jevans

Oh sweetie You poor thing. I also had placenta previa on my second child first was only 2yo BUT I acted like a nurse who knew it all............ pregnancy is not a problem.........so ignored advice and spent every few weeks on enforced hospitalisation.......................... bed rest!!!!!!!!!!!! daughter was born 2 wks early by c section[cos still placenta previa] One beautiful health child I wish for you that your sentence will be light and you get a repreive for good behaviour with good vibes coming your way :kiss

I am sat here laughing cos I too interview for qualified and unqualified nurses I personally would not dream to ask what type of vegetable But some co-interviewers say I am tough I only ask pertanent questions mainly to find out how commited people are to the profession. I only want nurses who are prepared to give their best to provide quality care any thing else is not good enough I always ask candidates about the latest professional article they have read and how it has changed their practice and another is what code of the professional conduct do you relate more to and why [this is a good one as it can demostrate quite a lot about personal and professional commitment] j

Hoolahan To that

fergus

Here's a good one--- If you were a vegetable. What would it be and why Stupid or what j

In our unit we use a system called POMS [patient own medication system] On the locker there is a locked cabinet with pt meds, dispensed by pharmacy. It is a fantastic system * Saves time * less meds errors * pt learns about their own tablets then graduates to giving own meds I am such a fan of this j

I agree with everything that previous posters have said. UTI is common with incontinence and restricted mobility. I would suggest that you target day time continence with regular toilet regime cos night time continence will always be last in returning. In my experience. Staff education could be the key BUT then more importantly is educating your Don. You can not wake people 2hrly through the night unless a medical intervention is required. Not only is it inhumane it actually increases your patients psychological wellbeing and levels of confusion. Patients should be well paded with pads that are designed to be changed as required- yes they are expensive but compared to laundry + treatment for UTI + staff cost Could you not do a quick check on costs and present it to the Don. Here we call it a business case- I have used it several time to change practice Good luck j

I work on a stroke unit On admission, we take them as BP indicates Daily for 3 days if stable then twice weekly IF stable weekly AF patients pulse is done daily j

come on folks lets have a pep talk amongst ourselves you worked hard for your qualifications didn't you---yes you care about your patients don't you-------yes do you give good care --------yes then give yourselves a break:) good nurses are hard to find. caring. experienced nurses are hiding!!!!!!!!!!! to you all good wishes j

KlareRN Sorry for my ignorance but I assume that QMA's are not Qualified is that so??? If so YES I find it scary cos at the end of the day it is the nurse who is Qualified and permitted any action or non action that is accountable best of....... j

Hi Iwas going to ask a simular question when I found this thread. I have a lady in her 60's she has a long term psych history but has recently had a stroke. We are trying to mange her on a stroke unit. She is extremely aggressive but so far only verbally. Her latest strategy for attention is to throw herself on the floor. When questioned her reply is that it is the only sure way for her to attract attention fast. When I asked her why she does not use her call bell she said she is not prepared to wait! Myself and colleagues are concerned that we do not have the knowledge or experience to deal with her. And we are concerned that we may be causing more harm Any advice is sorely needed thanks j

I certainly agree with all the above advice! I would also complete an incident report [ i seem to continuely say this] In the UK an incidnet report is used for ANY occurence out of the norm even sexual harrassment Many years ago as a newby was constantly harrassed:( One particular guy grabbed me one too many times but of course apologising each time. I picked up his water jug and accidently tipped it over him, in a loud voice I said " Sorry I fell over your slippers":D 1.5L doesn't half make a mess:cool: j:kiss

I agree with Nurse Ratched, even though I work with stroke patients we have more time with patient and family. We always consult the family. Have just come from a harrowing shift where a patient had developed a major pneumonia, renal failure and bless his soul and given up! We checked with his family yesterday and the poor guy died today. The family response was that we did everything to support him and them j checked for spelling

JHU nurse Oh Sweetheart! You really need to live first. Anyone tell you that when you marry it should be for love cos it is!!!!!!!! When I was a student I too was involved with a junior doctor but chose a guy in the forces. Not as glamorous or financially well off but boy have we had a GREAT TIME:D The hours are not dis-simular BUT love was well worth it. Recently met up with my doc and guess what ? still single! still chasing skirt! I've been married 18yrs!!! have 2 fantastic kids and what has he got? BIG FAT ZERO

In the UK we complete incident forms even for doctors. This constitutes as aggression, which must not be tolerated. Particularly as this behaviour is often overheard by patients and relatives. Incident forms are a way of letting senior management know what is happening. And of course they have to address

On our unit we would not roster an agency to work unless with qualified staff for support. If for some reason they would be on their own we ask another unit staff to swop. So at least they have some understanding of what happens in the building even if they don't know the patients.

Cheerfuldoer I so do agree with you. Nursing is a profession that should be valued. I think what worries me the most is considering we are supposed to be a caring profession, some are so intolerant to other nurses. We are each entitle to opinions but should really give some thought to where we express them:rolleyes: Best wishes j:kiss

Joy Not cross at you cross that you should have to overhear such nonsense Sorry j

I felt so cross to read your post NO nursing is about caring, empathy and having professional skills and knowledge not about the colour of one's skin! the reason we need to employ nurses from the third world is due to shortages in qualified nurses. I know that in the Uk the powers that be decided in the early 80's that there were too many student places to meet the demands. It was at this point we were fighting to get jobs.{I know cos I was one of them.] What the powers did not take into account was the increase for demand in the late 90's after all we are a population of aging societies. Yes today women have more oportunites but there will still be people like ourselves who want to be nurses If I had overheard such a conversation I would certainly address this matter with senior management because little minds breed and should not be given an opportunity to do so Best wishes and continue to be a caring nurse luv j :kiss

I got 4 either I'm young or it doesn't apply to us in the UK but my grand mother kept her wash tub wringer until 1987

Unfortunately if your patient has capacity she can refuse any form of treatment. I'm sure you've documented that she refuses to comply but that is as far as you can take it. I completely agree with your request for written confirmation from the family though. How ever they do not have to provide it [ because if a patient has capacity they are the only person that can provide consent or refusal]but if you document that you have spoken to them about the risks with another member of your facility present, then you will be covered Must say I absolutely love Anita's suggestions and would apreciate more info please Good luck j

Dear Kelly Don't be intimidated, ICU is a specialist field and the nurses do tend to be "an authority" Maybe this nurse is attempting to test you mettle. To see what your made of. Perhaps you could try to adopt a student role with her for a while. Ask her for advice etc even when you know what you are doing. Phraze it as - this is how I would do it, what do you think. Several years ago I found myself in a simular situation in CCU. I eventually realised that people there found it hard to evaluate me because I didn't ask questions just got on with it. I know you feel sad but things will improve Good luck and keep smiling j

I've just spent the last 4 hours auditing documentation:o Now, the staff on my unit are excellent and their documentation is good. BUT today I have just had to ask one of my staff why she did not check a blood glucose on a diabetic patient who fell. Her answer was - she did HOWEVER it was not documented SO it appears as if she did not follow through. It's sad cos I know that she probably did! j:kiss

Thank you Cheerfukdoer Your explanation is great. Paracetamol is used for the same thing and Yes you would be surprised the number of my patients request its use for sleep at night It seem to be the great cure all. In fact acurrent patient thinks it does wonders for his bouts of cardiac asthma lol j

Sorry for my ignorance:confused: What is Tylenol is it the same as paracetamol? Obviously heard of it on TV and Film but never got round to finding out j:kiss