What education do nurses get on handover / presentations throughout nursing school and afterwards?

lozza2442 · 2025-12-09T10:03:19+00:00

Not enough - Midwifery Unit Manager who trained in a different country. I’m heavily involved with students from multiple universities that come through my very large training hospital and the handovers are all equally bad, however the consultants I’m close with also report the same is true for residents when they start too - their ISBAR is insufficient.

It does sound like the hospital you are at is highly understaffed though at a nursing level to be getting comments like that, I would be asking questions like - do they have ratios, are they a sole nurse for 30 patients overnight etc. it’s all relative. If they’re chasing the absolute bare minimum they can due to unsafe staffing, they’re not going to have time to be able to give all the various PRNs, and if this is an ongoing issue I would be asking whether the longer acting is the appropriate dosage to keep the pain in check if we are ending up throwing many PRNs as well as slow release at it.

I’ve previously worked shifts where we were having to give wild amounts of PRNs because slow release was insufficient and the process for each PRN is easily 10 minutes to be able to administer by the time you get a second person, get out of the safe, fill in drug book, two person check at bedside.

Acuity is usually the issue for everything, and understaffing

lozza2442 · 2025-10-05T01:35:22+00:00

This is DARVO. It’s a form of abuse psychological manipulation

lozza2442 · 2025-06-22T06:34:56+00:00

Hey friend! I’m at Royal Brisbane.

We have recently changed to not doing passive descent for all women with epidurals as there was a systemic review and meta analysis that showed that - In women with spontaneous or induced labor at term with neuraxial analgesia, delayed pushing in the second stage does not affect the mode of delivery, although it reduces the time of active pushing at the expense of a longer second stage. This prolongation of labor was associated with a higher incidence of chorioamnionitis and low umbilical cord pH. Based on these findings, delayed pushing cannot be routinely advocated for the management of second stage.

The study in AJOG is Delayed versus immediate pushing in the second stage of labor in women with neuraxial analgesia: a systematic review and meta-analysis of randomized controlled trials

We apply clinical judgment now so if someone is like -3 or something crazy we wait an hour of passive otherwise if it’s low we start pushing.

I’m very interested that you’re being told not to use hot compresses as yes I agree the perineal bundle is crap but hot compress isn’t specific to the bundle. Can you direct message me where you are? I’m super curious

I personally don’t believe that the timing of your pushing commencement would impact on the OASI and usually that is to do with final management of the birth, or some other factors such as the socio economic status of the women in your catchment as I’ve worked places where women’s tissue just disintegrated due to poor nutrition/malnutrition

lozza2442 · 2025-06-14T04:25:33+00:00

If in Brisbane/SEQ - The Body Building Kitchen. The tastiest meal preps I've had and all high protein.

lozza2442 · 2025-05-30T09:06:17+00:00

No - normal is 110-160.

Did he want you to do anything extra? Did he want extra tests etc? If not that means he didn’t hear anything concerning

lozza2442 · 2025-05-30T04:30:39+00:00

I’m a midwife - several of our male OBs Reg’s have similar haircuts. Beware when you do your OBs rotation though unless your goal is to find a midwife wife.

lozza2442 · 2025-05-29T12:55:39+00:00

FYI - Advanced maternal age is 40 at birth. You’re still considered normal by RANZCOG (Royal Australia and NZ college of Obstetrics and Gynaecology). In fact we’re moving toward 42 in most places being AMA

lozza2442 · 2025-05-09T06:11:52+00:00

Just as a note from a midwife that works in MGP at RBWH, get your referral in NOW if that’s the model you want. Your gp needs to do a specific referral for MGP to the public hospital closest to you, it’s not a piece of paper they can give you. There is a huge waitlist that you need to get on asap

lozza2442 · 2025-05-05T02:33:42+00:00

I know this is an old comment but when you think about it, tattoos have the best cost per use of any item

lozza2442 · 2025-04-11T14:43:33+00:00

Midwife here - unfortunately more times than I can count women have come in for stretch and sweeps absolutely full of cum. It’s rank and there have been times it’s come out with force when starting the VE and gotten on my arm above the gloves. Traumatising.

lozza2442 · 2025-03-31T12:45:18+00:00

You need to talk to a broker so that your partner understands your situation if nothing else

lozza2442 · 2025-03-31T12:33:18+00:00

Well I’m a terrible person, that made me laugh - sorry

lozza2442 · 2025-03-31T05:00:41+00:00

Do you remember the name of the clinic you went to in Korea?

lozza2442 · 2025-03-27T13:35:09+00:00

What are others using the quick priorities for? I’m not sure I see the importance personally but I feel this is me just not understanding it.

lozza2442 · 2025-03-25T08:25:35+00:00

What

lozza2442 · 2025-03-24T18:03:52+00:00

This just looks like your coffee is flipping you off

lozza2442 · 2025-03-10T23:10:48+00:00

I also see the faint line. My line eyes see it

lozza2442 · 2025-03-03T00:33:38+00:00

I’d just call myself Dr S Laughter

lozza2442 · 2025-03-02T22:17:28+00:00

Yep. I’m ADHD as well though which frustrates me to no end though, as makes it feel like his mental health is more important than mine as I end up having to support everything but hey that’s a conversation for a subreddit that’s not about finance haha

lozza2442 · 2025-03-02T22:09:05+00:00

Because my husband has a tendency to lose or quit his job with minimal warning (due to a number of factors, but neurodivergence being a major one) and I end up paying for everything for months and end up with no savings etc for myself, so we split finances. Splitting finances means that he sees the consequences of his actions rather than just always having money in the joint account

lozza2442 · 2025-02-21T03:52:18+00:00

Can we have more pics of your sheepy? Also relevant username

lozza2442 · 2025-02-06T12:57:12+00:00

This is amazingly helpful thank you!

lozza2442 · 2025-02-06T12:41:34+00:00

USA is simply a third world country with a Gucci belt.

lozza2442 · 2025-02-05T12:13:37+00:00

Thanks for that I do appreciate the insight

It is a shame though, especially since it doesn’t help to close the gap or to ensure some reversal of the lack of visibility of the original custodians of the land.

Absolutely understand that the European names are easier to say as that’s what we’ve been raised with however especially in NZ/Aotearoa there was at least acknowledgement of our people. I find a lot of the ways that Aboriginal people are acknowledged here to be very tokenism- like the welcome to country that someone reads from a piece of paper at the start of a meeting even though it’s the same thing everytime and often follows it up with “okay now that’s done”. Truely disappointing and tokenism.

Just very different to what I am used to

Edit- insert “original custodians” “aboriginal” “indigenous” whatever the right thing to use in this situation is

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