ayla2004

ayla2004 ASN, RN

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All Content by ayla2004

  1. How much is too much morphine?

    ayla2004 replied to Neomikeyboy's topic in Hospice, Palliative

    UK PCA do not have a basal rate with a basal rate how is this patient controlled?, we use a syringe driver for this to give a basal dose. If we have iv acess we will use if however once this is lost...

  2. How much is too much morphine?

    ayla2004 replied to Neomikeyboy's topic in Hospice, Palliative

    I'm always surpised that end of life medications are buccal in the USA, in the UK we give sub cut meds in hospital and could be given in nursing homes or at home. buccal seems a poor choice in semi...

  3. Vanderbilt Medical Center to have nurses cleaning up

    ayla2004 replied to DidiRN's topic in General Nursing

    nhs nurses may clean beds and at night may mop but we still have staff for terminal cleans. also we have ward clleaning staff to daily deep

  4. Ugh...Bedside Report

    ayla2004 replied to Vespertinas's topic in General Nursing

    we have a printed handover and We do bedside report and a have a tick chart to make sure we handover safety aspects. and to check bedside charts are hourly rounding which includes a skin bundle and...

  5. What is your Achilles heel?

    ayla2004 replied to cjdmomma's topic in General Nursing

    not sure i dont mind suctioning work with tracheys all the time. ok with vomitt as well. if someone is decscribing body fluid it can i can find it hard but not often I dont like stale body odur...

  6. NG tube removal - hold breath or exhale slowly?

    ayla2004 replied to rara312's topic in Patient Education

    yup still place em in neuro patient for med and feeding and still have to replace them on the same

  7. Drugs to know in the Neuro Icu

    ayla2004 replied to AstarteRN's topic in Neuro Intensive Care, ICU

    nimodipine, kepra, soduim valopate,

  8. nurse : patient ratio

    ayla2004 replied to Norwichnurse's topic in United Kingdom

    COTE 24 beds ward early rn 1-8 hca 1-8 , late 1-8 or 1-12 with 1-2 hca so we had 4 staff night 1-12 2rn 2hca neurosurg days 12.5 hours 4-5 staff rn for 25 pt if 5 charge take no pt. 1-4 1-7, 2-3...

  9. Trach cuff inflation and deflation issues

    ayla2004 replied to PCATabatha's topic in Pulmonary

    are cuff are air

  10. Code words

    ayla2004 replied to Vespertinas's topic in General Nursing

    I will say we are now forced to give bedside report in shared rooms there are some things i dont thinks a pt or vistor should hear butneed to be said. we do sometime pre post bedide handover let the...

  11. Preparing IV antibiotics : Articles/Internet sites/ videos

    ayla2004 replied to thumperxx's topic in Patient Medications

    OP are you in the Uk? co amoxiclav. is BAN term

  12. I am the only nurse getting high blood glucose numbers

    ayla2004 replied to ricksy's topic in Geriatric, LTC

    we dont clean with alocohol pad just soap and water as alcohol can cause harderning of finger tips that is painful and could lead to difficulty manipulating small object due to lack of

  13. What does it cost to renew your license?

    ayla2004 replied to BuckyBadgerRN's topic in General Nursing

    RN in UK £76 last year but will be at least £100 ?£125 this

  14. Bio Patch with PICC line dressing changes?

    ayla2004 replied to nervousnurse's topic in General Nursing

    Iv nurses do our picc dressing however we can change if assess and the dressings is soiled etc. I asked about biopatch and we don't use them as it hides the site. We do use tegaderm with the gel...

  15. Home med lists make me crazy.

    ayla2004 replied to imintrouble's topic in General Nursing

    Im in the UK and work in a hospital it might be different if i worked in the community?. the only time ive ever had issue with a med is a prn for migraine when the patient requested it and it hadnt...

  16. Home med lists make me crazy.

    ayla2004 replied to imintrouble's topic in General Nursing

    Patients with a pcp In my area med records can be accessed by .my hospital same system makes it very easy and a pharmacist job. Howeaver ee are a third level hospital and take from the region but...

  17. Home med lists make me crazy.

    ayla2004 replied to imintrouble's topic in General Nursing

    Med rec in the UK is for pharmacy unit nurses so glad. However if pt bring in a list or mess in boxes I will get them prescribed. Sent from my GT-I9300 using

  18. Nursing and Health Care Assistant in the UK

    ayla2004 replied to riri.g's topic in United Kingdom

    Considering the nhs your probably better to stay at home. I really wish hca were accountable. Sent from my GT-I9300 using

  19. Newly qualified... are my feelings normal?!

    ayla2004 replied to nurse.laura1989's topic in United Kingdom

    Hospitals are poor at confronting nasty people who happen to be patients for fear of complaints. The best practice I know is to if possible never deal with that kind of patient by yourself have a...

  20. Newly qualified... are my feelings normal?!

    ayla2004 replied to nurse.laura1989's topic in United Kingdom

    I used to work on a cote ward and in general my experiences and that of my fellow nq peers was a lack of precptor ship. Is there a band 6 who can be your precptor. Do you have practice trainers who...

  21. Hemmoragic Stroke

    ayla2004 replied to lovinmytwins's topic in Neurological

    nimodpine and 3l with fbr as standard. Sent from my GT-I9300 using

  22. Hemmoragic Stroke

    ayla2004 replied to lovinmytwins's topic in Neurological

    Yup are grade 1 sah plan is to try to treat in the am. I say try cause I know of 2 0patient I have nursed who were uncoilable. We nurse grade 1 0n the wa. Early hydrocephalus get evd. Sent from my...

  23. Hemmoragic Stroke

    ayla2004 replied to lovinmytwins's topic in Neurological

    If it's a sah then ebp says protect within 6 hours, Not always possible not all are easily coiled or clip some woold be too high risk on the table. Ich are in my experience better evacuated eArly...

  24. Feeling sad about my ALS patient

    ayla2004 replied to ekramona's topic in General Nursing

    Ah als is called motor neuron disease in the UK. Know I know what you mean. Very hard for the person. Sent from my GT-I9300 using

  25. Concealed Carry...as a nurse?

    ayla2004 replied to mcknis's topic in Activism, Healthcare

    I live in th UK now in England but originally from northern Ireland. I hate guns and am for tight gun control which we have. However organised crime still will get hold of guns. It's strange I live...