katie258

The ambos said if they are called they have to resus. I don't know but seems a little odd to me. Mind you these are the same people who bring us drunk and disorderlies too, love to know what the rules actually are. Yes the RNs and PCAs are a little short on grey matter. Same RN decided since she has (apparently) her masters in critical care nursing she would come and work in our wee hospital. Poor thing had never heard of patient centered care and thought the ENs were supposed to make her beds and do her showers and meds. Not sure what she thought her role was. I think that some people work so long doing the same things they get out of touch with the rest of the world. As for the PCA the OP mentioned I think the same thing applies, as soon as this PCA came accross somthing she thought she knew a little about she overreacted and then couldn't back down. Some of them like to put new people in their place.

Short sideline. We got an ambulane in about two, three months ago with a DOA from our local nursing home. When the boys got there the RN was holding her hand telling her everything would be allright. So ambos dutifully transported her to us. Now I know our doc might think he's god..... Then she rang to see how she was doing, I said she's dead, she was dead when they picked her up, like what did she think we were going to do? Then the family ring and abuse us because she didn't die at the NH. I mean how dead do you have to be before your dead in these places? They send us diabetics whos BGLs are out, well they control the food, if it's low give them some juice and a banana, what do they think we are going to do with them?

Oh my goodness! When I did my training they drummed into us no hypertensives with out a current ( within 15 mins) BP, no anginine without apical beat. I wont give first or second abs either but that is personal choice. The RN gets paid to do that stuff! LOL! The new reg ordered N/S to be put up on a pt with renal failure the other day and I asked the RN about it because I thought your not supposed to? Anyway just made me uneasy to do it, RN said OK and hung it. Most RNs are happy to fill in if you are uneasy, some just glare at you like your crazy. I'm over it now, I'd rather be thought of as mad than bad. Better to look stupid than prove everyone right.

I have spurs and am too much of a girl to get the shots. I wear crocs all the time, they are the only shoes I can wear all day and still be able to walk after shift. I have crocs thongs, beach shoes, work shoes, wellington boots and some nice heeled ones for wearing out. I tried the birkie proffs but the tops were hard on my toes, i've tried all kinds of shoes but for me crocs are it.

I turn 80 I back smokin' and drinking like when I was 18 and indestructable. No-one stand in my way unless you want to be walked over. Once you hit a certain age and stage of life you might as well do all the bad stuff why not? God gonna be standing at the pearly gates going "Hmm, no not you, you smoked"?Most of these people have been smoking and drinking all their lives what are you going to achieve by stopping them now? Some people are shaky enough with the grog I'd hate to see them get around without it.

Oh man that is too bizarre! I am an EEN in New South Wales and I can give up and including S4s, check S8 (always have been able to though) and start IV's give meds IV and SC,IM, not S8s though. I can't hang bloods though. The difference state to state is amazing. I did my EEN last year recieved cert4 in enrolled nursing and it took a year. fifteen weeks in total in TAFE the rest on the ward and got payd to do it.

Always wake them. If they need meds or obs, If they have an IV running I dial up for two hours then they wake up anyway and I'm the one who shuts it up, and while I'm here I might as well get a set of obs, do you need some pain relief etc.

Really? there are foods that kids don't eat? My lot even fight me for my oysters, eat sprouts, all the stuff their friends wont eat. My son invited a friend over to sleep the night. This kid only eats sausage rolls for dinner, my son said to him "Whaddya mean you don't eat veges and meat, are you insane? it's food!" I've looked everywhere to find a food the boys won't eat, even choko, sweet potato, chillie. They just hover and inhale then go out to play footie and come back in later wanting seconds and thirds.

Oh my goodness, If I went and bought that much food, well the boys would probably have it eaten by the end of the week. But it is scary isn't it? I think I'd go to work but I think then I'd be too scared to go home in case I took it into my house and killed my kids. so maybe not..I don't know. we could always gom fishing I guess. Yep that would be cool, a couple of months of camping and fishing. Fish can't get the flu can they?

This is interesting. In Australia you need to have two staff members present to give a schedule eight drug. We confirm the prescription, get it out of the cupboard, count how much is left and write it in the S8 book. Then the medication is drawn up, we both go to the bedside, check the right pt, no allergies etc then the drug is given. If the dose is smaller than the vial contains all is drawn then what isn't needed is discarded. You guys just hop around with pre filled syringes of morph in your pockets?

A circular went around my hosp about a month ago with a list of competancies(I can never spell that word, you should hear me pronounce it!) for EENs, also a list of proposed ones included catheterisation, placing NG tubes and cannulation. But no extra pay and we have to pay to do the courses just like the endorsment. If I wanted to have that level of responibility I'd have done the RN course. Next thing you know they'll want us to do in charge too!! Health service will go a long way to save some $$.

Hasn't it got to do with the release of glucagon into the blood stream too? I find an apple helps a lot, I also turn my days upside down, have breakfast at dinnertime and dinner when I get home I also try to stay up when I get home for as long as I can, go to bed after East Enders. I don't know if that says more about my TV habbits though. Nothing like trashy english shows to make you tired.

Wonder what colour his pee is? Wonder if the silver is somehow attatching to the red blood cells and that accounts for the colour change? You know like attatching to the haemaglobin. Wonder what his sats are like? Hmm lots of questions, I go a little crazy on nights....

Fell into a large vat of beetroot juice?

Don't go to work sick, your co-workers don't want your bugs, your patients are dealing with enough bugs of their own with out having to deal with yours as well and when you are sick things always go wrong and you might not pick it up quickly enough. Stay home drink up and rest.

Isn't it funny how migraines react so differently in different people? Personally I take two aspalgin ( aspirin and codiene), turn on the air con and go to sleep. It usually is resolved by the time I wake up. We also use IV paracetamol or toradol with good effect. I still remember my first migraine, thirteen years old and dry retching in the street, the treatment of choice then was morph and maxalon. Good luck with finding out what is causing all this pain.

It's not just inside our hospitals here. In the middle of the biggest drought in Australian history, when we aren't allowed to use water for anything outside the house, this hospital and others in the area health service, were watering grass, concrete, the sides of buildings. All because of inapropriate placement of automatic sprinkler systems that the general public aretn't allowed to use! And don't get me started on the local council watering the roads causiing hazards to drivers, not to mention the fact that roads don't grow! We aren't supposed to use sterile stok that requires auto-claving because it costs more than disposables, how weired is that?

Always knew I was a cheap date! Now I have the proof to back it up!

I try to get all my work done on my work days that way my days off are just that. That and I hired a house cleaner to do the floors, windows and bathroom twice a week. It all helps when you have four kids and both work full time. I can have four days off and then turn around and think I've done nothing with them but I study too so when you add everything up you need some time to do your own thing even if it's to veg in front of the telly for a day or two, or a week, but a month would be too long i think. Or would it?...

Had someone tell me I was the devils girlfriend once, went home and told the MOTH, he asked " So how do I know him exactly?"

See now, let me explain this to you, it's a very common phenomonen.A time bubble, happens all the time. You stepped OUT of your patients room and then a time bubble appeared, completely enveloping the pts room and her in it. So while you felt you were only gone for a few minutes, the patient ,(within the time bubble) was alone for hours! see? Easy. Two different time zones. Happens all the time.

:roll We only have two computers in our hospital! I could just see us all crowding round trying to get on there to write our notes! When I started here they didn't even have printed handover sheets! They're slowly coming over to the dark side to join me here in the computer age but I don't think we'll have computerised notes for a very looong time.

I think in our job we are always learning, keeping up to date, learning from other staff, patients, new situations etc. I have just completed my ENs and am now starting my RNs. Later I'll do FLEC training ( for ED). Maybe do my masters, do some midi or psych.I donn't know but whatever comes up I'll be learning. Good luck with your presentation.

Oh and plusses mean lots. Like in GCS scores, or exudate. You usually have one, two or three. meaning some, plenty or lots.

Tee Hee, additt = to add to, like if you make an entry into notes and sign them and then you have to add something else you write "additt" then the further notes. BTW you are not supposed to use any shorthand in the hard notes. dot, line, c means 'with'; dot, line stroke means one of anything, tabs, poos etc and dot,dot,line, stroke,stroke means two of anything.