DavidFR BSN, MSN, RN

Oncology, ID, Hepatology, Occy Health

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All Content by DavidFR

  1. DavidFR

    Oncology Clinical Trials

    Interesting, we have a similar system and yes, it's the Car-T cell patients that seem to get Toci sooner than the
  2. DavidFR

    Oncology Clinical Trials

    Is anybody else working in oncology clinical trials? Interested to know what people's experiences are with the newer immunotherapies and how you all manage strong cytokine reactions? What are...
  3. 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...
  4. 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...
  5. 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...
  6. 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...
  7. https://www.nmc.org.uk/ Try contacting the NMC directly. It's your best bet for up to date, accurate information. Good
  8. DavidFR

    Longest Shift You've Worked

    Before nursing school I was a nursing assistant (nurse's aide) in psychiatry and we had 14 hour long shifts at the weekends. That is the longest I have ever worked. Years later I was a Charge...
  9. Masks still required everywhere in the hospital with FFP3 for all patients, even those who have tested negative. I personally hope it remains standard practice to wear a mask for all patient...
  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...
  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...
  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...
  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...
  14. DavidFR

    I want to work abroad in Switzerland

    While your first point is largely true things are changing in many European countries. It's true that the UK and Ireland lead the way as far as independent nuse practioner rôles go in Europe, but...
  15. DavidFR

    I want to work abroad in Switzerland

    There are 260 mosques in Switzerland. https://en.wikipedia.org/wiki/Islam_in_Switzerland Sadly xenophobia exists in all countries. Things in Switzerland vary from Canton to Canton. I have...
  16. DavidFR

    CNA’s restarting IV pump

    No no no! Don't do it. I get annoyed with care assistants who think they've done me a favour fixing a pump issue. I've signed for the infusion, I'll carry the can. I like care assistants who...
  17. I think you did right. I've used restraints when the patient has been a real danger to themselves or others. However this lady was deemed fit to leave if she wished by a psychiatrist, so you did...
  18. I'm not sure the French or British systems are particularly more "predatory" than any others, but I think that nurses everywhere have to cover their backs. I think the issue here and point of the...
  19. 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
  20. I think we're highlighting a difference in our systems here - you wouldn't need an order for tums in France, and I do get it that a doctor would be annoyed by such a call. However, if an order IS...
  21. Agree Beth, however I think it's appropriate for the newbie who isn't sure to request a doctor's evaluation. One of the complaints we hear most from doctors is that they're called out "for...
  22. 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...
  23. DavidFR

    Oncology Clinical Trials

    I'm just interested because our gudelines change all the time at present. The latest thng from some sponsors is to avoid paracetamol/tylenol at all costs unless absolutely necessary as there are now...
  24. DavidFR

    Struggling to be a Christian Nurse

    No harm done Curious, I still love you! I agree with what you say. If there is this "loving" God why do innocent children suffer horrible diseases etc. Each to their own, people believe...
  25. DavidFR

    Struggling to be a Christian Nurse

    Curious, are you responding to me or the person I quoted? If you're responding to me I will respond but given what you say, I wonder if we're at cross