DavidFR BSN, MSN, RN

DavidFR has 37 years experience as a BSN, MSN, RN and specializes in Oncology, ID, Hepatology, Occy Health.

DavidFR's Latest Activity

1. 

   Autistic, male, and wants to be a pediatric nurse

   DavidFR replied to JP_403's topic in Disabilities

   Go for it. I have an autistic colleague. She delivers care in an acute oncology setting just fine. The fact that you already show awareness that there might be difficulties along the way I think shows willingness that you're ready to deal w...
2. 

   US NP Seeking Licensure in UK

   DavidFR replied to jglase570's topic in UK

   My limited experience of US trained nurses was that they were used to needing a doctor's order to do anything, whereas when I worked in the UK, we did a lot off our own initiative, so I'm perplexed as to your claim about lack of autonomy. I am d...
3. 

   Transition to night shift

   DavidFR replied to Nurse J's topic in General Nursing

   Melatonin is magic. Works for me. That plus chamomile tea before bed. Blackout curtains, earplugs, phone OFF, no screen light in your room and no phone before bed. Reading a chapter of a book in bed is a good wind down. Don't judge after s...
4. 

   Increasing D-dimer

   DavidFR replied to Matthew89's topic in General Nursing

   Depends on the context. For example, many oncology patients have raised D-dimers anyway, so if trying to diagnose a pulmonary embolus, they will always be sent for an urgent angioscan. D-dimers alone are not an indication. You need to be mo...
5. 

   Patient “fall”? No neuro checks?

   DavidFR replied to thenursebabe25's topic in General Nursing

   The staff on duty at the time of the fall should have done neuro obs, filled in the appropriate paperwork and informed the appropriate people. You inherited a two day old problem. The likelihood of there being any potential neurological degenera...
6. 

   Can BC Psychiatric RPN work as RN/RPN Travel Nurse?

   DavidFR replied to PeightonBlair's topic in General World

   I don't know specifically about US Travel nursing, but my general advice is this: Very few countries have nursing programmes leading to registration specifically in just psychiatry or just paediatrics, however I came from one of them (the UK) an...
7. 

   Any advice for anxious and socially awkward new nurses?

   DavidFR replied to Sweetme2's topic in General Nursing

   Another in agreement here with Been There Done That. You will gain confidence as time goes on. Use the round to ask about things you don't know. They are supposed to be an EXCHANGE of information, and you will appear motivated and interested fo...
8. 

   Insulin Before Dextrose or Vice Versa?

   DavidFR replied to vmrose93's topic in General Nursing

   Totally different approach here in France. We give a bag of 250cc Glucose 30% with 10 units novorapide insulin added to the bag. Hence the glucose and the insulin are being administered together over 30 minutes. We take a blood sugar after ...
9. 

   Hospital Bosses Ignored Months of Doctors' Warnings About Lucy Letby

   DavidFR replied to Emergent's topic in General Nursing

   Going back to the original title of this thread regarding hospital managers, the discussion in the British media is interesting. They are saying that while nurses and doctors are registered and can be struck off for clinical misdemeanors, managers ar...
10. 

    Hospital Bosses Ignored Months of Doctors' Warnings About Lucy Letby

    DavidFR replied to Emergent's topic in General Nursing

    Letby has been sentenced to life life and will theoretically never be released from prison: https://www.theguardian.com/uk-news/2023/aug/21/lucy-letby-sentence-whole-life-jail-term-for-murdering-seven-babies Interestingly Bevery Allitt (cas...
11. 

    We can't eat

    DavidFR replied to vintagegal's topic in General Nursing

    When I worked in the UK there was a culture of hospital residences. Often pretty basic studio accomodation for single people but reasonable appartments and houses for families. Not only was your accomodation a reasonable price but you were right...
12. 

    Hospital Bosses Ignored Months of Doctors' Warnings About Lucy Letby

    DavidFR replied to Emergent's topic in General Nursing

    Not the first time this has happened in UK. Beverly Allitt killed several children on a paediatric unit: https://www.amazon.fr/Murder-Ward-Four-Biggest-Criminal/dp/0701148136 There is a problem where whistleblowers are sometimes ignored and...
13. 

    Nurse Practitioner in Germany

    DavidFR replied to Brianne McQuillan's topic in General World

    I can't answer your question directly, however I have known people going to Germany who found the German nurses forum a useful source of information. https://www.krankenschwester.de/forum/
14. 

    Isolation Patients: what is your protocol for dining ?

    DavidFR replied to DaddyO's topic in General Nursing

    When I worked in an ID unit the patients got their food on regular trays but on cardboard plates with plastic cutlery. Hence the whole lot went in the bin in the ante-chambre (or sass), the tray got wiped and was handed out. Some post-reg studen...
15. 

    IV Med Error

    DavidFR replied to EDNurse23's topic in General Nursing

    Errror is human and we all make mistakes occasionally. The important thing here is your reaction to what happened. You did EVERYTHING right and in the best interests of the patient. Be proud of yourself.