Tenebrae

Ignorant liberal here. Very much pro vaccines

"hey there, I need to come into the room to do X to help you. Are your dogs ok with strangers?" Our service dogs training system are much more regulated and there is no way a pitt bull would be ever used as a service dogs so this wouldnt happen here My goal would to be establish a rapport with the patient while ensuring my safety and that of my colleagues

I have worked in similar situations to these nurses and I continue to call bull bollocks that poor resources and poor staffing is in any way an excuse for the criminally negligent behaviour of those nurses I've had shifts where I've been the only nurse for 90 plus residents, including respite (temporary) residents who go into end stage of living needing extensive palliative care input and playing fax the provider who lives in another city and cant come to the facility because they had a full patient list in surgery. And you know what, I got it done. Not because I'm super nurse, or remotely remarkable in any way, but because it needed to be done. Lack of resources, crap staffing is not EVER an excuse for nursing negligence such as outlines in the original post.

Moron!

If I found a patient with a necrotic wound, I'd be on the phone to the provider, for full bloods, a referal to a wound specialist and not stopping until someone listened. Why were the nurses not demanding that something be done? Its all very well and good saying "oh but the provider didnt do X" however the providers are reliant on what the nurses in the facility tell them. They dont mind read As for wound swabs of the patients wounds, given how colonised many of those wounds are a fairly hit and miss process in terms of getting an accurate picture of what bacteria are present. Why was a blood test not done. A blood test would at least show an elevation in CPR and WBC indicating a potential infection.

My nana woke up feeling unwell one morning and by 1000 she was gone. Didnt even go to hospital Hope I go like that when my time comes

Medicine doesnt cope well with letting people die. I recall having a strongly worded discussion with a doctor about a patient in end stage COPD with a chest infection not responding to antibiotics. Dr was bamboozled as to why the patient didnt want to go to hospital for IVABs. Patient was a former nurse who knew exactly how their disease would progress and we'd had a discussion the last time they had gone to hospital and they had said to me, "tenebrae, i know that if I dont go to hospital I may well die, and I'm ok with that" Patient was alert and orientated

One thing I have noticed in the US, with no central authority to guide nursing education and how its provided through nursing schools you get some graduates who need five or more attempts to pass NCLEX and those who pass on the first go. It seems very hit and miss All our nursing schools have to teach specific curriculum's to be accredited as a nursing school. Our national pass rates are around 95-100% most years. Occasionally a nursing student may need to resit their state final exam (NCLEX) once if they dont pass the first time, and after that need serious remediation before being allowed to sit the exam again. No student would ever be allowed to sit the exam multiple times until they pass.

Absolutely. There is no excuse what so ever for a patients wound to get so bad its described as 'rotting from the inside out' We are lucky, our doctors are more than happy to let nurses take the lead on wound care, including dressing regimes and whether a referal to specialist wound care services are needed.

Generally the only notice I get when I'm getting students is when they rock up to the ward with the clinical tutor and I'm told I'm taking X amount of students Dont get paid any extra for it either. Dont get me wrong I enjoy teaching, that doesnt change the fact that having a student increases my work load.

Nope, I was bought up that if I are due to start work at 0700 I am in the door by a minimum of 0650 and ready to take handover at 0700. The start time of work is just that, a start time. Not an optional suggestion

Em nope. If you cant get yourself to my facility on time to get the basis for what will formulate patient care, I will have you removed and you will not return I will not have my patients put at risk by a student who thinks they know it all, and dont need to get the thing which will direct the patient care for that shift If that offends your delicate sensibilities, tough bikkies, if caring about the welfare and safety makes me a prima donna with an ego complex, I'm ok with that.

oh dear god. That is bats**t crazy

This, and a thousand times this. Its all very well and good daying 'oh but management...." If management want you to sign for something you didnt do, say no. If they pressure you, say no again and as often as you need to so they listen

They are responsible for doing something when they see a wound deteriorating. Wound care is the domain of nurses here. We decide how to treat them, and whether it needs specialist intervention