rachelgeorgina

rachelgeorgina

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All Content by rachelgeorgina

  1. End of life care gone wrong

    rachelgeorgina posted a topic in General Nursing

    I'm not actually a nurse (yet) and this is really from a relatives point of view, but I wanted to share it here. Patient is an 87-year-old female with COPD/Type II Respiratory Failure, end stage. She...

  2. End of life care gone wrong

    rachelgeorgina replied to rachelgeorgina's topic in General Nursing

    Thank you so much for all your support and

  3. End of life care gone wrong

    rachelgeorgina replied to rachelgeorgina's topic in General Nursing

    Yes, and thank you. We're already aware of the services out there, it's just getting into them that's the problem. There's all sorts of issues with being in/out of area, the referral process (i.e....

  4. End of life care gone wrong

    rachelgeorgina replied to rachelgeorgina's topic in General Nursing

    Thank you for your kind words. We're in Australia and hospice certainly is available, however there's formalities and waiting lists and at the moment it doesn't look like we have that sort of

  5. "Borrowing" one patient's med for another.

    rachelgeorgina replied to Katie5's topic in General Nursing

    I'm from Australia and we don't have (from what I've read) the same pharmacy system as in the US. Some wards keep patient's meds in the top bedside draw but more commonly the meds come out of a common...

  6. What have other nurses done that have freaked you out?

    rachelgeorgina replied to texas_lvn's topic in General Nursing

    Is this not common? On my last clinical every second patient was on IV infusions of paracetamol in the post-op period while they were

  7. Did CNA work help in nursing school?

    rachelgeorgina replied to HighNursingGoals's topic in General Students

    In Australia you don't need to do a course to be a CNA if you're a nursing student. I worked first in a nursing home and now with disabled kids. That, combined with my personal experience with...

  8. End stage COPD

    rachelgeorgina replied to rachelgeorgina's topic in Pulmonary

    ^ Thank you all so much for the replies. I've seen some research casting doubt on the effectiveness of nebulised morphine. I had no idea it even came in a nebulised form! Has anyone got any tips for...

  9. Pediatric floor at age 19?

    rachelgeorgina replied to bigd123's topic in General Nursing

    You'd never see this in Australia. There's a strict transition to adult services/hospitals at age

  10. End stage COPD

    rachelgeorgina replied to rachelgeorgina's topic in Pulmonary

    This helped so much. Thank you. To be honest, she is close to death - though whether it will be days or months nobody knows. She's a stubborn woman, I'm sure she'll hang on as long as she can. The...

  11. End stage COPD

    rachelgeorgina replied to rachelgeorgina's topic in Pulmonary

    This woman is fairly used to being unable to breathe (as I would assume a lot of COPDers are, having lived with the condition for so many years?) I swear sometimes she doesn't even notice it, despite...

  12. Curious..What classes were in everyone's first semester?

    rachelgeorgina replied to CBsMommy's topic in General Students

    First semester we did: Fundamentals of pathophysiology 1 Adult nursing: cardio Adult nursing: respiratory The discipline of

  13. Help with ideas for extra experience

    rachelgeorgina replied to greenfaery's topic in General Students

    St. John's Ambulance? Plenty of hospitals have volunteer positions doing everything from escorting patient's to the right department to making tea and coffee for families in the

  14. What specialty do you want and not want to work in?

    rachelgeorgina replied to guiltysins's topic in General Students

    Would like: paediatrics, NICU/special care Would not like: med-surg, geri,

  15. Calculating IV drip rate without a pump

    rachelgeorgina replied to chelynn's topic in General Nursing

    We were taught this before we were allowed anywhere near a pump in school. & we were tested on it, too. They expected us to get over 90% is drip calculations. Volume to be infused (in ML) times...

  16. JAMA: Antidepressants don't work for most people

    rachelgeorgina replied to MikeyBSN's topic in General Nursing

    As previously mentioned by some insightful posters, studies have shown that psychotherapy and further medication plus psychotherapy is exceptionally effective in treating depression. Of course there...

  17. We Can't Use Tap Water for G-tube Meds? Only Sterile Water?

    rachelgeorgina replied to Plagueis's topic in General Nursing

    We feed and flush with tap water through g-tubes. The stomach isn't sterile and that's where it's

  18. triple lumen feeding tubes

    rachelgeorgina replied to busy-bee's topic in General Nursing

    Might it not depend on the patient? I work with profoundly disabled kids and most of them have a gastrostomy button (so a G tube.) The kids that have the J tube or the double button with a G & a J...

  19. Common Disabilities....

    rachelgeorgina replied to lm8539's topic in Developmental Disabilities

    I work in a hospital for profoundly disabled children, all of whom have a variety of developmental delays. The most common form of disability we see is cerebral palsy and spastic quadriplegia in their...

  20. Psych wards at Christmas time. We are talking decorations!!

    rachelgeorgina replied to kiwipsychnurse's topic in Psychiatric

    One hospital that I have experience with had each unit decorated with baubles hanging along the hallway and outside patient's doors, around the med window and on the desk outside the nurse's station....

  21. Does this sound like a typical Clinical experience?

    rachelgeorgina replied to anon695's topic in General Students

    I haven't read all the responses but I'm guessing they're of a similar train to what I'm going t say. In Australia we don't have CNAs on the floor all the time. In fact, we barely have CNAs at all in...

  22. Report DON for illegal drug use

    rachelgeorgina replied to Easydusitks's topic in General Nursing

    Maybe you could report it to the

  23. does anyone do pediatric hospice?

    rachelgeorgina replied to june2009's topic in Pediatric

    I got the hospice job a few months back. The facility I work at takes children and can accommodate their families as well and we take terminally ill children for respite as well as end of life care....

  24. Survey...medication.

    rachelgeorgina replied to LOLRN's topic in General Nursing

    I like your idea of health as a continuum. I took my 91-year-old gran for a 2 year follow up with her oncologist after a colectomy for bowel cancer. She had a big year this year, with a string of...

  25. This is a 'sterile' dressing change?

    rachelgeorgina replied to 09NewGrad's topic in General Nursing

    Have you read about the "wound field concept"? That might explain some of this for you (but I'm not 100%