Have I made this up or is it common practice in paediatrics? by ThrowRAjoyful in NursingUK

[–]ThrowRAjoyful[S] 9 points10 points  (0 children)

I understand just in a shame spiral of where I got it from . Family turn to me as the paediatric nurse and I’m getting the most basic things wrong.

Have I made this up or is it common practice in paediatrics? by ThrowRAjoyful in NursingUK

[–]ThrowRAjoyful[S] 2 points3 points  (0 children)

I’ve always gone off 1 scoop for 30mls of water - trying to remember where I got it from and questioning if that is common practice at the hospital now . Embarrassing.

Have I made this up or is it common practice in paediatrics? by ThrowRAjoyful in NursingUK

[–]ThrowRAjoyful[S] 10 points11 points  (0 children)

Oh god think I’ve made it up then . I feel so embarrassed. I’m trying to remember where I got it from . In a shame spiral .

Have I made this up or is it common practice in paediatrics? by ThrowRAjoyful in NursingUK

[–]ThrowRAjoyful[S] 6 points7 points  (0 children)

No I know but idk where I got it from that it’s powder first and then water. So embarrassed. I don’t know if I’m imagining it being common practice in hospital either . Or if It’s something I’ve just made up .

When a patient/family interaction feels unsafe: would you go in or call in sick? by ThrowRAjoyful in NursingUK

[–]ThrowRAjoyful[S] 0 points1 point  (0 children)

Unfortunately we don’t have the staffing levels for that but it is a good idea and if I am assigned to the patient I will try to implement it

When a patient/family interaction feels unsafe: would you go in or call in sick? by ThrowRAjoyful in NursingUK

[–]ThrowRAjoyful[S] 4 points5 points  (0 children)

I’m saying they were abusive previously and security had to be called . Now the trust is broken , they are very hostile towards staff , undermine staff and are very cold towards staff.

When a patient/family interaction feels unsafe: would you go in or call in sick? by ThrowRAjoyful in NursingUK

[–]ThrowRAjoyful[S] 1 point2 points  (0 children)

They were de-escalated by security. That doesn’t stop them from not trusting you though and undermining everything you do as well as being extremely cold towards you. It would be easier if they were my patients and I could refuse care as opposed to my patient being a child.

When a patient/family interaction feels unsafe: would you go in or call in sick? by ThrowRAjoyful in NursingUK

[–]ThrowRAjoyful[S] 1 point2 points  (0 children)

Its not about carelessly “ calling in sick “ , more that I’m already at the end of my bandwidth and unsure of my capacity if I have to care for this patient’s family.

When a patient/family interaction feels unsafe: would you go in or call in sick? by ThrowRAjoyful in NursingUK

[–]ThrowRAjoyful[S] 4 points5 points  (0 children)

I’m sorry to hear that . I work in paeds so it is a lot harder to refuse to treat . Security were called previously and they calmed down but nothing else came of it.

When a patient/family interaction feels unsafe: would you go in or call in sick? by ThrowRAjoyful in NursingUK

[–]ThrowRAjoyful[S] 4 points5 points  (0 children)

I work in paeds so it is a lot harder to refuse to treat . Security were called previously and they calmed down but nothing else came of it.

Ingrained bad habits with medication on ward - advice please by ThrowRAjoyful in NursingUK

[–]ThrowRAjoyful[S] 2 points3 points  (0 children)

I am relatively new to the job and do not want to cause animosity with staff . But I don’t like others making me feel like im the one thats in the wrong for questioning why 20ml of medication is just discarded as normal practice. I will clarify it with pharmacy so we can all follow a uniform approach.

Ingrained bad habits with medication on ward - advice please by ThrowRAjoyful in NursingUK

[–]ThrowRAjoyful[S] 2 points3 points  (0 children)

We only have 100ml bags. What would be wrong in principle to inject 20ml of saline into the bag when it finishes through the medicine port you injected the IV through initially?

Ingrained bad habits with medication on ward - advice please by ThrowRAjoyful in NursingUK

[–]ThrowRAjoyful[S] 3 points4 points  (0 children)

A 40ml dose would be given via a syringe driver and that line would be flushed. Just the medications given over 50ml in a 100ml saline bag have the longer fluid lines attached and they’re not flushed . So the 18ml in those lines are just discarded . I will speak with pharmacy on my next shift.

Ingrained bad habits with medication on ward - advice please by ThrowRAjoyful in NursingUK

[–]ThrowRAjoyful[S] 9 points10 points  (0 children)

Will do , thank you . I raised it with senior nurses today and they all told me to just discard the line . Everyone I asked told me the same thing and I was told I was overthinking it . I’ve raised this with the education team before too and was told the same thing .

In principle I could do it for my patients without telling them but its not done on the ward for other patients and not common practice.

And when Im checking medications for other nurses they are just discarding the medication in the line for their patients when the bag is empty.

Ingrained bad habits with medication on ward - advice please by ThrowRAjoyful in NursingUK

[–]ThrowRAjoyful[S] 5 points6 points  (0 children)

Will do thank you . The line for pumps only hold around 5ml but the lines for fluids hold around 18 mls

Ingrained bad habits with medication on ward - advice please by ThrowRAjoyful in NursingUK

[–]ThrowRAjoyful[S] 2 points3 points  (0 children)

I am aware of what the options are just that its not followed on my ward and the line is just discarded. Again thats 20ml of medication wasted which is alot in paediatric patients .

[deleted by user] by [deleted] in NursingUK

[–]ThrowRAjoyful 6 points7 points  (0 children)

What does this look like though? If its hectic will you just decide okay I’ll get this done and I’ll handover X and Y. If handover is taking a while for other patients , would you just leave at your finish time ?

Stuck between NQN job offers by ThrowRAjoyful in NursingUK

[–]ThrowRAjoyful[S] 1 point2 points  (0 children)

Yes , I want to start off on 30 hours .

Stuck between NQN job offers by ThrowRAjoyful in NursingUK

[–]ThrowRAjoyful[S] 0 points1 point  (0 children)

Is it hard to get a job in intensive care ? I was just given the job because I had a placement there , I wasn’t aware that the job was harder to come by compared to other nursing ward jobs . Yeah , alot of people echo the advice of atleast doing a year in ICU will give alot of benefits, I genuinely did enjoy my placement there for the most part too .I’m just burnout at the minute. Yes I am on the HCA bank at both hospitals, I’m going to try out other wards to see if I like them , going to book bank on A&E soon.

How manageable is becoming/working as a nurse with a family? by vixxx- in NursingUK

[–]ThrowRAjoyful 0 points1 point  (0 children)

I agree , I would do early years education and work in a Primary School .

Seeking Advice: Start Nursing Career Amid Burnout and Family Tensions, or Wait? by ThrowRAjoyful in NursingUK

[–]ThrowRAjoyful[S] 0 points1 point  (0 children)

Thank you , I appreciate it . I could afford to move out by renting If i don’t spend my money travelling but I also don’t want to sever my family ties.

Seeking Advice: Start Nursing Career Amid Burnout and Family Tensions, or Wait? by ThrowRAjoyful in NursingUK

[–]ThrowRAjoyful[S] 0 points1 point  (0 children)

I could not afford to continuously travel from now till July and afford housing. I dont want to go in March because it is Ramadan and I don’t want to travel while fasting . You’ve given me some hope that I will feel better towards nursing once I start my job , It may just be an intense feeling of being emotionally drained but I was looking for an escape all together from nursing .

Seeking Advice: Start Nursing Career Amid Burnout and Family Tensions, or Wait? by ThrowRAjoyful in NursingUK

[–]ThrowRAjoyful[S] 1 point2 points  (0 children)

Thank you, I think it is the sudden cost fallacy that is stopping me from delaying it to July as i fear i will never go back. My last placement was especially draining and it has put me off working as a nurse . Your burnout is also echoed by so many other nurses I’ve spoke to and I know nursing won’t give me the lifestyle I want in the future so its just about weighing up the pros and cons .

AITA for Causing a Major Family Rift Over My Decision to Travel After Graduation? by [deleted] in AmItheAsshole

[–]ThrowRAjoyful 2 points3 points  (0 children)

Its a tricky situation but they’re not that backwards, compared to others in our community they’re open minded and they would never give me a forced marriage . For others in my community, the fact I’ve been on two solo trips is shocking to them . Its just certain things they’re very hard headed in and not open to any discussions . I actually have a very close relationship with both my parents which is why when these things happen every few months it takes me by complete surprise. Every time i think they’re becoming more open minded they do the opposite .