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To report or not report?
Firstly, Happy Nurses Day! If you would be held liable for the actions of the unregistered individuals you must protect yourself and talk to the individual, let them know that you will report them if they do not renew their registration while they practise.
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Patient to Nurse Ratios: What are yours?
15-20:1 for the least 12:1:banghead:
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need info on drug step down/holiday for pain pt and info
I have seen clients that indicate their wishes and refuse pain therapy as ordered and request information on the effects of the such therapy from relatives and nursing staff as well as doctors. What we do is we get the drug package and the infor mation that is easily understood we explain to the client. the client has the right to refuse proposed therapy and or request other lower doses, however that depends on the doctor. Some doctors refuse to allow client input in the treatment of the client and thus conflict persists. In most cases the doctor actually works out a lower and safer dosage with the client and the client as well as nursing staff evaluates the effects. For sicklers, there is no compromise as many are addicted to the opiates and even feel relief with placebos and 5%DW, some are genuine in their complaints. You are concerned with the client withdrawal from opiates, well here is a funny, an addict was hospitalized for multiple fractures to the lower legs however no opiates were given, he recieved Diclofenac sodium instead and it worked well. He was hospitalized for 18 days and during that time he showed no signs of withdrawal, even though he said he used cocaine more than 3 times daily. thus sometimes as a nurse you will notice that some clients have a greater tolerance due to their perception of pain and whether the clienhas low, medium or a high pain threshold. Hope this helps in planning care. Remember used your eyes ears and assessment sheets well.:w00t:
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Stress Relief
Also try having sex with your mate more often, it seems to me that most nurses wind up mateless and more stressed :Crash:because they simply work long hours then get home too tired to do anything. :flowersfoLet me explain one thing, the sex should be purely love making and nothing else, it soothes the soul puts a glow on your skin and relieves stress and anxieties:icon_hug:. Remember always keep your bed warm or someone else will.:w00t:
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Quit?
Hey dont be so blue, apply elswhere pray and leave the job if they dont want you some one else will love you and appreciate your contribution. The seasoned staff dont know wat they'll be missing and trust me being less stressed in the work place makes u a happier person.:loveya:
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objectives for orthopaedic ward
how to ensure the containment and prevention of infection and cross infection should be and objective. Depending on the physical layout of the work area or ward the clients may be placed in appropriate areas so persons who have active infections would not infect others who are post op or pre op.