melz34

you should replace it straight away with a new trach I don't see how obturator in a plastic bag is going to help protect the airway infection could easily enter the trach stoma and cause the patient harm they are definetley wrong

it's so exciting when you pass and become an RN congratulations

hi my name is melissa and I am going to tell all you student nurses all about the night shift I work on a childrens pediatric ward I work from 7pm-7am but i also work a mixture of days 7am-7pm half days 7am-3pm and weekends and bankholidays anyway on my night shifts we all meet up at the start of a shift with the nurse in charge and here all our patients are assigned which means all patient details are handed over including the reason for the stay, the care they have recieved, and any tests they are due to have and many other things at about 7.30pm I will go to each of my patients which is usually about six-ten depending on how full the ward is and how many nurses are on sometimes it can be more than 10. I will go to each of my pts and ask them if they need help getting to the bathroom for a shower or a bath or if they are confined to a bed if they need help having a bed bath I will also administer fleet enemas to those children who require them and I will change any dressings that are wet or damaged.at 9.00pm I will go to all my patients and check if they are due any painkillers or medication and then I will give the painkillers or medication to the patients who are due to have them this usually takes me up to 10.00pm and from 10.00pm till 12.00pm I will answer call lights get patients drinks and help young patients with sleeping and going to the toilet before sleeping if they need it I will also answer phonecalls to worried parents or relatives and I will sign back in pts who have been out on pass and admit pts who are brought up from A&E all through the night at 1.00am-6.30am all the excitement calms down and it goes quiet so I check on stock and order new if needed i will answer to call lights do the 24hr chart audits,help young children and babies get back to sleep, give bottles to bottle fed babies and just check on the odd few patients taking observtions as I will do all through the night every four hours my first set starting at 7.30pm and my last set at 6.30am. at 6.30am I will do my last rounds of observations and do blood sugar tests and administer the last set of medications before the day shift come on I hope I helped love melz

do you want me to bake you a cake while I'm at it and then shove a broom up my orifice and sweep under your bed for you too

but are you a nurse I am on a childrens pediatric ward

I just wear these well a bit like these same colour or I have another pair but in black http://www.shoeblog.com/wp-content/uploads/2008/04/scoopnyc-white-ballet-flats.JPG

60 patients I work on a childrens pediatric ward and I work 7pm to 7am or sometimes I work 7am-7pm or half days 7am-3pm or weekends or bankholidays anyway on nights my shift starts at 7pm and me and the other nurses meet up with the nurse in charge and from here we are assigned about 6 pts sometimes more depending on how many patients are on the ward during this meeting all the patients details are handed over to us, including reson for their stay, the care they have recieved and any procedures they are due to have and many other things at about 7.30pm after I have got my patients details I go to each and every patient and ask if they need any help getting to the shower or bath or if they need help washing and then I will change any dressings that get wet and apply fresh clean ones I will also administer fleet enemas to those who require them. then at about 9.00pm I have usually finished doing all this and I will go round each of my patients and look to see if they are due any pain relief or medication and then if they do I will go and administer the required medication and/or pain relief to each patient. between 10.00pm and 12.00pm it will just be a case of going and settling young patients to sleep and getting them drinks and answering call lights and answering phone calls from worried parents and relatives. then between 1.00am-6.30pm it will be pratically the same as the 10-12 period and also I check on stock order new if needed I also do the 24hr chart audits and admit new patients from A&E we admit pts from A&E all through the night and morning. do weekly summaries and keep myself busy to stay awake. at 6.30am we give meds again and blood sugar testing but because we only have six pts or a few more it's quite easy for me to do it all in halfhour so I can't really solve your problem you shouldn't really have 60pts its far too many love melz:roll:yelclap:

mabye if you calmed your tone down a little people might actually listen to you

Originally Posted by txredheadnurse Back in 1979 I worked (briefly) in a LTC facility. I was the only nurse on nights, had 3 wings with a total of 5 aides and a bed count of 120. The census was usually between 115 to 120. It was a constant up and down the wings checking on the aides, checking on my dying patients (seemed to have at least 2 or 3 a night who were hanging on by a thread) to keep them medicated, checking to make sure the aides hadn't left the back doors unlocked when they slipped out to smoke since I had encountered an intruder one time who was stealing bedding and clothing from a patient, and hoping to not find an aide curled up in bed with a patient taking a snooze. Yep, had that happened too. That was a very long month. The final straw was the night an aide discovered a patient dead during her last set of rounds and I was cussed out by the supervisor, the on call doctor and the justice of the peace for "disturbing" them at 5:15 AM to inform them of the death. Since I couldn't declare death I needed one of them to come in and make it official so I could call the funeral home and notify the family. I was told, and I am not making this part up, that I should have waited until shift change to call anyone and to just move the roommate out into the hall, close the door and tape it shut so no one disturbed it until someone could come in at a "civilized" hour to declare death. OMG that's ridiculous the on call doctor should have come straight away

you people don't seem to get any lazy nurses in your hospitals well in ours there will be me and another nurse working and then the others will be sat around with a cup of coffee and a copy of heat or closer or ok and their pts will press their call lights and either me or the other nurse who is actually working with me will go i think one night their were 36pts on the pediatric ward and me and the other nurse had to split them up between us so she had 15 and i had 15 and then one of the less lazy nurses got up and said i will look after the other 6 but the other 2 just sat their doing nothing if you don't get this in your hospitals then lucky you

I think the patients health is more important than his crap weekend he shouldn't shout at any staff and shouting at new staff that takes the pi** you shouldn't feel upset seriously he is just a waste of space if he is doctor then he should care about his patients not his weekend look at us nurses we have to give up our weekend to look after patients cause thats what we chose to do and if he didn't want to give up his weekend why the hell become a doctor

I have horrible veins the hospital dont like mine and when trying to find a vein to put in the IV its like trying to get blood out of a stone i have had 15 Ivs in my life so far from being about 7

just break it gently to the client and it is ok for you to be emotional just stay strong in front of the patient and be emotional on your own it is best not to get to emotionally involved with a patient I work in a childrens hospital on a ward and I made that mistake I got to emotionally involved with a patient with CF and her CF was really bad and she had lots of breathing problems she had asthma and CF and she died at the age of 14 it was really emotional but I stayed strong for the parents

we have a pediatric surgical ward a Respiratory surgical ward a transplant ward ear nose and throat ward A intensive care unit a dentistry unit a day care ward A HDU a neurosurgery ward and a urology ward

we use Emla or ametop