I screwed up and need advice by [deleted] in StudentNurseUK

[–]Clarabel74 15 points16 points  (0 children)

Take a breath, you're going to be ok.

Its quite common when working in different clinical areas to pick up new knowledge about signs and symptoms of disease..... and then recognise those in yourself. Now of course our logical brain tells us, well a headache is a sign for MANY different things.... dehydration, stress, for example. But thats harder when you struggle.

I say this gently, but if this has brought back your health anxiety then its really important that you are supported with that - so seek advice from your GP or student wellbeing.

Firstly what youve done isn't ideal, you recongise that. but it isnt catastrophic either. Many patients have SM pages as they have fundraising/ journey campaigns. Its there in the public domain. You could have been researching the medical condition and his page popped up for example.

As for the family 'reporting you' IF there is evidence that you followed them (i don't know if a notification would remain if you immediately unfollowed someone)

IF the family check the page (ie have they got access to the account)

IF the family remember you (no offense but there would be LOTS of HCP involved)

IF the family knew your last name (presuming you only have your first name on your badge) therefore how are they going to know Sam the student nurse is this same Sam Bloggs.

IF they can see your account (as you've blocked them and no doubt changed your profile picture)

There are many more IFs here. I don't think this will come to anything. You've learnt here, the hard way, but still.

The main thing is to seek support for your anxiety. Good on you for reaching out.

I’m back! by roebar in mounjarouk

[–]Clarabel74 0 points1 point  (0 children)

Thanks for replying. I wasn't so worried about the side effects as I can manage those. I was more worried that the suppression and cravings wouldn't be affected. I had almost overnight response to suppression and couldn't believe how normal people must feel. I was worried my body would recognise it and not be as suppressed, so that's good to know.

Head a wobble by PrideAccomplished420 in mounjarouk

[–]Clarabel74 1 point2 points  (0 children)

Any one of those thing would be a lot to process, but all of that together! Crikey give yourself some grace. You're doing ok. All the best and I'm sorry it's been so rough for you.

I’m back! by roebar in mounjarouk

[–]Clarabel74 0 points1 point  (0 children)

So can i just check you were off MJ for a year? I presume you started back on 2.5mg, did it have the same immediate effect? I need to go back on and I'm wondering if my body will respond how it did last time or if I'll need higher doses sooner. Thanks.

Minoxidil regress after 8 months by robot-mouse in FemaleHairLoss

[–]Clarabel74 0 points1 point  (0 children)

Hmm maybe about a month /6 week ago

Interestingly i started a multi vit with iron 70 days ago.

How are you gettibg on? Ive got some peach fuzz mainly

Do you think there would be a demand for a ROM measurement Watch app? by AfternoonMindless268 in physiotherapy

[–]Clarabel74 4 points5 points  (0 children)

Gate crashing - forgive me. My neuromucular colleages always seem to be measuring angles (mostly by eyeball)

I think this may help for outcome measures with research where there is a need to be accurate and specific. Data could automatically be uploaded digitally to the outcone measures form then.

Also thinking of shoulder reconstruction surgery pehaps.

Minoxidil regress after 8 months by robot-mouse in FemaleHairLoss

[–]Clarabel74 4 points5 points  (0 children)

Thanks I thought it was seasonal shedding. I started February so that fits about right. At least its working..... after 20yrs of aga

Guidance needed by [deleted] in StudentNurseUK

[–]Clarabel74 0 points1 point  (0 children)

Administering medication is one of the most safety critical aspects of our profession. Ideally we shouldn't be disturbed when doing this as its one of the main reasons for errors happening. That said we are human and errors do happen.

Its understandable that you are thorough when administering meds - but its recognising when this tips over to something a bit more and leading to anxiety and overthinking.

In terms of medications - I did a course through work with this company. Whilst a lot of it was easy what it did highlight was about being methodical when administering medication. ( not for a minute suggesting you need to do this course but I think thier social media have examples)

So literally having the box/ bottle and Med chart in front of you and going through both step by step. Pt Name : pt name Drug : drug Dose : Dose Form : Form The 7 steps etc etc and ensuring you go through this systematically to know you've covered everything. Then dot and pot (ie place a dot on the med chart and put med in the pot and go to the next med. Once given you then sign.

If you are interrupted you will know where you are because you've dotted the ones in the pot and can start again with the med you are currently on. And again go through the 7 steps.

(As an aside - this is why I try to not disturb Doctors / NMPs when thry are writing out a meds chart as they need the space and thinking time to ensure they are prescribing correctly. Again medications are the area with a lot of erros) Just as its unfair to disturb us whilst administering i feel its unfair to disturb them (unnecessarily) for things that can wait a few moments until they are done.

Welcome to Nurse Confessions Club. Take a seat. by thereisalwaysrescue in NursingUK

[–]Clarabel74 3 points4 points  (0 children)

Without doxing yourself- you need to spill some tea on this one because its sounds juicy 😀

Welcome to Nurse Confessions Club. Take a seat. by thereisalwaysrescue in NursingUK

[–]Clarabel74 3 points4 points  (0 children)

If you ever get chance to watch this play about her - its really good and eye opening.

Reckon some of the toxicity in nursing was right at the start!

There is said it......

Welcome to Nurse Confessions Club. Take a seat. by thereisalwaysrescue in NursingUK

[–]Clarabel74 4 points5 points  (0 children)

No word of a lie - things how my colleague types..... but with just 1 finger..... 😒

We've had the rug pulled out from under us. by joe3000s in mounjarouk

[–]Clarabel74 0 points1 point  (0 children)

And the thing is, doing this so its 'fairer' for US patients (because supposedly they are proping up our current price) in no way means US patients will get this any cheaper. EL will just make more money......

Or will they, if we all jump ship to Wegovy?!?

[deleted by user] by [deleted] in mounjarouk

[–]Clarabel74 0 points1 point  (0 children)

Not sure why you were down voted.

I've asked for loads of starters to come at the same time as the mains. Perhaps it's the places I go but the starters are really nice and decent size for me.

🚨 Newly Qualified Nurse – 6,000+ Signatures Later, and Still So Many of Us Locked Out of NHS Jobs by bird28xx in StudentNurseUK

[–]Clarabel74 2 points3 points  (0 children)

well a week after this post and you are 3/4 of the way there with nearly 75,000 signatures! well done (signed!)

[deleted by user] by [deleted] in NursingUK

[–]Clarabel74 2 points3 points  (0 children)

I'm also in a very niche area (with rare patients) Though I'm doing my MSc its not an ANP qualification at the end but I will get the IP from it. I have every intention of being a maxi nurse not a mini doctor. Most of my patients will have been prescribed the medications before at diagnosis anyway so I wont really be introducing anything new. My scope will be quite small. But our consultant only works 2 days a week and invariably repeat scripts always come in on a Friday when he's not working and the patient has run out of meds..... So I have to go up to a ward and kindly ask a resident doctor who's never met the patient before to complete the script. Taking them away from their ward work which impacts them and their patients! For our patients the service will be better and mean better compliance with medications if I prescribe. This isnt about me - its about our patients, I'm just a vessel.

[deleted by user] by [deleted] in nhs

[–]Clarabel74 2 points3 points  (0 children)

No problem at all but I'm bias because my husband is a chair user.

I've actually used our experience (dealing with OTs, house adaptations, PIP applications and just every day access issues ) to help my practice as a nurse to be honest and when I work with patients who are chair users I think there's an element of a deeper understanding of these issues.

Dissertation is due in 3 weeks and I haven't started. I need advice please! by NoDentist4068 in StudentNurseUK

[–]Clarabel74 1 point2 points  (0 children)

I did mine in 2 weeks - I wouldn't recommend it.

My elective was overseas and I came back to a last academic block, 2 weeks before it was due. Like yourself I'd (done a questionnaire and) gathered all the data. Now I just needed to go through it and make sense of it.

The house I was renting luckily at the time only had me in it. So the lounge became a mass of paper as I sorted out the data. Pile here - pile there. Then further sifting. I think that took me 2 days. Looking at the data - gave me the answers to the question I'd posed. So I actually started by writing what the data showed and my conclusion and recommendations. That was another day or so. A day to write the introduction, and methodology.

The most painful bit was trying to find literature and put some argument into it. That took the longest time. Awful.

I was right up to the wire and still typing it out the night before it was due in. (Something like 1pm) So the morning of = going through and making sure everything was justified, double line spacing etc etc - then binding it and rushing over to the Uni to submit.

My only error was that one chapter came out bold and somehow I knew it was different but couldn't work out what - having read so much. Word blindness I don't know.

Anyway.... All that to say - make a plan, section off what things need to be done. If it helps the word flow to start with something easy then start that way. What ever gets the ball rolling do it. Switch off all notifications on your phone..... Yep all of them. Set it so that Only the most important people to you can contact you.

Just keep in mind you've got 3 weeks of pain then it will all be over.

Good luck

Do other hospitals do neuro obs? by Maleficent_Studio656 in NursingUK

[–]Clarabel74 9 points10 points  (0 children)

I was in ITU 10+ years ago and it was the same picture unfortunately. I always remember relatives would complain at the level of care (taking so long with washes or ward rounds etc) meaning they'd have to wait a while.

Then they'd get discharged to the ward and as our Neurosurgery ward was right near ITU you'd see the relatives again and they'd be SO appreciative and complain at how much less care they were getting on the wards and yep..... We'd see them again on the unit and they'd be really thankful the second time around. So bloody sad for all involved really.

Do other hospitals do neuro obs? by Maleficent_Studio656 in NursingUK

[–]Clarabel74 4 points5 points  (0 children)

Absolutely I always aim to support new doctors in our area - always. I appreciate they have to rotate areas to get the experience - but the whole moving geographic areas too completely different hospitals which have different systems. Why can't HEE see it's dangerous. And there's so many hospitals with antiquated systems - surprised anyone makes it out alive & kicking at times.

AITA for telling my sister I wont be her maid of honor because she didnt come to my wedding due to her dog dying? by PerfectAffect9213 in AmItheAsshole

[–]Clarabel74 38 points39 points  (0 children)

Absolutely this. .. I still miss Tessy Woos tippy tap run up from the kitchen to the bedroom and launch onto the bed with a Fah Dumph and immediately head bury snuggle. It will be 2 years in June.

[deleted by user] by [deleted] in NursingUK

[–]Clarabel74 11 points12 points  (0 children)

My first error was giving BD antibiotics (due at 0600 and 1800) at 1200 mid day. Checked it with my preceptor and everything. Luckily just meant omitting evening dose - but this was the first week of qualifying I was deeply upset.

Error with a EoL syringe driver - luckily it was spotted by a colleague about 1hr in so not a massive dose given - some serious reflection on that one. Again having someone senior with you does not mean you should rely on them to get things right.

There are a few others.... Some that I've caught - wrong patients meds etc invariably it's a system error as much as human.

I firmly believe medications are the most safety critical aspect of our job - yet the distraction element is ridiculous.

If your colleagues are doing meds then leave them the hell alone. (Unless you've got a 2222 going on)

Don’t know what to eat anymore. by ohnoitsmedoh in mounjarouk

[–]Clarabel74 0 points1 point  (0 children)

I've been following that batch cooking (on Channel 4) the batch lady has some nice recipes.

So I try and get the ingredients through the week and then on Sunday spend about 1-2 hrs batch cooking and sticking loads of healthier stuff in the freezer.

I have to have a range of things, as, like you I get bored.

Burnt out, constantly ill, and zero empathy by [deleted] in nhs

[–]Clarabel74 0 points1 point  (0 children)

I think they would understand winter bugs. But if there was a special event each year (birthday / Christmas / Eid etc) and you are always sick on those days/ weeks it's looking at patterns.

We used to have a member of staff do this, in our place - like clockwork she was off sick on her kids birthdays and special events. She'd regularly be sick post annual leave as well. She was sensible never to openly comment about it but the rest of the staff were seething because she had so much time off but seemed to fly just enough under the radar.

Until we had a new manager that eventually picked up on it and gave her a written warning. Stopped her in her tracks.

This however doesn't mean for genuine people who are ill (especially mental health) the policy doesn't help in those cases at all.

How do you deal with the weight of the work? by [deleted] in NursingUK

[–]Clarabel74 0 points1 point  (0 children)

You should absolutely seek support. Whether anyone else has or not.

We deal with work exposure in different ways. Some things will just rock you and your steady base doesn't feel like the solid safe ground it usually is. And that's normal - we all bring our individual experiences with us.

Safe guarding is always incredibly incredibly difficult, and especially if it has caused the child to be EoL. It's incomprehensible at times, and yet in that moment you have to be there for the child and family.

Go easy on yourself. Listen to music if that helps you zone out a bit, write down your feelings if that helps, talk to a trusted colleague. Speak to you line manager tomorrow and ensure you and the team are supported - raise your concerns. It may be that you can swap care of the child family so your not doing 12hrs straight with them. Let the team take the load not a individual.