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

this game is well good

:barf02::eek: i be back in a bit after i have been to the toilet to throw up i think reding that story a few more times dieting may just come naturally

I wear a light blue dress and tights with black shoes

Have you any funny stories about things that have happend to you or your mates I have one Once me and my mates kara and charlotte went out to have a drink I had two and Charlotte had 3 and kara had 5 far too many when you have work the next morning for kara anyway when we got too work me and charlotte we couldn't find kara anywhere it turned out that she had spent the night in a linen cupboard up on the ward don't ask me how it where pretty funny because she was well hungover and me and charlotte said to her we told you to stop at 2 drinks she had an asprin and this calmed her headache down but she was sent home a few hours later because she was feeling unwell me and charlotte have never let her live it down since

I have a few good friends at work we go out for a drink every so often once we went out the night before and my mate kara and me had to be at work the next morning and she was so hungover and she woke up in a linen cupboard in xray it were so funny after she had taken an asprin she were fine I go steady on the drinking if I have work he next morning

yes because I socialize with everyone I meet and i make it easy for people to work with me and some of the lazy nurses only like me because I do their jobs for them I don't know why I do probably because I am a bit of a mug and I enjoy what I do

thanks for all your lovely comments I'm sure you make lovely nurses too all of you these comments have made me feel a whole lot better his mum has aked me to go to his funeral I am thinking of going

I work on a paediatric childrens ward so I generally just monior patients, comfort small children ,give meds, change IV bags if needed ,take obs every 4 hours on my assigned patients ,answer to call lights ,sign back in patients out on pass answer phonecalls from worried relatives, have a tidy round ,and help different patients

The night shift last night was so upsetting thank god it is my day off today I am back working next week starting on a day shift last night was the worst we lost one of our dearest patients to a cardiac arrest he lost his fight for life last night at 12.05am it was so sad we wanted to save him but there was an advanced directive form present so we just had to stand back and turn off his monitors how sad last night was I will never forget him. god bless him and his family

yeah once but it didn't harm me