talaxandra

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All Content by talaxandra

  1. talaxandra

    "Fired for NO Reason"

    talaxandra replied to Ruby Vee's topic in Nursing Professionalism

    Where to start? I have compassion, but don't believe that means I need to allow someone who is willfully oblivious and determined not to improve to persist in a position they have consistently...
  2. talaxandra

    Is turning to supine considered a turn?

    talaxandra replied to sockov's topic in MICU, SICU

    I've had many patients who can't be turned side to side because of tubing or existing injuries (flank-length urine burns, fror example). I'm not in ICU so our patients are a little different, but I...
  3. talaxandra

    *Easy* things I just hate doing

    talaxandra replied to SolaireSolstice's topic in General Nursing

    I'm with jkaee & Christy - I hate obs. Either nothing's changed or they mean more work! I'd seriously rather clean up malena than do four sets of routine obs. I particularly hate doing 0600 obs,...
  4. talaxandra

    Check Hb post-transfusion?

    talaxandra posted a topic in General Nursing

    We're having a little dissent at work tonight about how long to wait after a transfusion before taking a repeat FBE. At present the different positions are: - at least half an hour - an hour - four...
  5. talaxandra

    Pitfals of sugar free treats for diabetics?

    talaxandra replied to ocean waves's topic in Medical-Surgical

    I teach my patients how to decode nutrition panels. I focus on looking for the weasel words that really mean 'sugar,' fat grams and whether they're saturated on unsaturated, fibre and sodium content,...
  6. talaxandra

    Did you get your flu vax yet?

    talaxandra replied to indigo girl's topic in Disaster Preparation

    It's summer here, but we're getting more H1N1 cases than I remember seeing over winter. In one week ICU had two pregnant women intubated; both pregnancies were terminated, and one woman died anyway. I...
  7. talaxandra

    Night owl...night shift?

    talaxandra replied to NewGraduate2010's topic in First Year After Licensure

    Welcome to AllNurses and nursing, both of you :) Although the popular perception is that night time = sleeping, if more than half your patients sleep at all you're working somewhere considerably less...
  8. talaxandra

    Check Hb post-transfusion?

    talaxandra replied to talaxandra's topic in General Nursing

    The slip specifies 1/24 post transfusion - the patient came in with H&M, and we're thinking maybe they want a post-transfusion baseline (which will be around midnight) to compare with the AM Hb...
  9. talaxandra

    asking for meds?

    talaxandra replied to backatit2's topic in General Nursing

    Hi, onaclearday - my impression from AN is that Dilaudid is used fairly widely across the US; I just meant that, because my experience with it is limited and recent, I didn't feel compfortable...
  10. talaxandra

    asking for meds?

    talaxandra replied to backatit2's topic in General Nursing

    I was taught that the standard dosing of morphine was 1mg/10k (1mg/22lb) four-hourly, less for precarious patients (elderly/impaired hepatic or renal function/respiratory compromise), so I'm amazed by...
  11. talaxandra

    Learn To Say It Correctly!!

    talaxandra replied to SheriLynnRN's topic in General Nursing

    Yeah, I think that's her point - using their (ATSI) languages and cultural concepts of disease to explain a Western phenomenon unknown to the indigenous population before
  12. talaxandra

    asking for meds?

    talaxandra replied to backatit2's topic in General Nursing

    Dear OP, Certainly it's unfortunate that the way standing and PRN orders work wasn't explained to you at the time, which would have potentially alleivated this distressing aspect of what was...
  13. talaxandra

    Australian Graduate Entry Nursing Courses

    talaxandra replied to zoeb's topic in International Nursing

    Melbourne Uni also has a graduate entry program; one of my riends did it and was very happy - he did his grad year and a consolidation year on our ward and is now a CNS in WA. His clinical, critical...
  14. talaxandra

    Things you'd LOVE to be able to tell patients, and get away with it.

    talaxandra replied to AngelfireRN's topic in Patient, Colleague Relations

    "Sit down and shut up or go
  15. talaxandra

    Pet Peeve: Poor Grammar by Nurses

    talaxandra replied to FireStarterRN's topic in General Nursing

    *plural
  16. talaxandra

    How do you handle patients/relatives?

    talaxandra replied to NewlyGradBSN's topic in First Year After Licensure

    I tend to take advantage of disclosures about relatives' health care background - in this case I'd have said something like "I'm so glad to hear that! Now I know you understand that, however annoying,...
  17. talaxandra

    Post-Mortem Care

    talaxandra replied to sarabellum1's topic in Medical Assistant, CNA/MA

    'm in the process of doing research into why health care practitioners who speak to the dead while performing death work do so - if anyone's interested in participating (by writing about their...
  18. talaxandra

    Pet Peeve: Poor Grammar by Nurses

    talaxandra replied to FireStarterRN's topic in General Nursing

    In Australia 'oriented" and 'orientated' are used interchangably. I'm all for using a smaller word instead of a longer one, and wonder why the American vernacular - usually of like philosophy -...
  19. talaxandra

    BMT and Haematology Units

    talaxandra replied to Klingzor's topic in International Nursing

    Yes, there are oncology services in every state and territory. Though imcomplete, Googling: Queensland oncology I got - Private sector: http://www.qhog.com.au/, http://www.schoc.com/,...
  20. talaxandra

    What Is Your Most Gross, Yucky, Disgusting Nursing Horror Story?

    talaxandra replied to yazisizit's topic in Nursing Humor

    I know this isn't the point, but what's a
  21. talaxandra

    Transferring A Patient to Stepdown/ICU

    talaxandra replied to SwimNurseRun's topic in Medical-Surgical

    Like RNsRWe said, it's not your call, so nobody will be relying on you to make that level of assessment on your patient. Where I work it's not the charge's call either - the unit can request their...
  22. talaxandra

    Advice on registration for US RN moving to Australia

    talaxandra replied to liabug's topic in International Nursing

  23. talaxandra

    BEST video on drinking and driving!! Must Watch

    talaxandra replied to Got2B's topic in Nurses Recovery

    I'm amazed by how many of these I remember from their orginal airings, and how little familiarity blunts the shock. At the time, and now, the most powerful moment for me was when the driver steps out...
  24. talaxandra

    Continuous Bladder Irrigation Flow Rate?

    talaxandra replied to Aerielle's topic in Nursing Student Assistance

    Like britgirl said, there's no set rate - you adjust the flow to get a rose drainage. In some cases that means 2L through in an hour, in others a bag can last as long as four or even six hours, by...
  25. talaxandra

    BMT and Haematology Units

    talaxandra replied to Klingzor's topic in International Nursing

    hi alexey, i'm based in melbourne, and this isn't my area of specialisation so this will be incomplete. as far as i can tell, all the major public hospitals have haematology units, and most also do...