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hello all
i'm a 2nd year student nurse and have been told my next placement will be in a private hospital. i looking forward to it as i am considering working overseas and may it will be good to see more than the NHS. However from those who have worked in a acute private hospital what would you say is the difference. I've heard it more consultant lead so are nurses less in control, or do u have the time and resources to spend doing things properly.
oh last 2 weeks i've been on a neurosurgical ward. feeling like i've learned little however there are 2 newly qualified nad they feel little better.anyone have anyt experince of neuro patients they are kinda challenging and the medica/nursing speak needed a translator
madwife would be the one to ask, I am sure neuro was her last ward in the UK before she moved to the US
well dealing with the confusion wathcing, and trying to stop them removing drains trachy, venflons and ng tubes is kinda hard work.
then their are the pt with bone flap removed who are getting better so that they don't know why they can't go home and make a beeline for the door.
some are specialed but not for very long.
expically all the terms cliping, coiling, and spinal surgerys
pt when you are doing obs score loower on a gcs than in the next 30 mins when they open their eyes or even speak
its so specialized
THe confusion is always difficult to deal with and I always think that being a neuro nurse requires a great deal of patience because as soon as you stop them pulling they are at it again. I really think that you are either a neuro nurse or not, you can't continue to sedate because they have to wake up sometimes. I found the personality changes and the effects on the families most difficult the most placid and pleasant person before injury becoming aggressive and aggitated post injury, we never get to know them before so cannot fully appreciate teh changes.
as far as the different types of surgery can be found on an internet search or in neuro books, it has been a while since I was there so many of the procedures may have changed. Anything else just ask
its not the same but i spent 6 years working with demtia patients so dealing with people with damage to their brains, the loss of being able to commicate with the rest of the world, the frustation and agression that can result due to this or to changes in the brain.
i seen restaint used the first time 'gloves' never saw it befroe and it didn't sit well even though i knew the reason why. What is worse is the pt who don't improve and the famillies you have to deal with. the ward i'm on has a misxture of old hands at neuro and nurses working in the area for a few years, and no one knows all the answers it seems so much more comlicated than other areas.
i've looked up the surgerys and need to read about the brain etc to see why the pt loss what they loss.
i'm just trying to find my feet to a small insight and its hard i'm only there 6 weeks and i've worked 2.
RGN1
1,700 Posts
Gosh! I hope you didn't eat them all at once!