dissle

dissle has 18 years experience and specializes in critical care.

Latest Activity

1. Weighing patients

   dissle replied to dissle's topic in Critical

   We use Hill Rom however the whole hospital use these. Without weighing facilities. It is hard work as the hoists lift patients off the bed, tubes, lines and wires all at risk of dislodgement. It is not an option to change the beds. I wondered if the...

2. Weighing patients

   dissle replied to dissle's topic in Critical

   Hi, thanks so much for your reply. Could i ask who is the manufacturer of these scales? Dissle

3. Weighing patients

   dissle posted a topic in Critical

   Just wondered how you all weigh your patients? We have a hoist but the slings are very expensive so we want to see what else is out there offering better value for money, also that is less dispruptive to the patient with less risk. Thanks.

4. Dealing with ICU visitors

   dissle replied to leesespieces's topic in MICU

   To be fair, it gives them "permission" to not be there exhausting themselves 24 hours a day. Also, we get quite close to our families, and build up a trusting relationship, they see their relative is bieng cared for with respect and with dignity, the...

5. Dealing with ICU visitors

   dissle replied to leesespieces's topic in MICU

   2 til 8pm, visiting, that is it. 2 visitors at a time, and next of kin only. Any other visitors are allowed if the nOK gives permission, again, this is restricted. This is a given and is not questioned in my dept. Relatives are told of this rule and ...

6. Things you'd LOVE to be able to tell patients, and get away with it.

   dissle replied to AngelfireRN's topic in Relations

   AAAAHhhh the positives of the British NHS! We do get this, but people are usually very English and very grateful for everything that we do for them! But then i am sure that an English nurse will come on here shortly to tell me that i am mad and tha...

7. haemofiltration and APTT, can i ask......

   dissle posted a topic in MICU

   We are about to start training on Prisma flex by Gambro. These machines do not have a needle free system for sampling blood for APTT, we have to use a needle and syringe. This is a practice that we are desperate to avoid/stop using. We could sample f...

8. This is a plea to the world, please talk to me like i am 5 years old with this!!

   dissle replied to dissle's topic in General Nursing

   Ok so: you need 3 things to make a BP, pump volume squeeze CO=Pump CVP=volume SVRI=squeeze. 3 types of hypotension: 1)Cardiogenic=pump failure= CO goes down, svri goes up 2) Hypovolaemic=No volume so Co down, Pawp down &svri up 3)Septic=BP down,...

9. This is a plea to the world, please talk to me like i am 5 years old with this!!

   dissle replied to dissle's topic in General Nursing

   thanks for those brilliant links, particularly like the FAQ one, that is speaking my language....simple simple simple!

10. This is a plea to the world, please talk to me like i am 5 years old with this!!

    dissle posted a topic in General Nursing

    Some one out there, must know of an easy way of learning and retaining all of the information associated with cardiac performance. I jsut cant get it into my thick skull!! C.O C.I SVRI pre load, afterload, contractility etc etc etc.... How on earth d...

11. Any one use ventilators? can i ask you a question please?

    dissle replied to dissle's topic in General Nursing

    Blueheaven, what pageresiratory says is fair comment. HME,s ARE contraindicated for use for more than 24 hours and in patients with copious secretions. What about patients with pneumonia's who have thick sticky secretions, how are these mobilised wi...

12. Any one use ventilators? can i ask you a question please?

    dissle replied to dissle's topic in General Nursing

    I cant do links, sorry, im rubbish at computers. Its by Covidian who were Tyco and they are called "Hygroster" I have got some in my office and have been looking at them on and off for months. Now papers are bieng published about how good they are an...

13. Can i pick your brains about your training please guys?

    dissle replied to dissle's topic in General Nursing

    How about you guys in America, how do you do this?

14. Any one use ventilators? can i ask you a question please?

    dissle replied to dissle's topic in General Nursing

    I have sourced a high quality HME that has withstood vigorous trialling and has many papers written about it. It can be used to replace wet circuits for patients who will be ventilated for longer than 24 hours. Taking up your point about thick bloody...

15. Can i pick your brains about your training please guys?

    dissle replied to dissle's topic in General Nursing

    Hi, Any one else?