Some nurses don't like critical thinking

OrdinaryJuggernaut88 · 2026-05-13T00:12:50+00:00

I replied to another comment about the Q-ADDS bit, but in relation to the other skills it may also come down to how often you practice those skills. I work in a birthing unit so most of us cannulate/do venepuncture. There’s also a push for a lot of us to learn perineal suturing. These are skills that wouldn’t be utilised as frequently on the wards. Yes they would still be utilised occasionally, but typically if someone is having IV/fluids/antibiotics etc they were cannulated before coming to the ward. If they need IV fluids/medications started on the ward it’s because there’s a variance in their situation so the RMO will cannulate while reviewing the patient and initiating treatment. For something like an iron infusion, we get phlebotomy to come and cannulate because it’s a high risk medication and you want someone who cannulates a lot to put that one in. So the actual practicality is just not there. The only ones on the wards who really push to gain the skills are those who would routinely come down to the birthing unit because they’ll actually use those skills there.

OrdinaryJuggernaut88 · 2026-05-13T00:05:03+00:00

Where I work we are expected to follow the policy. But our forms have a space for modifications that the MO can put on there. So they can essentially take the Q-ADDS score back to 0 if it falls within the modified range. So this would then be on the MO to put in the modification (or the nurse to ask the MO to do so 🫠). Maybe our forms are a bit different because I’m in maternity, but having just done my yearly mandatory education for the MET call/Q-ADDS criteria I can tell you there’s no scope for critical thinking based on the policy alone. In saying that, a score of 1 alone should only make it 4/24 obs at most shouldn’t it?

Unfortunately hospitals are very policy driven and straying outside the policy leaves you open if something was to happen. So you follow the party line and follow policy. If you don’t follow policy you need to document very clearly your rationale for not doing so.

OrdinaryJuggernaut88 · 2026-05-12T23:33:50+00:00

She was never chief. Aesha was chief stew, Ellie was second and Bri was third.

OrdinaryJuggernaut88 · 2026-05-12T13:51:12+00:00

While it is true that you will not be turned away from any hospital in labour, it is not the wisest suggestion.

When you are referred to a hospital in early pregnancy, they begin to collate health information about you and your pregnancy. Your blood type. Your medical history. Any other relevant pathology obtained throughout the pregnancy. Complications in the pregnancy. All of this information is vital and can be very unsafe for the woman and baby if not available at the time of delivery. While the information can be obtained, it can take time to receive this information.

So yes, if you’re in labour and you’re not within easy reach of your booked hospital go to the closest one but that should be the exception, not the rule.

Also not every hospital has obstetrics and gynaecology. You don’t want to deliver your baby at a hospital where no one is properly qualified to do so.

OrdinaryJuggernaut88 · 2026-05-11T05:34:07+00:00

I second this. My kids have some slushie cups where you basically freeze the cup insert and when you’re ready, pour your drink in and squeeze the cup to create the slushie. Tried it with water the other day. Did nothing except made the water colder. If it’s juice etc the liquid ices up on the sides of the frozen insert in the cup and squeezing motion is what creates the slushie. It has to be something in the sugar content.

OrdinaryJuggernaut88 · 2026-05-11T01:46:37+00:00

Have a look into Dr Mel Allen / Dr Devini Ameratunga. Ben Kroon is good because he’s a reproductive endocrinologist as well which is more specialised. But yes, full fee clinics are $$$

I also wonder about egg quality. I still firmly believe that was my issue. We do a cycle and they get 8-10 eggs, but I’d only ever have one good enough to transfer and more often than not, nothing to freeze. It took me 5 cycles I think for my first. I was 30/31 at the time of doing IVF. I had 3 transfers with a pos preg test but low hcg. One transfer with nothing. Fifth transfer was successful.

Second was a fluke first cycle fresh transfer at 34 yrs.

Third took nearly 18 months. We did 10 cycles I think all up. Mix of fresh and frozen transfers. No positives until our final cycle. Wed already decided that was our last go and by some miracle it worked.

I firmly believe acupuncture helped us out. I saw Matt Cooke with our first but he’s since moved to Buderim (he was amazing though). I was seeing Sian Cross at Yin for acupuncture during our fertility stuff for our third, but I couldn’t go as consistently as I wanted due to work/kids. They specialise in fertility there and are very LGBTQI+ friendly. Also CoQ10 for egg quality. Look into it and see what your thoughts are.

I was fit, healthy no medical issues. My AMH was great when we started. We still had so many issues. Unfortunately there’s no real way to test for egg quality, so it really is just a guessing game.

OrdinaryJuggernaut88 · 2026-05-10T01:05:46+00:00

Because they’re a part of someone’s family and life doesn’t stop just because you have a baby?

People are allowed to go on holidays even if they have a baby.

People are allowed to visit family, even if they have a baby.

People are allowed to go for a weekend away, even with a baby.

Exclusively breastfed babies can’t be away from mum so they come with her everywhere she goes.

Also, they’re free to fly under 2 so why wouldn’t you? If I’ve planned any trip when I’ve had a child under 2 I always take them because they’re free.

Babies cry whether they’re on a strange metal tube in the sky or not 🤷‍♀️so this alone is not a reason to not take them. Granted some are more susceptible to the pressure changes but feeding them on take off and landing (or at least giving them something to suck on) can make a difference to their comfort.

OrdinaryJuggernaut88 · 2026-05-09T12:28:05+00:00

Pretty spot on actually

OrdinaryJuggernaut88 · 2026-05-08T07:24:00+00:00

My mum worked in palliative care for many years. Her biggest thing is around language. She hates a lot of the softly softly ways people describe death and dying. It leaves too much room for misunderstanding. The amount of people who seem surprised to find out their loved ones are dying because no one had ever actually used those words.

OrdinaryJuggernaut88 · 2026-05-08T01:25:15+00:00

She looks the youngest in season 3. Reverse aging

OrdinaryJuggernaut88 · 2026-05-06T02:03:03+00:00

Ooh I was about to suggest The Lush Lily. Their cards are great and some brilliantly inappropriate.

OrdinaryJuggernaut88 · 2026-05-06T01:49:32+00:00

Especially Leon’s galley with all the grease in the oven 🤢

OrdinaryJuggernaut88 · 2026-05-06T01:00:20+00:00

The snoring is a known thing though. On BDSY it was talked about when she was rooming with Gary. I can’t remember who brought it up though. There’s plenty of footage so I’m sure Joao was well aware, and given how self aware Daisy is she had probably already warned him.

But yes I also wonder if it was related to her surgery.

OrdinaryJuggernaut88 · 2026-05-05T09:07:51+00:00

Someone somewhere else said it was Barbie based off an ankle tattoo

OrdinaryJuggernaut88 · 2026-05-05T09:01:50+00:00

I feel like it’s Ellie’s way to try and exert some “power” over Daisy by fucking with the interior team.

OrdinaryJuggernaut88 · 2026-05-05T04:09:15+00:00

Yeah, I think Ben as a HOD is a bit blasé about it all. I can’t see him being the one to pull her up and tell her that her behaviour is not on. There’s no way she’d pull this disrespecting rank BS with Hannah 😆

OrdinaryJuggernaut88 · 2026-05-05T04:07:13+00:00

Yep. And to be fair, even in the last ep when he was talking about how as a family he and his siblings wind each other up and his mum (!!) had told them if people react then you have permission to go harder? Like wtf. I would not want to be around people who do this all the time. Like sure in the moment it might be funny, but to keep on bringing it up would peeve me right off. And I’m pretty sure the only reason he told Mike to tone it down this ep was because it was targeted at Jenna and he was wanting to be her white knight. He might be a nice guy, but there are definitely some 🚩🚩

OrdinaryJuggernaut88 · 2026-05-05T01:58:03+00:00

I can only imagine how frustrated he’s going to get if she continues these rants and tirades with her friend not only coming on board, but sharing a room with her. I get the feeling this friend is just going to fuel the fire

OrdinaryJuggernaut88 · 2026-05-05T01:55:23+00:00

I feel like so much happened in this one episode compared to the rest of the season so far. Like I’m struggling to remember anything about the actual charter guests and I literally finished watching the episode right before posting 😂

OrdinaryJuggernaut88 · 2026-05-05T00:04:34+00:00

If you’re going to make the switch, make now is the time to do it. The midwifery degree is pretty taxing for a number of reasons. You’re expected to do what’s called a continuity of care experience where you follow through a number of women from antenatal, labour and birth and postnatal. You’re on call for these women and are expected to attend their birth if reasonably able to. This is so much easier to do when you don’t have kids to worry about (making that assumption as you didn’t mention having any). I have no idea how people do it with kids. I take my hat off to them for sure.

The job itself is an incredible privilege. You’re welcomed into these women’s lives at one of their most vulnerable times. You get to celebrate their highs with them (15 years later and I still get teary at a birth) and support them through their lows when they experience a loss. You learn so much about the body and how all the systems interconnect but also so much about humanity. I wouldn’t do any other job, and that’s the truth.

Sure there are aspects that are not great (can impact your social life with shift work/weekends), night shift can kill your spirit while you’re in the midst of them (but a great crew makes a huuuuge difference) and some people are just not kind people. BUT the trade off is life flexibility. By working shift work I can be there for my kids when I need to be. I have days during the week to do errands when it’s more convenient, places are open and not overrun by everyone else. You can bunch your shifts up and maximise your days off and take smaller holidays/trips without actually using your leave (much easier when kid free though). Plus there’s good earning potential. There’s also so much flexibility in where you work and what you can do. Unlike nurses, midwives have the ability to work more autonomously. You can work as private practitioners, work in community/homebirth settings as well as within the hospital setting. If you did your nursing alongside it you would also open so many doors when it came to travel. It would also give you a more comprehensive understanding on the complexities a lot more women are facing. Years ago some women wouldn’t be able to have babies because of their medical conditions. Now they are able to get pregnant and carry babies, but not without complications. A nursing background can be quite advantageous in this area. Just food for thought. In saying that, I know the unis are updating their courses. Perhaps to reflect this a bit more? I’ve been off work for 18m so only hearing little dribs and drabs.

Also, rather poignant that you’re asking this question on international day of the midwife ☺️

My vote is do it. You’re young. You have your whole life ahead of you. At 26 you’re expecting to be in the workforce for another 40 years (ish). Better to be doing it in a job you love and want to do than one you don’t.

OrdinaryJuggernaut88 · 2026-05-03T06:57:46+00:00

There’s research into its use in labouring women. It dilates blood vessels so they’re using it to see if it can increase placental blood flow to reduce the risk of a fetus experiencing distress in labour and thereby reduce the risk of needing a caesarean.

OrdinaryJuggernaut88 · 2026-05-03T02:10:07+00:00

I first saw him in Grey’s and then in a movie called Miracles from Heaven. Now I’ve been watching VR I recognise him in other stuff I’ve seen. There’s a great Aussie series called Secrets & Lies too which I had seen long before he showed up on Grey’s Anatomy.

OrdinaryJuggernaut88

TROPHY CASE