talaxandra

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All Content by talaxandra

  1. "Talaxandra's off sick." Oh, no, wait - that's what my colleagues hate to
  2. And even if they want to sleep, there I am, waking them up for obs and meds and pressure care and new IV lines and great, another MET call or
  3. talaxandra

    Diagnosed with MS

    Hi NAZIZ - I missed your thread on the first go around. I just wanted to say thank you for posting an update - it's always nice to know how people are going. And I'm so pleased to read how well you're...
  4. He doesn't sound angry to me; he sounds dangerously incompetent. Falsifying medication records isn't something that's best dealt with through encouragement and concern - it's a potentially life...
  5. PS You're far from the only offender, but: it's etc, short for et cetera, not ect. Thank
  6. I totally get why the OP's conflicted, and I'm also concerned about the patients this nurse is looking after. However, as a couple of people have said, registration review by BONs is generally long...
  7. talaxandra

    Using Ampules w/o filter needles

    Maybe you didn't click on some of the links previously posted. It does seem as though there are two camps and little concensus. In the "glass shards cause morbidity" camp there's this from 2006...
  8. talaxandra

    COPD patient wanting to leave to smoke

    Also, we've moved way, way away from the OP's reason for starting this
  9. talaxandra

    COPD patient wanting to leave to smoke

    I have no doubt the pharmaceutical industry has an agenda, but countering that's the not-exactly-neutral tobacco
  10. talaxandra

    COPD patient wanting to leave to smoke

    Smoking does have some health benefits - a reduced incidence in ulcerative colitis, lowered incidence of Parkinson's Disease, some protection against endometrial and thyroid cancers, decreased...
  11. talaxandra

    antique peds nursing text

    I used to love going through my mother's training texts from the 1950's, particularly the photos of contagious diseases - thank heaven for vaccinations! Reading your example, and some of the WTH?...
  12. talaxandra

    PDN...Facebook friend??

    I've twice had friend requests from patients, once in person and once online from a patient who'd gone to rehab, was a nurse at another hospital, and was friends with one of my colleagues prior to...
  13. talaxandra

    Which do you prefer?

    Outside ICU my hospital runs an 8/8/10 roster: 0700-1530, 1300-32130 and 2100-0730. The day time double staffing time is used for ward meetings, education and care
  14. I hear you, K+MgSO4 - that's why there'll be industrial action come November.
  15. talaxandra

    Being injured by patients

    I've been working in acute care for over twenty years - I've had my fair share of aggressive patients, from the demented and neurologically altered to medication interactions and psychiatric...
  16. Drives me nuts, too. I'm right
  17. That's one thing I love about our buzzers - once pressed they only work again after being reset at the wall. In the bad old days of the previous sytem it was a ward-wide buzz 24/7 but now we've got...
  18. Thanks for that. And, um, hell to the no! And there I was thinking the short shifts, split shifts and broken shifts the government are threatening to bring in were bad Here's another thing I love to...
  19. I've seen this a couple of times now - what does it
  20. talaxandra

    How to handle particularly pushy/picky/questioning family members

    I love working in the public system and in a country that's yet to hear of Press-Gainey. "Discharge decisions are made based on a combination of medical and social consideration. In this case there's...
  21. talaxandra

    Potassium question...

    Too low for physcial therapy? What's he been smoking? I think your priorities were spot on - far from an emergency, though a little supplemental K+ and a recheck are certainly in order. And good...
  22. talaxandra

    Any legal issue there?

    I'm glad I didn't check with you guys when my neighbour asked if I could give her monthly B12 injection because her GP was away and the locum charged $80. She provided the ampoule, needle and syringe,...
  23. talaxandra

    Brushing my teeth at work giving me mouth sores

    Overbrushing doesn't just increase your risk of gum and oral mucosa irritation, you can also brush off the enamel - trust me, not only am I a dentist's daughter but my mother managed to do that and...
  24. talaxandra

    What does Nursing mean to you?

    Well, I can't do better than ebear, so
  25. talaxandra

    DKA and Potassium

    Many of our DKA's are on hourly litres of N/saline, so their K+ dilutes down, as well as the intracellular insulin-driven shift. Until the BSL is under 15mmol/L (270mg/DL) we replace K+ at a rate of...