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DavidFR

DavidFR

Oncology, ID, Hepatology, Occy Health
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DavidFR has 30 years experience 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

    Men and jobs

    Affiirmative action is counter productive IMHO. However, I'm not sheddiing any tears for the poor hard done by white, straight, protestant, heterosexual males :zzzzz
  2. DavidFR

    male in nursing

    Strange but true. In my homeland, the UK, there is a very popular soap opera called "Coronation Street" which has been running since the early 1960s. Several years ago a male character called Martin Platt went off to be a student nurse - and the numbers of applications from men to nursing schools skyrocketted. The show followed Martin's career for years right up to him being a Charge Nurse in an ER. It may only be a silly soap, but frankly it did give a very positive image of a man in nursing. Popular culture, even low culture like trash TV really DOES affect people's behaviour and choices. That's an extremely sad reflection in our society, but alas it's true.
  3. As a second year student nurse on neuro-surgery, I was helping the trained nurse with a lift up the bed - a young 19 year old with an AVM that had bled and the poor guy now had a trachy. Of course he coughed as I'm leaning right over him and a big plug of sputum comes flying out of his trachy and hits me in face. For a while I hated both sputum and trachies. I overcame my disgust by taking my first post as a qualified nurse on a respiratory floor. The way to overcome these things really is to face them head on - I now enjoy looking after trachies, and though I can't exactly say I like sputum, I can deal with it.
  4. There is an excellent book aimed at francophone nurses caled "L'Anglais Pour Les Infirmières" by FC Murphy. Obviously your students aren't French, but the book contains many phrases, conversations, scenarios etc. that you could perhaps adapt to your Japanese students - the English text remains the same! There are many everyday scenarios outlined, for example calling the on-call doctor, assessing a patient in pain etc. and then sections based on each speciality (orthopaedics, neuro, urology etc.) I'm a nurse but I also have TEFL qualifications and taught English as a foreign language full time for two years. I often taught professionals whose jobs I knew nothing about (lawyers, bankers etc.) I personally found you needed to use some general Engish materials too. A course consisting entirely of specilist language is too one sided and stilted. Even specialist courses need elements of general English in there, so don't be scared to use your standard TEFL materials with them. I found getting real live texts from actual existing bodies was useful, for example I used banking advertising pamphlets with the bankers or stuff from The Law Society with the lawyers. How about getting literature from bodies like the Nursing and Midwifery Council and using some of their texts for reading and comprehension exercises, or as the basis for debates on say ethics or fitness to practise? We were told in my TEFL training to learn to adapt "realia" and that's always the stuff that works best. Can you get hold of thermometers or basic dressings and get them to describe in English their principles and usage for example? Good luck!
  5. DavidFR

    Turning down overtime....

    It's a dilemma we all face. I've canceled an overtime shift tonight for a personal reason. Of course my first thought is the extra cash I now won't get, but when I'm sleeping in my bed tonight having enjoyed my lovely dinner and a few glasses of wine, I'll be glad I didn't work. You say you promised your kids the weekend off with them - now you couldn't really break a promise like that could you? There'll be other overtime shifts. We all need to strike the right balance - the odd extra shift is nice for the pay, but too much is too much. Your personal life's important too.
  6. DavidFR

    Just resigned from RN Supervisor - right reason?

    +1 here. They were using you. You did the right thing.
  7. DavidFR

    Okay, why do ER nurses think they're so cool?

    What a fireball thread. Seems every country has their "target" speciality accused of putting its nurses on a pedestal. When I was in the UK it was ICU, here in France it's OR nurses. Isn't the reality that every speciality has its difficulties and its conveniences? Don't we all have core skills and then specialist skills we develop wherever we work, ER, OR, geriatrics, pshych, oncology etc.? We all have things we can learn from each other. No speciality is the speciality of supernurses, and while a minority of nurses in certain areas think they're better than others, they are a minority so let's not tar everybody with the same brush. Most of us recognise we have different skills and can all learn from one another. A little solidarity anybody???
  8. DavidFR

    Is being a Male nurse weird?

    Hmmm. I have a bit of a problem with the fact that you consider being gay, or being thought gay to be a "stigma". It's annoying when people assume you're something you're not, but stigma? Please, it's the 21st century.
  9. DavidFR

    1-1 ratio for nurses

    I think this varies from country to country. In France even ICU is rarely 1:1 but when I worked in the UK the standard in ICU was 1:1 pretty much without exception. I don't know if that's changed - I've been gone from the UK 10 years. A lot depends on whether you have a co-ordinator in charge with no patients, a runner, care assistants, respiratory therapists etc. etc. I can't quote sources but I do have a memory of reading studies where patient outcomes are supposed to be much improved in settings where the ratio is 1:1. ICU is the one area where I find the otherwise excellent French health care system is lacking compared to what I was used to in the UK. Here I've seen 1:2, 1:3 and even 1:4 which I personally think is totally unacceptable for ICU. Of course ICU criteria vary greatly too. Many French ICU patients are not necessarily intubated and ventilated. In my book an intubated patient needs 1:1.
  10. I would explain politely that it's not a normal part of the nurses role, just the same as if a patient wanted me to meet them socially, share a beer or a cigarette with them in the room, sit down and have my dinner with them in the room, go to their house with their keys to pick up something they'd forgotten, accept money or an expensive gift, lend them some cash, ask me to disclose the details of another patient, etc. etc. etc. Not being able to satisfy all of their wishes due to professional constraints is not the same as doing something for them without their consent. Would you take part in a devil worship ritual with a patient who wished you to do so? I wouldn't. If they persisted I would perhaps explain that some nurses who are Christian/Jewish/Moslem/Hindu/whatever may sometimes consent to pray with patients of their own or even another faith, but that that's a function outside our usual role performed at the nurses individual discretion, and that as an atheist I couldn't do it with sincerity. I would underline the religious services available to them and I would always ensure that their spiritual needs were met by ensuring access to a priest, rabbi, iman, whatever chaplain necessary to fulfil their religious needs. THAT'S part of my job, not taking on the function myself.
  11. And this is where we differ. None of those people could do "their thing" over me without it being most unwelcome. Some people dislike religion for their own valid reasons and do not want to be prayed for. It kinda seems as if you guys aren't prepared to respect that. One of the basics of my nursing practice is that of patient consent and respecting their wishes - and that includes the things they don't get to find out about.
  12. DavidFR

    Is being a Male nurse weird?

    It's not the name that needs changing (and certainly not to medic!) but the image of the word nurse, but I do take your point about "nurse" not telling anybody if you're a man or a woman. In many European countries we've gone past gender sterotypes of nursing as a "woman's job" and places like the UK are experiencing record numbers of male nursing students. It's a shame in some ways that the English language is so gender neutral. In French for example you've usually got male and female versions of these things so you're either un infirmier (man) or une infirmière (woman). Never any confusion when the patient says "last night my nurse....." you know immediately if it's a man or woman. When I started nursing in the UK in the early 80s this was an issue - not any more, and in the 10 years I've been in France I can honestly say it's never reared it's ugly head. I would say to the original poster that you should just do what you want to do and don't worry about what other people think. It does concern me however that you're potentially coming into a profession with a pre-conceived idea that it might be a "weird" choice for you? Why not try and meet some real live nurses, of both genders, and see how you feel about what you glean from them? My heterosexual male colleagues are never perceived as gay. It's far more tiresome for me as a gay man of a certain age being constantly asked "Is your wife English too or is she French?" and "Have you got any children" (yawn)
  13. Agreed on that, but that doesn't in any way address the points I raised in answer to your post.
  14. Any nurse who prayed for me would be acting against my wishes and I would find it extremely offensive and most unwelcome. If a patient has said they are happy for you to pray for them that's great. Otherwise it's a no no IMHO. Would you be happy for a devil worshipper to perform some ritual on your behalf without your consent? A pagan nurse to make some gesture on your behalf? A Rastafarian nurse to smoke a joint for you in the hope you'll be released from Babylon? A communist nurse to get the comrades to sing a verse of the Internationale on your behalf? Your beliefs aren't necessarily your patients' beliefs and that's what should be respected. Even if they never have any knowledge of your actions it's at best patronising and at worst being done for yourself rather than for your patient. Pray for people who want your prayers. The "I can pray for them, it'll do them good even if they don't realise it" stance is a patronising stone that doesn't fly.
  15. I sincerely hope you have their prior consent.
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