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Content by skylark

  1. OK, so the rules have changed, and CPD is no longer enough. I'm wondering about how to achieve the "reflective discussion" part when there are no UK registered nurses where I work. So, all expat Brits, please let me know how you plan to maintain your NMC registration. Is anyone agreeable to contacting me, with a view to maybe planning an email/Skype discussion that we both can document? I'm in Chicago btw, so if there are any other UK nurses here, we can meet in Panera instead : )
  2. skylark

    Preceptorship as a newlyqualified in community

    Working in the community is not a good place for a newly qualified nurse. You will be essentially working alone, and will need troubleshooting skills and communication skills that you just don't have. Work a year or two in a general ward before going out there. Otherwise your team will be carrying you, having to help out with every little problem you find, especially if you tend to worry and panic rather than approach a situation with the ability to prioritise and use clinical judgement.
  3. skylark

    StressedNewlyqualified nurse career advice

    District used to be a good place to be, until they started making cutbacks and making impossible demands on nurses time. A few years ago i had a caseload that consisted of patients from 5 GPs, and then ten years later I was covering 24 GPs. If you just want to drift along, seeing a few patients a day and sitting chatting with them, then yes you might get away with that for a while, but sooner or later you need to get up to speed and become a team player. My last community job was in a nursing home when I had sole charge of 35 patients, with a team of care assistants. If you want low acuity, then you get higher numbers. Either way you need to get stuck in and stop being scared of hard work. Your colleagues will appreciate it.
  4. skylark

    Where were you...9/11

    Working in a military hospital in the UK. Five hours ahead, so it was just after lunch when it all happened.
  5. skylark

    About to work in Royal Brompton Hospital

    Just as an FYI, its in Chelsea, probably the most expensive location in the world! Be prepared for a commute, you are unlikely to find accommodation nearby unless you have a few million to invest. Even a houseboat on the river is over half a million. I would suggest looking in Hammersmith as its an easy commute, on the District Line, with a fair number of rentals around, or continue looking further west along the train routes, to Acton, Ealing or Boston Manor. Nearby Earls Court used to be affordable, and home to a lot of expat Aussies and Kiwis, hence locals still refer to it as Kangaroo Valley!
  6. skylark

    Common emergency spanish dialogues

    Your dept should have one of the multilanguage phrasebooks, which contains standard triage questions in 36 languages. The questions are numbered, so you line up the English page alongside the language you want to use. Questions usually require a yes or no answer, or ask the patient to write something like their address or DOB, so its really easy. If you don't have the book, its about $20 to buy or you can print out all the languages from this link. Emergency multilingual phrasebook : Department of Health - Publications
  7. skylark

    Life in UK

    Holby has one ambulance crew, who live next door and just one nursing shift, they are all there 24/7, except when they are in the pub. An amazing service and something for the rest of us to strive for. NOT!
  8. skylark

    Active Shooter Training

    This is an issue that concerns me as an ER nurse. Not only are we the "front door" to the hospital and therefore the first people a shooter would encounter, but also an ER has few places to hide. We have curtains instead of walls, and nowhere to go. I have raised specific concerns several times with our in-house security staff, but nothing changes. We don't even have doors that could be locked or barricaded.
  9. skylark

    Graduate UK nurse making move to USA

    If you read other threads on this subject, its pretty much impossible now for a UK trained nurse to move to the US. Unless you qualified pre 2000, your UK adult branch training doesn't meet the requirements.
  10. This is a total shot in the dark but I am trying to contact the entire set from October 88, who trained at Charing Cross Hospital! its almost 30 years since we all started out in our nursing careers, and even though its unlikely we can manage a reunion as we are all scattered, it would still be great to make contact with everyone. If you trained at Charing Cross in the late 80s, or know someone who did, please have them read this thread!!!
  11. skylark

    Real nursing experiences of A&E

    I'd forgotten about the teamwork side of things. Yes doctors and nurses work alongside each other as a team. There is no hierarchy except the Consultants (Attending in the US), and its common for the team to socialize together as well. Mealbreaks are taken together including docs, nurses, techs and housekeeping, and its just a far more pleasant vibe than many American hospitals.
  12. skylark

    Real nursing experiences of A&E

    Are you comparing this to ER nursing in the US? There is a similar thread already running, which compares them, but to give a short answer, UK nurses have a lot more varied role. We do the triage process exactly the same and draw the labs, we also do EKGs where needed and order xrays. The main differences are that wound care is a nurse domain in the UK, and doctors just don't get involved in it. So you will be suturing, dressing wounds and applying plaster casts. You also do a lot more 'hands on' nursing, including diaper changing, washing and feeding patients that need assistance, and ambulating them. These tasks form the baseline of assessments, so they are not routinely delegated. You cannot tell someone else to bathe them and then claim to have assessed pressure areas! The other main difference is the time factor. All patients need to be out of the A&E in four hours. That puts a lot of pressure on you, all the way through their journey. Triage, vitals, labs and EKG have to be done in the first 15 minutes. All investigations must be completed and reported on by two hours. Decision to admit or discharge by three hours, and then gone by four. Generally nurses work at least a year on the floor before joining the ER, although I have known exceptions when they were students doing their final placement in the ER and then just sort of stayed! Ratio is about the same, usually 4-5 patients at a time.
  13. I thought I had heard it all, but this week I got the winner. Man comes into the ER, with a letter. His wife had been to an immediate care center and they had referred her for a CT of whatever injury it was she had. The letter was sensible, and clear, stating the imaging already done and the reason for referral. Just one thing missing though. "Sir, where is your wife?" "Oh, she's at home, she's tired so she sent me instead."
  14. skylark

    UK nurses overseas - maintaining NMC registration

    I'm in Chicago too, PM me!
  15. skylark

    Completely off topic in a nursing forum..but

    Teaching pay is not very different to nurses, in other words, about half what you are used to in the US! London is an exceptionally expensive place to live and so the government decided to help all the "keyworkers" with subsidised accommodation. Keyworkers are teachers, nurses, paramedics, firemen and police, all the low pay public service staff. Only problem is that they never followed through. I have been on the Keyworker Housing list since 1999 and still waiting. I'm living in Chicago now, and tired of waiting. A single person keyworker living in London will have to live a distance away and commute. You might be able to rent a room but a mortgage is pretty much impossible on a keyworker salary unless you have a decent deposit first. A BS degree is 3 years, but if you have a previous related BS you can do a teachers certificate instead as an additional course, its called PGCE, post graduate certificate in education. I don't know if this can be used in the rest of Europe. With Brexit looming I don't think anyone knows right now.
  16. skylark

    Dropping the "Nurse Card"?

    Absolutely the most sensible post on this thread. There is never ANY excuse for using a phone while driving. And far too many casualties of incidents caused by people like the OP.
  17. skylark

    Another Tragedy

    This only happens in the US. And yet there are troubled teens in every country. Isn't it time to look elsewhere for solutions and accept that gun ownership needs to go?
  18. skylark

    Ramadan & Field Day

    Just noticed my typo but can't change it, it should read "52 week" year. The Islamic calendar does not follow our 52 week year, and so Ramadan moves forward around 3 weeks each year. We used to get a lot of problems in Europe with paramedics hypo-ing at this time, especially those on 12 hour shifts, sometimes they were too shaky and faint to drive, never mind care for patients. But I've never heard of the fast including a ban on drinking water before. Where in the Qran does it say that?
  19. skylark

    Ramadan & Field Day

    Scheduling around Ramadan is a good idea, but just be aware its not the same time every year. Its not on a conventional 52 year schedule, and it moves forward around 3 weeks every year.
  20. skylark

    UK nurses overseas - maintaining NMC registration

    If you still need help, PM me. I'm NMC registered and living in the Midwest.
  21. skylark

    US RN looking to work in UK -- ER

    What utter tosh! Since moving to the US I have deskilled because I no longer - set up CPAP or BiPAP suture wounds apply plaster casts do my own ECGs Assess pressure areas, hydration and nutritional status in the context of washing a patient Perform holistic care And why would you wear a mask to change a diaper? Seriously? The "technology" that you refer to in the US is actually the same monitoring and IV pumps that we had in the UK in the 90s. The CPAP and BiPAP is even older! If you don't want to care for patients, then don't be a nurse. If you just want to play with "technology" and do charting then find a new career. I'm sure your team in the UK is much happier without Mrs "Too Posh To Wash" slowing them down. I loved working ER in the UK but it has zero job satisfaction in the US as all we do is blood draws and give meds.
  22. Say Something Anonymous Reporting System This is perhaps the most sensible thing to happen in America this year. Obviously it relates to trying to prevent school shootings, but the whole point of this is a cultural shift, to make people aware of other people and of danger signs. Be sure to scroll down and watch the video at the bottom of the page. "When good men do nothing, evil triumphs." Ephesians 5:11
  23. This is not about reading historical books, its about propaganda, which is focused on initiating terrorist activity. I've read The Gulag Archipelago and also other books that are accounts of life in concentration camps, such as books by Corrie ten Boom and Deitrich Bonhoeffer. The key word here is 'history' the are accounts of bad things that happened in the past. The pro-terror video is about the future and planning bad things. And as regards your comment about NOT running to tell - If you use public transit, every network has a public safety message that states "If you see something, say something." Bombs explode when people don't follow that advice. I spent decades in Europe and have seen the outcome for myself. The "its none of my business" theory allow bad things to happen and it costs lives.
  24. So how do you tell the difference? Teens are going into schools and killing their peers, and doctors caring for gymnasts are abusing them. Who can tell which ones are really dangerous and who is safe? Until anyone has an answer for that, suspicious behavior should be monitored and reported. Unless you are one of those people who don't get concerned about a backpack left on a train. Until it explodes of course, and the everyone blames everyone else for not reporting it.
  25. Just my 2cents - If the video appeared to be some sort of propaganda or training video then it needs reporting. Your local anti-terrorism police dept will be very interested. I used to work home health in Europe and would sometimes go into a home where just such a video was playing, an instructional 'build-your-own-bomb' kinda thing. I had no problem making an anonymous 311 call and invariably the apartment became 'of interest' to them. On more than one occasion, I would visit the same home for a follow up visit and find a full-blown police raid, they had discovered a bomb factory. Terrorism has become a high tech business, dependent on networking. If you can block just one part of it, you are saving lives. Or you can just ignore it, hide under the carpet when the bomb comes and wonder why nobody said anything.