marsy82

Hi... I am a graduate RN and have a 6 month rotation in a day surgery unit of a large metropolitan hospital, I have not worked in one before and therefore am not sure what to expect. Can anyone offer me any insight into the things I might be doing/se...

Just a quick question regarding the use of IV pumps...i'm a new grad and during my time in ED I did all IV infusions without the use of a pump....I'm now about to start on a ward which uses pumps. If I make up an antibiotic which is to be infused ove...

Not interested in theatre/OR or mental health. Although I love children, I would not want to work in Paeds, it would be too distressing. My main interests are coronary care and ED, although with ED I do not see myself sticking around longer than 2 y...

Thanks for the reply. I will take it as a positive experience, ED was great but exhausting so maybe day surg will be a breath of fresh air for me xx

Thanks for the reply brownbook.... So do you think it is a place I will learn anything other than time management? I have previously worked in ED so this seems a bit like a step down for me?

I found it was good to spend the first few days observing and getting a feel for the place. Offer to check vital signs, do ecgs and basic assessments. When comfortable ask for a patient (start with an easy one, my first ED patient had constipation)....

I am a final year nursing student, I have been placed in the ED for the next 4 weeks. The only other nursing work I have done prior to this is aged care. Yesterday was my first day and I felt so under prepared it wasn't funny. The nurses were great a...

Thanks Esme, It is a busy country ED. I'm sure as the days go on I will feel more confident but right now i'm definitely feeling like a fish out of water.

I work in residential aged care, we have an elderly Vietnamese lady with special privileges because her family are very wealthy and are constantly emailing and voicing their concerns about their mother's care. She is physically ok despite random epis...

The one thing i found most helpful when I first started was getting to know which residents needed the most care. I then got a handover sheet and jotted down as much relevant info next to each resident's name and kept it in my pocket for the first fe...

Unfortunately sometimes you just have to do as the patient/resident wishes despite it not being in their best interest. No matter how hard you try, you will always come across people who will refuse help/medication/intervention - just as long as you ...

I have been working as a carer in aged care for 3 months now. I enjoy the job and the residents but am seeing a side of nursing which is putting me off finishing my bachelors degree. The nurses are rude, snappy and pick on me for any little thing the...

Thanks everyone! I had to work with her again last night, she didn't say a word to me except to ask me to help reposition a resident, you could cut the tension with a knife. I will be mentioning her when I see my manager next as she is nothing but ru...

I agree with funtimes! There are also no meal services during night shift either which is a bonus, so you basically wait for Mrs Pee's a lot to call her bell every 20mins, reposition people and do wet checks. It's actually quite boring and the time d...

I have an eldery non english speaking patient - he's vomiting, feverish, having constant abdominal pain and BP 90/50. He has his son with him who is acting as an interpreter and is stating that his father is refusing all treatment - How do I base my ...

I have an elderly non-english speaking patient that is having constant abdominal pain with unknown cause - in brief he is vomiting and feverish, BP 90/50 and has not had much fluids/solids in the last 48 hours. I'm thinking I should use the numerical...

I forgot to mention that his son is with him and is acting as a translator. Should I consider the falls risk assessment tool considering his BP is low and his son has expressed that he has been confused and forgetful lately

My case study client is 85, has vomited 4 times in the last 12 hours and has had very little to eat and drink - his BP is 90/50, RR 28, HR 110, T 102.7 - this is all I know concerning this issue. Would the diagnosis of fluid volume deficit be actual ...

No other tests, only obs have been taken. I was also thinking hypovolemia but what would the nursing diagnosis be? Decreased cardiac output r/t hypovolemia secondary to vomiting?

Thanks for the info guys, I will definitely take a notepad with me thanks for the tip. I believe we only have 1 day orientation, does this mean that after this time I will be left on my own or will I still be able to receive help until I know the rou...

I'm about to begin working in an aged care complex but have never been exposed to this sort of environment before. What is the usual method of bathing & toileting elderly clients in these facilities? Are residents usually able to take care of the...

It is a care assistant position, I haven't formally trained for the position but i'm a 2nd year RN student - i've only assisted with basic patient care so far.

Hi nurses My case study is as follows: I have an 85 year old patient, he has been admitted with abdominal pain (liver region) that has been constant for the past week, be has been vomiting and has not had any food or fluids in 2 days. He has a temp ...

Ok, after a bit of research i'm going to attack this a little differently. So I think the first priority should be the hyperthermia - once taken care of can eliminate his temp, fever, HP, RR and possibly his vomiting (by regulating temp, managing flu...

Thanks for your input Esme. Nope, no care plan book, I might borrow one from the library or download one from the database though.