DavidFR BSN, MSN, RN

Oncology, ID, Hepatology, Occy Health

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All Content by DavidFR

  1. DavidFR

    What are they teaching?

    You have hit the nail on the head. The days of 14 days for a cholecystectomy or a 15 day post MI régime and back to day 1 if you have any chest pain are gone. The self-caring inpatient has largeley...
  2. DavidFR

    Team nursing?

    Sounds like just an excuse to up your ratios. Resist, resist, resist. Are you
  3. DavidFR

    Favorite type of documentation style?

    As stated above your question is vague, but I think I know what you're getting at. When I trained and first qualified in the UK (1980s) we had a "Kardex" which was just blank sheets. You free texted...
  4. DavidFR

    Favorite specialty? Why?

    Oncology. Combines fast acute nursing with the softer side of human relations. If you get a hospital that gives the right staffing levels, it can't be beaten. The courage of some of the patients has...
  5. Don't know anything about nursing in Singapore, however a friend of mine lived there for 5 years and adored it. I would say a good place to start is always the nursing regulatory body in the country...
  6. I don't know where you are but have you looked into the legality of such questioning? In many European countries such questions are not allowed at interviews, along with not asking about political...
  7. DavidFR

    New Job Stay or Go?

    Go to your neuro step-down. It will stand you in good stead for doing ICU later on, whereas if you lose your licnese there'll be no ICU
  8. DavidFR

    Weekend Requirements

    Alternate weekends is normal in most inpatient environments I've ever worked, nothing to do with seniority or length of service. Our Sunday hours come with an enhanced rate of pay. Each whole Sunday...
  9. DavidFR

    Night shift

    11 years on nights - love it! I echo many of the tips above but I would say try to live a normal day pattern on your nights off or you risk inversing your cycle altogether. My first night I have an...
  10. I'm sure that's still true today. When I qualified in 1986 there was a call put out in the nursing press (I was in the UK at the time) for a nursing school in Botswana and I sent my books there. It...
  11. DavidFR

    Transition to bedside shift reporting

    Let's be honest, some patients are difficult and you need privacy to dicuss inappropriate behaviour. Some patients are stressed out and hearing their treatments and problems repeated at the bedside 2...
  12. DavidFR

    Any nurses wished they had become doctors?

    No, for the simple reason that medicine's too limiting. You become a cardiologist for example, you're generally a cardiologist for life. Become an oncologist, oncologist for life, usually. Nursing has...
  13. DavidFR

    Transgender nurses?

    I do hear where you're coming from. I guess it's the difference between the trend in the uptake of surgery rather than being trans itself being a trend, or the trend in gay people coming out rather...
  14. DavidFR

    Transgender nurses?

    I hate to be picky but I agree that calling it a trend makes it sound like people have a choice, like it's a fad. People don't wake up and decide "I'll be trans today" in the same way as people might...
  15. DavidFR

    Frazzled New Nurse Stuck on Rotating Shifts

    If your health is suffering, can you involve occupational health? I don't know how it works where you are, but in my experience in both the UK and France, it's possible for occupational health to...
  16. DavidFR

    Cisplatin Pre & Post Hydration

    I have actually had that happen with young people, not often, but it does
  17. DavidFR

    Where Were You...9/11

    I'm not American but I had American neighbours at the time who are still very close friends. I had been out shopping with one of them, said my goodbyes and went home (afternoon Paris time). No sooner...
  18. DavidFR

    Transgender nurses?

    I know a health care assistant (nurses aide or "aide soignant" here in France) who is transitioning male to female. The hospital and most staff have been very supportive. Of course there have been the...
  19. DavidFR

    Careers outside the hospital?

    Have you thought of occupational health out in a company, factory or organisation? Occy health can be very stimulating if you choose the right setting. I did it for 5 years in an international...
  20. DavidFR

    Working as a shy/socially anxious nurse

    I agree with all that's been said but I would add that I don't tolerate rudeness, not from patients, not from families, not from doctors. If somebody expresses their displeasure at being bothered for...
  21. DavidFR

    Cisplatin Pre & Post Hydration

    Not shocked at all by the hyper-hydration, and in fact, we go further. Depending on the protocol, 1 - 2 litres pre-hydration. The patient must have urinated a litre minimum before we proceed. Our...
  22. DavidFR

    Hospital Shifts - Days, Nights, or Both?

    Correction, many European countries have permanent night workers. I work in France where in most hospitals you're a day nurse or a night nurse. I'm a night nurse on 12 hour shifts doing 12 nights in...
  23. DavidFR

    Haunted Hospital??

    As a student nurse on night duty (1986!) we heard a woman screaming in pain. Running down to where the noise was coming from, that room was empty. Patients in surrounding rooms sleeping peacefully....
  24. I started as a Nursing Auxilliary (Nurses' Aide in the UK) and was as proud of myself then as I am now with a masters. When asked what I do I say I'm a nurse (and in my last days in the UK when I was...
  25. DavidFR

    Misconceptions/truths about specialities

    Oncology is people dying of cancer. You never deal with emergencies. They are all not for resus. The reality is that oncology is a very acute speciality indeed. Many of our patients are very unstable...