Tenebrae BSN, RN

Mental Health, Gerontology, Palliative

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All Content by Tenebrae

  1. Tenebrae

    What can I (we) do? RANT

    Also lack of solid union
  2. Tenebrae

    Educating patients on ER use

    I was admitted recently via ED via urgent care with septicemia and a L axilliary access. After a 6 day stay which included TDS IV ABs and surgery, it cost me a grand total of $14.00 for the discharge...
  3. Tenebrae

    Communicating with Doctors

    We are encouraged to use the ISBAR tool. Seems to work
  4. Tenebrae

    Educating patients on ER use

    Thats standard in all public hospitals here. We also have Urgent care after hours clinics which can be pricey which is why people end up in
  5. Tenebrae

    Is it legal to have RN's use full name on badge?

    NZ nursing council lists our first and last name, registration number, expiry date of current practicing certificate, and any conditions or scope of practice, eg some nurses can only work in general...
  6. Tenebrae

    What can I (we) do? RANT

    One of the things that seems to be endemic in the US is the 'fire at will" culture. Nurse makes a mistake "fire them", nurse makes a drug error "off with their heads" Seriously, many of the things you...
  7. First of all. Be kind to yourself. The transition from being a student to being a real life true blood nurse can be terrifying. I spent most of my first shift when ever someone said "this is...
  8. Tenebrae

    What the Biotherapy Course is lacking

    I would not consider a course like that without a strong practical component. Its a therapy that can have some fairly major side effects when its done right. Cold chills imagining what could happen if...
  9. Tenebrae

    Nurses need a pedometer

    I work in a LTC. I use the one on my phone. Most days do between 10-15,000 steps daily. Equates to between
  10. I agree with the others. Focus on keeping your head down and finding something different. My first job out of nursing school was district nursing which I did and still love. Unfortunately we are a...
  11. I prefer "Your imperial
  12. Not to mention too many people take 'the customer is always right" as a carte blanche pass to act like a knob Hated that attitude when I was working in retail to supplement my nursing studies,...
  13. Tenebrae

    Er burn out? Stressed out?

    It was when I found myself crying in the car park and having a panic attack at work I realised that I was over stressed and needed some time out. A few questions I would ask 1. Can you identify...
  14. Tenebrae

    2ndsemester Mental Health & research. Help!

    I hate to say it, suck it up and learn APA. Its hideous, tedious and really annoying. Its also something that can potentially lead to you failing an assignment if done wrong APA Referencing Style...
  15. Tenebrae

    New grad over 1 year and a few months

    Who told you that LTC would count against you in acute care? Many friends are now working in acute hospitals after doing a year in
  16. Tenebrae

    Dear Nursing Instructor

    I totally get this. As a student it used to be a total bug bear of mine, disrespectful to the lecturer and their fellow students. That said I saw a lecturer bark at a late student one day "Get out",...
  17. Tenebrae

    Dear Nursing Instructor

    I had to redo my year two nursing care plan due to failing. The lecturer gave me the resubmit two days after my father died. I took the resubmit back to her prior to marking. She went through it and...
  18. Tenebrae

    Resigning and the Incessant "Why?"

    I've had a similar experience. What I ended up saying was "I have really enjoyed my time at *********A, I have learnt alot and gained a solid nursing foundation which will serve me well in the...
  19. Tenebrae

    Calling in sick

    I worked my last shift with a temp of 38 degrees celcius. I ended up leaving early and got admitted to hospital with raging cellulitis I made a monumental medication error and gave the wrong...
  20. i would look at your non nursing jobs and see what skills could potentially cross over into nursing. Firstly the form is compassionate care not compassion care. Sounds picky, the head of my nursing...
  21. Tenebrae

    patients on methadone plus PRN pain meds

    Reality is that femaie addicts get pregnant. Tell me is it safer for that little person in the making to be inside a body that is withdrawing from one of the hardest drugs around with all manner of...
  22. Tenebrae

    patients on methadone plus PRN pain meds

    I saw that in action while on clinical placement on a medical ward. This person had a history of alcohol misuse and judging on his non verbal indicators of pain, grimacing, scrunched up into a small...
  23. Tenebrae

    lovenex

    In district nursing we had a lee way of 1 1/2 hours if necessary between when the dose was due. Mainly because often we had to be in multiple places at once and had to triage order of visits. Wouldnt...
  24. Tenebrae

    New to PDN

    Sorry showing my ignorance, what is PDN? Realise its something to do with paediatric patients but
  25. Tenebrae

    2 insulins = 2 injections

    When I was working on surgical, we would use the one vial for multiple people however the vial never left the drug room. And as others have said, the top would be swabbed with a new alcohol swab...