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Post-op pain managment
find evidence based articles on post up ortho patients, print them out, highlight the "important" bits and post them to his practice blunt and too the point?? is it not poss to go thru his register or anaethetist or acute pain management team at the hospital? poor patients!
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Aussie Nurse Moving to London
hi macca, i'm from nz and arrived in june, it was sheer luck that when i applied to the nmc i got in a day early and avoided doing the ONP. i know a couple of other girls who have done it, and it's a real pain in the ass but has to be done to work as an RN unfortunately! Unsure how successful you'l be in getting a onp placement in ivf.... geneva health do permanent placements tho and as there's too many nurses for jobs at the moment their is fierce competition almost to get into some jobs.... i do see ivf jobs advertised tho... also check out gumtree.com under nursing jobs... pay for E (from what i know so don't quote me! ranges from £23-28/yr, depending on experience etc. bit of a drop from couple years ago which isn't that great as living costs have def risen. lucky your bby an accountant as he'l get paid well! good luck :)
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Nclex London - over at last!! :-)
how long did you study for and how much did it cost to sit the exam?
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Codeine and coming to America
is it true that you would need to be without for a full 8 weeks? that it would show up if you'd had it within that time? just curious :)
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What are in your opinion the realities of nursing
lol, fabulous myth/truth answer, was waiting for some myths to be put out there only to be dispelled, especially like the last one :)
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Nursing in the Big Smoke, London!
i'd find temp accom first, have a look around a few places.... see what area you like. the biggest thing is finding a job that you want then getting somewhere close to that to live really! i moved here in june and do agency work, it can and more often than not take longer than an hour to get to work (provided the tube is working properly!) so a workplace close to home is the way to go i reckon. there's heaps of kiwis and aussies living in london, most of them around acton or clapham so west,southwest london really... londons an exciting place, always something going on :)
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Question about Stryker Drains
our surgeons use stryker drains tho it appears our hospital's protocal is slightly different to all of yours! we start the clock at the time the drain was inserted and this time is handed over when picking a patient up from PACU as well as actually being written on the stryker drain itself. all blood that is going to be reinfused has to be collected within 6 hrs and reinfused within 8 hrs. would normally start reinfusion once collection gets to about 300cc, infusing no more than 1000.
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Post total hip/knee pain management
also often use PCA's one to two days post op in combination with oral analgesia then move onto oral analgesia with IM morphine/pethidine charted for breakthru pain. never come back from PACU with epidurals still infusing in PCA form or otherwise and never use NSAID's.
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no abduction pillow w/ THR
what is an abduction pillow? we just use an ordinary pillow to lay between the patients legs while in bed and while swivelling around i.e. to get out of bed.... was wondering if this is what you mean when talking bout the abduction pillow, tho it almost sounds as if it's some special device that's strapped on or something!? interesting all the same, it probably means that in a few more years (when we catch up) we'll probably be using knee immobilisers too
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Change of shift report
i work in a 32 bed surgical ward. we tape our report. all nurses on next shift have a patient list with name, age, dr, how many days post op, operation, diet, then blank space to fill in whatever we want to take from the tape ie. when meds last given, next due, results, allergies, mobility etc. after report we divide the patients between us and if a nurse wants to add anything not already on tape she/he will come in and tell us or catch up with us after report. we find it works better than a verbal handover as there seem to be more interuptions and it takes longer.