Darknights

Darknights

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All Content by Darknights

  1. Hyperkalaemia and saline

    Darknights replied to Darknights's topic in General Nursing

    BTW. Thanks for your replies. I work in a remote outback hospital and there is no such thing as policies or procedures. We wing it a lot of the time. As my ward is for acute medical, chronic medical,...

  2. Hyperkalaemia and saline

    Darknights replied to Darknights's topic in General Nursing

    Our 50% glucose comes in a mini-jet - 50mls. I read that you can inject the insulin directly through the blue plastic into the glucose. We have been asked by the latest young doctors to administer the...

  3. Responsibilities

    Darknights posted a topic in General Nursing

    We have a new medical team. My past two shifts were spent chasing doctors to fix up problems on med charts. You may have a different way of doing things in the U.S but we have a doctors book. In it we...

  4. Subcutaneous administration/morbidly obese

    Darknights posted a topic in Infusion, Intravenous

    Hi, I found a subcutaneous butterfly (I don't know what you call them in the U.S) inserted in the centre of a large abdo flap on an extremely morbidly obese patient. It was placed there for prn...

  5. Subcutaneous administration/morbidly obese

    Darknights replied to Darknights's topic in Infusion, Intravenous

    She was a difficult case. When she moved in bed she screamed. If we touched her she screamed. So we told her she'd have to get herself up as she knew what she could tolerate. We administered the...

  6. Manager woes

    Darknights posted a topic in General Nursing

    I work in a very remote hospital in another country. My ward caters for almost all patients who aren't surgical, from psych to CVA to detox and rehab. There are a small number of senior RN's, hospital...

  7. Being a student preceptor

    Darknights posted a topic in General Nursing

    Hi, I work in a remote hospital. We are chronically understaffed. Frequently on my Medical ward I am the only RN out on the floor. I find that I am frequently trying to do too many things at once and...

  8. Being a student preceptor

    Darknights replied to Darknights's topic in General Nursing

    Unfortunately we don't have enough GP's here, and the ones we have I wouldn't go to if I was unwell. Living and working in a remote area we have to cope with what we've got, and decent doctors don't...

  9. Being a student preceptor

    Darknights replied to Darknights's topic in General Nursing

    Bed baths are easy. If they're an old patient they'll probably be quite comfortable. Just chat to them. Start at the face and work your way down, groin last. Roll them onto their side and do their...

  10. Being a student preceptor

    Darknights replied to Darknights's topic in General Nursing

    Our students come here for the remote experience. They come from 700+ miles away, on their own. Unfortunately we don't have an educator either. The students seem to love being here. They say they...

  11. Being a student preceptor

    Darknights replied to Darknights's topic in General Nursing

    :-) That's the attitude I love, students who jump right in and don't mind getting their hands dirty. How can a preceptor facilitate such an attitude in students? I've read stories about student nurses...

  12. I am excited and terrified at the same time.

    Darknights replied to tdom7444's topic in General Students

    I should add that I received the academic award for top student from my university. I still felt like I knew nothing when I graduated. There was a saying often repeated by students. 'P's make...

  13. Your best student experiences

    Darknights posted a topic in General Students

    Hi, My remote outback hospital is seriously understaffed. I love it when I am precepting students as it means we have an extra pair of hands. I think the experience for the student is better as we let...

  14. I am excited and terrified at the same time.

    Darknights replied to tdom7444's topic in General Students

    I frequently hear from new nurses that they've forgotten everything they've learned. They are usually totally overwhelmed. My hospital doesn't have nursing assistants so the RN's assist patients with...

  15. Sorry another ques. Was this write up justified?

    Darknights replied to mondkmondk's topic in Geriatric, LTC

    I am an Australian RN. In my state, NSW, we are currently introducing a new obs chart so every facility whether acute or long term care is using the same documentation. It is colour coded with...

  16. Any advice on what else to do?

    Darknights posted a topic in Medical-Surgical

    I had a pt with very small pupils. I found it difficult to assess his pupillary response to light. I guess they were about 1.5mm diameter. With the light on all I could see was reflections. With the...

  17. My patient died

    Darknights replied to toby60's topic in Medical-Surgical

    It seems like she deteriorated very quickly so it might be likely that you couldn't have done anything different. Patients die, despite everything we do. Had obs been done since she arrived on the...

  18. Can another nurse chart on behalf of you?

    Darknights replied to Truegem's topic in Medical-Surgical

    Why can't you say 'Phone call received from RN Jones. She stated that pts dressing was changed today at

  19. How much air is too much

    Darknights replied to Mbshil's topic in Medical-Surgical

    A quick search and the sources agree: "Rapid introduction of air into the venous circulation of greater than 300 to 500 cc at a rate of 100 cc/s is considered to be fatal." What volume does an IV line...

  20. How much air is too much

    Darknights replied to Mbshil's topic in Medical-Surgical

    I haven't looked this up since I was a student many years ago. I found several sources all agreed that the entire length of IV tubing would have to contain air AND it would have to be administered...