ValWai

One more reason to stay healthy.

9. Therefore is the name of it called Babel; because the LORD did there confound the language of all the earth:and from thence did the LORD scatter them abroad upon the face of all the earth. Oh, it's LORD's idea. Genesis Chapter 11 V1-9. Tower of Ba...

I think HKnurse trying to say her patient's pressure starts to shoot up toward the end of dialysis. I have one patient having the same condition. She has normal pressure pre-HD and pressure shoots up to 190/90 or even higher one hour before concludin...

We used to use UF profiling together with Na profiling. We start off with 145 and gradually down to 140. Patients seem to tolerate this quite well but we find patients will become overloaded easily after Na profile. And more patients got admitted fo...

How about completely blocked catheter? Sometime the clotting is so bad that nothing can go in or out. It's impossible to instill anti-coagulant into the catheter without dislodging the clot. I used to draw the catheter until it collapses with a 20 ...

It didn't reflect bad on my center. In fact, my center was rated as within normal standards and even some with 100% compliance. Our centers are new to the company. Among these 28 centers assessed, there are centers in different countries in Asia an...

I have been considering my response seriously for the past two weeks and found out that I did not write this for vengeance or self-defense. Five months ago, our head office (international company) sent someone to our center and audited our center sta...

It's nothing personal. And I am a nurse in dialysis and I wonder if my mother was admitted and was having a heart rate of 30. So, is she all right? I mean judging my own mother as a daughter. I agree that "We found that a cardiac nurse and surgica...

Oh, I see. I was imagining a Dolly Parton girl with lots of pressure that makes her tireder. LOL.

Hi, I am a nurse in Singapore. I am being thinking of emigration to Vancouver. I have been there for holiday and love the place very much. After all the Eng. tests and psy. courses, RNABC has accepted my applciation to write the CRNE. I have been pra...

Thank you for your tips and your blessings, Disher and Tiredernurse. I passed my NCLEX in 1988. But when I study NCLEX exam guide again this year, I find them harder than CRNE. But I will do my best. Anyway, why tireder?

I know it sounds ridiculous for a dialysis to raise this topics. Recently i have one patient M/57 Indonesian Chinese with ESRF DM HT for 4 years on regular HD. His DM was poor controlled, very anemic not very responsive to Eprex, had some limitation ...

Why nurses? Do we impress them that we kill everyday just because we face death everyday. Or do they think that we have no emotions towards people's death, or we are supermen and women who can do what ever is left undone. It's nothing to do with wh...

Exactly, they will start a conversion asking details if i uttered a few words. I think pictures and cartoons would help. They are universally understood , even by the elderly.

Hi Canuck. Thank you for the reply. My son will be going to the University in Canada. I want to go with him and to visit my brother at the same time. We will be staying in Vancouver somewhere near to UBC. So, do you have any information on the nearby...

Hi, this is Val. I am a RN in Singapore graduated in Hong Kong. I've been a RN since 1981. I just started a Bachelor of Nursing(Post Reg.) course in Monash University. It is a two years program with 8 subjects; 2 subjects in every 15 weeks. Lecture...

Just wanna to share this with other renal nurses. I have this patient M/57 who came to our centre a few months ago. He came with his maid whom he claimed to be his girl friend. He is divorced living with the son. On the first day, we had a long tal...

I am a nurse graduated in 1979 in Hong Kong. I have registered with Singapore nursing board, NY nursing board, now working as a head nurse in a dialysis centre in Singapore. Since I am planning to join my brother in Vancouver, I need to get register...

Totally agreed. Doctors in my country respect capable nurses. I think nurses are underestimated or neglected in some countries because of the nurses population may cause a threat to some government or hospital authorities.

When I was young, I couldn't figure out this. Do we nurses have rights? Seems that all our rights are our duties.

The action limit of endotoxin concentration in our centre is 1EU/ml. If the result from the lab. showed panic value, the level must have exit the alert limit. Do your patients exibit S/S suchas fever, chills, shock.... If yes, it's obvious that there...

We are observing the gentleman for other adverse effects and the persistence of the medicine.

It was >10 years ago when I was working in an acute medical ward. It was government hospital. There was 50 beds but accomodating 50->100 patients. Thanks to the magical canvas beds. There were more than 20 admissions every shift. Tons of work f...

I'll say they are allowed to eat almost everything except for those really contra-indicated ie. durian, banana and those which are salted or smoked and control the amount.

singaporeans use a lot of spices,,sauce, seasonings and salt is very important in their meals. Food without salty seasoning taste horrible in most of them. It takes time to change their eating habits. Some of them may feel deprived of good food.