talaxandra

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All Content by talaxandra

  1. talaxandra

    Truth about Nursing diagnosis

    whether nursing is considered a profession or not depends on the definition being used. nursing meets, for example, the requirements listed by bullock & trombley (the new fontana dictionary of...
  2. The great thing for me about Kubler-Ross is that helped me better understand why people (patients and family) respond in such varied ways to death and dying. I tell my patients that I understand it...
  3. Nice critical thinking
  4. talaxandra

    Straight caths - to clamp or not to clamp?

    This is something that a lot of nurses say but, as the OP points out, isn't based on anything that makes sense. It's been discussed on AN previously, with the same result - there's very little actual...
  5. My hospital audits twice a year for hygeine. We have sanitiser outside every patient's room, in the room, at the foot of the bed, outside the tea room, outside the drug room, outside the steriroom,...
  6. talaxandra

    Lost my first patient - could I be in trouble?

    A glucose of 330mg/dl (~18.5mmol/L) is low for DKA, which is almost exclusively associated with T1DM (your patient sounds like she had T2DM). Though you can get hyperkalemia in the early stages of...
  7. I think it's great that you're thinking about this ahead of time :) We live in such a death-averse society in general, and this is in some ways more pronounced in health care. You might find this link...
  8. talaxandra

    What are the chances of being fired as a nurse?

    It depends where you work - I've know of a couple of people who were performance managed out of their jobs, and managerial positions being reshuffled to disloge difficult employees at NUM or above....
  9. talaxandra

    Now, if you saw this on a chart, what would YOU think?

    I once worked with a nurse who said she was 5'13" because she didn't like the idea of being over
  10. talaxandra

    Now, if you saw this on a chart, what would YOU think?

    I for some reason googled the phrase "acute coffee" - and got over 1,000 hits! Sure, some of them were about an acute coffee crisis and most of the rest were research reports about acute coffee...
  11. talaxandra

    Best ER Nurse quotes

    One fo the surgeons who guest lectured while I was studying colo-rectal as a student told us that if you ever do that, tell the staff because he did the mandatory rectal exam on an acute abdo pain...
  12. "Yes, you have an ABI, and I appreciate that's difficult. But you can manage to moderate your language when the staff looking after you are male, or doctors, or if security arrives. So shut your...
  13. talaxandra

    Fluid Balance Charts

    Hi Fiona, I'm on leave at the moment but I'll see if I can get one of my friends there to either photocopy one of the cahrts or maybe bring one to me - I'll take a photo and send it to your email as...
  14. talaxandra

    The Great Double Standard?

    I don't know how long men have been in nursing here, but my former NUM is in his fifties - he was a midwife before moving into renal, was my manager for a decade, and was NUM at another hospital for...
  15. talaxandra

    Fluid Balance Charts

    We have A4-sized laminated posters at every nurses station with photos of each kind of container (icecream tub, soup bowl, coffee mug, different kinds of glasses, disposable cups etc) and their...
  16. I'm glad Gila was so helpul. The reason other members were asking about clinical history is that all of those elements can also contribute to K+ requirements in patients with high normal serum K+. In...
  17. OMG - that drives me the most nuts, that an entire film premise is based on an easily checked, massively wrong 'fact'. A film-making former friend asked me to act as medical adviser for a script he...
  18. Oh, good point! I'd never have thought of that
  19. talaxandra

    Who has the most "gravy" RN job ever?

    Friends working in the UK worked a brief agency shift at a drug trial facility - after the TGN1412 trial in 2006 drug trial patients must have two nurses available at all times, including covering...
  20. talaxandra

    Usa nurse going to australia

    Okay, I'll give you the weather, provided you mean "hotter" when you say "better" and, depending on what you like, it could be argued that there are advantages to a Qld lifestyle over ours, but better...
  21. talaxandra

    They must think we are stupid...

    Thank you for your response, anurseadvocate. I suppose my response to the OP came from an understanding of the amount of education dialysis patients in my network receive over the course of their care...
  22. talaxandra

    They must think we are stupid...

    Yeah, traumarus, me too - it's only been eleven or twelve years of renal nursing for
  23. No need to feel silly - how would you know if nobody told you? I'm just glad we were able to help alleviate your fears
  24. talaxandra

    They must think we are stupid...

    I have to say that, until I started studying health ethics I never thought about the judgement implicit in the term 'non-compliance' and until I began working with renal patients I had no idea about...
  25. talaxandra

    What is the highest temp you have seen?

    43.0 Celsius (109.4 Farenheit) on a young guy who drowned - I could feel the heat radiating off him from the door, and he died around day