MaryAnn_RN

MaryAnn_RN

ICU

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All Content by MaryAnn_RN

  1. Please help with MAJOR decision

    What do you see yourself doing in 5 years from now? Would you be fulfilled professionally if you stay where you are? There might be more scope for advancement in the new job, and you would be able to...
  2. Sedation scales

    Don't know if this helps, from some work I am currently doing on sedation: The literature states over-sedation is common (Brochard, 2008). It is indicated as a humane measure to ‘allay anxiety,...
  3. Sedation scales

    Oops, sorry about that. I pasted in a neat little table and it went all over the
  4. Sedation scales

    We use the UCLH sedation scale in ICU which is The UCLH Sedation Score3Agitated and restless2Awake and uncomfortable1Aware but calm0Roused by voice, remains calm-1Roused by movement-2Roused by noxious...
  5. Inhumane Supervisors/Managers-LONG

    I have arthritis (knees and neck are worst) and osteoperosis and sometimes have trouble with mobility; pain is almost always an issue. I fell over and broke a bone in my foot, physio recommended...
  6. Patient Abandonment? Sorry long

    Humiliating for the patient and embarrassing for you. Plus she compromised his safety and yours, if there were not enough staff to do the job. I would definitely write him up and as others have said,...
  7. Lunch????

    Not using the restroom at all is really bad, have done that myself too many times. It comes to something when the pts have passed more urine than the
  8. RN's and CNA's working together

    I've worked with some excellent health care assistants, really go out of their way to provide quality care. Then again, worked with one until recently that seemed to have the chair stuck to her bum,...
  9. Lunch????

    Where I used to work it was not unusual to do 7 am to 19.30 without a break. Used to snatch a glass of water on the run, live on chocolate, crisps, any quick thing that was at hand. Am now working...
  10. It always makes me laugh when 1 to 1 care is not enough, they still want more, more and yet more. Then pt transfererred to step down ward where they are one of many. Family soon realise just how...
  11. A friend told me her neighbour had a card in her car stating 'Nurse on Call' and had a box of gloves prominently displayed on the dashboard. She was a care assistant. What a
  12. Terms we will not admit to using

    ***** -****ed up beyond all remedy Circling the drain Normal for (insert name of your town) ie low intelligence Family tree doesn't fork Deceased pt =
  13. Is this true about most nurses..

    That is so true about 'smelling the fear' if they can tell you are scared there are some nurses (that maybe should work in another field ) that will zero in on that. Still, I found smiling, being...
  14. Teach me how to document--PLEASE!

    I used to use a narrative approach but then found it was clearer using headings. For instance: Respiratorydetails of their respiratory system, how much o2 therapy (if any) are they self ventilating...
  15. my nursing career is gone!

    If my character was being called into question or my professionalism as a nurse I would be straight onto a lawyer for
  16. I have never been nasty to a student until now!!!

    Not phone related but to do with students. We had a final year student nurse actually spit in the sink right next to a pts bed. I was gobsmacked, couldn't believe what she did.
  17. I once fell asleep at the wheel while in stationary traffic on the way home due to lack of sleep, rolled back and hit the van behind me . Agree totally about taking healthy food to work and drinking...
  18. Nurse bashing by UK public AGAIN

    :typing i once had to make a formal complaint about the care my father in law received in a london hospital. i must admit it made me feel deeply ashamed of my profession at the
  19. Nurse bashing by UK public AGAIN

    The article annoyed me too, then found out that the man used to be a heroin addict. So now I feel sorry for him. It was interesting that David Cameron has refuted his
  20. So Who Runs Your Floor, You or the Aides?

    I asked a health care assistant to help me sit a patient up and she said 'why can't she do it?' pointing to an RN who was doing iv drugs. I smiled sweetly and said 'Because I'm asking you' lots of...
  21. Dnr

    :typing Order for a patient: Not for Resus (DNR) Not for Ventilation, Not for Intubation, Not for Haemofiltration...BUT FOR a shockable
  22. diseases common to nurses?

    Osteoarthritis is quite common where I
  23. Dismissed from nursing program

    A very good friend of mine failed his pre-registration training in the last term. I think he ran out of credits and was unable to proceed. What he then did was get a job as a health care assistant...
  24. Documenting and not DOING anything for pt's.

    I once found a small but perfectly formed pressure ulcer on a patients elbow. He was on 2 hourly turns and there was no mention of this on the turn chart. Mentioned in report at the end of the shift...
  25. Documenting and not DOING anything for pt's.

    I was involved in a really nasty incident last year; pt septic, massive amounts of noradrenaline, respiratory failure, renal failure, coagulopathy...the lot. Pt being nursed on a high dependency...