spacemonkey15

Critical care

Member

  • Content

    117

  • Visitors

    4,201

  • Followers

    0

  • Likes

    13

All Content by spacemonkey15

  1. spacemonkey15

    Ambu bag with COPD patient question..

    spacemonkey15 replied to lvnnars1's topic in General Nursing

    You could hand ventilate someone using an air flow meter, but why would you want to bag someone who is arresting (UK speak for coding) and is probably profoundly hypoxic anyway? Even if they are a...
  2. spacemonkey15

    About working in the UK

    spacemonkey15 replied to Chiffon's topic in United Kingdom

    At the bottom of band 5 you make about 1200 to 1400 a month after deductions, it'll depend on whether you work weekends or nights as well (though if the government have their way that'll come to an...
  3. spacemonkey15

    Letting very young children see a dying patient

    spacemonkey15 replied to Cuddleswithpuddles's topic in Critical Care

    I've encouraged families who've been sat on the fence to bring in their kids before after talking with them, I've agreed with others that it wouldn't be the best idea. The way I feel about it is, that...
  4. spacemonkey15

    glove allergy

    spacemonkey15 replied to sherone's topic in Nursing Student Assistance

    I think you've got a fair case to fight your corner with what you've told us here. People work in the NHS with latex allergies, there are nurses working with BBVs such as HIV. The university's occy...
  5. spacemonkey15

    NHS to agency??

    spacemonkey15 replied to e-liz_RN's topic in United Kingdom

    If you're planning on working in the NHS in the future then it might be more sensible to find an NHS job than going agency for a long period of time. If you have more than a three month break in NHS...
  6. spacemonkey15

    glove allergy

    spacemonkey15 replied to sherone's topic in Nursing Student Assistance

    Are you in the RCN or Unison? It might be an idea to have a chat with them to see if they have any suggestions if you are a member. There are different types of nitrile gloves available in the NHS, I...
  7. spacemonkey15

    glove allergy

    spacemonkey15 replied to sherone's topic in Nursing Student Assistance

    This is something that you should have spoken to occupational health about at the start of your course, they would have been able to give you advice and guidance about what action to take, it's what...
  8. spacemonkey15

    ODP to RN

    spacemonkey15 replied to AliceCiantar's topic in United Kingdom

    Do you have a degree or is your ODP qualification a DipHE? If you have a degree you might be able to apply for one of the shortened post grad nursing courses such as a PGDip, if not you will probably...
  9. spacemonkey15

    I am NOT a Nurse...

    spacemonkey15 replied to GoofyBlondeChic's topic in General Nursing

    I considered myself a nurse when I had my registration. Mind you, in the UK if you're a male working in healthcare a lot of patients and relatives assume you're a doctor. This happens when I'm in an...
  10. spacemonkey15

    newly qualified

    spacemonkey15 replied to ElinaPrdhn's topic in United Kingdom

    Did you start applying for jobs during your last year of uni? Most students tend to do this in their last six months of uni before registering so that you move from being a student to NQ nurse as...
  11. spacemonkey15

    At impasse with school in US, moving to UK

    spacemonkey15 replied to Pecosjd's topic in International Nursing

    Hi there, I'm a UK based nurse, while I don't know about how easy it is to come and work here as a US trained nurses I've found a couple of links that may be of use to you. The UK's Royal College of...
  12. spacemonkey15

    art line capped..

    spacemonkey15 replied to shooklypeg's topic in Critical Care

    Are you UK based by any chance? The language you're using makes it sound like you are. As has been explained by a few posters here, it's best practice to transduce an A line whilst it remains in situ...
  13. spacemonkey15

    What is the most complex clinical procedure you had to do in your career?

    spacemonkey15 replied to Guest878640's topic in General Nursing

    How do you guys manage staffing for patients on ECMO? I know you do your staffing different to us in the UK, for someone on ECMO they typically have two nurses look after
  14. spacemonkey15

    Deliberate sabotage?

    spacemonkey15 replied to greenerpastures's topic in General Nursing

    Deliberately removing clinical equipment from a room that's been set up for an admission is a patient safety issue. I get that you should be checking it, but what if something's removed and you need...
  15. spacemonkey15

    96 year old refuse treatment

    spacemonkey15 replied to Vtachy1's topic in CCU, Coronary, Cardiac

    Sounds like we're approaching a stage where there are no longer any deaths in the world, just unwitnessed cardiac
  16. spacemonkey15

    Hit in the groin during clinicals

    spacemonkey15 replied to Smith5's topic in Men in Nursing

    Patients often grab things that hang down. Especially confused disorientated patients. The only thing you really need to avoid doing when they grab onto something dangly is drop them, as their grip is...
  17. spacemonkey15

    When did it become OK to treat your nurse like poo?

    spacemonkey15 replied to paramed1's topic in Emergency

    Any of the posts in this thread could have been made by nurses in the UK and I wouldn't have been in the slightest bit surprised. Even the wife's family got angry when the sister in law was in...
  18. spacemonkey15

    LOC: Sedated vs comatose vs unconscious

    spacemonkey15 replied to Underthemoonicp6's topic in MICU, SICU

    In the UK we use a sedation scoring system, something like this: Richmond Agitation-Sedation Scale - Wikipedia, the free encyclopedia If someone is not sedated then we assess their conscious level...
  19. spacemonkey15

    help, experienced opinions needed!

    spacemonkey15 replied to criticalcareRN3's topic in Critical Care

    There is nothing wrong with saying you're not confident to look after a specific patient, especially when you've had very little exposure to them. However, as others have suggested, still try and get...
  20. spacemonkey15

    Fluid bolus by gravity or pump?

    spacemonkey15 replied to delphine22's topic in MICU, SICU

    Depends on the fluid I'm bolusing, the IV access it's going through, what I have available and how badly the patient requires the fluid bolus. We generally give our colloids by gravity via a CVC or...
  21. spacemonkey15

    Interview Preparation for Qualified Nurses

    spacemonkey15 replied to XB9S's topic in United Kingdom

    A lot of the questions used are pretty generic with a critical care slant to them. So things such as how you assess your patients (think A to E), what you'd do if someone became confused/self...
  22. spacemonkey15

    New Nurse Proverbs.

    spacemonkey15 replied to richardgecko's topic in General Nursing

    Never ever turn around on a slow shift and comment on how quiet it all
  23. spacemonkey15

    Difficulties With Intubated Patients on Sedatives?

    spacemonkey15 replied to All4NursingRN's topic in MICU, SICU

    In my experience we tend to go for propofol and an opiate (usually morphine or alfent) especially if sedation is only short term and for longer term patients midazolam and morphine. We only paralyse...
  24. spacemonkey15

    Bad Breath in traumatic brain injury

    spacemonkey15 replied to jelisabethk's topic in Neuro Intensive Care, ICU

    I've always been led to believe that "head injury breath" as we call it was because of blood/CSF/goo, so this is interesting. I'll have a little look about on the internets when I'm off in a few days...
  25. spacemonkey15

    OGT securement in intubated patients

    spacemonkey15 replied to JeffTheRN's topic in Critical Care

    We tend to use a film dressing to secure the OGT to the corner of the mouth, though it's rare we use