Remixed to improve sound quality! Liz and Jesse are joined by Heike Krausse, Clinical Nurse Consultant for Diabetes at RBWH, in a MASSIVE episode to explore five things to deepen our knowledge, and make us better at supporting and providing education for our patients with diabetes. Heike’s Five Things Know your (patho)physiology Self-management and home blood glucose monitoring All about hypoglycaemia Diabetes medications – not just insulin Healthcare language really matters...
Dec 21, 2023•54 min•Ep. 63
In this episode Liz and Jesse are joined once again for a great part 2 by Professor Ian Coombes. Ian is the Director of Pharmacy at RBWH and an expert in safety thinking. Ian looks at the what and why of the most common error prone medication types. Ian’s Five (Plus One) Things: Paracetamol and other analgesics, Insulin and other diabetic medicines. Heparin, enoxaparin and other anticoagulants. Antimicrobials. Cardiac medicines in the hospital setting. Cytotoxic drugs....
Dec 14, 2023•42 min•Ep. 62
In this episode Liz and Jesse are joined by Professor Nicole Marsh. Nicole is the Nursing and Midwifery Director of Research. Nicole’s principal research agenda is focused on vascular access devices and infusion practice. This is an excellent, sharp (pun intended) episode about IV Cannulas. Nicole’s Five Things: Right device. Right inserter. Insertion site inspection and care. Removal as soon as not needed. Partnering with patients to own the care of their IV device....
Dec 07, 2023•24 min•Ep. 61
In this episode Liz and Jesse are joined by Professor Ian Coombes. Ian is the Director of Pharmacy at RBWH and an expert in safety thinking. Ian unpacks the complexity of medications. Ian’s Five Things: It’s never JUST a medicine Medicines should always be presumed guilty until proven innocent. MIMS should not be taken as gospel. The initial medication history is never the full story. Prescribing, the devil is in the details.
Nov 30, 2023•32 min•Ep. 60
In this episode Liz and Jesse are joined Cienwen Town, clinical nurse consultant for Perioperative Patient Blood Management at RBWH. Cienwen takes us through the topic of anaemia, especially from a perspective of blood product conservation in the perioperative period. Cienwen’s Five Things: What is anaemia? Most common symptoms and causes of anaemia. Who and how to screen for anaemia. Optimising anaemia. Managing anaemia on the ward....
Nov 23, 2023•25 min•Ep. 59
In this episode Liz and Jesse are joined Erin Marsland, clinical psychologist with the Queensland Eating Disorders Service. Erin shares her learnings from a career of working with people living with eating disorders to help us through what this means at a population-diagnostic perspective, but also an individual level. Erin’s Five Things: Eating disorders are a unique and individual experience. Eating disorders also do share common thoughts, feelings, urges and experiences. Eating disorders are ...
Nov 17, 2023•36 min•Ep. 58
In this episode Liz and Jesse are joined Thomas Skennerton, the Senior Advisor for Diversity, Equity & Inclusion at Metro North Health Service. Thomas weaves us through what this means at a system and individual level and hopefully adds some knowledge to help us on our journey to being an ally for our colleagues and patients. Thomas’s Five Things Diversity, equity and inclusion, what is it and why are we still needing to talk about it? Who are the populations or communities we are talking ab...
Nov 09, 2023•37 min•Ep. 57
In this episode Liz and Jesse are joined Dr Karen Davies. Karen is completing her post-doctoral study focusing on individual accountability for nurses practice in medication safety. Karen is currently working as a research fellow and also holds the substantive position of Clinical Nurse Consultant for Safe Medication Practice at RBWH. Spoiler alert… we are talking about medication safety. Karen’s Five Things Communication is vital. Importance of the patient as a core member of the medication saf...
Nov 02, 2023•42 min•Ep. 56
In this episode Liz and Jesse are joined by Kristy Moore, Senior Audiologist at RBWH. Kristy helps us understand hearing loss and some strategies to support our patients (and colleagues). Kristy’s Five Things What is hearing loss? Impact of hearing loss for hospital patients. Ways nurses can identify hearing loss at the bedside. Supporting patients when a hearing loss is identified. Hearing aids and community services.
Oct 26, 2023•35 min•Ep. 55
In this episode Liz and Jesse are joined by Laura Freeburn Nurse Educator in Mental Health at RBWH. Laura has been doing a lot of work in Queensland helping clinicians to develop skills and knowledge in trauma informed care. Laura’s Five Things What is trauma informed care? Five principles of trauma informed care. Trauma informed care in Indigenous people’s experience of healthcare. Trauma informed care includes how we consider our colleagues needs. People can, and frequently do, recover from tr...
Oct 19, 2023•43 min•Ep. 54
In this episode Liz and Jesse are joined by Liz Lupschen, Clinical Nurse Consultant in Stomal Therapy at RBWH. Liz drops some great knowledge in the aim of making us all feel a little more confident in caring for patients with a stoma. Liz’s Five Things What is a stoma? Reasons for stoma forming surgery. Types of stomas. Things to know about stomas. Stoma appliances and the Australian appliance support scheme. Psychosocial considerations of living with a stoma....
Oct 13, 2023•41 min•Ep. 53
In this episode Liz and Jesse are joined by Therese McCurry, Clinical Nurse Consultant Cancer Care Coordinator specialising in breast cancer at RBWH. No surprises here that we are going deep on five things about breast cancer. Therese’s Five Things What is breast cancer? Stages and types of breast cancer. Breast cancer treatments. Complications of breast cancer treatment. How breast cancer impacts women and their families.
Oct 06, 2023•47 min•Ep. 52
In this episode Liz and Jesse are joined by Zanna Byrne, Clinical Nurse in Endoscopy at RBWH, to learn five things about endoscopy. Andrea’s Five Things What is endoscopy and why do we do it? What is gastroscopy? What is a colonoscopy? What are some other endoscopic procedures? Tips for pre- and post- endoscopy patient care.
Sep 28, 2023•35 min•Ep. 51
In this episode Liz and Jesse are joined by Dr Andrea Taylor, Nurse Manager for Research in Surgical and Perioperative Service at RBWH, to learn five things about frailty. Andrea’s Five Things What is Frailty? What does Frailty look like? How do we classify Frailty? Can frailty be prevented? The role of the nurse in caring for the frail patient.
Sep 21, 2023•39 min•Ep. 50
In this episode Liz and Jesse are joined by Nigel Harris, Nurse Practitioner in Dermatology at RBWH. He joined us to drop some knowledge on practical tips for caring for the skin of our patients, particularly those who are elderly. Nigel’s Five Things Itchy skin is common and there are some easy treatments for symptoms. Watch out for stasis dermatitis. Management of thin and fragile skin during hospitalisation. The downside of leaving skin cancers untreated – keep an eye out. Feet and toenails a...
Sep 14, 2023•30 min•Ep. 49
In this episode Liz and Jesse are joined by Janet Layton, an elder, community leader, qualified social worker and counsellor and currently an Indigenous Hospital Liaison Officer (IHLO) at RBWH. Janet shares her experiences and insights on working with Aboriginal patients and families at the time of death and helps us understand how to access and provide support during Sorry Business. L Janet’s Five Things Not all Sorry Business is the same. Understanding some traditions and protocols in Sorry Bu...
Sep 08, 2023•40 min•Ep. 48
In this episode Liz and Jesse are joined by Olivia Cullen, Clinical Nurse Consultant in Hepatology at RBWH. No surprises here that we are going deep on five things about the liver and liver disease. Olivia’s Five Things You need a liver to live and a healthy live to live well. Functions of the liver. Causes of liver disease and cirrhosis. Importance of early identification. Compensated liver disease versus decompensated. Critical knowledge for the nurse in the acute setting. People with severe l...
Aug 31, 2023•48 min•Ep. 47
In this episode Liz and Jesse are joined by Erin Davison, Cardiac Physiologist and Electrophysiology (EP) Lab Team Leader. In this episode we zoom in on five things about arrhythmias with a particular focus on the work done in the cardiac electrophysiology lab. Erin’s Five Things: What is an arrhythmia? Symptoms of an arrhythmia. Who is involved in the care of arrhythmias in the EP lab? How are arrhythmias diagnosed in the EP lab? How are arrhythmias treated in the EP lab?...
Aug 25, 2023•28 min•Ep. 46
In this episode Liz and Jesse are joined by Rebecca Rashleigh-Rolls, ICU Nurse Educator at RBWH. Bec helps us navigate through the complex world of fluids and electrolytes. Bec’s Five Things Fluids and electrolytes, why are they important? What happens when the is too much or too little of either? The two big electrolytes – sodium and potassium. Nursing assessment and the nursing process (APIE). FLUIDS mnemonic tool for the assessment toolbox....
Aug 17, 2023•44 min•Ep. 45
In this episode Liz and Jesse are joined by Dr Adrienne Young a research dietitian at RBWH and University of Queensland. Adrienne helps us zoom in on the role of the bedside clinician in optimising nutrition. Adrienne’s Five Things Eating when sick is different to eating when well. Weight and diet intake are key nutritional vital signs that need to be monitored. Body size isn’t a good indicator for nutritional status. Meal times really matter. Hospital food isn’t as bad as you think....
Aug 10, 2023•33 min•Ep. 44
In this episode Jesse is joined by his esteemed co-host Dr Liz Crowe. Liz takes the guest seat in this episode to lay down a primer on loss and grief. This episode serves as foundational principles focus from where we will launch for future episodes exploring coping and different socio-cultural experiences of loss. Liz’s Five Things What are loss and grief? There is no such thing as normal grief. Grief does not occur in stages and is not cured by time. Grief is exhausting and recovery is active....
Aug 03, 2023•33 min•Ep. 43
In this episode Liz and Jesse are joined by Brynn Waddington, Neurosurgical Clinical Nurse at RBWH. Brynn distils his years of experience into a great episode on neurological. assessment Brynn’s Five Things Asking “why does my patient have altered level of consciousness?” What is a GCS? Assessing limb power. Other targeted neurological assessment tools. Catching and escalating deterioration.
Jul 27, 2023•47 min•Ep. 42
In this episode Liz and Jesse are joined by Rob Timmings to tackle glossophobia and help build confidence to from extend from bedside teaching to presenting in front of larger groups. Rob has 36years of nursing experience, in formal and informal nurse education roles in Queensland, as well as running a successful clinical education business and large social media learning platform. Rob’s Five Things O – Own your topic, knowledge, environment. P & Q – Presentation qualities. R – Research your...
Jul 20, 2023•46 min•Ep. 41
Liz and Jesse are joined by Dr Natasha Roberts to learn about prostate cancer. Natasha is a specialist nurse and clinical research fellow at Metro North Health. Natasha’s Five Things Prostate cancer does not discriminate. What causes prostate cancer? How is prostate cancer treated? What does a prostate cancer diagnosis mean to the bedside nurse? How do we support the person and their family through a prostate cancer diagnosis and treatment?...
Jul 14, 2023•39 min•Ep. 40
In this episode Liz and Jesse are joined by Anna McMahon, Familial Bowel Cancer Nurse at RBWH. Anna is studying a Bachelor of Clinical Redesign and has a sharp focus on the patient experience and system improvements particularly related to admitted in patient bowel preparation for colonoscopy procedure. Anna’s Five Things About Bowel Preparation What is bowel prep and why is it so important? What constitutes adequate bowel preparation? Bowel prep timing is critical. How do we best support patien...
Jul 06, 2023•47 min•Ep. 39
Liz and Jesse are joined by Janeen Johnson a clinical nurse with the Heart Support Service at RBWH. In this episode Janene helps us understand heart failure. Janene’s Five Things Signs and symptoms of heart failure. Nursing interventions can make a real difference in acute heart failure. Importance of patient education prior to discharge from hospital. Self-management strategies for heart failure. Make sure your patient has a heart failure action plan....
Jun 29, 2023•29 min•Ep. 38
Liz and Jesse are joined by Alison Backler, Clinical Nurse Consultant Alcohol and Drug Service RBWH. In this episode we look at drug and alcohol addiction and considerations for the acute hospital environment. Alison’s Five Things Addiction doesn’t discriminate. The role of thiamine. Why withdrawal (particularly alcohol and benzodiazepines) is so serious. Be wary of bias. Patient’s with addictions, still have a need for, and right to, adequate pain relief. There is a difference between recreatio...
Jun 22, 2023•40 min•Ep. 37
Liz and Jesse are joined by Sophie Lloyd, Cardiology Nurse Practitioner with RBWH and Redcliffe. Sophie lays the foundations for a series of future episodes about the heart. Sophie's Five Things: 1. The gross anatomy of the heart. 2. The heart function as a pump. 3. Understanding cardiac output. 4. How the bedside nurse can assess heart (dys)function. 5. What is heart failure?
Jun 15, 2023•30 min•Ep. 36
Liz and Jesse are joined by Julia Brownlie, a Nurse Practitioner in the Emergency & Trauma Centre at RBWH. Julia has a special interest in women’s health and helps us navigate through some considerations in navigating challenging and uncomfortable conversations, particularly with relation to women’s health issues. Julia’s Five Things: There are a series of topics clinicians struggle to talk about, particularly with gendered issues. Avoiding placing our lived experience onto how we care for a...
Jun 08, 2023•37 min•Ep. 35
Liz and Jesse are joined by Angela Spencer CNC for Epilepsy at RBWH to discuss seizures. This is one of our most requested topics and we think Angela does an amazing job of breaking it down. Angela’s Five Things: What are Seizures? Difference between epilepsy and seizures. Common triggers for seizures. Most common interventions and medications Acute and chronic management of seizures For loads of resources head to the Internal League Against Epilepsy website https://www.ilae.org/...
Jun 01, 2023•39 min•Ep. 34
