carolmaccas66

carolmaccas66 BSN, RN

Med/Surg, DSU, Ortho, Onc, Psych

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All Content by carolmaccas66

  1. Nurses receiving poor care....

    carolmaccas66 replied to Mrs. SnowStormRN's topic in General Nursing

    I meant to say you can get pain in the INTERCOSTAL SPACE (b/ween the ribs), and the pec muscles can get sore from leaning over/lying in bed all day. And for the doubters, ask any physio. My own physio...

  2. My patient suddenly begings c/o pain in the right side, around the rib cage.

    carolmaccas66 replied to emmanuil's topic in General Nursing

    whatev.

  3. Never enough-vent

    carolmaccas66 replied to anotherone's topic in General Nursing

    Start being more assertive. Do NOT let family members or anyone else push you around. You don't have to raise your voice. Explain, calmly but VERY firmly, that you are in the middle of important...

  4. My patient suddenly begings c/o pain in the right side, around the rib cage.

    carolmaccas66 replied to emmanuil's topic in General Nursing

    Some patients get sore ribs lying in bed cos their pec muscles get all all squished up. Just do all your vitals and take it from there, in context with their diagnosis/ses. Ibuprofen can help with...

  5. Had a FUNNY thought the other day re: when we answer call lights

    carolmaccas66 replied to nervousnurse's topic in General Nursing

    Do you salivate when u hear the call bells?! hee

  6. Unemployed and Pregnant...

    carolmaccas66 replied to Mrs. SnowStormRN's topic in General Nursing

    I hope ur baby is OK. Can you do any training courses anywhere, just to keep ur knowledge up? You can do lots of reading etc, but it would be better if you could do a formal training

  7. nitro drips

    carolmaccas66 replied to gonzo1's topic in General Nursing

    Even patients on telemetry when first admitted to the cardiac/renal ward were not allowed to leave the bedside. We used to put a commode there or use a bedpan, but they need to be watched and...

  8. Student Nurse thinking about moving to Australia

    carolmaccas66 replied to greyL's topic in International Nursing

    You should be right I reckon. I personally think many English background Aussies ARE a bit racist. Our Aboriginal & Torres Strait Islander peoples get treated disgracefully sometimes by white...

  9. Student Nurse thinking about moving to Australia

    carolmaccas66 replied to greyL's topic in International Nursing

    I don't think any of your posts are prejudical. I think your posts state the truth about a situation/s and baby, people do not like the truth sometimes. Some people go to nursing school and dream...

  10. nurse/patient ratio

    carolmaccas66 replied to efRN's topic in International Nursing

    - In hospitals, 1:7. - With 2 nurses, anything from 8-14 patients or more if med/surg gets busy. - In a nursing home I once worked at, 1:65 patients, but had some carers helping out. However I had to...

  11. Procedure for NG feeding/meds

    carolmaccas66 replied to PreemieNurse's topic in General Nursing

    OP, I think I was getting a bit confused re ur original post. With anorexics with NG feeds, we used a 50ml syringe to aspirate the stomach contents to check the pH before commencing feedings. But I've...

  12. Please help...need advice!

    carolmaccas66 replied to sungrl01's topic in General Nursing

    God sakes, how bad was that for you? No hospital I have worked at would EVER throw u into the OR (theatre) without training or nil experience - you just would not get in. It is too dangerous and you...

  13. What makes you irritated by student nurses?

    carolmaccas66 replied to Aly529's topic in General Nursing

    When students know it all and do not ask questions - probably cos they're too scared of the older RNs who bite their heads off. Then the students just go ahead and do things without asking, and that's...

  14. Tylenol max/safe dosage

    carolmaccas66 replied to Gabby-RN's topic in General Nursing

    No way would I do this. Do not EVER exceed the safe dose. If necessary, sit down and calculate how much of a particular drug they have had. it has got nothing to do with what the dr has or hasn't...

  15. HELP!! this might as well had been a MED ERROR!!!

    carolmaccas66 replied to yikib38's topic in General Nursing

    Yes I did this once, attached an old cover letter instead of the new one. Re-send them all TODAY. Just email them and apologise and re-send all the documents. I did this and the employer was very...

  16. How many times do you really skip lunches and breaks?

    carolmaccas66 replied to Aly529's topic in General Nursing

    Oh yes, and NOBODY would stop me drinking my water/iced coffee whatever at the nurses' station, or going to the toilet to pee!! Wild horses wouldn't stop me going to the

  17. Weight-based drips

    carolmaccas66 replied to Otessa's topic in General Nursing

    Yes there is IV Tylenonl (paracetamol) in Australia. It's called Perfalgan. It comes in 100mg/100ml bottles (10mg/ml). It is expensive to use but very, very effective. We only run it on it's own over...

  18. Procedure for NG feeding/meds

    carolmaccas66 replied to PreemieNurse's topic in General Nursing

    But do you flush the tube first before feeding? That way you wouldn't have to check for residuals or

  19. How many times do you really skip lunches and breaks?

    carolmaccas66 replied to Aly529's topic in General Nursing

    Most hospitals I've worked at you have to take breaks. I've worked with nurses who I have told they MUST go on a break, even when we are slammed cos they need it. The patients just have to wait a bit...

  20. nitro drips

    carolmaccas66 replied to gonzo1's topic in General Nursing

    When I worked in cardiology patients were never allowed to ambulate even with assistance. Think about the reasons why. Nitro is a VERY powerful vasodilator, even when titrated to the patient's...

  21. Procedure for NG feeding/meds

    carolmaccas66 replied to PreemieNurse's topic in General Nursing

    Doesn't sound good to me. I've never seen this done anywhere that I've done feeds. I WAS told once that the stomach is not sterile, when I went to use sterile WFI when flushing the PEG tube. Why do...

  22. Anyone else hate the online job application process??

    carolmaccas66 replied to LPNnowRN's topic in Job Search, Interview, Resume

    It's just so impersonal. So, I got sick of it and decided to take some action! I went and asked to see the manager of a residential place here and she wasn't there. I wasn't going to take no for an...

  23. A Pre-nursing Student who believes...

    carolmaccas66 replied to digoe74's topic in Pre-Nursing Students

    Wow, so many young nurses are under the impression they will NEVER have to *gasp* actually TOUCH a patient! And where the h*ll do people get the idea that they are just going to walk into a nice,...

  24. What have I become?

    carolmaccas66 replied to tiroka03's topic in General Nursing

    I think the depressed economy really affected/still affects everyone. There are a lot of depressed and even suicidal nurses on here - they can't find work, their family relationships are strained,...

  25. Moral Dilemmas: Two Scenarios - What would you do?

    carolmaccas66 replied to MichelleDawnLPN's topic in General Nursing

    Yes as above. Patient no 1: needs to be re-evaluated. You cannot let a person sleep in a wheelchair all night, especially with PD. She can develop pressure sores, and it's not a proper sleeping...