Kalohen89

I dont work in Maternity so can't answer from a professional stand point, but here in Australia it is used all the time during labour, dont have to sign anything to use it either. It's often our first go to for pain relief substances and can be used during any stage of labour.. I have used it with all 3 of my labours, the effects only last for a few minutes, as soon as you start breathing normal air it wears off very quickly. It does not have any effect on the baby, it wears off too quick.. You start breathing it in at the begining of the contraction and stop when the pain is gone, if at any point the woman experiences unpleasant side effects like nausea, she can stop using it and the effects will be gone in a few minutes.. I have used the gas without a midwife in the room, so many times, they check in frequently and arent far away though.. If the woman is in control of the mouthpiece and taught how to use it properly, they are very unlikely to overdose on it.. In term of family using it, my husband didnt want to, but many do take a little go to see what it's like, as I said, it only lasts a few minutes and they arent going to try much more than once because you would have a hard time taking it away from that labouring woman and they wont really try it with the midwife in the room..

5 months. My first job as a new grad RN in a rural multipurpose facility with a 12 bed residential ward, 7 bed general ward and 2 bed ED. There were 2 aged care staff, usually with at least one EN (?LPN) to look after the 12 residents and only 1 RN to cover the ward and ED. I was assured that I would be supported by the NM and educator, well trained and only placed on shifts where they were there. My orientation was only 2 days, most days I had to do general ward meds as well as the residental meds as the medication endorsed aged care staff didn't feel comfortable enough to do them. I had to do full care for the general ward knowing that at any moment a Ambulance will turn up, a patient will walk in to ED or a resident will need you due to injury or illness and you have to go deal with that (the aged care staff would handle basic care of general ward while I was gone). The educator and NM would come help me in ED if I needed but would do bare minimum then leave me with no idea of what to do or where to go from there, I also got many comments of "we need to get you up to speed so we can put you on your own". I had so many uncertainties with meds or procedures and constantly felt like i was a huge burden on the NM and educator because I was coming to them yet again with a question. I would never have time to read patient notes or look up anything, I would have to hit the floor running, often going without lunch, toilet or drinks and leaving late with a splitting headache. Every day I was overwhelmed and terrified that I would make a mistake and hurt someone. My days off I couldn't relax and I spent the whole time panicking about going back. I felt like I had very little support and was so overwhelmed everyday that I couldn't learn or think critically, I was just mindlessly completing tasks. I eventually decided that I was crazy to continue putting my mental health and my patients at risk and I quit.

As a new grad I had a similar experience in my first job so I understand what it feels like. I felt very unsafe, was expected to handle situations way above my skill level as a newbie and had very little support so I ran as soon as I as I could and never looked back. If you think you're going to enjoy this new role and will receive the support you need then go for it!!

I am in Australia so won't give you information Re: the schedule as ours is slightly different, but no its not preferable to give them spaced out, for the reasons others have said such as potentially leaving the infant unvaccinated and at risk of exposure to the disease, having the parent not follow through with so many additional appointments, having issues with minimal spacing between one routine appointment and the next. But also if vaccines are spaced out, that is more stress on the child who now needs to go through multiple upsetting visits than if they were all just done on the same visit when recommended. As others have said, the current schedule has been proven to be safe and provides adequate immune response. Infants come into contact with millions of antigens every day and the immune system is able to handle this, it has no problem dealing with a minute few at each immunisation visit, it's like a drop in the ocean. I would recommend reading your immunisation handbook, I haven't seen your country's but our is very informative, it gives in depth information regarding immunisation with evidence.

I check radial pulse and resp rate together with fingers still on the pulse as though I'm still counting it, I watch the chest area for both assessments and try to look as though I'm just trying to focus on feeling the rate and counting, so when i switch to counting resp rate the patient doesnt notice a change. If they ask about the pulse rate on the sats monitor I tell the truth and say that that reading is not always accurate and that I can get a better one from doing it manually as well as get more information by actually feeling the pulse for myself.

If you want to go to ICU because it's your dream and the suggestion gave you the confidence to try for it, then go for it. If you're only interested in it because someone said you should, then I don't think it's a good idea, sit on this for a while and if after time you decide your interest is in ICU, then you can start aiming for it. Good luck for whatever you choose.

I see that you posted this several months ago so by now you may already be working or be on the hunt for a job, but I'll comment anyway incase it helps you. First off, Congratulations on the birth of your baby, and on becoming a nurse. I was in a similar situation, I had my baby just a few weeks after graduating; I am from Australia and live in a rural area, so my experience may not be what you will experience. I stayed at home with my baby for 7 months then started the job hunt, I gained a interview for a local hospital fairly quickly and was successful but it took several more months to start working. For me, getting a job in our small area wasn't a problem. What was difficult was how much I felt I had already forgotten and skills I no longer felt comfortable with, ontop of the normal new grad anxiety; i also almost felt ashamed when peers would ask me why i didnt start work after graduation, I felt like I wasn't good enough and was inferior; all of this combined with the challenges and extra hats you need to wear when rural. I feel like the transition to new nurse would have been a little better if I started work soon after getting my licence. In saying that though, i dont regret being with my baby, she was my priority and i would still make the same decision to stay at home for a few months with a new bub because you will never get that infant stage with your baby back. You need to decide what you feel most comfortable with, just be prepared for having a bit of a harder time at first if you've been off for several months and potentially a harder time finding a job depending on where you are located. One thing I will recommend is continue studying, search for new information and review what you've already learnt and make the time for it. Good luck and enjoy the time you have with bub, it goes by so fast.

When I think of that 1st year of nursing struggle, I think of anxiety, being terrified on a daily basis, feeling insecure, overwhelmed, like you'll never get the hang of it and of running around like a chicken with its head chopped off; but when you said that you didn't really care about your patients and just feel that your ticking boxes, I thought that you just haven't yet found your area of nursing. You said you like dementia patients and having time to sit and listen to them, is it possible that you would enjoy working in areas that involve caring for older adults or people with dementia? There may be an area out there that you do enjoy and where you will love interacting with your patients, you might just need to figure out where that is.. If you really don't want to be a nurse at all then that's ok too, we all have different likes and dislikes and there's nothing wrong with deciding a career path is not for you. But if there are other nursing areas that you think you might enjoy I say try for that before leaving the profession all together. Also I just want to say how fantastic it is that your patients all seem to love you, that you continue to do all you can for them and that your workplace says your doing well; to me thats another sign that its not the role of nurse that you can't do but possibly the area that's wrong for you. Many people who don't like their job or the people can unconsciously show it in the way they interact with others, so we'll done for remaining professional and caring. Good luck in whatever you choose.

I am absolutely disgusted and ashamed to hear how you have been treated by your peers; i am a young and new RN living in Australia and would never dream of treating a coworker that way. Try not to feel too bad about the job, not getting it does not mean that you are not good enough or are a failure; keep trying...

Congratulations OP!! Hope you are still enjoying your new role... While I understand there will be women who don't want a male caring for them for a variety of reasons and yes they are absolutely entitled to say who sees their body; I don't understand the amount of bias in this thread. If you are happy to have a male OB then what's the difference of having a male nurse? Yes the nurse is with you during a sensitive time and you may be feeling more uncomfortable and will need help with feeding etc but they are well educated, caring health professionals there to do a job just like any female nurse; they are not there to see breasts and lady partss, (we'll let's hope not í ½í¸•). As for the people saying partners might throw a male nurse out, these men must be fairly insecure if they can't handle a health professional doing their job; I suppose these men also punch male OB's for getting a good look too... I don't mean to sound as though I'm saying women can't choose not to have men looking after them, they have every right to decide they don't want a male; I just feel that saying yes to a male OB but no to a male nurse/midwife is a bit of discrimination. Well i'll get off my high horse now.... OP, I for one would be fine having a male midwife or pp nurse as they are just as knowledgable and can be just as sensitive and caring as a female; I wish you luck in your chosen profession, yes you may get some who don't want a male but hopefully as your already seeing, most people will be fine... Go for what you love...

Condolences to you and your family, I'm so sorry for your loss. If I were your coworker I would expect that after the passing of a family member, you would need some time off. To try to guilt someone into working just hours after a family members memorial is really low, I'm glad you said no. Don't for one second feel bad about the time you have had off, you can't help having shingles (from what I've heard and seen it's definitely not pleasant) it's not like you chose to get sick, and you definitely didn't chose to experience a death in the family. The people in your life such as your coworkers should have your back and offer support at times like these.. I think you should take the leave to give yourself time to grieve. Good luck

Stones, bones, groans, thrones and psychiatric overtones - hypercalcemia

Older woman bought in by her daughter at 9am c/o a sore foot, during exam she mentions that she had an appointment with her family doctor for another issue at.. yep, 9am, but the daughter decided she should go to ED instead because her foot started hurting. Since she presented to ED had to assess her and do the mountain of paperwork that goes with it.

BIBA- brought in by ambulance Going to check the weather- smoke break The COW is out of the paddock- computer on wheels is missing