. On the off-chance that she did have to pay it, it would mean nothing to her - she's a multi-billionaress. She owns jewels galore, numerous castles throughtout her realm, and even the actual earth itself in England, Scotland, Wales, Ireland to name but a few.
    Allodial title. You and I think we own our homes and the ground upon which they sit. Well just try not paying the taxes and you will quickly learn who really owns your humble abode. Eminent domain. It can all be taken away from you in the blink of an eye and they don't even have to give you enough money to buy another place without having to get a mortgage.
    Better to be the Queen.

    Sorry, this makes no sense.

  • 4
    Jules A, K+MgSO4, nursej22, and 1 other like this.

    Quote from LibraSunCNM
    Holy crap that's ballsy.
    Nah... It's the UK. What are they going to do?

    We didn't keep it up for too long, but we got the message across.

  • 13

    A friend had the opposite happen to him. Stopped for speeding and told the police that he had just finished a 12 hour shift in ED as an ENP and just wanted to get home (Doing 80 in a 70 area). Female cop told him that they could no longer do favours for other services. So after they were finished he told her that if that was the way it was then any time a cop brought a prisoner into ED they would be put in the waiting room and wait their turn instead of being fastracked.
    After that every cop who appeared was told to wait and told why. Didn't change anything but revenge can be good.

  • 0

    You talk of the "responsibilities, the blame culture, the cold, clinical environment..." did you not see these things during training?

    If it is just newbie nerves stick it out, but if it is something more deep-seated look around. You have a perfectly good degree, do something else. Do something YOU want to do. Never mind your parents or lecturers - you are an adult. Your friends should understand.

    There is no point torturing yourself every day. WHY do you hate what you hate - is it nursing or is it just this job?

    Talk to someone, your GP, the hospital occupational health service - that is what they are there for. Find out what YOU want.

    Nursing is stressful enough without having what sounds like clinical depression.

    Good luck.

  • 2
    spacemonkey15 and Fiona59 like this.

    Quote from nelfid
    "....with all due respect, you do not know what you are talking about".

    Your comment just supports what I wrote. I can't really understand how you feel that this builds rapport. You would not talk to a patient or someone in the street like that because it's unnecessarily abrasive.
    Not true, I do say this to patients and colleagues because occasionally it needs said.

    Quote from nelfid
    I have no argument whatsoever against refusing to employ an individual at higher band who has limited experience.
    Well, which is it? Refuse to employ someone with limited experience or, "I have worked with nurses from bands 5, 6 and 7 with years of experience and it is quite clear that many don't know how to communicate with patients and are a liability".

    Quote from nelfid
    Incidentally, many Trusts are now employing graduates on 18-24 month programmes at the end of which they are promoted to band 6 positions.
    Does not make it right.

    I was initially going to go with Dunning-Kruger but feel Aristotle is a better quote (and less "abrasive")
    "The more you know, the more you know you don't know."

    Please remember that I have been doing this for 35 years, I have seen all the different management methods - I even have a management qualification - and also all the different nurse training methods. Nothing beats experience and knowledge.

  • 2
    spacemonkey15 and Fiona59 like this.


    This post is 5 years old, from reading your reply you seem to be a Band 5 and, with all due respect, you do not know what you are talking about.

    XB9S politely gave a reply with good advice. I would be concerned about any Band 5 gaining a Band 6 post after 2 years. They are still learning the job. To then try to get a Band 7 post after 1 year would make me very reluctant to even work with this person. They have neither the experience or knowledge to work at a Band 7 level. I would be wondering why they got the post - what has transpired in backrooms etc.

    Dignity, respect and maturity are also worth more when applied to strangers on an internet forum who have been communicating with each other for several years .

    May I echo K+MgSO4 and welcome you to Allnurses which is a supportive community where you can find all sorts of useful advice and information.

  • 3

    May I also suggest that you talk things out. I used to volunteer with the Samaritans and they provide a listening service - it is not just for those feeling suicidal. I spoke with many people who were feeling stressed and just needed to get things out.

    There are other agencies out there who will listen. Pick one. It really does help just to talk with someone who is not going to judge you. Even the RCN offer a service

    Good luck.

  • 2
    MrRoom101 and Silverdragon102 like this.

    First, you have recognised there is a problem and have seen your GP - excellent, that can sometimes be the hardest thing. Take their advice, go off sick, take time for yourself. Your health (mental and physical) is important.

    You say that you are the only male - are you trying to 'man up'? Don't.

    I do not know what a DNS is or does but reading your post you sound frustrated, overworked, overburdened and being given far too much responsibility and nowhere near enough time to complete tasks.
    It seems as if you are at the beck and call of everyone else with no clear picture of your role.

    Why are you the only one doing weekends? Why are you being given the endocrinology role without any experience?
    If you are working weekends you get proper time off - not time due. You could be working 12 days in a row if they decide not to give you your "time due".

    When you feel better take some time to discuss with your manager your role and their expectations - BEFORE you return to work. Do this with occupational health involvement and also your union.

    Worst comes to the worst there is no shame in downgrading - especially from the hellhole you are describing.

    Are your management aware that if people are leaving because of stress and overwork there is a case to be made for constructive dismissal?

    Don't blame yourself, don't go back to work too soon, look after yourself.

    Take care brother.

    Illegitimi non carborundum.