AussieKylie

Yep its a once off dose for 320mg IV

I have a question about Gentamicin? As in the Drug Handbook it states "The concentration of gentamicin in the solution should not exceed 1mg/mL". I would like to understand if the prescribed dose is 320mg how do I work out how much fluid it needs to be administered in? Look forward to your helpful replies, as I find both Vancomycin and Gentamicin dosing confusing, thank you:confused:

Hello everyone, Happy New Year to all I have an enquiry about shifts, shift changes and workloads for the 24/7 period. As my situation involves a busy acute ward and I have been doing alot of day shifts and sometimes get the busy workloads ie trachies, dressings etc. I use a time planner but still cant get all the duties for the day done. However, I keep being reassured by my mum and others that its ok that you cant get everything done in your shift. That is why there is shift change to handover. I cant help but feel incompetent that I couldnt get the tasks and duties done for my shift. Meaning I take on ownership and then I feel exhausted. So I need to try and remove that stigma in my head that I need to have everything done before next shift. Does anyone feel the same way as I? Just curious to know Thank you and look forward to your replies :paw:

What I would change about nursing is the following: * Patient care is put first * Providing patient care is holistic * Nurses treat other nurses fairly and are friendly * Nurses provide to new nurses support and positive attitude * Nurses working together are working as a team and include every nurse on shift. So when its discharge time, we all leave together. * Post op patients that are returning to ward at the close time of nurses to go home, should be given to the afternoon staff on shift OR the patient can return when the new shift starts. * Patient discharges are about trying to get everything organised to help patient get home rather than pushing patients OUT ( I hate that) * If AM shift duties are not done, then its really OK if the other shifts try to get it done. Because it is a 24/7 care situation, not everything can be done on the AM shift. So when its handed over that some nursing cares could not be achieved, then the attitude is No worries, we can do that. Without any negative remarks or grimaces. Thats all I have to say

Hello everyone I am needing help with writing a narrative report in relation to patients that are returning to ward post operatively from ICU. I havent been nursing for 2 years and have return and have found myself writing a big speel about a post operative patient coming from ICU. So that I can keep concise with pertinent information. I am wondering what is necessary to document. I do look forward to your guidance and many thanks Kylie:specs:

LOL, thanks for the chuckle Joannep Yep I sure do speak English and I have a pulse lol :chuckle I have sent my applications to Brisbane hospitals and awaiting a reply anytime soon I hope:confused:

Hi there I was wondering if anyone can help me out. Its been two years since I havent nursed. I have been living in Canada and I am wanting to return back to Brisbane by the new year 2010. I have sent my applications to hospitals in hope for employment. However, knowing competition is fierce, I may consider Aged Care but I have no idea what the job duties are for RNs in Aged Care, as I have only worked in hospital care. I do enjoy working with the elderley especially when I did look after them in hospital facility. However I have been told aged care has loads of paper work??????? So if anyone can give me a run down I would appreciate it. I am still keeping hope to get a job in a hospital facility as that I know is where I want to be but would give aged care a shot too. Thank you and look forward to your replies

Hi John I am starting my Pediatric course this month and I need to get a few more details but I think it will be for a month and half. I am going with Mount Royal College. Right now they are trying to sort out the clinical practical dates in which I hope they sort out very soon. Its making me nervous with the delay especially when you have work requirements to get sorted out too. The cost of this course is good around $500 so that is way cost effective. The Obstetrics course well, that maybe later on the year with Mount Royal. Yet to be determined by the college. If you want more information its best to contact the College. All the best

Thanks JanfRN

Thank you JanFrn The only two I came up with is 1. Socioeconomic status and 2. Cultural ie language barriers Thank you for your help

Hi there I was hoping some Pediatric nurses can help me out. I am doing a course to assist in upgrading my education for Canadian Nursing. I have never done pediatrics in Australia and I am doing the course and one of the questions of my theory module is bugging me. I am using the Wongs Pediatric Nursing text. My question is 'What are the barriers to parent participation in family centered care? I appreciate your help thank you

Hi JanfRN I have already done my SEC that is why they want me to take the course in Pediatrics and Obstetrics but being that I had an overwhelming year last year I wasnt in the frame of mind to do any courses, only until now that I feel ready to. I have never done any Pediatrics or Obstetrics back in Australia so I am very much feeling a little lost as to what to expect.

Well I have decided I will doing the course in Child Health next month for Mount Royal College. I think I am in a better frame of mind and keen to conquer this hurdle in Pediatrics:up: Good luck to anyone else doing their studying too and other courses:D

Thank you JanfRN, yeh I have been going through some of the posts and it looks like I have to go through more

Hi there I am a nurse from Australia and I am required to upgrade in Canada. One of the courses that I could be doing is Pediatric Nursing. I am very very very nervous and unsure to work with children. I will have to do a clinical practical not sure where as yet but I would really like to get some advice about Pediatrics and what I should be prepared for when its clinical. I appreciate your replies kindest regards Kylie

Hi there I know this sounds ridiculous question but I would like to ask for advice as I could be doing a Pediatric Clinical next month. I have never worked with kids before and this is part of the IEN upgrading course. I was wondering if anyone could help with advice on Pediatric medications and how to be with infants or young children. I just feel so nervous thank you

Thank you so much November 551, I appreciate your help, thanks for the great info Now you have put my mind at ease

Hi there I am not an orthapedic nurse but I am curious about Orthapedics and complications that arise. I could possibly be working in the future of nursing where I will see postop patients that have had injured limbs and just like to learn more. So I am hoping someone can assist me with my query re: Neurovascular observations and complications that can occur with a skeletal injured limb? What is done if skin color is dusky purple? Skin temperature is decreased due to reduced perfusion? Minimal voluntary movement of limb and decreased sensation. Is there any intervention that can be done prior to contacting doctor to report about the complications? I look forward to your reply and many thanks for your help :)

Thank you so much for your input and help :)

Thanks Fiona So therefore when doing IV push for Normal Saline flushes can be done through IV Bung? Well its just that I wasnt so sure what can be pushed through the IV bung because in Australia there are some IV ABs that can be pushed? So wasnt sure if the same in Canada. kind regards & thanks Kylie

Hi there I am just wondering about Canadian Nursing, if doing an IV push is applicable for IVABs and Normal Saline FLushes? When is it not okay to not do a IV push? Thanks for your help Kylie

I dont like dealing with rude people period. Before I ever thought of nursing, I did customer service call center work or hospitality and I couldnt stand the rudeness of people over trivial things. It puts a downer on your day and I know it should be water off a ducks back but sometimes it hurts.

i wish you well ms rn. i too have a shy nature and afraid of change. i moved from australia to canada and i am finding it hard to push myself to consider working as a nurse in canada because i find something of nursing care different and much broader scope. i am nervous and really would like to experience it so i can say one day yeh i tried it. i dont want regrets i wish you well and hope you find a new positive change all the best :)

Hi Steelmagnolia Well I understand what you are saying because I am like you. I am from Australia and worked as an RN for one year and then moved to Canada. So I need to relearn again. I feel that if you do something wrong by others you are looked down upon. For instance I asked one nurse in Canada what is ASA and not realising it is Aspirin, she looked at me funny. As in Australia we just know it by Aspirin. So now I gotta get with knowing what to do in Canada as a nurse. Its gonna be tough when I start to do it. I think its human nature and we can only be proud of our own selves when we achieve the good things we did that day and what we learn from our mistakes. take care

In regards to the new grad initiative in Alberta for suprenumary position for a year. That would be ideal for me, that way I can learn the way of Canadian Nursing. However when i asked my manager how much orientation or suprenumary time I could receive on Day Surgery, she could not give me that information. Which then makes me feel doubtful for ever thinking of nursing in Calgary as I dont wanna be left to the sharks or feel like i am drowning. I have only been an RN in Australia for one year then I moved to Calgary and yet been away from nursing for over a year now. I would just hope the employer I go through is aware of this. Otherwise stress levels will explode probably??????? Maybe i should bring up that year suprenumary position to her???? :typing