DavidFR BSN, MSN, RN

Oncology, ID, Hepatology, Occy Health

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All Content by DavidFR

  1. 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....
  2. 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...
  3. 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...
  4. 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...
  5. 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...
  6. 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...
  7. DavidFR

    Heart Rate Bouncing Up and Down

    Take the pulse manually in such cases. If it's irregular, rapid or both, do an
  8. 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...
  9. 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...
  10. 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...
  11. 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...
  12. 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...
  13. 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...
  14. 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,...
  15. 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...
  16. 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...
  17. DavidFR

    LA RN

    I know nothing about your situation in California, however I do have experience of returning to nursing after a nearly two year gap. I had forgotten nothing! And my return to nursing was in another...
  18. DavidFR

    Seasoned Nurses Make Me Feel Incompetent

    Tell her your background is one where you learned the difference between left and right! This sounds like bullying. As the previous poster said, don't play their game. Be professional and...
  19. DavidFR

    New ICU Nurse Burnt Out

    I think ICU is a mistake for a new grad. As is anything too specialised. Back in the day your first job was always something within the realms of general medicine or general surgery to get the...
  20. I have just noticed how old this thread is. What did you do and did it work
  21. If you should come across her, can you not just do your job and be professional and hope she does the same? Are you sure she's bitter about the break up and would have acrimonious feelings towards...
  22. Thank you for the explanation. My advice is always if you can stick it out for the higher qualification, do so. I have seen too many nurses in my lengthy career regret taking the shorter option...
  23. For those of us not in the USA can you explain what those initials mean
  24. DavidFR

    How much quiet do you need?

    Working nights alters the whole scenario. It's home, half hour wind down with the TV news and then straight into bed. When I worked days I didn't need wind down time. I was often rearing to go...
  25. DavidFR

    IV antibiotic administration

    If antiobiotics are compatible (for example Flagyl with a cephalosporine) then we give them together. If antibiotics are not compatible we stagger them. I agree with the "get the antibiotics started...