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talaxandra specializes in Medical.

I love to learn and love to teach

talaxandra's Latest Activity

  1. talaxandra

    Enterally-administered TPN?

    I get the impression they were transitioning from TPN to EN, and the enteral access was new, but it's all third-hand so anything could be the case.
  2. talaxandra

    Enterally-administered TPN?

    I know the invariably-fatal consequences of administering enteral feed IV, but need advice about any potential ill-effects if TPN were given via a PEG/PEJ. Clearly it's not optimal, but is it harmful? Asking for a colleague whose colleague's patient received about 6/24 worth when an inexperienced new nurse somehow (yeah, I have no idea either) connected the line to an enteral port.
  3. "You know how you went to ICU three times because you were completely unrousable and we didn't know why? And then the fourth time someone decided to a BAL as well as a drug screen, and found you 6 times over the legal limit? Yeah, don't do that again!" It's been a couple of months - and today it was deja vu all over again...
  4. I've had paid study leave for all my post-grad qualifications, and none of them were even in nursing (health ethics, social health, medical anthropology/health sociology) albeit with a focus on nursing clinical practice. If it's a little more tangental then it rests a fair bit on your manager's discretion but - nothing ventured, nothing gained/dont ask, don't get.
  5. talaxandra

    Job Interview

    I'm sure they'll let you know if your application was unsuccessful, but maybe send an email after a fortnight politely enquiring if there's been any progress. Good luck :)
  6. talaxandra

    Nursing shortage??

    In the same way, Savonina, as the 50% or so of my colleagues who've worked, or plan to work, in the UK for a couple of years. It's aboutt he experience and the travel, and nothing to do with the money or an interest in long term migration.
  7. talaxandra

    Fasciitis AKA Flesh-Eating Bacteria

    Thanks Dan - as posted by me above (quite some time ago!) your story is amazing. Thank you so much for sharing it - as a nurse working with survivors of NF it's been invaluable for both my own understanding of the condition and for teaching less experienced colleagues :)
  8. talaxandra

    EBA 2011 - here we go again

    We treated over 1.5 million patients last year, and $6M is less than a week's operating costs for a medium sized hospital - this is another Herald-Sun xenophobic beat up.
  9. I'm not as familiar with the NSW ratios as I am with ours in Victoria, but my understanding is that they're pretty much the same as ours. The ratios depend on the acuity of the hospital and the kind of ward - for tertiary level hospitals that's 1:4 on general wards, 1:2 in HDU and 1:1 in ICU. Victoria currently has an all-nurse acute workforce, though our government's trying to introduce aides, and I believe they've been introduced into acute care in NSW, though I'm not sure how they fit into the ratio system there. Hope that helps, and (bump) for any of my colleagues north of the border :)
  10. talaxandra

    Why is unionization a subject of taboo??

    I don't think you're a sheep for having concerns about unions, and I'm pretty sure I haven't ever used the argument that "I'm right because I'm right". I absolutely object to the idea that nurses who are unionised are somehow less skilled, able or professioanl than their non-unionised counterparts. I know full well that my government doesn't give a damn how skilled I am - they care about how much I cost, not how much I save the system by providing expert, proficient, educated, experienced care. Being good at my job isn't enough to get me the staffing I need to do my job, or the pay that I'm worth. I belong to the Federation because it means I have the support of the majority of my work force, access to experts in their fields, representation when things go wrong, and because I can't stand back and let other fight for conditions I get to enjoy.
  11. talaxandra

    Why is unionization a subject of taboo??

    My union is the only reason we achieved (the world's first legally mandated) nurse: patient ratios in 2000 - something we have since had to fight to keep every time we've negotiated our conditions. If not for the ANF we would have no career structure, no recognition of post-grad qualifications, no ratios, and the kind of staffing that's destroying the NHS. The NSW branch of the Australian Nursing Federation, the NSW Nurses' Association, fought for and won ratios last year - I love this YouTube clip of their stop work meeting: [YouTube] [/YouTube]. My workplace is one of the most challenging in the state - the average age of nurses there is 27 (compared with the state average of 42), admin is actively hostile to the union, and though we have 75% membership the members are generally apathetic, because of a prevailing belief that the government's proposed changes "won't happen here." I don't believe in compulsory unionism, but I do believe that the Federation, a bottom up organisation comprised entirely of nurses, is nurses only opportunity to win and keep equitable conditions that protect the public as well as the profession.
  12. Welcome to AN as a participant :) I live in Melbourne, and work with adults, so I can't help with most of your questions. Every public hospital I know has rotating shifts, though many nurses have a degree of flexibility with their rosters. I, for example, work nights at least nine months a year, and I've worked with nurses who hadn't done a day shift in several years. A lot of this depends on the needs and putlook of the NUM, of course, but I haven't ever seen an advertised position for one shift only. Also, I believe NSW, like Victoira, predominantly works an 8:8:10 roster - for the most part 12/24 shifts are limited to ICU and psych. You seem surprised that a Masters as an international student is of comparable cost to one at home, though I'm not sure why. Full-time nurses in Victoria, and I imagine it's the same or similar in NSW, are entitled to paid leave for post-graduate study relevant to their current role - here that's 4 hours/week for 26 weeks a year, plus up to five days annually for study, conferences and exams. The more usual issue is people on student visas working, so I'd be surprised if this was a visa issue, but it's not a bad idea to check with the Immigration Department. NSW recently one nurse: patient ratios, so that's soemthing that won't be too different :) Good luck with your move - I hope it goes smoothly, and that other members are able to give you more specific adice about PICU and NICU units up north.
  13. talaxandra

    Why is unionization a subject of taboo??

    Chico David, thanks for articulating a response that I couldn't quite frame.
  14. talaxandra

    Why is unionization a subject of taboo??

    My father also ran his own small business, and has been strongly anti-union. I have no idea where my strong sense of social justice came from, but it's been an integral part of who I am since I was a teen - and supporting unions is part of that. They give a voice to the voiceless and power to those who would otherwise be rolled over in the quest for money at any price. I know the situation in Australia is quite different from that in the US - corruption appears to be far less common in the blue-collar unions, and we have only one nursing union, with different branches in each state. The ANF represents all nurses, members and non-members, when negotiating terms and conditions during Enterprise Bargaining (every three or four years), and it's very much run bottom up: the Executive do as the members vote. ANF's the second largest union in the country, and in Victoria it represents just over 75% of nurses.
  15. talaxandra

    Religion Needed to be a Good Nurse?

    I don't think you have to be spiritual or religious to be a good nurse. I don't need to share my patients' beliefs to respect them. I don't need to care about my patients to provide care for them. And I suppose I'm lucky that, living in a country that predominantly identifies as secular, I'm not asked about my beliefs, or asked to pray for (or with) my aptients. I currently identify as a Unitarian some of the time, agnostic others (which for a lot of people is the same thing), with a foot in Pastafarianism and a hand in secular humanism. I don't know if there's a god, or an afterlife - I think what matters is what you do in this life. So, though I'm far from perfect, my motivation for going the extra mile is that someone has greater need than I. Most often that's my patients, but I also contribute 10% of my gross income to charity, am active in my union, serve on committees, recycle, pick up rubbish when I see it in the street, and generally hope to leave at least a few bits of the world better than I found them.
  16. talaxandra

    Acute or Chronic Dialysis Nursing?

    Guttercat, is that figure (1 RN:16 patients plus tech/s) the case for acute as well as chronic? And how many techs would you expect?