Tenebrae
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I didn't freeze, I also had the backup of a really amazing team. You had a stressful environment and ended up feeling like you were battling through on your own. No wonder you had a freeze. You will learn from it, and not freeze next time
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For someone with female anatomy I will use lubricant gel. For someone with male anatomy I will always use lidocaine females have a very short urethra to get through, men have much longer to go. If someone wants me to do it differently, they will need to show me peer reviewed evidence based research that says males are OK with just lubricant gel The cynic in me says "sounds like someone wants to save money" I could be wrong though?
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Unfortunately unless nursing council agrees you may find that your experience doesnt count when applying for registration. I recently had a student nurse who was internationally qualified, in her own country was an ICU nurse with cardiothoracic specialty. This lady knew much more about cardiac stuff than I did and it was crap that without redoing a masters in nursing the best job she could get would be a health care assistant (not dissing healthcare assistants, they are amazing, they don't have the experience this lady did). https://nursingcouncil.org.nz/IQN/ I would suggest you submit all your documents to nursing council and they will tell you if they will grant you registration or if they will require you to do the NZ nursing qualification. The positive side now is if you have a previous degree you can do a masters which will allow you to do the qualification in 18 months instead of 2 years Source: New Zealand registered nurse, student clinical liason nurse Sorry its not better news. I will be happy to be proven wrong, its very unlikely you will be granted registration to practice quickly
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Can I suggest a new job. do you really want to work in a facility that is dictating your practice to that level?
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Maybe the patients vitals are unstable because they are in pain. Just saying. IMO if I noticed that I'd have a quiet word with the patients nurse mentioning my observations. Absolutely no reason to say anything to the patient. Run it up the flag pole and check with the charge if really worried
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Dam it you mean I cant be leader of all the world. ? Seriously though and I've said it all along, this kid has the potential to be an amazing nurse. They need to do alot of work on themselves first and stop being a perpetual victim.
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Had this recently with a student. Serious issues of safety and working outside of the scope of a student nurse. I was 'just being mean' because I bluntly told him I would not allow any student to put my patients at risk. Pretty much every nurse that was assigned to preceptor him had negative feedback, yet the student continued to believe in their amazingness and that we were all being mean
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Give what is charted by the doctor in accordance to your nursing assessment. If something went wrong or this patient complains your 'colleages' will throw you under the bus. Not to mention when pain isn't well controlled, people will medicate with other options. I recall as a student I had a patient with arterial ulcers in his lower legs, One nurse said one day "oh but hes an alcoholic' I pulled the 'it would be great practice for me' to ensure the patient got adequate pain relief. The patient spent most of the day hunched up and in bed. An angiogram revealed that the patient had almost complete blockage of the aorta with colateral circulation that had grown around the blockage. When the patient got on regular pain relief, he was relaxed, sitting up in bed and reading.
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what are the reviews of the program like?
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Why were they refered to your service? Yes, with a chronic disease like huntingtons the patient and family may know more than you. I nursed a person with huntingtons who had intractable pyschosis. Being formerly in the military would lash out and injure nurses because of the things going on in their head GIven that Huntingtons is an autosomal dominant disease (only needs one chromosome via mum or dad to manifest) if the patient has any siblings or kids, its important for them to get tested The patients (I mentioned) family had a parent with huntingtons as well as a sibling. The dad said repeatedly if they'd known about genetic testing they would never have had kids
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I had an experience of posting on the nurses forum on reddit a rant about dealing with a challenging student nurse. I freely admit that there were things I could have been clearer about. However all of a sudden it went from me having a rant about an incredibly unsafe nursing student being allowed to remain on placement to me being an appalling human being, an awful nurse and how student nurses hope they never have me as a preceptor. I posted about how this student was mentioning their sexuality all the time. I don't have an issue with that, when it keeps being bought into every single conversation, when its not relevant to the conversation. Dag nab it, I'm bi, neurodiverse and I will never go after a student soley for mentioning their sexuality in a relevant conversation. The student was regularly engaging in unsafe nursing practice and I'm the b on wheels for wanting them away from patients? The whole thing felt like a dog pile, if someone looked at my post history they would have seen the conclusion gathered by the mob were wrong..... (FYI, if something I've said rankles and rubs the wrong way, please ask me before dog piling on ? I know often what is clear to me may not be clear to my reader)
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That was my question? OP its more than OK for you to speak up re the patients wishes. Families often panic and its OK to reassure them as their loved one moves towards death their obs will drop.
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I mean the following with the greatest of respect. You said you had an asthma attack as well as a mental breakdown. Why do you have no excuses? You've just said you had multiple health emergencies. It's not like you woke up in the morning/prior to shift change and went "na stuff it, I cant be assed going to work today' Should you look for a new job? If your work place is going to disipline you for having a multiple health emergencies, don't walk, run. Apologising to your work mates? Show me a nurse who has never had a sick day and I'll show you a liar. If your work mates are being nasty to you because of it, again, don't walk, run. Dam girl, you deserve so much better. How the hell do you hope to help your patients if you are so unwell and barely unable to stand up straight? This whole nurses should be sacrificing themselves on the altar of patient care just needs to stop
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I'm not down with forcing a woman to carry an unwanted pregnancy to term, It sort of has a handmaids tale feel to it. IMO the rights of a potential human being will never overrule the rights of an actual human being
