DavidFR BSN, MSN, RN

Oncology, ID, Hepatology, Occy Health

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All Content by DavidFR

  1. DavidFR

    1 nurse 1 patient on a floor?

    I've been in this situation more than once. In a good hospital with one patient on an entire floor we were two nurses AND the night supervisor came to relieve us for meal breaks. Perfecto....
  2. DavidFR

    ...Was I being insensitive??

    You did the right thing. In nursing you cannot avoid looking after patients with infections in whatever specialities. I used to work in infectious diseases and got really annoyed with the agency...
  3. DavidFR

    Okay to wear traditional nurse uniform to work?

    I feel I'm being transported back in time. I trained in the UK in the 1980s when female nurses looked like Victorian parlour maids with frilly hats, belts, buckles, the lot. The idea of a female...
  4. Health care is not a business. Good hospitals can never make a profit. Yet another thread that makes me grateful I work in a socialised health system. Not perfect, of course we have our problems,...
  5. DavidFR

    Pump vs Gravity for vesicants

    All chemo, vesicant or otherwise, passes by pump where I work. Our protocole is to check the reflux and permeability with a saline flush immediately before all chemo in both peripheral and...
  6. DavidFR

    My Job Hopping & Bipolar Disorder

    I have known people without mental health problems change jobs frequently because they just don't like getting stuck in a rut in one place. Have you considered just doing agency nursing? Would it suit...
  7. DavidFR

    Giving Report and IV Access

    Spot on. I know my right from my left and I can tell straight away if my line is on the right or the left. It's not as if I'm going to try and get a flush into the wrong arm if the preceding...
  8. Again you rant on about surgery. Nobody is advocating surgery for minors. Surgery for grown adults who have been medically and psychologically assessed is another matter. Now let me fix you on...
  9. So why do it? When you say, and I quote: ", but because the homosexual and transgendered seem to feel they have a monopoly on being abused by teenaged peers." ..that is a very bullying,...
  10. DavidFR

    Healthcare And Birthdate Imperative

    I agree with the above posters that the question is rather bizarre. I have worked in both infectious diseases and hepatology - two specialities which can often be all sex, drugs and alcohol....
  11. DavidFR

    How do I deal with these rude family members?

    This family needs telling very firmly that while they have a right to be upset, a right to be angry, a right to ask questions and a right to voice their concerns, they have no right to shout or be...
  12. DavidFR

    Gobbledygook In Nursing

    Agree with the poster who said nursing diagnoses are the biggest load of gobbledygook ever. I was working in infectious diseases at the height of AIDS, which brought with it loads of useless...
  13. DavidFR

    Went to ER accused of Abandonment

    Agree that you should get legal help. Gather together your medical evidence from the ER. Enlist your agency for witness statements of what was said to them. I hope that ultimately you got...
  14. DavidFR

    Anxiety with Changing Specialties

    You will hopefully have an orientation period. Observe as much as you can. Take notes. Ask questions. Be interested enough to look things up. Be intellectually curious. If you're asked to...
  15. DavidFR

    You show up for work and there is no one there. What to do?

    You need to turn this around on the nurses on the preceeding shift. If they stay on, THEY have to make their complaints. I once did an agency night and my morning relief didn't arrrive. Very...
  16. DavidFR

    Heart Rate Bouncing Up and Down

    Take the pulse manually in such cases. If it's irregular, rapid or both, do an
  17. Interesting, but do your consider 139 participants to be a definitive sample? Are there any larger studies or meta-analyses available? I have also never heard of anybody advocating surgery for...
  18. What a strange and wholly inaccurate statement. Are you taking out your hurt feelings on gay and trans people by any chance? There is no hierarchy of bullying. All bullying is wrong and nobody...
  19. DavidFR

    Nurse/Patient relationship

    Same advice here. I've had an invitiation to coffee (totally innocent) and a dinner invitation (not so innocent I suspected). In both cases I politely explained that my professional code doesn't...
  20. DavidFR

    Sodium bicarb for mucositis

    This may not help you in the US but here in France we get Bicarb solution in plastic bottles, sterile and ready to use for mothwash. Not sure if your hospital can check out if it's available at...
  21. DavidFR

    Where to work?

    I second that emotion! (Smokey Robinson if you didn't get it!) I trained in Plymouth many years ago but was back there in November for a 35 year reunion of my set. People still working there (the...
  22. DavidFR

    Uk nurse job

    58 too and loving being back on the wards after having been a Charge Nurse and a CNS. CNS was a great job but I found being a Charge Nurse awful. Management is boring and unrewarding. Much prefer...
  23. The finger rubbing often works, as does trying the ear lobe. If you're not sure about a pulse take it manually. If a sat looks dodgy observe the patient: skin colour, nail colour, lips,...
  24. Have you thought about going back to hospital, to an area where the patients are really sick and need you? (I'd suggest oncology, though that's total bias on my part!) Maybe your problem stems...
  25. DavidFR

    Irish trained psychiatric nurse to usa

    Sadly I think he'll find his overseas prospects limited. This is the problem with British and Irish trained psychiatric and paediatric nurses or the old RMNs and RSCNs. Most countries have a single...