GrumpyRN NP

Emergency Department

Retired ENP, 35+ years of experience. From Scotland.

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All Content by GrumpyRN

  1. GrumpyRN

    I hope he is okay.

    GrumpyRN replied to Workitinurfava's topic in General Nursing

    I'm curious, was it something along these
  2. GrumpyRN

    Innumeracy

    GrumpyRN replied to Oldmahubbard's topic in General Nursing

    Used to do that with Captopril, it came in 50mg tablets, dose was 12.5mgs and the tablets had a very nice crossline on them to break them into 4
  3. GrumpyRN

    Clinical manager undermining

    GrumpyRN replied to Tenebrae's topic in General Nursing

    The foolishness needs to be called out or it will continue. So calling the manager at every opportunity is their decision because they took over the care of the patient when they interfered. As a...
  4. GrumpyRN

    Clinical manager undermining

    GrumpyRN replied to Tenebrae's topic in General Nursing

    I agree, also every single time the resident gets short of breath contact the clinical manager and ask what THEY want you to do seeing as how they seem to have taken over the management of this...
  5. GrumpyRN

    #AMAGetOutTheWay: Nurses, Doctors, and Students United

    GrumpyRN replied to Melissa Mills's topic in Nursing News

    a) The NHS is good at the life saving stuff less so at the life enhancing stuff. I have already stated that elsewhere. I never said it was perfect. However what good is having access to needed surgery...
  6. GrumpyRN

    Mandatory training

    GrumpyRN replied to 123mememe's topic in United Kingdom

    "There is more emphasis on improving quality of life in palliative care." Again, what does this have to do with ED? The care plan should be in situ before the person reaches ED and we should work to...
  7. GrumpyRN

    #AMAGetOutTheWay: Nurses, Doctors, and Students United

    GrumpyRN replied to Melissa Mills's topic in Nursing News

    "I have been told by several hospital clients from the UK that they experienced obstacles in obtaining dialysis." This is hearsay evidence and you should at least say it as such. "I didn't realize...
  8. GrumpyRN

    Mandatory training

    GrumpyRN replied to 123mememe's topic in United Kingdom

    That is not your original topic. You were talking about mandatory training for palliative care. This is end of life care which is slightly different and ED's should already be doing this. I still...
  9. GrumpyRN

    #AMAGetOutTheWay: Nurses, Doctors, and Students United

    GrumpyRN replied to Melissa Mills's topic in Nursing News

    "I don't have a specific reference for the dialysis, but here are several relating to life threatening waits for vital care" That is deflection. You were caught making an erroneous statement and...
  10. GrumpyRN

    #AMAGetOutTheWay: Nurses, Doctors, and Students United

    GrumpyRN replied to Melissa Mills's topic in Nursing News

    Can you supply a reference or any sort of evidence for that
  11. GrumpyRN

    Mandatory training

    GrumpyRN replied to 123mememe's topic in United Kingdom

    I worked in A&E and see no benefit to me or my organisation with mandatory palliative care training. If a palliative patient attends then I would expect some form of care plan to come with them...
  12. GrumpyRN

    Band 7 interview

    GrumpyRN replied to 123mememe's topic in United Kingdom

    Why not follow the advice you were given 2 years ago when you asked exactly the same question about a different
  13. GrumpyRN

    NHS Apprenticeships

    GrumpyRN replied to Leedeedee's topic in United Kingdom

    I'm not too sure it was a failed idea. I was an Enrolled nurse in the 1980's and it enabled me to get into nursing as I had qualifications from industry but not from school (I had 'O' levels but no...
  14. GrumpyRN

    nurses put on paid leave for carrying out orders for potentially fatal doses of fentanyl

    GrumpyRN replied to Verthandi's topic in Nursing News

    It has happened here as well;
  15. GrumpyRN

    Am I In The Right Profession?

    GrumpyRN replied to DjorRN's topic in Men in Nursing

    Hey..... that's me! I always thought of myself as well balanced and adjusted with an appreciation of the past.
  16. GrumpyRN

    And The Reason Nurses Don't Get Fired

    GrumpyRN replied to Ruby Vee's topic in General Nursing

    Nurse manager not fired for going into town to get her nails done while supposed to be working, not fired for taking bereavement time off as her daughters gerbil had died. same manager not fired for...
  17. GrumpyRN

    On this week's episode of 'People Offending the Entire Profession of Nursing'...

    GrumpyRN replied to adventure_rn's topic in General Nursing

    Of course nurses do home care but what do you need to listen to? Is your patient saturating well? Are they undistressed? Are their obs within normal range? Then what are you worrying about? This seems...
  18. GrumpyRN

    On this week's episode of 'People Offending the Entire Profession of Nursing'...

    GrumpyRN replied to adventure_rn's topic in General Nursing

    Not quite, yes doctors would do their assessment using stethoscopes but the nurse would have done their "nursing assessment." The doctor orders treatment but it is the nurses who evaluate...
  19. GrumpyRN

    On this week's episode of 'People Offending the Entire Profession of Nursing'...

    GrumpyRN replied to adventure_rn's topic in General Nursing

    Nurses in UK don't listen to heart, chest or bowel sounds. They may listen to apical heart if doing apex and radial (rare) but otherwise no. BP is done by machine - can still be done manually but...
  20. GrumpyRN

    On this week's episode of 'People Offending the Entire Profession of Nursing'...

    GrumpyRN replied to adventure_rn's topic in General Nursing

    In UK nurses don't routinely use or carry
  21. GrumpyRN

    How would Medicare for all affect nursing?

    GrumpyRN replied to Emergent's topic in General Nursing

    I have already said that the NHS is not perfect. The NHS is being starved of funding by the conservative government in a deliberate ploy to bring in privatisation AKA the American system. Patients in...
  22. GrumpyRN

    How would Medicare for all affect nursing?

    GrumpyRN replied to Emergent's topic in General Nursing

    You do understand that I am not American and I am not in America don't
  23. GrumpyRN

    How would Medicare for all affect nursing?

    GrumpyRN replied to Emergent's topic in General Nursing

    You have already been told that ICU in UK is 1-1 and HDU is 1-2 so why bring up what US is doing - it is irrelevant and only goes to prove that universal healthcare seems to be better. As far as...
  24. GrumpyRN

    How would Medicare for all affect nursing?

    GrumpyRN replied to Emergent's topic in General Nursing

    No, you mean you won't
  25. GrumpyRN

    How would Medicare for all affect nursing?

    GrumpyRN replied to Emergent's topic in General Nursing

    No it is not funny, it is tragic. Yes, you can do a small scale test. What will that prove? Will you allow people to stop paying the insurance they already pay? Will you say, "Yes your taxes are going...