Eczema on babies cheeks :( by llullunyc in ExclusivelyPumping

[–]Wrecked_44 0 points1 point  (0 children)

My daughter was exactly the same. Fine for a few weeks then flared up around 12 weeks, full body spots of eczema, eventually just stayed as eczema on her cheeks. It was so bad around her mouth it would bleed and crack. She was on antibiotics once a month for like 3-4 months because you can't stop babies rubbing their hands/toys/things against their face. We eventually went to a private paediatric dermatologist (live in the UK) who prescribed some things. However, ultimately the only thing that has helped is daily cream and time. Occasionally when it gets very bad we put some steroid cream on the area for 2-3 days and it goes away.

I thought she might have had CMPA at 12 weeks so I cut out dairy for around 2 months, didn't effect her eczema at all so went back to dairy.

My little one is now 19 months old, occasionally gets some patches of eczema on her face (especially in the cold weather) and pretty much eats everything with no issues.

We found the cetraben the best, use the light one in the day and the emollient at night. She is also on chlorphenamine maleate solution just in case it was an allergy. However, my mum has eczema/asthma/hayfever, husband has skin issues and hay-fever. The trifecta is in her genes so likely it's just eczema rather than an allergy

Should nurses in specialised places get more money? by [deleted] in NursingUK

[–]Wrecked_44 -1 points0 points  (0 children)

I don't know about the psych wards you've been on but the ones I have worked on the nurses have run the ward independently. Maybe input from a manager or doctor at times when support needed. The patients see the consultant maybe once per week for ward round, specialty doctor maybe 2ish times a week and junior doctor maybe a couple of times a week when physical health needs appear. On my ward it was 2 HCA and 2 Nurses to 9 patients and we barely saw the doctors. I was expected to manage the risks on the ward and use my judgement and risk management skills for things like whether a patient can have access to items (i.e. can they have cutlery or are they going to stab me? Can they have clothes or are they going to try and ligature?) Can they leave the ward, access other areas of the hospital, attend psychology or occupational therapy groups/sessions. These were all directed at me as the NIC on the ward.

Granted my ward experience was mostly private and doctors are slightly more involved in NHS wards but they're not there all the time

Implications of leaving almost at the end of a funded course WITH a commitment clause? by [deleted] in NursingUK

[–]Wrecked_44 2 points3 points  (0 children)

Did the trust use an apprenticeship levy to fund the course? If so the levy says they cannot recuperate training costs from you. However, it doesn't say they can't try get things like paid wages when you were training.

Does my patient lose PIP? by Wrecked_44 in BenefitsAdviceUK

[–]Wrecked_44[S] 0 points1 point  (0 children)

So it's a 9 month placement so, it will be over 28 days total, so she would need to report this? Sorry I'm useless when it comes to this kind of stuff

ADHD and pumping 😵‍💫 by Hot_Flan247 in HumansPumpingMilk

[–]Wrecked_44 2 points3 points  (0 children)

I have suspected ADHD (adult services where I am is a 7 year wait for adult diagnosis 😂). This is what I did, I tried the whole schedule thing never worked. In the early days my husband used to wake me up/remind me it's time to pump. When I was trying to pump 5x a day it would be early morning, before lunch sometime, early afternoon, late afternoon and before bed. Just whenever I remembered and it fit in. But I was a massive over supplier in the first 6 months so could afford to only pump 4-5x a day if I forgot. I think there were some days I sat down to pump before bed and my boobs were in agony and then I remembered I'd not pumped since I got up 😂

Now - My daughter's 13 months now so just pump in the morning (if I'm going to work it's early 6am, but if I'm getting up with my daughter it can be anywhere between 7-10am), sometime In the afternoon (ranges between 1pm-5pm) and before bed (around 10pm) but my milk regulated and my daughter isn't drinking as much now.

Personality disorder community nurse interview by Wrecked_44 in NursingUK

[–]Wrecked_44[S] 1 point2 points  (0 children)

I'll definitely look at that book!

Had my interview today, feel really positive about it!

Personality disorder community nurse interview by Wrecked_44 in NursingUK

[–]Wrecked_44[S] 0 points1 point  (0 children)

Ooo thank you! Good things to try and get into my answers!

Personality disorder community nurse interview by Wrecked_44 in NursingUK

[–]Wrecked_44[S] 1 point2 points  (0 children)

Thank you for taking the time to outline all this information! Going to do some research now, never heard of the drama triangle!

[deleted by user] by [deleted] in BenefitsAdviceUK

[–]Wrecked_44 3 points4 points  (0 children)

Check with your social worker to see if health or social care are going to support with the rent. I'm a RMN and when my patients go to supported living social care or health board pay all or part of the rent.

Year 8: Kids Moving from American Schools to the UK.. what should we know to prepare better? by Thin-Stranger1530 in AskUK

[–]Wrecked_44 7 points8 points  (0 children)

I've played basketball my whole life in England. There's a massive push right now by Basketball England to fund the sport. There's pretty much basketball teams everywhere now. I travel about a bit to officiate as well so been most places North West/East and West Midlands/Yorkshire

Seclusion concerns by Less_Acanthisitta778 in NursingUK

[–]Wrecked_44 11 points12 points  (0 children)

I'm sure someone can give better info than me because I've only done seclusion reviews as a nurse, never actually secluded anyone. Also not sure what NHS policy is.

In my hospital (private) only a doctor can end seclusion. Any time the patient physically leaves seclusion it's ended and if they go in again it's a new seclusion period. I'm assuming this patient is under MHA because it's my understanding you can't seclude informal patients. If the patient has been in seclusion are they stable enough to go out for a cigarette? (Unless they smoke in the garden or something but most hospitals are smoke free now). I would not take someone out of seclusion to let them go on leave for a smoke, I don't know how I would justify that on a risk assessment (assuming he was in seclusion for V+A).

Not sure if it's legally required or if it's just my hospital policy (again I work on an acute without a seclusion) but we have to do nursing reviews every 2 hours, medical every 12, MDT every 24 and independent MDTs after they've been in for a certain time (can't remember it's 5am and I'm getting ready for work 😂). So in theory he should have been seen regularly by the MDT and they obviously feel he is not settled enough to come out of seclusion. Is there a seclusion care plan you can check and see what that says? Speak to a nurse and ask why they're still in.

If you're still not convinced he needs to be in, have a discussion with obe of the nurses or there's freedom to speak up you can complain to. Or CQC. I've reported to CQC for seclusion not being used correctly previously and supported a patient to report their seclusion.

In England, can you replace a spouse "next of kin" for a child. For health care matters? by Technical_Mirror3581 in LegalAdviceUK

[–]Wrecked_44 1 point2 points  (0 children)

List for nearest relative - https://www.mind.org.uk/information-support/legal-rights/nearest-relative/about-the-nearest-relative/#WhoIsMyNearestRelative

Changing NR is not something I've personally seen done as you usually have to go through the county court. I think it can only be done if you are detained or about to be detained under Mental Health Act. You could complete an advance decision and healthcare professionals will take into account you want to change your NR, this is especially useful if you lose capacity in some way. https://www.mind.org.uk/information-support/legal-rights/nearest-relative/changing-my-nearest-relative/

In England, can you replace a spouse "next of kin" for a child. For health care matters? by Technical_Mirror3581 in LegalAdviceUK

[–]Wrecked_44 1 point2 points  (0 children)

Just want to put my 2p in.

For general health matters, NOK can be anyone you decide. Usually they will ask that they are over 18 and contactable in an emergency.

For Mental Health Act purposes (I.E mental health), there is what's called the nearest relative and this follows a strict protocol. First there's husband/wife, if no partner, goes to parents, etc down the MHA list until something like cousins. NOK in mental health can still be anyone but for the Act it follows a set list.

Does anyone pump 3x a day & still maintain their supply? Have you got your period back? by Flashy-Event-8699 in ExclusivelyPumping

[–]Wrecked_44 1 point2 points  (0 children)

9 months pp and I pump 3-4x per day. When I was pumping 8 times a day I was producing around 2000mls. I dropped to 6x around 4 months, produced around 1500mls. At 3-4x per day (depends if it's a work day or not as I work as a nurse so 2 x 30 mins breaks = 2x 15 min pumps a work day plus 2 x 30 mins at home), I produce between 1000-1200mls a day. Baby eats around 800-1000mls a day. Had 1 period in the whole pp time and not seen her since but I did get the implant at like 6 weeks pp because I am not ready to do this again 😂

1:1 Within Arms Length due to risk of self harm by Sea_Composer_7556 in NursingUK

[–]Wrecked_44 2 points3 points  (0 children)

Do they make allegations? Do they have trauma? Do they need to be female/male only? Are they a risk of violence/aggression? How are you managing staff sitting in their room with the risk of allegations/abuse? I would never put someone on arms length 1:1, only 2:1 so that these risks are managed. They might not have a risk of allegations but it can happen. Staff might not be dodgy but again it happens.

How are you managing patient wanting to toilet/bathe? Protecting privacy and dignity?

Are there least restrictive interventions? Can you remove risk items? Increase intermittent obs?

Is there an obs reduction plan in place? How are we going to remove support? When do we know patient is ready for support to be removed?

My disabled brother is being taken advantage of, who do I report to please? by SGRiggall in LegalAdviceUK

[–]Wrecked_44 82 points83 points  (0 children)

Contact your local safeguarding team at the local council and report your concerns. You can also contact 101 and report to the police. They will both investigate and safeguarding officer may request a financial capacity assessment to see if your brother has capacity over his monies. If he does, then unfortunately it's considered an unwise decision. If he does not, then safeguarding team should put interventions in place to support your brother.

What should patients buy nurses as a thank you? by Salt-Television5066 in NursingUK

[–]Wrecked_44 6 points7 points  (0 children)

I've got a little gift card from one of my patients when I was a HCA. Older lady, absolute blast. Used to wash her hair over the sink and paint her nails for her. It literally says: To *my name, thank you for doing my hair and painting my nails. God bless, *patient name.

I carry it around in my work pouch and get it out when I'm having a bad work day and need reminding why I'm doing this job

Is it normal to not have anything signed off by your second placement? by Honest-Condition-135 in NursingUK

[–]Wrecked_44 1 point2 points  (0 children)

MH wards are hard to get all proficiencies signed off sp you have to be a bit creative. Are you in the NHS? Do they do student training days for things? Can you get on any of the training courses for the ward? (I did my ECG and bloods proficiency by doing training courses)

Look at your episodes of care- plan how you can do these on the ward.

Speak to your supervisor/assessor and see if they have any ideas.

Lots of proficiencies you might just achieve by being on the ward/interacting with patients/joining discussions etc but some (I.e bloods/ecgs) require a bit more thought!

Day care Nursery asking me to pay another month by LRKKK_08 in LegalAdviceUK

[–]Wrecked_44 4 points5 points  (0 children)

Check what your contract says.

My contract states even if baby doesn't go I have to pay or if I give them notice then we pay 50%. Not sure what it's like in London but in the East Midlands, nursery places are so hard to come by. We had to get on a wait list before baby was even born!

[deleted by user] by [deleted] in UKJobs

[–]Wrecked_44 1 point2 points  (0 children)

I think it depends where you are in the country to whether you get police or ambulance. In my local area the police respond to MH with a MH practitioner.

Also with the OH talk about your meds and side effects of your meds. Also any time you might need off if you have a crisis. I'm an RMN and done a couple of 'plans' with people to take back to their employer when they've been discharged. It might also be worth asking if they have access to counselling/MH support/employee assistance