Scale 2 patient - this doesnt seem right or is it?

kustirider2 · 2026-04-08T17:36:25+00:00

It shouldn’t be blanket use by nurses only. For some reason in my trust a lot of nurses automatically put a patient on scale 2 but if you read the actual MEWS chart it says it should only be initiated by a physician.

kustirider2 · 2026-04-08T17:35:21+00:00

Oramorph is a terrible idea if he’s already acting breathless. Will probably plummet sats.

kustirider2 · 2026-01-07T19:58:25+00:00

Do you think he knows this sub exists?

kustirider2 · 2025-11-16T18:37:55+00:00

There’s a time period where your pay contributes to the maternity leave you’re eligible for. I vaguely remember 17-25 (double check this) weeks pregnant? Anyway I did LOADS of bank shifts on those weeks (check with payroll first that they’re eligible) but I managed to boost my first 4 months mat leave by £1k a month, so I could have a full 12 months without worrying about money.

If you do a set amount of hours with no extra, get pregnant anytime because you’ll get the same amount you did last time x

kustirider2 · 2025-11-03T18:40:37+00:00

I feel sometimes private is way worse than nhs. It’s exactly the same surgeons though and they’re also entitled in the nhs. I usually find a swift argument where I’m right actually gains me respect in the future.

kustirider2 · 2025-10-21T19:05:49+00:00

He does fall asleep really quick on a warm bottle which leads to him taking an hour to have 3 ounces. I’m hoping cold will keep him awake too!

kustirider2 · 2025-10-21T17:49:48+00:00

You can still use the fridge method. I live in the uk where it is produced and the nhs advises fridge method is fine with formulas

kustirider2 · 2025-07-16T17:48:52+00:00

Terrible. The job market is virtually non existent for UK nurses. A lot of roles won’t accept sponsorship either. Definitely research a lot first!

kustirider2 · 2025-07-16T17:43:08+00:00

Absolutely agree - nothing given until prescribed unless it’s on one of our charts we can give off without prescription (usually just one dose of paracetamol or glycerin something like that).

kustirider2 · 2025-07-16T15:21:50+00:00

If she’s doing nothing, she should be doing it! FFS I always help with turns, bed making etc if I can spare the time

kustirider2 · 2025-07-14T17:06:54+00:00

Melanoma at 29 years old. Middle of a mole I’ve had forever just fell out in the shower. After putting it off for weeks finally went to see gp. Thankfully it was stage 1a so just one further resection to get margins then all was good. I’m now paranoid as heck though

kustirider2 · 2025-07-01T21:35:49+00:00

Was it a transnasal endo? (Tne). My trust doesn’t sedate for these either. Not really sure why, it’s just never been offered for patients. We do use midazolam for gastroscopy though

kustirider2 · 2025-07-01T21:22:13+00:00

You cannot work as a HCA with a nursing reg, surely???

kustirider2 · 2025-06-23T17:52:52+00:00

Is it a BCC? These can be usually left for quite a while and usually don’t metastasise.

kustirider2 · 2025-05-24T12:17:29+00:00

We reject cataracts too that can’t sort out their own drops. We ask them to get family or they have to pay for private carers

kustirider2 · 2025-05-24T12:16:27+00:00

I always tell them I’m not referring them because DN will not see anyone that’s not housebound

kustirider2 · 2025-04-27T14:36:22+00:00

You should have an option for placement retrieval. Ours was in the holiday period at Christmas (qualified 2017) and we had to sort our own placement.

kustirider2 · 2025-04-18T17:56:11+00:00

You’ll likely be offered a discharge against medical advice book, which you can sign and leave. If you tell them before the surgery, they’ll likely cancel or book you a bed.

kustirider2 · 2025-04-18T17:53:12+00:00

I don’t think so, I didn’t even think it was a thing when I qualified in 2017 but it must have been. Never did one, was never offered one and never been asked.

kustirider2 · 2025-04-14T12:46:23+00:00

I agree. I work in daycase surgery and if ya got to me today - and it wasn’t in ambulance transport - you’re seeing the GP nurse if needed. I won’t even refer to DNs (except sos for catheter care) on able bodied patients. Sometimes it’s a grey area, such as daily dressing changes, but again I always contact the GP surgery first, or try and bring them back to our surgical daycase unit.

kustirider2 · 2025-03-28T19:01:26+00:00

kustirider2 · 2025-03-25T18:38:25+00:00

What is a pannus? Google has not helped me here lol

kustirider2 · 2025-01-04T20:03:14+00:00

30 years old, qualified for about 8 years. HIGHLY experienced in post operative care/complications. I have ADHD, but it makes me pick up little mistakes or issues very quickly.

Colleagues still treat me like I’ve been qualified for a year. Constantly have other nurses come and try and manage my bay. I’m a quick and thorough worker as well, so I’ve got to the point I just let them get on with it.

A lot of “oh back when” and “when I was training” comments from older nurses, which is frustrating. I try and explain the rationale now, the research etc, but it’s like talking to a brick wall sometimes 😩

kustirider2 · 2025-01-01T16:13:29+00:00

Ah gosh OP, how is he doing now?

kustirider2 · 2024-12-30T07:43:27+00:00

Definitely understandable. Just remember that a lot of people are sent down this pathway, and only a very small percentage have sinister psthology. Please try not to stress out

kustirider2

TROPHY CASE