Jo82

Hi I have an interview tomorrow and one of the areas that will be covered is how can I demonstrate how I am committed to providing a quality service. I have to give an example of a time when I've done this in clinical practice Any Ideas Thanks

Thanks for the advice, its a another learning curve, I will study up on the subject and find out what our local protocol is

Thanks for the reply, guess I was just looking for some reassurance as it was my first one, she did have a hx of seizures that was her reason for admission, she had nothing diagnosed yet but was being investigated for temporal lobe epilepsy. She alse had a hx of psychosis. I did monitor her vitals each time, and kept the doctor informed. Also put her on her side. I guess my question is can u keep on giving loraz or midazolam for each and every seizure or is their a limit I couldnt find much info in Drugs manual. Then her iv access blocked and docs wouldnt come and resite ss they were extremely busy with it being new years day there was only on call working. A very stressful day all round and I jus needed to vent.

Hi Jst wondering if anyone could advise me on this, Yesterday I had a young female have a seizure on my ward, I responded by putting 100% o2 on via mask, it lasted about 15 seconds, then it happened again, this time I gave her 2mg of lorapam, in all it happened 13 times, and in total she got 8mg of lorazapam and 5 mgs of midazolam, on the advice of the doctors to keep giving her the meds every time she seized. She also got 1g of phenytonin iv in 1000mls of nacl. Im jus wondering is this an appropriate thing to do. Surely if I jus kept giving her those meds it could overdose her. Im wracked with guilt today and im not back to work until Monday so I wont know how things went after I went off shift. The more I think about it now they could have been pseudoseizures, as the last few at the end she was crying during them. Which makes me feel even worse as I could have been giving her the meds unnecessarily. But the initial ones seemed very real. It was my first seizure and im fairly newly qualified so your advice would be appreciated. Thanks J