To stop nurse from giving me an Iv flush?

[EachandEveryone]

I don’t know maybe I was. I don’t gel with her anyway she’s a band 4 with no sense of personal space. This morning she woke me up with her face in mine it really made me jump. Them proceeded to
hrlp me sit up o am not a complete invalid and she had me in a hold right next to her bust. I literally shouted that police song Don’t Stamd so close to me. She’s been on am hour and now she’s been in 9 times. Jesus I have to
jsve a shower and it’s her I’ve asked for some omelet as well.

Sou picc line needed flushing she went off and drew something up and tried to flush I syopprd her straight away and said she wasn’t qualified to flush long lines and I don’t know what was in it. She said she’s qualified on her own country for years. I’m a nurse, the band five came in flushed it and said the four can flush as she’s qualified at home. Am o wrong then? They are all lovely and trying their best but I just thought I don’t know what I are putting on me and it needs to be done sterile.

i will have a think about the personal space thing as it’s a difficult one she could be horrible to me

Qualifications don't transfer in nursing. My sil was the senior nurse in ITU in London but when he moved to Scotland was told he could take blood or do IVs as he had to do the course again. It happens between health boards in Scotland too! So no , if she was qualified in her home country I am surprised she could do it here. Hope you are ok OP

Give over. She says in the OP she is a nurse, she knows her band, and knows she isnt allowed to flush the long line. Xenophobia is such a bloody reach, she knows she is working outside of her scope of practice where they are located. She is absolutely entitled to stop her. Her qualifications else where are completely irrelevent to where she is now.

I understand that if a patient has capacity they may reasonably decline any procedure. Ask to speak to the sister in charge for clarity. You are entitled to be treated with dignity, especially when you are unwell and lack usual agency.

Speak to the nurse in charge or ward sister and explain your concerns. Some registered nursing associates (band 4) may be able to flush pre filled syringes but it might be local policy or local guideline. Just ask to speak to the band 6. They will tell you straight what their guidelines are and also tell how you feel and she will speak to the band 4.

I have never been given (or otherwise seen) a patient information leaflet that gives that information in any hospital I've ever been in, up and down the country.

A big yes to sticking up for yourself. My DH has regular infusions for his cancer (long term maintenance chemo), and after a couple of cock-ups in the first treatment session where they gave him the wrong dose, he now watches them carefully and always insists on seeing the label on the bag for himself to check they're giving him the right dose of the right chemo. He also checks the duration/timescale and insists they slow it down as once he had a bad reaction to which the oncologist said it was "probably" infused too quickly. Despite all this being on his notes, he regularly finds they've not read the notes/instructions, hence why he always insists on checking it all himself.

You have to be your own advocate these days.

I can see where you are coming from. Whilst not having a PICC as a cancer patient myself and seeing people with one I know how cautious you have to be with them. Are you on an oncology ward or elsewhere? I find elsewhere staff are a bit more blasé whereas oncology are hot on what is given and by whom because they know full well how quickly an infection takes hold for us. Honestly I'd ask to speak with whoever is most senior on shift and express your concerns. I don't like people close in my personal space and more so since being on chemo.

I do find in my trust that HCSW (I think that's their title) are able to take blood and insert cannulas. I believe they aren't qualified nurses but have had extended training which could be similar to what this band 4 has done.

Sorry you are unwell and not feeling confident in the nurse caring for you.
Your needs clearly aren't being met.
Could you ask to speak to the nurse in charge or the ward manager and express you fears and concerns?

Stage four cancer can really change a person’s personality. I completely understand what you’re going through having cared for my own mother.

I understand you just want to be left alone. She was just trying to do her job.

"I read closet xenophobia here" @gototogo alternatively, the nurse could be over-familiar and makes @EachandEveryone uncomfortable?

If you don’t think she can do something don’t let her ! I’m tired of people agreeing either way anyone on the nhs just because …. If you are uncomfortable get someone else . You did the right thing .

Absolutely this. It’s not discretionary at all. Only UK qualified HCP registered with the NMC or other professional body can administer intravenous medication. And yes, a flush is intravenous medication.

OP I’m sorry you are unwell and dealing with this, but if you have the energy, I would complain. Not just to the Nurse in Charge, but in writing to the Director of Nursing, copying PALS in.

Hope you are feeling better soon.

The qualification still stands!
It is the competency of the practitioner that needs assessing when you move trusts!

You could be a b7 who's never hung an IV or a band 5 who does it every day, you're still a RN, but your competency needs assessing!

Go to the nurse in charge, if necessary the ward manager. Thus us why we end up with poor nursing. Patients are entitled to space and privacy. She needs documented training and be signed off, in the UK, ask the band 5 if she has that. In every investigation we find out it started to be practice to have under qualified staff do procedures. It isn't acceptable.

Checking the label is all well and good, is he checking it against the prescription??

It'll be up on the walls. In the entrance, waiting rooms, on the hospital website. You've just been lucky enough to not have a wait long enough to have to read the wall signs.
Her job is patient care and welfare, she isn't doing either well.

There are often notice boards on the wall somewhere with photographs of the different coloured uniforms and what they indicate

I don’t know what band 4 in the nhs is, so I don’t understand the relevance of op stating the band and her concerns about it. That’s the part that I’m trying to understand. If it starts at 0 and goes up, a 4 sounds pretty good to me.

Different uniform for hca, rgn, charge nurse etc.
I am not up to date with it, but band 4 is in between an hca and a rgn, so I expect there is a different uniform

Where does the omelette come into this?

Something no one has mentioned is, if someone carries out a procedure against trust policy and something goes wrong, the trust’s liability insurance might not cover a claim. If the general safety aspect does not make them take notice, perhaps the money angle will!

I am being treated with immunotherapy I thought it was supposed to be gentler but it’s given me hell. I’ve never had more than two consecutive doses without ending up
in hospital, this time with a bm of 30 and a temp of 39. I spent three days on a bed in an and e except when I got transferred to ITU and had to wait 9 hours to get back. I can’t knock the treatment on the ward but it’s care of the elderly and I’m the youngest here. Within five minutes of meeting me she brought me a cup of tea in a sippy cup and it went downhill from there really. Not her fault but a quick assessment would have told her I was sitting up and moving and drinking . The ward is busy but there’s no common sense. My tumour is coming through the skin on my groin and is leaking 100 mls an hour the tvn suggested trying to use a bag I was so r. Tied as I’m sick of changing bedding and pads. Anyway it falls off after two days and they replace it with a tiny one that holds :18 mls and it’s stayed on but obviously I have to empty it my self it’s alot. I asked them to send a student or someone to another ward to see if they could spare one, it’s exactly what we would do. I was told a straight no that no one would have one. What not the stoma ward? Itu? Gastric? Honestly please at least try.

I'm a nurse although I haven't worked in a ward for some time so my knowledge may be out of date. But yes I think you are right, I don't think Band 4s can do IVs. They can do almost everything a Band 5 does but not IVs or controlled drugs.
She may have got it a little wrong in her dealings with you, and she does seem a bit full on, but it actually sounds like a good thing she is keeping such a good eye on you. People usually complain about the opposite..that they don't see enough of the nursing staff! I'm sorry you're so unwell 💐

Its starts at 2, band 2 -4 can be HCAs of various qualifications. 2 is also cleaners and porters. Admin can range across multiple.
A band 4 can be a HCA, or a Nursing associate usually these days. a nursing associate has done a 2 year university level course (not a full degree however, its level 4 and 5), and is registered with the NMC. Think between health care assistant and nurse. In the trusts i have worked in, they are able to give meds, but nothing IV. At all. This includes a saline flush. This may vary across trusts, but they require additional training. Some maybe able to flush a standard cannula, but not a long line. Some trusts may allow for long lines with further training. In the OP's case she has stated, clearly, a band 4 cannot flush a long line.

Band 5 is the lowest band for a registered nurse, who has completed a full degree. Some nurses stay band 5 for their entire career, some progess. It will range trust to trust, but where i work it goes up to band 7 for nursing, ward manager, specialist nurses, advanced practioners all 6 or 7. Band 8 is matrons. But most ward nurses you see, are band 5. Band 4s are not ever, fully qualified registered nurses.

When my 1st child was a couple of days old I witnessed a nurse picking him up incorrectly -she literally pulled him up to her by his arm. Back in those days wards were run by the Matron; I complained to Matron who instantly banished the offending nurse, thanked me, & told me the particular nurse wouldn’t be allowed on her ward again.
Where are todays Matrons? Seems OP needs a Matron to sort out her problem?