Nicky30

Nicky30 BSN, RN

Emergency Midwifery

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All Content by Nicky30

  1. Rupture of an unscarred uterus?

    I was not working but there have been two in our region. The first was a primip and went to section for obstructed labour. When the first incision was made into the uterus it ruptured. Babe delivered ultra quick and was 11lb 2oz. Uterus was repair...
  2. All nurses do is wipe butts

    When I started nursing my hubby told me I was nothing but a glorified butt wiper! Now I am studying for NP and I earn double what he does! He doesnt call me a butt wiper anymore.
  3. How many patients do you typically have (day/night)??

    Med/Sug - 5-6 during the day 10-12 at night. ED - well being the only nurse on for the department means you get everything. With a resus you call for backup from the ward; we are supposed to be a 1:3 ratio but that never happens unless the patients ...
  4. "true knot"

    I have only been a midwife for just over 2 years and I have seen one true knot. It was a scheduled section and not known prior to delivery. Mum and bubs were fine. :redpinkhe
  5. I think you only ever regret that which you did not do. You appear to regret not taking the opportunity when you had it. Is it a risk taking the opportunity now? Perhaps, but only the person who risks is free. :redpinkhe Nic.
  6. How Many C-Sections are Safe?

    In the hospital where I work there seems to be a limit on a mother only being able to have 4 c-sections. Getting pregnant again is actively discouraged. I have not heard of anybody having any more children after this. I was just wondering what others...
  7. Nursing in Australia

    I am a rural nurse but our tiny (48 bed) hospital has sponsored nurses before as well. We have no paediatric department as such and our really sick kids are transferred to a tertiary centre. With your qualifications you would get a job anywhere - ...
  8. Graduate Nurse

    Be wary of the length of time you have to serve after completing your grad program. I did my stint in the Army in my younger days and there is not much that would compel me to go back. Nicky.
  9. Graduate Nurse

    I work in a rural hospital in South Australia - while it is not Victoria there should be hospitals with similar programs. Our graduate program should be what is described above - a preceptor for every graduate, one training day a month, and a program...
  10. I work in Australia as well and the situation you describe is all to common to me - an unsupported work place with poor skill mix..... the final nail in our coffin is not being able to request shifts (we are taking this to the union). We can take a ...
  11. new to ER - more questions....

    One thing my manager told me is the ICU is controlled chaos....... the ER is not! I am grateful that we usually only have one nurse running the ED, and if the doctor wants or doesnt want something then they have to tell us. The computer system is ...
  12. Two years ago as a midwifery student baby J graced us with his brief existence. J was as beautiful as could be with dark curls and the brightest blue eyes. He was also the sickest little baby I had come across so far. I remember helping with his r...
  13. Personal attack in progress note from physician

    Nope. It happens in Australia too.
  14. Meals to eat on afternoon and nightshift?

    I like to take a small baked potato with a choice of whatever filling appeals to you. However whenever I take that I have no time to heat it bup let alone eat it. Finger food I think is best - unfortunately you tend to eat lots when that happens bec...
  15. Yes a few times but the one that really comes to mind is...... My dad had just passed away after a very short illness and I was in my first week back at work - I am not sure how I got allocated the end stage terminal patient of a family I knew very w...
  16. Documentating too much??? My agency doesnt like that

    Oh good lord! A written complaint because you forgot a blanket?
  17. Brief handovers in ER

    In a single nurse ER I don't usually get any breaks unless the ward takes pity on me an decides to relieve me. It's nothing to deal with 10-20 patients a shift whether in/out, admission or short stays. I make sure I bring a coke with me and somethi...
  18. Should I become a Nurse at 30?

    I became a nurse at 30 (I started studying when I was 26). Yes I am a female - and I only had two children and my youngest was still a baby when I started study. My husband supported us for the first 6 months of study then I returned to the workforc...
  19. I would like to add that the OP forgot to mention managemet and government funding in their vent. Picture this scene from 2 weeks ago...... Small country ED normally has 2 RN and one EN (LPN) on a weekend shift - well I was running short 1 RN. It w...
  20. When do you intervene when food is lodged?

    In Australia we have used Coca-Cola to dissolve food in the oesophagus or IV glucose (to stimulate peristalsis). I have two memorable choking scenarios - the first definitely qualified for intervention, unfortunately the food was lodged too far down ...
  21. What do some L&D nurses have against doulas?

    I am an Australian midwife so our system is considerably different to yours and as such doulas are only just surfacing. To give you an example of the hospital where I work I will just describe my last shift...... I had 4 postnatals on the ward and ...
  22. Just something fun

    Well just in case you wanted a spin on the 'traditional' water fight....... Get a 20ml saline syringe with a needle on it. While your co-worker is not looking you quickly inject the cloth chair in the nurses station with the whole lot. The best bit...
  23. Outback nursing suitable for inexperienced nurse?

    There are some places that offer graduate nursing programs in outback Australia and rotate the grads through a number of larger hospitals at the start of their program and working towards the smaller ones towards the end. You might consider this if ...
  24. Clothing issues/malfunctions.

    Nothing as dramatic as some of the posts already here but...... It was wrong bra choice really. Male nurse and I were bathing a demented elderly man when I bent over and the girls popped out. Not even really thinking about it (I have these issues...
  25. Oscar the Octopus

    Thanks for the tip with the surgi-lube, I have just the staff member to try that on lmao! Nicky.