bethem

bethem

Med onc, med, surg, now in ICU!

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All Content by bethem

  1. PDA's for Aussie nurses?

    bethem replied to AussieTina's topic in International Nursing

    It's really not necessary for the way we nurse in Australia. I really wanted one too, in my third year, but I didn't end up getting one because I realised it wasn't going to be that helpful. What...

  2. Hi...Need help with Australian medical abbreviations

    bethem replied to jojojo76's topic in General Nursing

    IP and OP - maybe inout and output, but I haven't actually come across those. Pt is usually patient. HS - heart sounds TM - tympanic membrane? CCU could be either coronary or critical care, it just...

  3. Question about basic stuff that I should already know~!

    bethem replied to Michelle123's topic in Nursing Student Assistance

    I hope that was a typo! If someone was satting at 75%, whack on a 100% NRB mask and call a MET. If it was 94-95%, I'd be unlikely to give any O2 unless they were symptomatic. It kinda depends on your...

  4. Nurses Need to Learn the Art of Delegation

    bethem replied to NRSKarenRN's topic in Activism, Healthcare

    Recent post-grad study has highlighted to me that while responsibility can be delegated, accountability cannot. We are accountable for the actions of the ones we delegate to, but if we delegate a task...

  5. Experience-based vs evidence-based practice - sub q drugs

    bethem posted a topic in Patient Medications

    Hi all. I am a new grad working in a medical oncology ward. A lot of our doctors write up metoclopramide, ondansetron and dexamethasone as sub-q. As an educated nurse, I consult my 'evidence' - the...

  6. Nurses not doing assessments

    bethem replied to gucci rush's topic in General Nursing

    I can't speak for every single Aussie nurse, but it's the same everywhere I have worked and had prac. Doctors listen to the heart and lung sounds, assess JVP, and all that other stuff. Nurses take...

  7. Evidence based vs experience based practice - sub q drugs

    bethem replied to bethem's topic in First Year After Licensure

    Sorry, I've been inateentive. I'll do it now. Thanks for the replies so far, I might subtly quiz some of the senior nurses

  8. Evidence based vs experience based practice - sub q drugs

    bethem posted a topic in First Year After Licensure

    Hi all. I am a new grad working in a medical oncology ward. A lot of our doctors write up metoclopramide, ondansetron and dexamethasone as sub-q. As an educated nurse, I consult my 'evidence' - the...

  9. Welcome to the Forum - General Aussie Chat

    bethem replied to gwenith's topic in Australia, New Zealand

    I have an issue I think we all need to get fired up about! You have probably read threads from our US counterparts about Advanced Practice Nursing and Nurse Practitioners. They've had them since the...

  10. Unique Australian language

    bethem replied to Grace Oz's topic in International Nursing

    Yup! And if I went out in my thongs, it'd be my "flip-flops" as you onamatopoeic Americans call them. On another note, did saying "cactus" in relation to a patient (that one's cactus, after that...

  11. schooling in oz-public or private?

    bethem replied to littleflower123's topic in International Nursing

    Although private schooling is becoming more common, most kids tend to go to public

  12. Nurses not doing assessments

    bethem replied to gucci rush's topic in General Nursing

    Same in Australia. The only time I have seen nurses routinely assess heart and lung sounds is in ICU. I had a patient recently who became acutely SOB and desatted from 97% to 92% within 15 minutes...

  13. when to call doc wows?

    bethem replied to onduty23's topic in First Year After Licensure

    Can't you nurse initiate laxatives/stool softeners? RNs in NSW (Australia) can nurse-initiate those drugs (and some other typically over-the-counter type drugs) for up to three doses per drug. That...

  14. Addressing physicians

    bethem replied to NeuroNP's topic in International Nursing

    I call the docs by their first names, without exception. They also call me by my first name, again without exception. I also kidded a doctor (a consultant, no less) today about being impervious to...

  15. Ack! My Mother is "That patient"

    bethem replied to Cattitude's topic in General Nursing

    Our ward just had a couple of financial donations from families of recently deceased patients - one of $400 and the other $835,000. That could certainly help ease your

  16. Being called "Nurse".

    bethem replied to PsychRN-Kris's topic in General Nursing

    For some reason, it jars me to be called "nurse" - by doctors OR patients. I would rather be called "Um" or "Hey" than "Nurse". HATE it. I introduce myself as Emma, and I tell them I don't care if...

  17. night nurse who leaves everything undone..

    bethem replied to linzz's topic in Geriatric, LTC

    Apart from the catheterisation topic, I also work with a night nurse who leaves things undone. She is night staff by choice, but every time I come on to a morning shift following one of her nights,...

  18. Calling in sick

    bethem replied to bethem's topic in First Year After Licensure

    Thanks, everyone. I couldn't imagine what else I could do, so I'm glad you all agree I did the right thing! Now to get my

  19. Calling in sick

    bethem posted a topic in First Year After Licensure

    I am a new grad nurse, in my third month. I was unwell today. I was rostered on to start at 1330. I had a very mild sore throat all morning, nothing to worry about. At 1255, I began vomiting. I had to...

  20. Peads Gastro Care plan

    bethem replied to Michelle123's topic in Nursing Student Assistance

    Good on you! You won't have to do them in third year. Or, you know, EVER AGAIN.... good old Newy Uni. Do you have to have a Nursing Diagnosis instead of/as well as the column you've titled 'need'?...

  21. MD's professional handwriting skills

    bethem replied to hppynurse2's topic in General Nursing

    to derail a little, i think the docs must also take classes called "the phone: ignoring it when it rings". they sit at the station, right in front of the phones, and completely ignore the ringing....

  22. How to treat umbilical cord?

    bethem replied to sofiam's topic in NICU, Neonatal

    All we do on our cords here is give them a quick swish with water at each nappy change. We tell the parents to keep the top of disposable nappies folded down so the cord is exposed to air, and suggest...

  23. Did I do the wrong thing? Advice needed. (Long)

    bethem posted a topic in General Nursing

    Hi all. I'm a new grad, and have been working on a medical oncology floor for about a month now. Our floor gets anyone who has a medical issue, as long as they were diagnosed with cancer at one point...

  24. Did I do the wrong thing? Advice needed. (Long)

    bethem replied to bethem's topic in General Nursing

    Thanks, everyone. I had come to the conclusion that I did make a mistake not calling the rapid response team after I did some research, but I really appreciate your input and experience. Next time I...

  25. pumps for chemo

    bethem replied to nurmac's topic in Infusion, Intravenous

    Good gravy, you free-flow chemo drugs? What about something like MabThera, where the patient is at high risk of a potentially deadly anaphylactic reaction? How do you give drugs like that? In answer...