talaxandra

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All Content by talaxandra

  1. talaxandra

    help me im going insane!

    talaxandra replied to rozymisty's topic in Health, Stress Management

    Hi rozymisty, I'm sorry that you're having such a stressful time. Despite what your mother says, there's clearly too much going on in your head for a stern 'self-talking to' to fix - the whole problem...
  2. talaxandra

    Alert patients who refuse meds.

    talaxandra replied to Caffeine_IV's topic in General Nursing

    Hi POTR - I can't tell from your posts if you're a nurse as well as having inpatient experience. My reading of the OP is that the member was seeking advice on what to document, as well as how...
  3. talaxandra

    Starting salaries for new nurses

    talaxandra replied to forumjunkie's topic in International Nursing

    The Alfred has neurosurg too, and also does renal transplants
  4. talaxandra

    Have you ever been in danger whilst working?

    talaxandra replied to jess112's topic in International Nursing

    How ironic - last night a confused patient with parkinson's was startled awake by my student - he jumped out of bed, shouting and slapping at me. There was a code grey called, floor staff and the...
  5. talaxandra

    Have you ever been in danger whilst working?

    talaxandra replied to jess112's topic in International Nursing

    I've been punched, hit, kicked, scratched and yelled at - but that was all many years ago. The physical violence was all by confused patients, the yelling primarily angry or confused patients; I'm now...
  6. talaxandra

    How do you document when drug withheld?

    talaxandra replied to ziggyldy's topic in International Nursing

    Digoxin comes in two strengths - the smaller dosage (PG) is used for children and older patients, hence the pediatric/geriatric. In Victoria we write W/H for withheld meds, and include a comment in...
  7. talaxandra

    National Registration

    talaxandra replied to Sophia36's topic in International Nursing

    Current registration lasts for the rest of the year, so that's one thing. I expect a jump, but not that much - the Victorian fee for 2010 was around $90 if paid on time; I can't believe it'll increase...
  8. talaxandra

    Most common drugs used in hospital

    talaxandra replied to deb123's topic in Nursing Career

    I don't know any of the details about the phenytoin incident you mentioned in the OP but we were taught when I was a student that if the dose is more than two ampoules or three tablets you should...
  9. talaxandra

    Hello my name is.......and I am OBESE

    talaxandra replied to madwife2002's topic in General Nursing

    Absolutely - be eating well and getting regular exercise, regardless of BMI. But not by losing weight if you're fat. And as long as the emphasis is on size rather than health, fat people will focus on...
  10. talaxandra

    Pain Scale

    talaxandra replied to makes needs known's topic in General Nursing

    Not at all - I never mind learning new things. So there's data supporting a logarithmic progression in vital sign increase that correlates to the degree of pain being experienced? Fascinating. Is it...
  11. talaxandra

    DKA Priorities

    talaxandra replied to hiddencatRN's topic in Nursing Student Assistance

    Yes, although they're usually less sick. For what it's worth, the highest blood glucose I've come across was in a T1DM in DKA (120.8mmol/L or 2,174.4mg/dL) who drank flavoured milk and juice to...
  12. talaxandra

    Hello my name is.......and I am OBESE

    talaxandra replied to madwife2002's topic in General Nursing

    i'm always interested to see how much dieting and weight loss maintenance resembles anorexia, a realisation relatively new to me. and i emphasised sweetoldworld's motivation because it so beautifully...
  13. talaxandra

    Pain Scale

    talaxandra replied to makes needs known's topic in General Nursing

    Posts
  14. talaxandra

    Caught a big med error!

    talaxandra replied to NickiLaughs's topic in General Nursing

    I forgot to say that on my ward we have a monthly critical incident review - our NUM presents stats on falls and drug errors, and focuses on either a specific incident or a trend. We look at what...
  15. talaxandra

    Pain Scale

    talaxandra replied to makes needs known's topic in General Nursing

    fMRI scanning may show bioelectric evidence of pain, but it's hardly a practical way of assessing patients, quite aside from the huge number of MRI scanners the average hospital would need :) As...
  16. talaxandra

    Caught a big med error!

    talaxandra replied to NickiLaughs's topic in General Nursing

    In fact, at least when it comes to the impact of being interrupted while prepping meds, experienced nurses are more likely to make drug errors than inexperienced nurses (source, CE exercise). And...
  17. talaxandra

    DKA Priorities

    talaxandra replied to hiddencatRN's topic in Nursing Student Assistance

    i thought you might like some support for my position, so i googled dka and priority and got a really useful australian icu dka protocol. that was the second google hit - and from every other relevant...
  18. talaxandra

    DKA Priorities

    talaxandra replied to hiddencatRN's topic in Nursing Student Assistance

    As an endocrine CNS I have to disagree - waiting half an hour or so to start up the insulin infusion won't have nearly the same risks as waiting to start fluids. Some DKA patients are significantly...
  19. talaxandra

    Pain Scale

    talaxandra replied to makes needs known's topic in General Nursing

    That's very annoying, SWS - I just searched for that so I could post it here and you beat me to the punch! My favourite hyperboleandahalf post is the alot :) I agree with all of you who say that the...
  20. talaxandra

    bariatric surgery -a question

    talaxandra replied to newsupernurse's topic in General Nursing

    Although the mortality and morbidity stats seem to have improved, it's hard to tell because there are so few reliable, long-term studies. Gastric banding is certainly less invasive than older style...
  21. talaxandra

    Learn To Say It Correctly!!

    talaxandra replied to SheriLynnRN's topic in General Nursing

    OctoGAM and IntraGAM, not
  22. talaxandra

    New Grad Programs in Australia?

    talaxandra replied to Linds91's topic in International Nursing

    I can give you some general interview advice: - look at the organisation's website, paying attention to what they think is important: their priorities, mission statement and the image they project; -...
  23. talaxandra

    Can US RN with Associate's degree work in Australia

    talaxandra replied to aliviasims13's topic in International Nursing

    I don't know about the Associate's degree thing, but with national registration only a month away you should be able to contact the board and find out if you wait until mid-July. In my experience,...
  24. talaxandra

    Sharing Personal Information at Work

    talaxandra replied to Urban_Durga's topic in General Nursing

    People at work have asked when you lost your virginity and if you slept with your boss?! Well, that's just ridiculous! I'm quite fond of "why do you ask?" as well, but if asked either of the above...
  25. talaxandra

    Sharing Personal Information at Work

    talaxandra replied to Urban_Durga's topic in General Nursing

    I haven't dated anyone on my ward, but we've had five successful, long-term relationships develop (all still together, for between two and eleven years), and one harmoniously concluded relationship...