https://www.facebook.com/101797662643944/

Proud to be a nurse, Juba (2026)

14/12/2025

IF MCROBERT’S MANEUVER FAILS… THEN WHAT?

Someone asked,
"If McRoberts maneuver doesn’t work during a shoulder dystocia, what’s the next step?"

If McRoberts (the first go-to move where we flex the mother's legs tightly to her belly) doesn’t free the baby, there are other techniques we use immediately, like:

Suprap***c pressure: pressing just above the p***c bone to help move the baby’s shoulder.

Woods screw maneuver: gently rotating the baby to free the stuck shoulder.

Rubin maneuver: pushing the baby’s shoulder inward to make it smaller and easier to deliver.

Gaskin maneuver: turning the mother to all fours (hands and knees) to create more space.

In very rare cases, advanced moves like Zavanelli maneuver (pushing the baby back in for a C-section) are considered but that's extremely rare and a last resort.

The goal is simple: Act fast, stay calm, save the baby and the mother.

Birth is unpredictable sometimes, but skilled midwives know multiple ways to respond when things get tricky.

©️ Student Nurses & Midwives - Health Care Champions

29/11/2025

WEEKEND HEALTHY TIPS

1. Drink warm water before meals — boosts digestion and detoxifies your gut.

2. Sleep before 11 PM — heals your brain and balances hormones.

3. Walk for 30 minutes daily — strengthens your heart, brain, and bones.

4. Sit in the sun for 15 minutes — natural Vitamin D strengthens immunity.

5. Eat slowly and chew properly — improves digestion and prevents overeating.

6. Avoid using your phone for 1 hour after waking — keeps your mind calm and focused.

7. Eat one fruit on an empty stomach — cleanses your system and energizes you.

8. Practice deep breathing for 5 minutes — reduces stress, anxiety, and blood pressure.

9. Keep your gut clean — your gut controls your mood, skin, and immunity.

goodmorning

23/11/2025

Greetings to those working in the medical field ❤️

22/11/2025

In every hospital, there’s always that one legendary sharpshooter,
the IV insertion expert everyone calls when things get serious.

The veins may be rolling, invisible, shy, dehydrated, or hiding for their life…
but when that nurse steps in, it’s game over.
One poke. One glide. “IV secured, thank you.”
No drama.

And the best part?
They’re always in demand.
Every station hears the same line:
“Can we borrow your sharpshooter? We need help with an IV!”

To all the IV gods and goddesses out there,
To the IV sharpshooters out there:
thank you for saving time, saving veins,
and saving everyone’s sanity.

20/11/2025

What is DKA?

DKA = Diabetic Ketoacidosis.
It mostly happens in Type 1 diabetes.
When there is little or no insulin, the body cannot use glucose for energy.
So it starts breaking down fat → this produces ketones.
Too many ketones make the blood acidic → acidosis.
This serious condition is called DKA and needs urgent treatment.

Why Ketones Form in DKA

The body needs insulin to use glucose.
When insulin is missing, glucose stays in the blood and cells starve.
Cells switch to fat breakdown for energy.
Fat breakdown releases ketones, which are acids.
When ketones pile up, the blood becomes acidic → DKA.

The DKA Chain
No insulin → glucose can’t enter cells → body burns fat → ketones form → ketones build up → acid → DKA.
A simple chain, but very dangerous if not treated quickly.

Who Is Most at Risk?
People most at risk of DKA:
• Type 1 diabetics
• Anyone who missed their insulin doses
• People with infections (flu, pneumonia, UTI)
• Children with newly diagnosed diabetes
• People under stress, trauma, or surgery
• Severe dehydration

Early Signs of DKA
Watch for:
• Extreme thirst
• Frequent urination
• Dry mouth
• Fatigue
• Nausea or vomiting
• Abdominal pain
• Rapid breathing

Danger Signs of Severe DKA

• Kussmaul breathing (deep, rapid breaths)
• Confusion
• Weakness
• Very dry skin
• Low blood pressure
• Fruity-scented breath
These signs show the body is in serious metabolic trouble. Emergency care is needed.

What Triggers DKA?

Common triggers:
• Infection (most common)
• Missed insulin doses
• Stress hormones from illness
• Injury or surgery
• Dehydration
• New-onset Type 1 diabetes
• Faulty insulin pumps
Anything that increases sugar or reduces insulin can lead to DKA.

What Happens to the Body During DKA?

• Blood sugar increases
• Body gets dehydrated
• Kidneys lose water and electrolytes
• Ketones accumulate
• Blood becomes acidic
• Potassium levels shift
• Organs start to struggle
This is why DKA is a medical emergency.

10/11/2025

POSTOPERATIVE SHIVERING
Causes
1. Following anaesthesia with halothane/cyclopropane/ether/thiopentone
2. Cold ambient temperature
3. Following blood transfusion
4. In cold stage of malarial fever.
Manifestations
1. Metabolic rate, and oxygen consumption increase
2. Increased carbon dioxide production
3. Ventilation increases
4. Hypoxaemia.
Management
1. Oxygenation
2. Methylphenidate, pethidine
3. General supportive measures, nursing care
4. Skin surface warming, if associated with decreased body temperature.

21/10/2025

Before Scrubs Were Fashion

They wore whites that carried lives, not trends.
Faded, creased, sometimes blood-streaked —
a uniform heavier than any designer label.

Before machines beeped and charts dictated,
their hands remembered every fevered pulse,
every whispered fear,
every tremor that no one else noticed.

They worked nights when the city slept,
feet blistered, eyes tired, hearts full.
No applause, no hashtags, no stories online —
just patients breathing, living, surviving.

Before coffee breaks became selfies,
they drank determination
from the wells of exhaustion.
Before fame, before recognition,
there was only service.

They counted time in heartbeats, not hours.
They measured love in touch, not metrics.
They healed not for praise,
but because humanity demanded it.

And now, when we swipe through our screens,
when we measure success in likes and shares,
remember them:
the nurses who carried lives
while the world barely noticed.

Before scrubs were fashion,
they were warriors.
Before scrubs were fashion,
they were everything.

21/10/2025

Metformin (Glucophage)

Nursing Considerations

1. Monitor renal function (BUN, Creatinine)
2. Hold 48 hrs before & after contrast dye procedures
3.Take with meals to reduce GI upset
4.Avoid alcohol increases risk of lactic acidosis
5. Do not crush/chew extended-release tablets

18/07/2025

💙 Doctors and Nurses: United by Purpose 💙

In every hallway, every patient room, every emergency—
doctors and nurses stand side by side, not in rank, but in unity.

One doesn’t lead while the other follows.
They collaborate, communicate, and care as a team.

Because healing is not a solo act—it’s a symphony of trust, skill, and compassion.

To every nurse and doctor out there:
Thank you for lifting each other up and lifting lives every day. 🙏🩺❤️

14/07/2025

NURSES! STOP SAYING “IT’S DOCTORS’ WORK” — LEARN IT. MASTER IT. ONE DAY, IT MAY SAVE A LIFE.
You see that clinical skill you keep avoiding?
That one you say “is not my work”?
One day, you’ll be the only one standing between a patient and death… and your confidence, not your uniform, will make the difference.

Here are key clinical skills every nurse should be excellent at — no shortcuts:
1. Cannulation & IV Line Setting
Know your needles. Understand gauge sizes and color codes. Learn how to set a line like your life depends on it — because one day, someone else’s might.

2. Lab Test Interpretation
Don’t just carry results — understand them.
What does a low hemoglobin mean? What are the signs of sepsis in lab values? Learn to think like a clinician.

3. Vital Signs with Critical Thinking
It’s more than checking numbers. Know what they mean.
A sudden drop in BP, a slight rise in pulse — those are signs. Train your eyes and your instincts.

4. Basic Life Support (BLS)
You don’t need to work in emergency to save a life.
Be ready. Know CPR. Act fast. Be the reason a family doesn’t bury their loved one.

5. Medication Administration (Oral, IV, IM, SC)
Know your drugs. Know the right route, right dose, right time — and what to watch out for. Mistakes are costly.

6. Wound Dressing & Aseptic Techniques
A poorly cleaned wound can cause infection.
Asepsis is not a “theory paper.” It’s a skill. Own it.

7. NG Tube Insertion & Care
Learn how to insert, confirm placement, and manage complications. Don’t panic when it’s your turn.

8. Clear, Legal Nursing Documentation
If you didn’t write it, it never happened.
Protect your patient. Protect yourself. Your pen is your power.

Stop hiding behind the phrase “I wasn’t taught.”
Start saying, “I took time to learn.”

Dear Nurse, don’t wait until the day you need the skill to wish you had learned it.
Be competent. Be confident. Be prepared.

Share this to encourage someone who’s been playing it “safe.”
Let’s raise the standard. Together

13/07/2025

🛑 To Nurses Who Bully: A Message That Needs to Be Heard 🛑

Nursing is a profession built on compassion, respect, and care — not just for our patients, but for each other. When bullying happens among nurses, it breaks down the very foundation of what nursing stands for.

👩‍⚕️ You may have forgotten, but every nurse was once a beginner. We all had shaky hands, unsure voices, and moments of doubt. No one becomes strong by tearing someone else down.

Bullying isn’t leadership. It isn’t toughness. It’s a betrayal of the oath we took to advocate, support, and heal. When you bully, you create fear instead of teamwork, silence instead of learning, and pain where there should be encouragement.

💬 “Nurses eat their young” should never be a tradition — it should be a warning that something needs to change.

If you've bullied someone, it’s not too late to reflect, apologize, and do better. Real strength is shown in kindness. True leadership lifts others up.

🩺 Be the nurse you once needed. 🩷 Be the colleague who heals with words, not wounds.
# Florence Nightingale

Proud to be a nurse

14/12/2025

29/11/2025

23/11/2025

22/11/2025

20/11/2025

10/11/2025

21/10/2025

21/10/2025

18/07/2025

14/07/2025

13/07/2025

Address

Website

Alerts

Shortcuts

Share

Category