paris2

Sharrie and Karenmaire, Thanks for your support. I work with 5 consultant and he is one of the newish one. Basically ward nurses do not do ward round so when i go on the ward my prority is to ensure my post op pts are supported during the ward round. That morning i was with one of the other consultant doing post op ward round, but this consultant wanted me to do pre-op ward round with him. He said my priority was to sort out pre-op pts and not post op. Although i know were he coming from, getting preops pts ready is ward nurses issues, my priority is post ops as they have greater needs, vomiting, headaches etc. However, i have written to him asking him to make an appoinment so that we can discuss this. My line mamager is on holidays and will be back on the 10th, so will see him thereafter. I will also give him my job description, he can have look although it is very generic, but it does not itemise where i should be working. As a Clincal nurse i work where my patients are. This is in the best interst of the patients and not the doctors.

I am a clincal nurse specilist and see my patients where ever they are, ie opd, day case ward etc. Last friday patient going to theatre was not ready hence there was a delay. as i walked on duty a consultant march up to me and asking me justify my hours, what time i start, what is my role etc, and that it is my responsiblities to get patients ready for theatre, in quite threatening manner. Whilst i stayed calm, i said to him that i share your frustation but it is the ward manager he should be going to and not me as running of the ward is not my responsiblities. Delay going to theatre is an on going issues. However his threatening manner was so bad that i don't feel like going to work. Why do they have to behave like this.

and More!!! The Noctors are nearly all in place to replace junior doctors, in case they ever go on strike.As its the same familiar faces doing a bit of extra work, and there is no problem to them..yet..senior doctors will shrug their shoulders and carry, as they have mortgages to pay and families to feed and clothe. The day that this is going to happen is not in a far away Sci Fiction story, but is a fast fast approaching reality. It is too late to stop the Juggernaut and many here laugh it off only for self reassurance.

and more Go for it. You might get a chance to use your surgical skills, instead of just doing paperwork.

And more !!! Uniform is not required. The clipboard is the real mark of authority . . .

And more NPs in most hospitals i've worked in wear their own clothes. But to answer your question: No Avad, you can't be a nurse practitioner. You don't need to hold hands with another nurse to form a synapse. You would never fit in.

I just came accross this in DR's forum Can I be a Nurse Prac? Apparently there is now a blurring of roles between doctors and nurses. What a load of Chelsea. Nurses are taking on doctor's roles. They are sitting in clinics, clerking, doing procedures in theatre. We are not taking on their roles, doing obs, changing beds, administering medication, setting up infusions etc. Also, none of these Nurse Pracs/Clinical Nurse Specialists etc are doing any nursing jobs anymore either. Despite their crticism of the way nursing care has gone downhill and how it would never happen when they were on the ward. (Perhaps they should not have left?) Anyway, point is, if any of us are stuck for a job any time soon, would there be any reason we could not apply to be Nurse Practitioners? I agree, I have never been a nurse, I don't have a clue about being one but is that really necessary for the job? It's the same argument they use for not needing to go to medical school, do three years as an SHO and pass a membership exam to do theirs. Plus it would be nice to have a uniform. The nurses would actually take notice of what I was saying for once. I'd have more say on trust policy issues. This is where the real power lies. Perhaps this is the way forward. What do other nurses think?

My brother 53yrs NIDDM suffered from both legs swallon for past 3 days and was getting worst, and had very bad c/o coughs for past 2 weeks or so. We advice him to see his GP as a matter of urgency. He rang the GP practice but was told that GP will see him at the end of his surgery. My brother waited 3 hrs before the GP saw at 6pm. We don't what happend at GP consultation but my brother was sent home. Unfortunalty he died at 10pm. We asked the GP next day as to what acutally happend and what he did at the surgery. He said that being diabetic there is 1 in 2 chance of having MI. We asked him if he did any investigation or atleat have checked his BP, the GP noded his head and said no. My brother has been working full time and going about his normal life and to die sudden was a shock. Also the decison between the GP and cornor was that post mortam was necessary. I am not sure if the cornor knows what action GP has or has not taken. We are now awaiting for his medical record from the PCT. What do people think of this.

Hi At one time you could be a cadet doing ophthalmic nursing first and then do Register Nurse Training but that was stopped years ago. Now you have to do registered nurse training first and then go and do ENB-346 ophthalmology course. Although to work in ophthalmic OPD you do not necessary need ENB-346. However you need to bear in mind that if do apply Sister's post in ophthalmic, ENB-346 is essential. Regarding 6/24 VA, would not prevent to from working in OPD setting this would prevent doing things like slit lamp work, SAC Washout etc which requires sharpe VA's. But in some hospital as a staff nurse you may not require to do this. Hope this helps!

10 for me. I l love and live for my job.

Discrimination? We all are from different ethnic background and different cultures and so this nurse feels that she has been singled out becuase of her background. But that is not true. The truth is that she has terrible body odour and she needs sort it out. We are simply protecting our patients.

Some staff and some patients has complained to the ward manager regarding one of the nurse with severe body odour. It so bad you can tell which room she has been in. The ward manager had to take her a side to address this issue and at the time nurse said to the manager that she is happy that the manager has mentioned this to her. She further went to say to the manager that she know she has this problem and has already seen GP about it and has some tablets prescribed. But now i have heard that this nurse is upset and seeking advice from the union regarding discrimination. And that there will some sort of investigation. Not sure what will happen next. What do other think?

A patient was seen by the nursing practitioner, then by the doctor and then planed for surgery in 3 days time. On arrival to the ward no pre-assessment was done. I questioned the doctor as to why this patient was admitted without adeqately prepared by the NP. He said that she does not have time. This is because the NP is busy doing task that is normally done by the doctor hence it benefited the doctors. I am all for nurses to advancing their role but not if it not benefited the patients. I have written a stern letter to my lead nurse about this. What dose others think about this.

We have senior sisters meeting every monday, i find this somtime useful as this is the only time we can get updated of whats going on etc. But i am thinking whether every monday is necesary, as sometime i come out of the meeting thinking what a wase of time that was. What about others, how often do you have your meetings, and what should be included. Any hints advice etc would be appreciated.

In a view to move to new hospital in few yrs time, we have been asked to do process mapping in our area in terms of patient's journey thru hospital. I have not done this before and would appreciate and help/hints etc. Many thanks