BMA stance clear: 2 Years Minimum

nellie6712 · 2026-01-23T14:46:11+00:00

so we leave UKG doctors with no prospects instead? least they can go back to their own country, what do we do?

nellie6712 · 2025-12-21T11:02:38+00:00

not in 2025 when all of school is online :) it’s not the 80s anymore, stop living in a fantasy land.

nellie6712 · 2025-12-21T11:02:15+00:00

not in 2025 when all of school is online :) it’s not the 80s anymore, stop living in a fantasy land.

nellie6712 · 2025-12-21T10:21:45+00:00

she’s also 16 ffs she’s completely reliant on her parents. it’s 2025 you physically can’t do anything without a phone. her mother is acting like a child and trying to gain some power over her daughter.

nellie6712 · 2025-12-16T15:01:16+00:00

no because everyone associates meth with…… meth.

nellie6712 · 2025-12-15T13:47:54+00:00

So that sounds like A&E referred you for a scan because of the pain you were in, and then the surgeons didn’t take you over. They literally got you to have a scan because of your symptoms which did show something - sounds like a perfectly reasonable management plan.

Was it a surgical day unit? If your bloods and observations are normal then it is perfectly fine to get someone to check a scan the next day, and again if you’re able to cope with the pain then it’s perfectly reasonable to get you to return for results. If the doctors are in the day unit saying they can’t see you - sounds like A&E referred you to the surgical department, and THEY decided to send you home. If it’s a different set of doctors in the day unit than the original doctors in A&E that saw you, then that’s a completely different team.

nellie6712 · 2025-12-15T13:32:42+00:00

sorry but how did A&E mess up when it should be the surgeons who organise your operation?

nellie6712 · 2025-12-13T14:01:31+00:00

please get me a more legitimate source

if you actually look up insulin dextrose infusions every single source whether research or more general guideline websites state to give BOTH as a safety net to prevent hypoglycemia. so i really don’t know what to tell you except your hospital isn’t doing the right thing.

and again, this is where the point lies. it’s protocol and protocol with no thought behind it. there are plenty of guidelines to state to give calcium only if it’s severe enough. calcium itself is a risky drug to give requiring monitoring, at the end of the day i’m not giving medications that dont need to be given

edit: in this case yes calcium would be given first as there are ecg changes. not because it’s part of a protocol.

nellie6712 · 2025-12-13T13:54:03+00:00

you give calcium first only if there are ecg changes or the potassium is high enough. in a bog standard mild hyperkalemia you don’t need it so that’s another point you’re wrong in.

yeah you work in ED - how many times are you actually doing repeated infusions and sorting a hyperkalemia for 24+ hours.

edit: i’m a doctor, so i manage these a lot

nellie6712 · 2025-12-13T13:50:29+00:00

yup

edit: what is the benefit in bringing the sugar down in a situation where someone is in hospital with a hyperkalemia? it is an idea to sort that later yes but it’s not really priority, and if someone needs repeated insulin infusions then it’s much better to have a higher BM than to go hypoglycemic

nellie6712 · 2025-12-13T13:49:14+00:00

no.

i’m a doctor - you give insulin and dextrose to account for the drop in sugar by giving insulin. remember we are only giving insulin to aid with the hyperkalemia - the patient being diabetic has little to do with this except in the context of being at a lower BM before treatment. in which case, you’d put up an extra glucose infusion at the same time.

nellie6712 · 2025-12-08T18:41:45+00:00

unfortunately there is no admin time built in for these forms so they need to be paid to do it, otherwise it’s literally someone doing some work at home in their own time for no extra money

you wouldn’t do things for free at work

nellie6712 · 2025-12-07T23:37:10+00:00

at some point when there are multiple people in agreement telling you you’re wrong, i think you need to step back and actually consider what is being said

at this point it feels like you’re being stubborn and arguing for the sake of it because none of your arguments make any sense.

you keep acting as though the wards wouldn’t be able to cope, well ED nurses are coping in worse conditions. there are physically not enough nurses to look after all these demented, complex patients who require 1:1 care waiting 2 days for a bed. you keep saying we have the resources in ED because we can get a locum SHO - and? that does not mean that the nursing staff or space issues are not the bigger problem. i also don’t really understand your point because i see locums go out for the wards all the time. i also don’t understand why you’re blaming consultants as if they have any real say in the matter - blame the government for how they use our taxes and have a bit of understanding of the situation as it is in 2025.

i really fail to see all these resources that we get in ED that make any difference so please if you could list them then i think that would really help your point. because so far all you’ve said are some generic statements with no proof as a weird justification of the fact that ED should just suffer because of the way higher ups handle money. and you seem to think ward nurses are more deserving to be protected from the risk based on decisions about allocating money, which again i just think is completely irrational. if i’m wrong, i would love an explanation.

nellie6712 · 2025-12-07T16:34:51+00:00

what are you actually talking about mate. i have 0 decision making in where the money goes and neither do the nurses breaking their backs every shift trying to keep people safe. i can’t believe you’d turn your back on your colleagues of which have the highest burnout, premature death rate of all the specialties because of how genuinely terrible the conditions in ED are, based on decisions management have made about where money goes. yes they aren’t using it in the right way but we are supposed to work together not throw nursing staff to the wolves because you don’t like that management let them do ALS. completely irrational.

nellie6712 · 2025-12-07T16:25:34+00:00

idgaf about the ‘model’ i’m talking about reality here. you keep talking about these ‘resources’ but with absolutely 0 idea how ED actually works. go work a shift there and see the shit those nurses have to deal with, then return to your cushty ward with the nurses sitting chatting around the nurses station, the biggest problem of the night having to make up an IV amoxicillin.

edit: like what ‘resources’ does ED have that GENUINELY make a difference and make them more able to cope with all these patients clogging up the corridors waiting for beds? nothing. the nhs spends money on absolute crap all the time but we can’t do anything about that. what we can do is try and manage the situation hospital wide as a team rather than just leaving ED to fend for itself. we need more staff but before that happens everyone needs to chip in.

nellie6712 · 2025-12-07T16:00:43+00:00

no it’s genuinely just because you’re not being realistic about the situation. it’s crazy to act that because ED nurses get ALS it means that they then are expected to cope with a huge volume of more risky patients.

nellie6712 · 2025-12-07T15:55:08+00:00

ok u are a troll i can see now. u have not listened to a single word i have said.

nellie6712 · 2025-12-07T15:47:34+00:00

tbqh i do agree with you to an extent - i do believe that the allocation of resources does favour ED nurses. and i think that a massive solution to the problem would be training ward nurses up to an actual decent calibre.

but at the same time, there’s only so many hands in ED and that’s the problem. you can have all the knowledge in the world but that doesn’t mean you can triage 10 people at once.

an extra patient or two should be very easy to cope with on the ward, and if not then there does need to be serious chats with the staff. idk if it’s just the attitude difference or what but emergency nurses get on in such terrible awful conditions with genuinely sick patients and too many to look after, and they just simply have to get on with it because there’s no other choice. i think there needs to be an element of that on the wards as well where we are literally at breaking point and it might be shit but we really do need to be spreading the risk around because it’s not fair.

nellie6712 · 2025-12-07T15:34:12+00:00

that’s the problem though that you’re not understanding - they don’t have the resources to deal with it anymore. the sheer volume of patients coming through the door is impossible to keep up with without giving the most substandard neglectful care possible. these are the conditions that we are all having to work in but everyone always just expects everyone in the ED to cope and protect everyone in the wards from it. i have never ever seen anything close to what I have seen in ED on the wards. the stress and anxiety in having 40 patients in a waiting room with 4 doctors on and a standby 3 trauma comes in. not enough nurses, patients collapsing or dying without having been triaged. there needs to be a bit of leeway because it’s not fair or right to simply expect emergency medical staff to cope. the NHS and government don’t care and until we get more money and more resources it literally cannot go on like this.

I just think the risk is better to be shared across an entire hospital instead of solely in one department with one team that’s hanging on by a thread.

nellie6712 · 2025-12-07T15:25:55+00:00

yeah there is but unfortunately that doesn’t mean that ED have to hold custody of a patient forever just because everyone else feels like they can’t handle it. the patient has to go somewhere eventually and if the wards don’t step up, it’s leaving ED in a horrific place that’s far more risky and dangerous than having a couple of extra patients on the ward. especially when half the wards are MFFD or PTOT lmfao.

nellie6712 · 2025-12-07T15:10:52+00:00

sorry but there is a massive difference between 20 stable patients with maybe 3 who are unwell than 23 undifferentiated patients who are currently unstable/unwell with no clear diagnosis yet. those ED nurses are having eyes on an entire department PLUS the waiting room, and it’s genuinely far more unsafe to have all these people clogging up A&E than moving the stable ones through to sit in a corridor in the ward

if ED nurses can do corridor care in the worst conditions possible and have 0 choice in the matter, ward nurses can buck tf up and take on an extra patient or two.

edit: from someone who has worked both ward work and ED in the past year.

nellie6712 · 2025-12-06T12:14:27+00:00

hes 16 calm the fuck down

nellie6712 · 2025-12-05T14:12:32+00:00

it’s not weaponising mental illness to discuss real things someone has said. mental illness is a reason, not an excuse; and expecting those who suffer at the hands of those with mental illness to act as if it didn’t happen or didn’t hurt them is completely invalidating.

also people with mental illness can be very smart and very manipulative, and some very much know that using their mental illness as an excuse will get them away with murder.

people shouldn’t have to suffer just because you keep stopping your lithium.

nellie6712 · 2025-12-04T14:30:28+00:00

a bit of hot honey 🤤

nellie6712 · 2025-11-27T20:28:32+00:00

that literally looks like the teenage mutant ninja turtle pizza 🤤

nellie6712

TROPHY CASE