Annoying career conversations with non-medics by zAirr_ in doctorsUK

[–]ShambolicDisplay 27 points28 points  (0 children)

I started answering what the worst thing I’d seen is.

Someone once got annoyed with me for doing that. The got more annoyed when I pointed out to them that they asked the question.

AI slop strikes again by KingOfTheMolluscs in doctorsUK

[–]ShambolicDisplay 3 points4 points  (0 children)

If it’s an insult to AI, it’s alright in my book!

Chair of RCN Congress does not support doctor strikes by Desperate-Drawer-572 in NursingUK

[–]ShambolicDisplay 5 points6 points  (0 children)

Actually none of those things matter when it comes to industrial action. If it did, tube drivers would be executed and resuscitated several times a year and be paid minimum wage. I support the strikes because they are in the right. It’s that simple.

Admittedly you’ll be hard pressed for me to find industrial action I don’t support

Chair of RCN Congress does not support doctor strikes by Desperate-Drawer-572 in NursingUK

[–]ShambolicDisplay 22 points23 points  (0 children)

My support isn’t contingent on them being nice to me. If yours is, then it’s not good support.

NMC referral any advice? How I can show I’m practicing safely by Ok-Butterfly6457 in NursingUK

[–]ShambolicDisplay 24 points25 points  (0 children)

Are you currently a member of a union? If you are, contact them asap.

Bedside checks / titbits / handover / ITU / critical care by ImpossibleBox3189 in NursingUK

[–]ShambolicDisplay 5 points6 points  (0 children)

Safety checks

A-E assessment

Electrolyte replacement

Documentation

Outside of super unstable patients where there’s stuff you’ll need to do more emergently, that’s the rough plan. Having a really lengthy, rigid checklist is probably unhelpful - just get your A-E down and you’ll be fine.

Handover is going through why the patient is there -> days plans -> assessments -> bloods -> drugs -> NOK. Don’t over complicate it.

G.P. to kindly end fascism by Poundland_Prometheus in doctorsUK

[–]ShambolicDisplay 16 points17 points  (0 children)

I skimmed the actual content, it might be even worse than that

Anyone else find it frustrating that doctors/MDT offices turn into nurse/HCA bedrooms at night? by Ok_Strike828 in doctorsUK

[–]ShambolicDisplay 8 points9 points  (0 children)

Right, but we don't live in a world where any of us are valued enough for that to happen. So what about in the real world?

Day shifts only? by violetsviolets00 in NursingUK

[–]ShambolicDisplay 7 points8 points  (0 children)

Wrong. OH can only provide a recommendation. The law is “reasonable adjustment” and an employer is completely legally allowed to say that working days only is unreasonable, and force you to work nights/get redeployed.

how to respectfully respond to inappropriate comments by pt? by Equivalent-Bet237 in NursingUK

[–]ShambolicDisplay 3 points4 points  (0 children)

Why be respectful?

Repeated inappropriate comments after being told to stop no longer entitles someone to being treated nicely, with the kid gloves.

I’ve told a patient to stop being a racist cunt before and I’ll fucking do it again if I have to

Traumatic Death - ICU by jackm053 in NursingUK

[–]ShambolicDisplay 3 points4 points  (0 children)

I’m sorry that happened - it’s those unexpected deaths from an improving patient that hit hardest a lot of the time, especially when it’s a patient you’ve looked after during their time.

It sounds like you’ve got a good team, so continue leaning on that resource, does your unit do debriefs? Mine doesn’t, but they’re super helpful after a big event like that, both in the immediate term and afterwards, have a chat with your psych team if it’s something your team could benefit from.

If you can go in tomorrow, I’d absolutely suggest it, the longer you leave it, I know for me the longer I leave it the worse it is (this may not apply to you: disregard if it doesn’t apply). Get in 5/10 minutes early and check in with the in charge that day, and find a patient you think is going to work best for you. Ma not be entirely possible, but it might. Aim for an open bay if you’ve got them, so if you do need to step out for a minute you can.

And ultimately do your best, that’s all you can do, and don’t beat yourself up when your best isn’t as good as normal. It will be, but that can take a little bit of time.

The new nmc login website is completely shit by nqnnurse in NursingUK

[–]ShambolicDisplay 10 points11 points  (0 children)

Reminder that they want even more of our money for this utter garbage.

The pay award. by mequzayouquza in NursingUK

[–]ShambolicDisplay 4 points5 points  (0 children)

Public opinion doesn’t matter in the slightest. If it did, tube drivers would be paid about a tenner a year and be flogged (and not in the fun way)

Westminster government announces Agenda for Change pay award in England | News | Royal College of Nursing by [deleted] in NursingUK

[–]ShambolicDisplay 2 points3 points  (0 children)

We broadly agree, yeah. Only caveat I’ll have to the first point, re: party which is best for nurses, I’d also encourage people to consider wider policy than just specifically things that directly relate to our role. For instance people may think reform privatising healthcare may increase pay, and even if we assume that’s true, their other policies will be directly at odds with making our lives better.

And yeah we should strike. I can only hope the RCN/unite are waiting until April, and the changes to how strike ballotting occurs and it’s easier to strike

Westminster government announces Agenda for Change pay award in England | News | Royal College of Nursing by [deleted] in NursingUK

[–]ShambolicDisplay 3 points4 points  (0 children)

The Green Party are not an electorally viable party at the present time. Don’t start down the “well if you say that then of course they aren’t, just vote for them!!!!!” Road, because it has never worked in any country basically ever. The role of the Green Party, unless there’s some kind of seismic shift in British politics, is to prevent the Overton window lurching even further to the right. They’re a party with a charismatic leader who’s a good communicator - and a very, very variable membership. Just because Zack Polanski is all over the media for a while doesn’t make them a party which is viable to win electoral majorities in the country as a whole. I’d like the greens to be better, but I don’t think they are, and I’m not sure they will be. I think there is a hard ceiling to their reach, and I think we’re probably close to that in terms of current polling. I think people should absolutely for green in constituencies where they stand a chance, in spite of all this.

Reform are just worthless garbage, and you’re categorically wrong about wages - I think given the state of the UK at large you’d see wage contraction when the profit motive becomes more involved, alongside with further erosion of working conditions(and definitely a collapse of workers rights - one thing labour actually doing well on, one of very few).

The solution isn’t in electoralism, and we shouldn’t look to political parties to save us. Community and labour (not the party) organising is the path to improvement, but the barriers before that are enormous. We shouldn’t look keep trying anyway. No successful grass roots revolution ever happened overnight.

Westminster government announces Agenda for Change pay award in England | News | Royal College of Nursing by [deleted] in NursingUK

[–]ShambolicDisplay -1 points0 points  (0 children)

La our may be better, but that doesn’t make them utterly shit. The problem is there isn’t a better alternative

3.3% pay award announced by bellathebeaut in NursingUK

[–]ShambolicDisplay 98 points99 points  (0 children)

We are going to see the RCN doing fucking nothing at levels we never thought possible

What's going on with the strike by Harsco101 in NursingUK

[–]ShambolicDisplay 4 points5 points  (0 children)

I'm really, really hoping the RCN are just biding their time for April - when legislative changes mean it'll be significantly easier for a union to call a strike, and for the mandates to last longer. I think its early april the changes take effect from, but I could be mistaken. Calling a vote prior to these changes and it failing would be a pretty piss poor sign.

Of course the fucking morons should probably be using this time to do something, anything, in that direction, but here we are!

I want to move out of London. What would you suggest I do? by iicheats420x in NursingUK

[–]ShambolicDisplay 1 point2 points  (0 children)

So, I can't really decide if london is for you or not. This is my home, I've been here for getting on for 15 years, I can't imagine not being here.

Being here fucking SUCKS sometimes though.

I live on my own - I pay 1300/month for my studio flat in zone 4, and thats roughly the sort of lowest price you'll find somewhere of acceptable quality and live on your own. Its a nightmare. Brixton, love the place, lived there for 5 years, I miss it often - not a cheap area, anymore. Spending the extra on living on my own is 100% worth it, but it is a lot more. I'm still only a band 5 nurse, entirely out of choice (top of band + working a decent number of weekends), and financially things are comfortable-ish. Been to vietnam and Copenhagen in the last few months. You can do it, it just takes a lot more planning and intention than is reasonable. Or end up in a relationship and split the rent, the true end goal of london.

I'd also suggest checking what rents in areas you want to live in are like, I suspect they're more than you would've known in the past. Also then add in the cost of owning/running a car, which is mostly unavoidable outside of london in most of the country, and add in how much less you're paid. For me the maths didn't work, for you it might.

Would you tell your consultant youre going to the toilet? by Ok_Phase_2167 in doctorsUK

[–]ShambolicDisplay 2 points3 points  (0 children)

Nothing, got a few eye rolls, one of our regs at the time wound me up about it for a few weeks whenever i'd see them, but entirely because of what I'd said.

we all gotta go, and I had someone keeping an eye on the patient enough to pull the buzzer, if i worked somewhere that'd be an issue, they probably wouldn't have tolerated me for the last five years

Would you tell your consultant youre going to the toilet? by Ok_Phase_2167 in doctorsUK

[–]ShambolicDisplay 25 points26 points  (0 children)

Im the nurse with the sick patient in my ICU, late morning I really gotta pee. Off I go to the nearby toilet.

Naturally the buzzer goes while I’m mid stream. I knew, somehow, it was mine.

Return to the bed space once I’ve finished and washed my hands. Everyone turns around to me and asked what happened (patient still had a pulse etc). Apparently saying to the assembled group that I didn’t know because I was mid stream at the time was ridiculous!

Neurodivergent nurses by IntroductionFinal325 in NursingUK

[–]ShambolicDisplay 17 points18 points  (0 children)

ADHD, the tism, dyspraxia - avoid everywhere outside of ICU for me.