DavidFR BSN, MSN, RN

Oncology, ID, Hepatology, Occy Health

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All Content by DavidFR

  1. DavidFR

    Patient “fall”? No neuro checks?

    The staff on duty at the time of the fall should have done neuro obs, filled in the appropriate paperwork and informed the appropriate people. You inherited a two day old problem. The likelihood...
  2. DavidFR

    Can BC Psychiatric RPN work as RN/RPN Travel Nurse?

    I don't know specifically about US Travel nursing, but my general advice is this: Very few countries have nursing programmes leading to registration specifically in just psychiatry or just...
  3. Another in agreement here with Been There Done That. You will gain confidence as time goes on. Use the round to ask about things you don't know. They are supposed to be an EXCHANGE of...
  4. DavidFR

    Insulin Before Dextrose or Vice Versa?

    Totally different approach here in France. We give a bag of 250cc Glucose 30% with 10 units novorapide insulin added to the bag. Hence the glucose and the insulin are being administered together...
  5. Going back to the original title of this thread regarding hospital managers, the discussion in the British media is interesting. They are saying that while nurses and doctors are registered and can be...
  6. Letby has been sentenced to life life and will theoretically never be released from prison:...
  7. DavidFR

    We can't eat

    When I worked in the UK there was a culture of hospital residences. Often pretty basic studio accomodation for single people but reasonable appartments and houses for families. Not only was your...
  8. Not the first time this has happened in UK. Beverly Allitt killed several children on a paediatric unit: https://www.amazon.fr/Murder-Ward-Four-Biggest-Criminal/dp/0701148136 There is a...
  9. DavidFR

    Nurse Practitioner in Germany

    I can't answer your question directly, however I have known people going to Germany who found the German nurses forum a useful source of information.
  10. When I worked in an ID unit the patients got their food on regular trays but on cardboard plates with plastic cutlery. Hence the whole lot went in the bin in the ante-chambre (or sass), the tray got...
  11. DavidFR

    IV Med Error

    Errror is human and we all make mistakes occasionally. The important thing here is your reaction to what happened. You did EVERYTHING right and in the best interests of the patient. Be proud of...
  12. DavidFR

    How often do you work overtime?

    I do regular overtime every month, usually 2 nights extra on top of my full time (3 12s per week). They are voluntary. They are offered but management never pressure us. The list of overtime...
  13. DavidFR

    Bone Marrow transplant Unit

    Bone Marrow is pretty high dependency. There are often emergency sutuations (septic shock, DIC, major bleeds, lysis) so you will gain skills that will benefit you in emergency nursing later on....
  14. DavidFR

    Am I selfish for working overtime?

    Totally agree with TriciaJ that it's about balance. I used to grab all the hours I could when I was in a tight financial situation. I made myself ill - facial paralysis after a bout of shingles...
  15. DavidFR

    question about a hickman line

    The cap and the clamp are a double mechanism to protect in exactly these situatuions. If you forget to cap AND clamp you may be in trouble but you'll usually get some backflow and realise straight...
  16. DavidFR

    I Feel Stuck - Like My Options Are Limited

    Can you afford to not work for a while after the birth of your baby? You were talking about renting an apartment near work? Could the money you save not doing this plus the money you'd save on child...
  17. DavidFR

    Going from Peds back to adults ?

    You can't do everything at once and whatever you do, you're missing out on other things. I miss working in ID, but I love where I am in oncology and I can't do both posts at the same time. That's...
  18. DavidFR

    Port Accessing Question

    Agree that a new needle is necessary. I think patient confidence is increased also when they see you doing everything possible to preserve good hygiene and telling them. Like actually saying to...
  19. If you tested negative that's it - you're negative unless you've had a new exposure since your test. I agree with you we were very exposed in the old days and I shudder now when I think of the...
  20. Having worked in this field in the 1990s I would say that the fact that the Hepatitis C virus wasn't actually isolated before 1989 means infection rates in previous generations are actually unknown....
  21. DavidFR

    How much sexism is there in nursing?

    I think this is a problem for nurses of both sexes who step out of the box into non-traditional nursing rôles. You're not in scrubs doing all the things they expect nurses to do and you demonstrate...
  22. DavidFR

    How much sexism is there in nursing?

    At the risk of soundng sexist myself, I have both a female cardiologist and a female neurologist and I love and respect them both. They have both been brilliant and I personally think women doctors...
  23. DavidFR

    How much sexism is there in nursing?

    Sexism, racism, xenophobia, homophobia - there's as much of all these things in nursing and in medicine as there is in broader society. We're a microcosm of the broader world and although it's our...
  24. Totally agree with the camaraderie and mutual help on nights. Asking the unit next door if they need a hand when we're quiet and vice versa is normal practice. On days they have the interconnecting...
  25. DavidFR

    To hold or not??

    Every doctor I have ever questioned on this says give the long acting insulin as this has a 24 hour effect which you'll have negated for the following day risking higher sugars if you omit it....