canned_bread

Cath lab, acute, community

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All Content by canned_bread

  1. canned_bread

    Adult ER nurse....advice on Pedi patients

    Also their blood results (haemoglobin etc) has different reference ranges in the paeds population. Remember to focus on family centered care, not just the
  2. canned_bread

    Increase abuse of Bath Salts

    Wow, I am amazed this thread was started so long ago, when the problem only caught my attention in the last month or so (after the "zombie" attack). I did recently have a patient (14 yo) who presented...
  3. canned_bread

    Flow sheets

    I just did some research and found you a standard one we are using in NSW, Australia. It is located below. NSW has started a new initiative called "between the flags" which basically makes it obvious...
  4. It's not to rude to send a letter asking why you were denied
  5. I always accumulate alco wipes and come home with paper tape (micropore
  6. canned_bread

    Ouch...my back hurts

    Do not pretend you have no pain, that will make them think it's less of a problem, and it sounds like you have a serious problem. If you deny the pain, it will come right back at you. I am sure you...
  7. canned_bread

    Nun wanting to give NPO patient wafer

    For some strict Catholics, breaking of the wafer (or indeed chewing it) is disrespectful. The wafer basically dissolves in the mouth so I wouldn't think it would matter to much as far as surgery wise,...
  8. canned_bread

    Splitting pills outside of nurse's scope of practice?

    What is the rationale for this?! We have a pill cutter for the hard to split pills or if it's important to get it accurate, but otherwise surely it doesn't
  9. I would also love an answer to this. I think an inconsistent rostered day/night schedule would be harder
  10. canned_bread

    SSRI's and nursing

    There was a time where I couldn't be nursing without my morning dose of Zoloft. It's not something to share with most colleagues and your employer however, it can still be stigmatised. SO be
  11. canned_bread

    Single dose vial meds

    In our facility, as per protocol, if it is drawn up it has to be given straight away. There is a section for patients own medication (which excludes S6 and S8 drugs) where we can put a drug in there...
  12. canned_bread

    Should I be worried?

    I think your preceptor was being a bit harsh. You don't learn at nursing school (well at least I didn't!) that if you med is out of stock you go to pharmacy. That's the stuff you learn on the job....
  13. canned_bread

    B12 injections,can you give it in the arm muscle?

    It's IM, so you have to look at the patient and think where is the most accessible and bigger muscle? Is it a thin, old patient? Or a chunky patient? If it's chunky I find its always better to give in...
  14. canned_bread

    Wiping off IV ports

    I wipe all IV lines as it is going STRAIGHT in. It's common sense. Its laziness not to do it, and all it takes is one teeny tiny little bit of bacteria in a susceptible patient... I also keep the end...
  15. canned_bread

    Did you keep your nursing books?

    I kept mine and then 3 years later when I went to give them to a friend starting nursing school it turned out they were all old editions! I did find a nursing dictionary/textbook in a junkyard sale at...
  16. canned_bread

    Laying off everyone

    I am in Australia and one BIG HUGE hospital is currently in the media for the amount of layoffs. They have restructured the senior staff, have layed off so many cleaners that it is causing patient...
  17. canned_bread

    How much pain medicine is too much?

    It sounds like this patient would benefit from a PCA with a background dose running, as well as a small amount of top
  18. canned_bread

    Which Sydney hospital?

    Depends where you want to aim at: paeds or general! They are both great hospitals (I have worked at both). Some people say if you start working at paeds it can be hard to branch out into adults in...
  19. canned_bread

    Serious question

    First of all, I am terribly sorry to hear about what you have been through. I went through something similar and I highly recommend long-term counselling. The answer is NO. There is no requirements...
  20. canned_bread

    Baffled

    No, I think Cul is studying gender studies at community college. 3 threads have been created by him/her/other about genders. Very umm...
  21. canned_bread

    Has anyone ever done this?

    Mistakes happen! I would clean with an alco wipe afterwards to ensure its
  22. canned_bread

    Refusing the Influenza Vaccine

    We do not need influenza vaccine, but require MMR, tetorifice etc. I suggest you get your doctor to write a letter stating you are not to get it. Furthermore, I would enquire as to your state laws...
  23. canned_bread

    Baffled

    Just in reference to this, my sister was a stutterer and I used to speak "for" her sometimes when she couldn't get her words right, which happened when she was scared, tired, or with certain...
  24. Thank you everyone for your response. Now from some responses I can see the ethical/legal issues could come back to bite the nurse, I might mention them to her if given the opportunity when I next see...
  25. The catheters we have are very sticky, so there isn't any problem with them staying on. Actually, getting them off gently is quite a task! It's just the grip and having to sometimes use a "pincher"...