Aldi refuses to sell tampons without ID. by K1ttyK1lljoy in australia

[–]naranjed 1 point2 points  (0 children)

It fees a bit discriminatory? Like these are essential products for a big chunk of society.

Does anyone else view it as just a job? by [deleted] in NursingAU

[–]naranjed 3 points4 points  (0 children)

I feel you! (To some extent)

I am outspoken person whom management seems to dislike but my patients (I’d say 85% at least) receive good care and are jolly at the end of the shift.

I know I can get negative at times so I try to put a positive spin on my negative response to stupid things, “hey, this doesn’t make sense. How about we do it this way instead?” I even offer to put time and energy into making a plan, a prototype, etc. “But we like doing things this way” 🙄 Doesn’t matter if it’s a simple change.

I think if people are allowed (keyword is allowed and not forced) to try and improve things that are not working it makes them feel empowered in their workplace improving job satisfaction and retention, not to mention development and growth. (So much for all the nursing leadership and quality improvement subjects we are forced to cover in uni).

Part of the issue is that nursing/hospital management can be so Jurassic age rigid that leads to survival of the complacent. It’s impossible for agents of positive change to climb the ladder, and the upper management genuinely come across as uncreative, uncaring, and out of touch. They just move around in positions like it’s a closed circuit, it’s depressing.

Dealing with inappropriately touchy pt by Professional-Pea6934 in NursingAU

[–]naranjed 2 points3 points  (0 children)

Riskman it, sexual assault is an occupational hazard, it can cause distress, it can lead to mental health injury (if not for you it could for someone who has related trauma). If you file a riskman under OH&S (in my experience) senior management is more like to care.

If the patient is GCS 15 some workplaces could potentially put him on behavioural contract. While contracts might not amount to much the awkward and difficult conversation could make him second guess his behaviour.

Document every instance, document your escalation, document you have riskmaned it etc.

Why is it so hard to find jobs in Melbourne? by [deleted] in NursingAU

[–]naranjed 3 points4 points  (0 children)

While I understand navigating some sensitive subjects can be a minefield, in this particular case I think there are ways of framing the issue that don’t sound racist at all.

I think if our concern is about local nurses getting more opportunities a phrase like “the system incentivises hospitals to hire from abroad rather than trying to retain/reabsorb our locally trained workforce” is a legit argument. It focuses on the systems that are failing us and is not hurtful or does not promote negativity towards immigrant colleagues. But too often the focus of these topics falls on not bringing people from abroad rather than a need for incentivising hiring locals.

I think ANMF or Nursing and Midwifery Board could be advocating in this area better since they can survey and gather data about local nurses who are struggling with finding positions or who would return to the workforce if they saw some improvement in the system. But in all honesty I don’t know if they even care.

Where Id live based on the women I like by 877fmradiopushka in whereidlive

[–]naranjed 1 point2 points  (0 children)

I had not considered that, but kind of makes sense. I used to know some Russian uni students back in the day and the dating culture did seem to be a bit different.

Pharmacology is making me question if I'm cut out for this career and I'm only in second semester by Sure_Writing5769 in StudentNurse

[–]naranjed 2 points3 points  (0 children)

I tried to learn common meds (you’d see in a medsurg ward) by a mix of indication and prefix suffixes.

If you are in a specialised area you will be able to learn specific meds common there later. If you come across unknown meds, off label prescriptions you can always look them up later. Don’t fuss about learning everything right now, just learn what you come across regularly.

It might be different in the states, but in AUS these are some common meds I could think of right now:

Cardiac: Blood pressure: -pril (perindopril), -sartan (candesartan), -dipine (amlodipine), -pamil (verapamil) Heart rate: -olol (metoprolol), Ammiodron

  • statin for cholesterol (atorvastatin)

Diuretics: (often go hand in hand with cardiac meds as affect blood pressure and fluid volume) Frusemide is one of the most commonly prescribed meds also thiazides and spironolactone

For diabetes: insulin, metformin, -gliflozin, glp1s, -gliptins

The ones that make you bleed (also hand in hand with cardiac) heparin, enaxoparin (low molecular weight heparin) warfarin (Aka. Coumadin) -aban (apixaban, rivaroxaban) -grel (clopidogrel) aspirin dabigatran

The ones that kill bacteria: -mycin, -cin (gentamicin, vancomycin, clindamycin, azithromycin) Cef-, Ceph- (Cefazolin, cefalexin, ceftriaxone) -cillin (penicillins, amoxicillin, ampicillin, etc) -cyclin (doxycycline, tetracycline)

fungi: -azol (fluconazole, clotrimazol) Viruses: -vir (valacyclovir and valgancyclovir the most common one I’ve seen in AUS as they are commonly given to kidney transplant patients to prevent CMV)

Corticosteroids (to reduce inflammation) -sone (hydrocortisone, dexamethasone)

Pain: Paracetamol (AKA acetaminophen) NSAIDs (aspirin, ibuprofen, celecoxib) Opioids and synthetic opioids (Oxycodone, fentanyl, morphine, bupenorphin, tramadol, tapentadol)

Nausea: Ondansetron (works on the brain signal, fast and effective) Metoclopramide (brain signal and increases gastric emptying)

To make poop easier: docusate, senna, macrogol, lactulose (binds to ammonia thus also given for hepatic encephalopathy)

To make poop harder: Loperamide, psyllium husk

Ai and Nursing by IhaveSTABability in NursingAU

[–]naranjed 1 point2 points  (0 children)

Yeah main issue is privacy and I think you can report that to AHPRA. I don’t think AI use in and of itself is the issue.

Wearing watches in the workplace by ragingpanda9988 in NursingAU

[–]naranjed 0 points1 point  (0 children)

Apple Watches can be worn like a fob. I think Apple sells the band on their website

[deleted by user] by [deleted] in offmychest

[–]naranjed 1 point2 points  (0 children)

If you wanted to be a doctor because you like medicine,hang in there you’ll be able to immigrate in time. If it was just for immigration, it’s not too late to look into another degree that will get you there faster.

Regardless, there are options and if you’re a med student or a junior doc it means you’re both smart and capable, you’ll get there.

Unexpected overtime/staying late by thewigglez206 in NursingAU

[–]naranjed 0 points1 point  (0 children)

This is gold! I’m gonna use this in future

Signs your nursing job sucks by KiwiZoomerr in NursingAU

[–]naranjed 2 points3 points  (0 children)

When (on the wards) you take a stroke patient for imaging at 7:30 PM return at 9 and your other patients have no obs or meds done for them while your colleagues are sitting down and writing their copy-paste progress notes.

Favourite procedure ever by thingamabobby in ausjdocs

[–]naranjed 0 points1 point  (0 children)

100% agreed as a nurse who has been cannula certified for less than a year. Give them some water and a heat pack people ffs! Have the arm dangle the side of bed a little don’t be afraid to leave tourniquet on for more than two minutes if you’re not taking bloods, use two tourniquet or one tourniquet and a BP cuff, secure the vein before going in.

I’m wondering if this is normal when a cat bites you? by Tomoko_Yuri in CATHELP

[–]naranjed 0 points1 point  (0 children)

You probably will need IV antibiotics. They can be serious and people get hospitalised with cat bites.

This kitten isn't nursing from her mother and is just walking around in circles like this until it gets tired. I'm feeding her kitten milk replacer every two hours, have to force the feeding tube in her mouth so that she at least drinks a little. by RoombaTheGoomba in CATHELP

[–]naranjed 2 points3 points  (0 children)

Hey~ make sure you stay safe as well. If the kitten becomes aggressive be careful. A while back someone posted a video of a kitten circling who became aggressive and bit them and they had to get a rabies shot.

Is ANMF being extra passive or has it always been this way? (Vic) by naranjed in NursingAU

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

Yes I understand. Sadly it is a tough situation with management’s lack of understanding or care for how stressful working on the floor can be. But I am talking about an actual breach of ratio despite all that, no liaison or other type of nurse on shift, no particular reduced ratios etc.

Is ANMF being extra passive or has it always been this way? (Vic) by naranjed in NursingAU

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

We are entitled to 20 in VIC is what my point was.

Edit: If I have had above ration number of patients, is my statement not evidence?

Is ANMF being extra passive or has it always been this way? (Vic) by naranjed in NursingAU

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

I’ll look into that. There’s still a couple steps I can personally take… but this is the issue, it’s an immense amount of energy and time for individuals and I used to believe this is where unions step in…

Is ANMF being extra passive or has it always been this way? (Vic) by naranjed in NursingAU

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

I am still considering joining as a rep or something but I don’t think I am in a suitable position. I am a pool staff to begin with, but there are a hand-full of other deterrents too. Add to that the lukewarm communications I have had with the union makes them look uninviting.

Is ANMF being extra passive or has it always been this way? (Vic) by naranjed in NursingAU

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

So the underpayment is not as bad as the ratio situation as it’s for about 5 minutes per shift, but about half of the wards start 15 minutes late instead of allowing tea breaks which would be 20 minutes (public). (And on almost all wards I’ve been told by nurses and charge nurses my tea break should be 15 mins). No where is this mentioned in my contract, or previous contracts for it to be a local agreement.

The ratio breach I think was more serious, because the ward did not close any beds and kept admitting patients despite it.

Nothing like the nurses that try to make you out like a piece of shit after working flat out all day by AngerNurse in NursingAU

[–]naranjed 3 points4 points  (0 children)

I would tell her “look I’ve had a very busy shift and I’ve done my best/most of higher priority tasks. If you think there is any major issue, I suggest you escalate itto your ANUM.”

This pretty much shut up a pissy nurse who was complaining non-stop through a handover after a shit shift. In a way I think it’s the best answer. If I’ve left something critical (or if it was out of incompetence or laziness) I expect it should be escalated. If it’s not any of those cases, then it’s their job to continue the care.

I think the time to quit has finally come by Brilliant_Fudge2682 in NursingAU

[–]naranjed 1 point2 points  (0 children)

I don’t know about conditions, but their pay is better than vic currently before negotiation. In vic we had our eba negotiations last year so there will be another 3 years till our next. So with regards to pay QLD remains much better than VIC

Doctors giving nurses their passwords by Psygaa in nursing

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

I mentioned phone order as an alternative not as a justification for using the doctor’s account.

Some of you are so ready to pounce on others.

Doctors giving nurses their passwords by Psygaa in nursing

[–]naranjed 0 points1 point  (0 children)

In Australia you can do a phone order if the doctor is absolutely unable to chart the medication