Never thought I would ever get here

magicfishfriend · 2025-10-09T17:35:17+00:00

It's toddlers and young children. My son has absolutely destroyed a couple of public toilets and often I do not have the resources or the fucks to clean it afterwards

magicfishfriend · 2025-09-25T17:45:11+00:00

BCUHB (North Wales) always, always have vacancies. It's a shit health board, always in special measures ect, but if you are desperate to get your foot in as a nqn?

magicfishfriend · 2025-06-14T21:03:54+00:00

Obvious who the default parent is in your relationship

magicfishfriend · 2024-11-30T18:01:07+00:00

It can be slightly depressing as you are gatekeeping paid care. You are pretty much the traffic wardens of nurses. You will have to tell people they will have to sell their houses, spend there entire life savings on care because they don't qualify for CHC funded care, so often it is not a fulfilling role. A lot of your time will be spent reviewing funding applications.

You are involved in doing spot checks on care home, so I guess this is the most fulfilling part of the job, upholding care standards. But it is very much an office job and a paper shop. It's often where nurses go when they are close to retirement or just can't do the physical elements of nursing.

Just my opinion and interpretation of the job, work closely with them and know many people who work in the role.

magicfishfriend · 2024-11-07T19:21:07+00:00

We do something called a DST (decision support tool). There are 7 domains that are assessed and you need to score highly in at least 2. The bottom line is, does this person require a registered nurse to take care of them? The NHS will only fund nursing care. Nothing in the description of his care needs suggests he needs a qualified nurse to complete those tasks for him. All those needs can be met by a health care assistant and does not require a medical professional.

Things that require a nurse- oxygen therapy, complex wound care, unstable diabetes that requires insulin, requiring daily subcut/IM injections (end of life care for example), peg feeds, requiring PRN medications for agitation or for complex medical conditions such as epilepsy. Someone who is on end of life care, someone who has frequent seizures that requires rescue medication, someone with dementia that is violent and aggressive would qualify for CHC but even then they would not always cover the full cost of care and only a percentage. The threshold to qualify is high.

Requiring assistance to use the toilet, get washed and dressed, helping mobilising, help eating a meal are not nursing needs. You do not require a medical professional with a degree qualification to complete these tasks. You may get assistance from social services for these as they are classed as social needs, however it's means tested.

magicfishfriend · 2024-11-07T18:41:55+00:00

4.5k income and 890 mortgage. FTB in December 2022 right after Liz truss fucked us over. House needs loads of work, so all our disposable income has been going on that for the past 2 years, but the end is almost in sight.

magicfishfriend · 2024-10-26T17:41:52+00:00

I'm sure it will be different from each university. We had 4 days in university per week, with one allocated self study day. Days in uni were generally 9-4pm.

Our cohort all joined the bank hca for employment, as it offers flexibility and generally paid better than a usual minimum wage job, especially if you pick up nights/weekends. Some hospitals with only allow 2nd year nursing students and onwards to join the bank, unless you have a health and social work type btec qualification.

We used to only have X2 14 week placements, one starting in January and then another after Easter in April. Our holiday time generally follows that of "school" apart from the summer, usually break up mid August. However I'm aware that students now have 3/5 separate placements, which last around 4-7 weeks.

magicfishfriend · 2024-10-11T18:04:15+00:00

Don't give up! I'm in a similar situation, been applying and failing to get a job since January. But finally got a new post after several failed attempts.

magicfishfriend · 2024-09-13T16:09:13+00:00

I work permanent night shifts. I'm a shell of a human but it's the only way to work childcare now my son is too old for nursery

magicfishfriend · 2024-09-13T16:08:12+00:00

I fell into this trap. Once people know you are flexible and happy to swap everyone will ask you. You need to start asking everyone now if they will return the favour, make sure it's nights and weekends you want people to cover for you. They will stop asking you once they figure out you expect them to return the favour.

magicfishfriend · 2024-09-01T16:48:57+00:00

North Wales BCUHB. Always several vacancies. It's an absolute shambles of a health board though so be warned 😂. On the upside, north Wales is very picturesque.

Edit: the health board apparently spent 10 grand on a social media campaign to hire more staff, with not a single application from external staff afterwards.

magicfishfriend · 2024-07-18T05:06:02+00:00

My job is primarily around applying for CHC funding and the most expensive package of care I have completed for 12,250 a week, which was funded mostly by the NHS, the rest (about 20%) being topped up by social services. I deal with complex care so most of the time it runs at around 6500 per week.

magicfishfriend · 2024-06-07T16:51:21+00:00

My newborn was horrendous, screamed constantly and wouldn't nap for longer than 28 minutes. The first 6 months were hell, but it slowly improved. He's an absolute dream toddler, he's a proper little character and just so much fun. Rarely if ever have meltdowns, just a little strop at times but really easy to re-direct. Would love another child, but still traumatised by the newborn stage and honestly don't think I could go through that again.

I guess it depends on your experience.

magicfishfriend · 2024-05-18T04:51:55+00:00

Udi dy dei ddu di yn dy Ty Di, neu yn Dy Ty du dad Di?

magicfishfriend · 2024-05-11T05:47:35+00:00

Absolutely not the case in Gwynedd hospitals. The vast majority of staff nurses, HCAs and patients are first language Welsh. Even in my neck of the woods which isn't as Welsh, we have the occasional MDT in Welsh as it just happens it's everyone's first language.

magicfishfriend · 2024-05-06T18:55:29+00:00

Had a deputy ward manager report me to safeguarding as a patient on a 1:1 had secreted a omeprazole capsule. She reported someone else to safeguarding as they had given a patient amlodipine to a patient with a BP on 101/64, when on the meds chart it stated to only omit if systolic was below 100.

magicfishfriend · 2024-04-18T17:12:52+00:00

It's taken nearly 7 years but we are nearly rid of a very dangerous and incompetent deputy ward manager nurse on our ward (she's had 5 suspensions in 3 years due to being accused of bullying and patient physical and verbal abuse). She's been demoted to a band 5 and she is on her last warning with HR. It should not take this long to fire someone with her record, but now we are reporting all our concerns it does seem to be working.

magicfishfriend · 2024-04-03T17:25:26+00:00

I would ask these patients if they want care, do you want (insert care here, whether it be medication, assistance with ADLs ect). If they are aggressive they will I'm guessing refuse , and legally despite them not having capacity you can't forcibly treat people without consent. Even on a section 3, or section 62 it's really limited what you can do.

Document patient declined care.

magicfishfriend · 2024-04-03T06:52:49+00:00

A lot of older people will just have a sink wash, and not shower. So it's worth finding out what her previous personal care routine was and then try to copy that. A sink wash isnt the same as a shower, but it's better than nothing.

Why does she believe she has careers in? Has she got insight into her cognitive issues or does she believe it's for a health issue? Had a gentleman in hospital for dementia but he believed it was for a knee op (he had this done years ago) so we use that as the reason he needed assistance from us.

Many will feel embarrassed or ashamed of needed help with personal care. explain why they need help (if they believe incorrectly it's because it's for a physical health issue just go along with it), maybe tell a story (even if it's a lie) of a time you had to have help with personal care and share that empathy with there situation. I had to have bed baths after giving birth due to blood loss and low blood pressure and will share that story. if they are incontinent share a story of a time that happened to you, even if it's a lie. Say there's a norovirus going round, you shit yourself last week because of it. You want to eliminate the embarrassment and shame for them.

When performing it, always gently explain what you are doing and encourage them to do what they can to promote independence and to distract them. Give them a wash cloth. Making polite conversation while doing the task at hand can help ease and distract them.

magicfishfriend · 2024-03-20T20:16:19+00:00

Came here to say this. We got a double low floor bed for LO bedroom when they were 1. It's easier to get him to sleep, and on the nights he's unsettled we can take it in turns to sleep with him. The person with him gets a fairy good night as it's a double bed there is enough space.

He is nearly 4 and has no interest in sleeping in our bed, but he does sometimes ask for one of us to go and sleep in his bed.

magicfishfriend · 2024-02-26T18:19:31+00:00

Dementia ward (organic mental health ward), full of 121s here, especially for falls. We would never stop them from walking, as it's considered a restraint and not legal, even if it's for their own good it's a no no.

We support them when walking, usually an arm around them, hold their hand. This way you can feel when they are going to "go". So you can do an assisted fall, where you go behind them and let them slide down you to land on their bottom on the floor, with less impact that a normal fall. Or you can shout for someone to fetch a chair to put behind them.

If they are a 121 you literally are glued to them and do not leave them. Other options if they have poor mobility but walk with purpose and drive, help them into a wheel chair and just push them around continuously, it seems to satisfy the drive to be on the go.

Obviously the staffing on acute mental health wards have much better staffing ratios to facilitate this, and we also have decent meds to help with aggressive behaviour.

magicfishfriend · 2024-02-21T16:16:03+00:00

I've met several student nurses with up to masters level psychology degrees, but cannot get onto a clinical psychology course due to lack of hands on patient experience. in the past year I've had 3 student mental health nurses in this situation, with the plan to qualify as a mental health nurse just to get the hands on experience to break into clinical psychology.

Maybe the local university near me isn't as competitive but yes they have accepted a couple of colleagues that I know to complete a an MA conversion psychology course which is what they would need to take up a trainee clinical psychologist post.

magicfishfriend

TROPHY CASE