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DavidFR BSN, MSN, RN

Oncology, ID, Hepatology, Occy Health
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DavidFR has 35 years experience as a BSN, MSN, RN and specializes in Oncology, ID, Hepatology, Occy Health.

English trained nurse, British born of Ukrainian/Italian origins, now a naturalised Frenchman. Very much an internationalist!

DavidFR's Latest Activity

  1. DavidFR

    The future of work for nurses

    Yes, no problem.
  2. DavidFR

    FDA Warns Against Nitrite “Poppers”

    Been there too. Wasn't a massive user but did indulge on the dancefloor. As Tweety says, I knew they were probably not good for me but did I care at that age? The follies of youth. In the UK they were on sale openly over the bar. Were withdrawn here in France a few years back - probably a good thing. Does bring back memories though. 🎼🎶High energy, your love is lifting me, lifting me higher!🎵 I can feel the glitter ball coming out.
  3. DavidFR

    Arthritis and Bedside Nursing?

    Think of your health! I'm 57 and had a stroke in 2019, thankfully with no decifits other than a mild occular-motor slowness. I was thrombolysed quickly whch saved me from the worst. I'm also hypertensive with a mild cardiac hypertrophy. I manage night duty at the bedside doing 3 12s 19h-7h, but with age it is gettng more tiring and I'm crossing off the days to retirement. Could possibly cope wth office hours but would not do days on a hospital floor. My day colleagues start at 6h45 - forget that! My ex-nurse husband has rheumatoid artritis and Sjögren's Syndome and had to give up work in his 40s. My advice is try every treatment possible (methotrexate, anti-TNF, rituximab) - and be a junky with your pain killers, especially paracetamol. He was relatvely well for about 10 years before really deteriorating and havng to give up. Cymbalta has helped both with pain and depression. Whilst it may be heartbreaking to give up the career you love if your health dictates it to listen to your body. Giving up was the best decision my husband made for his own well-being. I hope you've got some working years left yet but adequate rest on your days off and good nutrition are both vital with an arthritic condition. I wish you you the best of luck.
  4. DavidFR

    Managers-Do You Miss Being a Clinician/Bedside?

    Echo the thoughts above being also an ex-manager who went back to clinical rôles and loves being back with patients. Everyone is different. Management wasn't for me but it was a valuable experience to have under my belt. If you don't try it you'll forever be thinking what it might have been like. You may find you flourish and that you've really found your niche. Whether you do or you don't, either way it will be a very valuable experience. Good luck!
  5. DavidFR

    It's a small healthcare world after all!

    When I was a teenager I had a pen-pal in Malaysia (remember them? Pen PALS! Hand-written letters!) As we got older our writing fizzled out as these things do, but towards the end of our correspondance she was going to Kuala Lumpur to train as a nurse. Several years later I too had gone to train as a nurse in the south-west of England. One day I get chatting to a midwifery student in the canteen who tells me she's from Malaysia. Lo and behold she had done general nurse training with my pen-pal in KL and put us back in touch - all those thousands of miles across the world. A girl I trained with in the south-west of England unwittingly followed me around. We bumped into each other in London working in the same CCU together. Several years after that I was a clinical nurse specialist based in another London hospital and I bump into her in the corridor, she's only followed me there as well and was working in the ICU. THEN another girl we trained with in the South West troops up at the same hospital as well, also as a CNS. Certainly is very small world.
  6. DavidFR

    ADVICE

    I can only second the comments above having done oncology for the last 12 years. It's not easy but who wants a job they can do with their eyes closed? It is the most rewarding speciality I have done in a long and varied career. I'm sure you'll love it. Best of luck.
  7. DavidFR

    Longest Shift You've Worked

    Ooh poor SilverBells. Is that what you're after? You precisely ARE taking on the martyr rôle. For God's sake stop it and work your required hours only. You'll see the facility won't fall down. Nobody is indispensible. Enrol on an evening class so that you HAVE to leave work to be there. Buy a pile of good books. Get yourself a cable subscription. And download a dating app to your phone.
  8. DavidFR

    Things I wish my patients understood

    That if they haven't asked for a sleeping pill they don't usually take when the doctor visited, it won't magically be prescribed when I arrive for the night shift. And yes, if the on call doctor is busy with a sick patient, it won't be his/her priority to drop everything and prescribe it NOW. And no, in the meantime I can't just give a "little mild one" off my own bat. Cup of warm milk perhaps dear? I can prescribe that.
  9. https://www.nmc.org.uk/ Try contacting the NMC directly. It's your best bet for up to date, accurate information. Good luck.
  10. DavidFR

    NGT medications

    Can you enlighten me as to which meds are incompatible and what actually happens? Apart from drugs which must be taken at a distance orally in any case where you'd respect the same time delay, I can't see it. I've worked in many hospitals in 2 different countries and never come across a single NG administration policy anywhere. 33 years of passing multiple meds via NGs and never a problem. I know how to flush NG tubes and I've never clogged one. There is NO comparison with IV administration.
  11. Like many other people I have had my career in more than one country (started in the UK and now finishing in France). Hence my pension contributions have been in two countries. I continued to pay voluntary National Insurance contributions in the UK as well as contributing to the French system. As I approach the end of my career in a few short years time, I've had a pre-retirement interview and it looks like combining pension pots from the two countries won't be a problem. I just wonder if anybody else has had the experience of claiming their pensions having contributed in two different countries? Did you come across any unexpected hiccups? And does anybody know if Brexit has adversely affected things?
  12. DavidFR

    How does your unit determine who floats?

    I work in a large cancer institute so when we're floated we're going from oncology to oncology so that kind of makes things easier. It is still an issue though with some nurses who have a preference for medicine or surgery, don't like haematology, don't have ICU experience etc. I'm based on clinical trials. I'm exceptionally floated to medical oncology (I.e. chemo, radiotherapy, palliative care), haematology or BMT units. I prefer not to go to surgical areas but will if absolutely necessary. I refuse ICU or paeds due to not being sufficiently experienced in those areas. We tend to go on personal preference. I have a colleague who hates haematology so I'll go there in her place and then she might move for me to another area the next time. We're a small, cohesive, mature team so we manage to sort it out between ourselves who moves when the phone rings. Professional adults should be able to do that, however if there's conflict or certain people trying to avoid their turn then it's for the manager to decide based on who's turn it is and if they're suitably experienced for the required area. I think most qualified RNs should be able to adapt to most general medical or surgical areas, however for the more specialied areas (ICU, ER, OR, dialysis, paeds for example) you shouldn't just be expected to float there if you've no relevant experience.
  13. DavidFR

    NGT medications

    I personally do administer them together and have never had a problem. I'm on multiple meds myself. They're in my hand together, I pop them in my mouth together and I swallow them down together. Same principle I reckon. I have seen some people on here suggest that there might be an interaction like with IV meds. That seems wholly unlikely to me. I discussed this with a pharmacist where I work and he agreed that it's OK to mix for NG administration.
  14. DavidFR

    MRSA history?

    I came up MRSA positive in my nose and perineum in the 80s. I had de-colonizing treatment with Chlorhexidine washes, Bactroban cream and Sterzac powder. I have tested negative ever since.
  15. DavidFR

    New Nurse Struggling With Doctor Calls

    From what I can gather, was all this being done on the phone with the doctor prescribing from a distance? It's never unreasonable to say "you need to come and examine this patient, (s)he warrants re-evaluaton by a doctor." That is what they're on call for.
  16. DavidFR

    Struggling to be a Christian Nurse

    I kind of get the feeling I'd regret sitting next to you on the bus on the way home.