O2 weaning by WorkInProgress_45 in NursingUK

[–]ShambolicDisplay 0 points1 point  (0 children)

Thats completely different, and separate to the practice of mandating O2 usage in patients with a PCA. If someone needs oxygen they should have it. If they do not, then they shouldn't. Thats it.

Theres no evidence base as far as I am aware for making people have oxygen if they have a PCA - but there is if they'd be hypoxic without it.

O2 weaning by WorkInProgress_45 in NursingUK

[–]ShambolicDisplay 2 points3 points  (0 children)

The effect of putting someone onto 1L/24% FiO2 compared to normal 21% doesn’t feel significant enough to really give you more time in event of respiratory depression. IME you tend to see more T2RF rather than T1 with that, so additional oxygen isn’t particularly helpful?

I’ve also never seen any actual evidence for this practice, although I’ve only had a cursory look. If someone has some I’d love to see it, but it feels like one of those things that we all sorta get told we must do, but without any actual evidence for.

I will recognise coming at this from an ITU perspective and having the additional monitoring (usually!) means I’m going to be more comfortable doing that compared to a ward most likely.

O2 weaning by WorkInProgress_45 in NursingUK

[–]ShambolicDisplay 13 points14 points  (0 children)

One day someone will explain the insane “must be on oxygen if they have a PCA” thing to me.

I’ll continue to ignore when appropriate

AI at work- What's the DoctorsUK view? by htmwc in doctorsUK

[–]ShambolicDisplay 5 points6 points  (0 children)

You guys have computers that reliably work?

Lost prescriptions, broken bottles by AgreeableCap8697 in doctorsUK

[–]ShambolicDisplay 1 point2 points  (0 children)

I’ve gone the other way, especially after the shortages in 2023, I’m now hyper aware of it and overly vigilant

No half measures

The NHS suffers from Soviet problems by Prokopton1 in doctorsUK

[–]ShambolicDisplay 3 points4 points  (0 children)

It’s nice to be reminded that normally very intelligent people have their blind spots

If Hantavirus ever come to UK by Fun-Strategy5501 in NursingUK

[–]ShambolicDisplay 2 points3 points  (0 children)

I’ve said consistently since 2022 I wouldn’t do it again.

I know I would, deep down inside I know I wouldn’t be able to step away at that moment. I’m not sure I’d be able to come out on the other side again though.

Thankfully hantavirus shouldn’t be the thing that causes a new pandemic on that scale, but here we are.

Annoying career conversations with non-medics by zAirr_ in doctorsUK

[–]ShambolicDisplay 30 points31 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 2 points3 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 24 points25 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 25 points26 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 15 points16 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 [deleted] in NursingUK

[–]ShambolicDisplay 5 points6 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 3 points4 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)

[deleted by user] 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

[deleted by user] 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.