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K+MgSO4

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  1. OK. There is a massive difference in nursing education requirements between the 2 countries, however if you are going to come I would suggest something that you haven't experienced at home. Bush nursing, RFDS, working in an Aboriginal controlled health service. It may be of some benefit to work in metro or regional centres due to the difference between nursing in the 2 countries but I would suggest the first option. Try NT, WA or QLD health services. They have the biggest areas of outback due to sheer scale so have a different set up to my state.
  2. You do realise we have closed our boarders? It is doubtful that you will get into the country currently.
  3. I always say that I want to be a palliative care nurse at some point in my career. I have been involved in "good deaths" and it is so beautiful. Much more than pushing morphine. It was about talking with patients, learning what they wanted for their final days and facilitating that. I have smuggled dogs into acute wards, turned a blind eye to the case of Jim Beam and cola that came in, in the days before UberEats got on a tram and picked a patient up his favourite meal from the city. I have done this for patients who died in an acute bed because there was no palliative beds available. As a student I have seen a comatose man on hospice care cry when we told him his mother in law had died on the ward. He is the reason I talk to every patient like they can hear abd understand me.
  4. I think the OP is in Australia. OP, I am assuming that the bed that has been ordered has an air mattress and turn assist functions on the bed. I would also look at hiring a hover matt system and speak to the rep of the company of the hoist that you have, you could buy or rent a leg lifter sling attachment. Contact your OHS person for advice and assistance with risk assessment. Also get the PT and OT involved. Many health services have a bariatric / manual handling consultant. It is often the person who manages the equipment library. There are a few companies and people I could give you contacts for if you are in Australia. Shoot me a PM if you do. Good luck.
  5. Inpatient gastroenterology is just ulcerative colitis and crohns disease, jist young people needing infusions and inpatient bowel prep for diabetics needing colonoscopy. In truth crohns and colitis are on a ton of infusions as we try and prevent needing surgery. Gastroenterology includes the acute haematemisis and malena unit, liver failure, hepatic encephalopathy, training patients to go home with enteral feeds before their head and neck surgery, home TPN training for intestinal failure.
  6. Hi, if you are looking for nature in Ireland then once you are outside of Dublin you can have it on your doorstep and still have an OK commute to a job. I believe that An Bord Altranis requires 7.5 in each area of the IELTS for registration. Not sure of the other requirements but I would hazzard a guess at requiring a BSc as that has been the undergraduate requirement for 14 years now. Best of luck with your move. *check out the Wild Atlantic Way for some amazing natural beauty.
  7. @LibraNurse27 check out the PACER model in Australia. It is also in parts of the UK.
  8. Call the company? Call orthotics services at a major hospital and ask for advice.
  9. Welcome back! Recent clinical experience will be a great benefit to you and your team.
  10. Photo taken at admission, confirmed by NOK. That plus ID band checked at admission by NOK. Check hospital policy.
  11. If the patient is competent and refusing care and refusing to be discharged as the NM I speak with head of unit and go in as a combined force. If they still refuse to leave the CMO, CAHO and EDON review the process. If they agree then the pt is provided with a letter from the executive asking them to leave. If they don't leave then security escort them out. They will be provided with outpatient appointments. If they chose not to come to that appointment then they are discharged back to GP care. Competence is the key assessment, mental health and occupational therapy MOCA vs PTA.
  12. DRSABC Assess for danger (now that includes PPE appropiate to the situation such as risk of aerosolising procedure ), Response try to elict one, Send for help, Airway head tilt chin lift, simple airway such as a guedel, Breathing start bagging for agonal respiration with a vice grip in the current climate, Circulation, on the chest and start CPR.
  13. Both models are acceptable. Some places do doubles from start to finish. Some places you start and a colleague comes into assist with the parts you can't do, or inverse start the double bit and then one person finishes off.
  14. I actually wrote our hospitals fasting for surgery procedure. In normal GI tract water leaves the stomach in 2-4 hrs (ANZCA) therefore moderate clear PO fluids can be taken until 4hrs prior to surgery. It also reduces the secretion of excess gastric contents (GESA) thus reducing stress on the body and further discomfort or aspiration risk. Most meds should be given prior to surgery with specific review of anti coagulation agents and those at risk of interacting with anaesthetic agents. However, if you patient has a bowel obstruction do not give PO meds or crush them up and put them in the tube meant for drainage. They will not be absorbed until the peristaltic action of the bowel returns and then they may have multiple doses of medicine in their stomach. Ice or sips are same risk. Other options to refresh the mouth should be offered such as brushing teeth, mouthwash or products that assist eith dry mouth including providing lip balm.
  15. Completely depends on the nursing home. By laundry the HCA is sorting the clients clothes not washing and ironing the bed sheets etc. Kitchen duty is dishing up and clearing plates after meals. Food is typically prepared fresh on site by cook staff rather than mass produced cook chill deliveries. Clients who are able ro may be involved in laying tables or dishing up as one of the many activities the lifestyle coordinator designs- many women with early dementia do these tasks as they have dished up dinner their whole lives.

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