NO50FRANNY

NO50FRANNY

Emergency, Haematology/Oncology

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All Content by NO50FRANNY

  1. Over the Animosity

    I just wanted to elaborate on our rotation system so you can decide if it is something that may work for your facility. Nurses volunteer, but are highly encouraged by our educators to do so. The...
  2. Over the Animosity

    I totally agree with sauconyrunner- We have a great rapport with our ICU and I think it is largely to do with an encouraged rotation system. We have an agreement with ICU, we swap nurses for three...
  3. Burn Out!! **Long**

    I'm with Boston. I work with quite a few ICU nurses who described exactly how you are feeling now prior to coming to ED. They are an amazing asset to the department, we love them and they LOVE ED. I...
  4. Calling Code Blue in ED

    I know this might not be relevant given the difference in size of the facilities but I will tell you how our CODE BLUE response works anyway. If there is a cardiac arrest in the hospital (700 bed...
  5. Sometimes you just can't bite your tongue.....

    I got a round of applause for this one, but it wasn't a patients' family it was an intensive care paramedic who is known to be an arrogant and nurse despising jerk. He is one of those ambos who will...
  6. Inaccurate respiratory rates

    I almost NEVER trust any documented RR. The relaxed 18 year old with resps of 18????? I just counted my own and and it's 12. I see it all the time- ambulance crews do it too and I've had a couple...
  7. Thought I would ask my fellow experienced ED nurses about good tricks both medical and nursing when dealing with patients who have complex psychiatric/intellectual/social issues that occasionally...
  8. Some questions about needlestick injuries

    Hi there, Two needlesticks in 14 years. One was nothing, but the other was a different story. I was looking after a trauma patient who was hep C +ve and a junkie. At some point during his care I...
  9. Behavioural Management in Emergency, need ideas...

    Not competent as such, he is under the care of a government agent who acts as guardian, controls his finances and so on, but he functions at a level deemed too high for institutional care so far. He...
  10. Behavioural Management in Emergency, need ideas...

    Thank you so, so much for your response Altra, He is a ward of the state to an extent, his financial beneficiary is the "adult" guardian (government carer) so his parents have no influence whatsoever...
  11. Behavioural Management in Emergency, need ideas...

    By the way, I forget that paracetamol is called acetaminophen in the US. He usually ingests in excess of 100 grams or 50 odd
  12. 100k salary?

    Exactly the same in my neck of the woods, with the same qualifications and experience. Bottom line, I believe one has to work to the point of insanity in a direct clinical position to get past 100k,...
  13. Murphy's Law of Nursing

    I have mentioned this before, it's called the protective dickhead
  14. Murphy's Law of Nursing

    I have heaps but will narrow it down. I am guaranteed to be the only nurse that the floridly psychotic or upset geriatric patient will talk to or respond to, particularly when they are not assigned to...
  15. Frequent Flyers

    A similar pathway was recently developed in a tertiary hospital in South Australia with excellent results. Similar principles, social work, case workers, primary care and a defined pathway with rules...
  16. Three Mass. ERs cited for denial of care

    It is interesting that for such a vastly different health care system (US Vs OZ) the similarities are uncanny. At the moment, the powers that be in my city are trying to bring in legislation that...
  17. What do you hate seeing the MOST in the ER!?

    Dude..... I'd be the first one putting in a line and getting you some ondansetron, you would only have to wait for me to put on an apron and some goggles if you are that
  18. Help! I am failing orientation.

    Your awesome attitude has inspired me to respond. I am one of these crusty old nurses who thinks it is really tough for new grads in emergency and hate seeing them struggle and have their confidence...
  19. Afraid I started a hostile situation

    Ugh, tricky. If your manager has requested a written statement with your version of events you are obliged to do so but if you truly would prefer not to, you could discuss it with your manager....
  20. Does LTC stand for long term care? (aussie
  21. Remember why you became a nurse...

    I had a tear, or two, or three or four for you just now. Apparently I still have my empathy. We all have our stories and I absolutely unequivocably could not have written a response that mirrors...
  22. Staff splitting going too far?

    Badness mate. I didn't even need to read your entire post- she has sociopathic issues of her own and I suspect, does not realise how her behaviour is re-enforcing other manipulative behaviours. As...
  23. I worked in nursing homes for almost a year when I first graduated for similar reasons. I had absolutely no desire to work in this area either, but I am so glad that I did. I can say this much, I...
  24. What do you hate seeing the MOST in the ER!?

    Vocal vomiting. I will usually say "It does not require your vocal cords to vomit, so stop it". Kind of like calling someone on a fake seizure, "you can stop doing that, we are not interested"....
  25. Favourite Doctor Moments

    Calabria, your post has just reminded me of a doozy. I had a patient in our short stay unit 40yold M with a CSF leak after being belted in the head with his surfboard. His almost full term pregnant...