rachelgeorgina

rachelgeorgina

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All Content by rachelgeorgina

  1. Should Alzheimers Clients have the right to REFUSE medication ?

    rachelgeorgina replied to NurseLoveJoy88's topic in General Nursing

    Some patients with dementia in the early stages (though that doesn't sound like what you're dealing with here) can be very lucid and aware. My great auntie was in stage 1 of dementia when she was...

  2. Suction

    rachelgeorgina replied to LUVNURSING2008's topic in General Nursing

    A yanker sucker shouldn't be to invasive, considering what choking on secretions would feel like. On the other hand, I can imagine that deeper suctioning must be more uncomfortable and invasive and I...

  3. Failure rate of nursing schools.

    rachelgeorgina replied to merrywhiterose's topic in General Students

    We have a 50% drop out rate in first year, apparently. I was surprised but then, not really surprised. I think that there are a lot of people that don't realise what is expected or nurses until they...

  4. Labs for pneumonia and hypoxia?

    rachelgeorgina replied to NewBeee's topic in General Students

    Um, ABGs to determine any form of metabolic or respiratory acid or alkalosis, overload of CO2, decrease of O2 etc... WBC for infection or inflammation. Pulse ox for venous measurement of SpO2 Sputum...

  5. Peg tube water sterile vs non-sterile

    rachelgeorgina replied to soontobeRN086's topic in General Students

    I work in pediatric long term care. We flush and give bolus with plain old tap water. People who aren't peg fed and eat orally drink tap water and survive. Patients who are PEG fed are simply...

  6. G-tube Flush

    rachelgeorgina replied to stkn1's topic in General Nursing

    I work in a facility where over 50% of the patients (disabled children) are gastrostomy fed. If feeds are bolus, then we add water following the feed and let it run through by gravity. We try to avoid...

  7. A physican where I work called a patient a "FAT PIG!"

    rachelgeorgina replied to JomoNurse's topic in General Nursing

    Whomever asked why a GI doc was performing an abdo surgery.... GI = gastrointestinal. Your intestines (large and small) and a variety of other accessory organs to the GI system such as the liver,...

  8. Anyone with a medical background before NS?

    rachelgeorgina replied to wmnshealth's topic in General Students

    I certainly hadn't worked in healthcare prior to nursing school, but I'd spent a good part of my life in and out of hospitals (it was there that I learnt how to take a manual blood pressure!) as a...

  9. DNR question

    rachelgeorgina replied to getoverit's topic in General Nursing

    Everyone has made it clear that DNR does NOT correlate to do not treat. In Australia we often have patients that are NFR (not for resuscitation, the equivalent of DNR) but FOR "MET" calls. I believe...

  10. Is this legal???

    rachelgeorgina replied to chingy1206's topic in General Nursing

    What is the acutity of the unit? Is it attached to a major hospital or stand alone? I've seen top level mental health, stand alone facilities of mid-level acutity (as in, the patients were there...

  11. CHF

    rachelgeorgina replied to 2bnurse15's topic in General Students

    Education. Education. Education. 1. Help the pt to manage their fluid and salt restriction (information and education regarding minimizing salt intake and restricting fluid intake to aprox 1200mL...

  12. What PRN meds do you give a lot?

    rachelgeorgina replied to blondy2061h's topic in General Nursing

    In psych... I've seen a hell of a lot of Seroquel and Zyprexa given PRN. Along with your regular tmaz and Stilnox for sleep and benzos for anxiety if not the Seroquel or Zyprexa. I've been on clinical...

  13. What's in your sharps container?

    rachelgeorgina replied to dontwakeme's topic in General Nursing

    Don't you have clinical waste bins for bioharardous

  14. Can you have two specialties? As in, ER and psych?

    rachelgeorgina replied to CourtneyD's topic in General Nursing

    Why don't you get through school, get the whole picture and some knowledge and experience on your clinicals and then worry about

  15. Dealing With the Patient in Pain

    rachelgeorgina replied to mbrnstudent's topic in General Nursing

    MD and/or pain team needs to

  16. How many clinical placement hours do you get in Aus?

    rachelgeorgina replied to toninz's topic in International Nursing

    I'm doing a B. Nursing at uni and just skimming the clinical practice ladders and adding up the total number of days of clinical placement, I've counted 185 days all together. So that would be 1480...

  17. Wanting to work in Sydney but doesn't know where...

    rachelgeorgina replied to swnz's topic in International Nursing

    ^ Manly & Mona Vale hospitals both have great views, even if they are very, very old

  18. How can you tell the difference between G-tube and GJ tube without being told

    rachelgeorgina replied to rainbowbright2's topic in General Nursing

    A GJ will have two ports as well as the port for the balloon. Each port should be labeled clearly, though in small text. GOMER42 has some good advice, don't be afraid to ask the patient, they probably...

  19. diagnosis and records

    rachelgeorgina replied to Amy2005's topic in General Nursing

    Shouldn't there have been a discharge letter that came from the ER with her? Shouldn't the LTC facility that SENT her have received some sort of handover from the ER staff, lest a discharge...

  20. How would you handle this? (depression)

    rachelgeorgina replied to markuskristian's topic in General Nursing

    I'm a nursing student and I'm curious, if you have a patient who has no documented medical history of depression but is clearly or possibly exhibiting symptoms, even if they are admitted for an...

  21. Sometimes it is so discouraging

    rachelgeorgina replied to DrrTiDrr's topic in General Nursing

    I have asthma and there have been 1 or 2 occasions where I've had an empty ventolin puffer at the same time I've had an asthma attack. On one occasion, a nurse simply pulled a ventolin puffer from the...

  22. can the family reverse a patient's decision?

    rachelgeorgina replied to DNM-BSN's topic in General Nursing

    I'm curious - can a patient reverse the decision of their family members? 84-year-old lady with severe AF, CCF that's going down hill very quickly (2 episodes of acute pulmonary oedema in less than...

  23. peg/gtube question

    rachelgeorgina replied to spunky1281's topic in General Nursing

    Nurses of any level cannot replace a G-tube where I work nor a J-tube, though I'm sure if it came to it, a nurse could drop an

  24. Professional Behaviour & Conduct - help!

    rachelgeorgina posted a topic in General Nursing

    This is a bit tough for me to explain coherently, so please, bear with me. I'd really appreciate the thoughts/opinions/advice of the members here as all the evidence (i.e. your postings and responses)...

  25. Bedside reporting in psychiatric units

    rachelgeorgina replied to nicenurse49's topic in General Nursing

    Why are the majority of your psych pts in