spacemonkey15

Critical care

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All Content by spacemonkey15

  1. spacemonkey15

    Emergency calls

    The procedure you follow should be covered in a BLS/HLS session prior to you starting placement, along with any local variations, such as how you describe the situation when you call the 2's. On...
  2. spacemonkey15

    More nurses leaving register than joning...

    It's ok, they'll replace them with cheaper nursing associates. I say this with a generous serving of
  3. spacemonkey15

    IABP Alternative

    Is this homework? Generally, iabp, impella etc are an escalation when medication alone is not
  4. spacemonkey15

    International Nursing

    The way we fund student nurses here in the U.K. is about to change, whether this may mean a change in residency requirements is yet to be seen, as tbh, it feels like no one seems to know what is...
  5. spacemonkey15

    Associate Nurse- a new role?

    I think they'll be used as a cheap alternative to plug gaps in RN
  6. spacemonkey15

    CRRT and mobility

    We mobilise patients with extracorporeal VADs. Yes, it does take an army to do it, but it makes for a shorter rehab when the patient finally gets definitive treatment. I know of centres over here (UK)...
  7. spacemonkey15

    Winter Pressures

    With the news of what has happened at St Georges, I think any trust could end up in strife. My trust has an outstanding CQC rating, but we're still always stretched for beds and it's got worse with...
  8. spacemonkey15

    Pain medicine to drug addict?

    You did the right thing OP, often people with a history of drug misuse require a lot more analgesia to get their pain under control, o even the addition of more novel analgesics such as ketamine. As...
  9. spacemonkey15

    Winter Pressures

    We've been at capacity for most of the year, A&E waits are at their worst point for over a decade. I kinda feel a bit Jon Snow about it all to be quite honest. if we actually have a cold winter,...
  10. spacemonkey15

    Usual cases in the AMU?

    Most AMUs take admissions from both the emergency department and GP referrals. You see a lot of very sick patients, in the initial stages of their illness or deterioration where there can be a vague...
  11. spacemonkey15

    Shall I inform NMC.

    I wouldn't inform the NMC about it, if your employer thinks your fitness to practice has been impaired then it is them who will inform the NMC and things will progress from there. What you should do...
  12. spacemonkey15

    Take home pay for band 5 nurses

    Where do you live at the moment? If i had the freedom and the savings to move out of the U.K., I'd be considering it now, unfortunately I don't so I'm going to have to baton down the hatches and...
  13. spacemonkey15

    Was this a blood transfusion reaction?

    It sounds more like this patient's deterioration was down to sepsis, you took relevant action each time you were concerned about changes in your patient and consulted a doctor, it sounds like...
  14. Remember how it feels to be the new guy, before you know it, you won't be and someone new to the unit will be looking to you to help them find their
  15. spacemonkey15

    Asked to write statement for a nurse

    all you can do as a non registrant is provide feedback which the registrant can then use to reflect upon when it comes to their revalidation. When end you say it was ages ago that you worked with...
  16. spacemonkey15

    Who draws blood in hospitals in uk?

    It's also more commonly done by HCAs in some
  17. spacemonkey15

    Can nurses strike in the UK?

    I think the RCNs comments about striking then were more in reference to unison members striking, if RCN members were to have joined them when the RCN weren't striking it would have been a disciplinary...
  18. spacemonkey15

    Can nurses strike in the UK?

    Didn't Unison participate in strike action recently? (As in a couple of years
  19. spacemonkey15

    Can I be a nurse anesthetist?

    There's no CRNA role here in the UK, but a nursing qualification can qualify you to go on to train as a PA in anaesthesia, it's quite competitive to get into though. i don't know about the hep B...
  20. spacemonkey15

    ICU Patient Ratios

    When I look at you guys discussing staffing ratios I'm thankful we have set levels of care that dictate our staffing ratios with the critically ill here in the UK. 1:7 sounds so
  21. spacemonkey15

    NG insertion Doctors VS nurses

    UK based nurse here. We place our NGTs, unless we have concerns about placing the tube (altered anatomy, several failed attempts, coagualopathy etc) then we place our tubes. We ask the docs to request...
  22. spacemonkey15

    Is this normal??. Help please

    You're welcome. Starting a new role is scary. Starting as an NQ nurse is really scary. Putting both together along with doing it in a different country to the one you trained in is going to cause a...
  23. spacemonkey15

    Is this normal??. Help please

    You can be signed off for meds as soon as whoever is signing you off assesses you as competent. There's no time limit. I could go on at length about what I think about pre reg training and how it...
  24. spacemonkey15

    Is this normal??. Help please

    Actually, it's pretty common for people to only get a few days or weeks of supernumary time before being in the numbers on a ward, even as NQ nurses. 6 months is really generous. In the end, the...
  25. spacemonkey15

    Perfusionists (ECMO nurses)

    Are you addressing your question to ECMO nurses, or is it working with ECMO patient's that interests you, as a perfusionist is a separate role to nursing. To become a perfusionist you need to apply...