the illusion of the repeat.

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In musical notation, that snake-bite colon you sometimes see at the end of a notated passage is called a repeat sign.
It directs the musician to return to the beginning of the phrase or section and play it through again. To repeat it over.

But it is never a true repeat, because you can never play the same piece of music twice.
Although the musician returns over notation that is exactly the same, the flow and form of the music is always moving onward. Really, there are no repetitions.

As nurses we must always be very careful of repeats.

It is easy to fall into the trap of treating patients that return over and over with similar symptoms as exactly the same each presentation. Or to treat a particular condition or diagnoses as repeating itself identically amongst different patients. 
Or to expect that a task we frequently perform is going to play out the same way as the previous occasions.
To do so is to risk missing the onward flow and form within our patients individual lives.

Our nursing work calls for endless repetition. Drawing blood. Giving medications. Taking ECG’s. Writing notes. Looking after patients with the same diagnosis. Day after day. Year after year. We think we know what we are doing.
Going back over the same section again and again.

But the illusion of the repeat is something we must work hard to avoid.
We must not just play the music, we must listen, and oftentimes, allow ourselves to be played by it.

A beginners guide to interpreting an Arterial Blood Gas (ABG).

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Here is a short educational video I made a long time ago.
It was intended as a beginners guide to interpreting an arterial blood gas. I attempted to cut through the confusion and make it simple enough for even me to understand.

If you listen carefully you will hear my dog Smudge, who has absolutely no interest in ABG’s …. he just wanted me to come out and kick his soccer ball around with him.

Please let me know if you find it useful……


A beginners guide to interpreting Arterial Blood Gasses. from Ian Miller on Vimeo.

In His Arms.

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Take a few moments to watch this short movie directed by nurse Christine Girdham.

The film is dedicated to all those who have lost loved ones from pregnancy to birth.

Nathan and Emily are a happily married couple and are very excited to start a family. However, having a baby isn’t as easy as they thought. Together they make it through the challenge of falling pregnant, not realizing that their biggest challenge still lies ahead… Their lives are about to change forever!

This movie was a winner of the Maureen Pullman Encouragement award in the recent NSNMA short film festival.