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scattycarrot BSN, RN

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scattycarrot has 10 years experience as a BSN, RN and specializes in ITU/Emergency.

Going slowly mad trying to get my US licence

scattycarrot's Latest Activity

  1. scattycarrot

    What have I missed?

    Thanks AZ! I need to start studying otherwise mine will be a waste of money too! God knows when I am going to do that! Glad you have your ATT. Good luck!
  2. scattycarrot

    Drinking while breastfeeding?

    sorry, didn't realise i was back at school, writing a paper and needing to provide references for comments that i make. nor did i realise that i am not allowed to voice an opinion. anyway, as for that reference, in his book 'the ultimate breast-feeding book of answers, dr.newman states that the restrictive nature is one of the main reasons women give up breastfeeding. unfortantly, i can't find the quote online but this the nearest to it i can find. sorry! do i get an f?! 'experts like dr. jack newman, author of the ultimate breast-feeding book of answers ([color=#3366cc]compare prices) are working hard to dispel these myths. nursing while you are drunk or frequently nursing when you've been drinking -- those are problems. but, according to newman, "reasonable alcohol intake should not be discouraged at all ... prohibiting alcohol is another way we make life unnecessarily restrictive for nursing mothers." http://babyparenting.about.com/od/breastfeeding/f/pumpdump.htm more from dr.newmanin an interview with glob eandmail.com: kelly drennan, toronto: what is your position on drinking and breastfeeding? motherrisk has a chart on their site which states on average that women should wait two hours before the alcohol leaves their bloodstream before nursing, and that the pump and dump method does not work. jack newman: i think that motherrisk's position is neo-puritanical. the amount of alcohol in the milk is very small after a drink or two, much less than you would find in de-alcoholized beer. in most provinces, you are considered too drunk to drive if you have 0.08 per cent alcohol in your blood. if you have that amount in your blood, you have that amount in your milk. that's nothing. i don't understand motherrisk's position. they are willing to tell mothers they can take all sorts of other drugs while breastfeeding (quite rightly) and are squeamish about alcohol.
  3. scattycarrot

    parents please talk to your teens

    Regarding the sats, if she was in the water she was probably cold, so I am sure the pulse ox read 22%. Obviously, they weren't 22% or she would have been dead a while! Anyway, thats by the by, well done for stepping in. The ER I worked in last in the UK was full of young teens at the weekend. Anyone under 14 had to be admitted and seen by social prior to discharge.
  4. scattycarrot

    Drinking while breastfeeding?

  5. scattycarrot

    Drinking while breastfeeding?

    Exactly. the relevant question IS how much alcohol is passed into breast milk and if you look at the facts, they clearly state that alcohol is metabolized out of breast milk at the rate of a drink (one unit)per hour. So, if a nursing mother wants to have a drink that will be gone out of her system by the time she feeds her baby, why shouldn't she? There is 'nothing to risk', she isn't put her baby's life in danger for crying out loud, the baby is not going to be getting any of the aclohol. Thats like saying if you ever have a drink you should NEVER drive. How does that make sense? It doesn't, thats how. And, having one drink now and then doesn't illustrate a drinking problem at all. People are allowed to enjoy an occasional drink of wine or whatever and they shouldn't be labelled as having a problem. And, even if someone wants to go out for a big evening and get drunk, than as long as they understand when they can breast feed next for it to be safe and someone is caring for the child, why shouldn't they? Its more important that the mother is encouraged to breastfeed than being scaredmongered into never breastfeeding because people are being judgemental. They are not risking their childs life. So, to say the only safe amount is NO amount is not accurate. AS I mentioned previously, alcohol is NOT contra-indicated by the American Association of Pediatrics(within guidelines). One of the main reasons moms give up breastfeeding is because they are told what they can and cannot eat/drink/do/whatever. They need facts not personal opinions, so they can make an informed decision.
  6. scattycarrot

    Drinking while breastfeeding?

    I think we have had a lot of personal feelings get in the way of facts here! The American Acadamy of Pediatrics does not contra-indicate alcohol and breastfeeding as long as alcohol is consumed in moderation. The occasional drink will do no harm to a baby and its alarmist to say otherwise. Less than 2% of the alchol the mother consumes will reach the baby so if your sober enough to drive your sober enough to breatsfeed. Also, alcohol does not accumulate in breastmilk so the average mom will metabolize alcohol in about 1 hour (1 unit per hour) so when blood levels are back down, so are alcohol levels in beast milk. Now, babies livers are more vulnerable to alcohol but if mom consumes a drink(one unit) and then waits 2 hours to breast feed there is very little chance of passing on the alcohol to her baby. As a pp said, its important that mothers are encouraged to breast feed and are given accurate information about this. To be honest, the mothers who are seeking information on the amount of alcohol that is safe whilst breastfeeding are not the mothers anyone needs to be worried about! If a mother is consuming more than the recommended amount (1-2 drinks a week) then it is likely there are more issues going on then just alcohol consumption.
  7. scattycarrot

    What have I missed?

    He's a joy but very time consuming! Just thankful I am not working. Hats off to working mothers! Hows your knee?
  8. scattycarrot

    What have I missed?

    Thanks one and all. I have only just got my butt back on here since I posted this thread and its nice not to talk about baby poop and feeding, etc... ! No, I haven't got anywhere with my licence. I did get my stuff back from CGFN's and that was all ok, so I need to apply for my ATT. I have done ZERO studying. Me thinks I am not terribly motivated! Glad to here all is well with y'all! SD, love the photos!
  9. scattycarrot

    drugs w/ blood?

    As a pp said, there is a difference between blood in a line and blood in the bloodstream. When we transfuse we are giving packed RBC's not blood as it is in the bloodstream. Whole blood transfusions are rarely given and contain RBC, plasma and plasma proteins. Packed RBC's are a concentrated product and administration of products other than NS with the packed RBC can cause hemolysis and clumping. So, go ahead and use that line, just stop the blood and flush first with NS and again after before restarting the blood. And, if its a code situation you should be flushing with 20mls ns after giving meds anyway.
  10. scattycarrot

    Won't be around for a short while

    Safe travels and good luck with your new adventures!
  11. scattycarrot

    Tolerance wearing thin in Triage,Help!

    I think you should be proud of the fact that you have handled being in triage for so long without becoming 'intolerant'. That says alot about your character. The fact that your tolerance is wearing thin now is only natural and most people will have cracked a while back! As every one else says..you need a break! Talk to your charge nurse and be honest. Tell her you are in danger of losing it out there and need some time away.
  12. scattycarrot

    Your One Best Piece Of Advice Please.

    This is truly awesome advice! The ER really is a team effort, much more so than on the floors, and people will bend over backwards for you, if they know you have their back!
  13. Further to another post, San Diego is a great city but I would say you need a car there, the Trolley system is good but has limited stops and the bus system is just ok. However, I am sure many people who work in the hospitals there manage without a car so it is do-able. And, the weather is AWESOME!
  14. scattycarrot

    Removing collars and backboards

    There was a thread running a while ago about this in the ER forum: https://allnurses.com/forums/f18/nurses-taking-patient-s-off-backboards-without-doctor-clearnce-265497.html
  15. To the OP, unfortantley, you can't 'get through to them' and really, its not your place to. Thats hard but its true. We are here to offer non-judgemental support and advice. Offer the services of Domestic Violence Support groups and networks but if somebody decides that they don't want help, than there is nothing you can do. One of the hardest things to accept as an ER nurse is that you have minimal influence over somebodies life in the few hours you spend with them and that, as soon as they walk out the door, your words of advice and wisdom will often(not always!) be forgotten as they enter back into the hard reality of their lives. However, they will likely remember your compassion. I am not saying that you shouldn't bother to try and help but rather just learn to not be despondant when your advice is not heeded. You only have so much time, so much influence and you cannot fix the evils of the world. And, I am not talking about cases where the victims life is in obvious danger. That is a different ball game.
  16. scattycarrot

    High care area

    I agree with RGN1. It has 'dumping ground' written all over it. If it was to go ahead, I think 9 beds is ridiculous and would even suggest a maximum of 6 beds with 2 nurses. Big post ops are so time intensive! Good luck with this!