Vikingnurse

Vikingnurse has 5 years experience.

Latest Activity

1. Delirium in the ICU

   Vikingnurse replied to AngelaHarvey's topic in Critical

   In my unit we focus a lot on delirium. Primarily because we have a no sedation protocol for our ventilated patients. That protocol in itself is step to minimizing or prevent delirium. Sedation on top of severe sepsis and mechanical ventilation and th...

2. Excessive mouth secretions

   Vikingnurse replied to phedrn's topic in Critical

   In our unit we also use scopoderm or atropin... the only consideration you need to have using either of these drugs, are their potential to cause delirium. They are two anticholinergic drugs, which might "tip the scale". I definatly need to find out ...

3. A/C vs. SIMV

   Vikingnurse replied to poppy07's topic in MICU

   Could someone please explain what A/C stands for? Perhaps we just call it something else in our little country? It sounds a bit like the MMV (Mandatory Minute Volume Ventilation) on the DrägerXL... If the preset ventilations in A/C mode is given with...

4. ICU nurse to pt ratio "norm" on your unit?

   Vikingnurse replied to Natef26's topic in MICU

   How sedated are your patients and how often do you use restraints? We don't use restraints at all and we use little or no sedation (with a few exeptions). If we have a patient in risk of selfextubation or could do harm to him or herself in any othe...

5. Preferred mode of ventilation and weaning

   Vikingnurse posted a topic in MICU

   What is your preferred mode of ventilation? We have the Dräger Evita XL, what a machine! We start out with the BiPAP+ASB mode, and as soon as the sedation is reduced enough we switch to CPAP+ASB. We have no weaning protocol and so the weaning process...

6. ICU nurse to pt ratio "norm" on your unit?

   Vikingnurse replied to Natef26's topic in MICU

   I need some more information in your nurse to pt ratio. We are ALWAYS 1:1 day, evening and night. But then again we deal with everything medicin, personal care, ventilator "things" (suction, ABG's etc.) Both day and evening shift we have what we call...

7. ICU nurse to pt ratio "norm" on your unit?

   Vikingnurse replied to Natef26's topic in General Nursing

   I need some more information in your nurse to pt ratio. We are ALWAYS 1:1 day, evening and night. But then again we deal with everything medicin, personal care, ventilator "things" (suction, ABG's etc.) Both day and evening shift we have what we call...

8. Descripton of tracheal secretion

   Vikingnurse posted a topic in MICU

   Hi everyone! We are a couple of nurses working on our suctioning procedure in our ICU. I am trying to find a "standard" description of tracheal secret. What we noticed is that nurses write things like "water like", "thick", "moderate amount" or "not ...

9. Can't believe they do CRRT this way...

   Vikingnurse replied to jbp0529's topic in MICU

   We use the Prisma Flex machine in my unit. Our choise is usually CVVHDF which mean we run both pre- and post replacement fluids. Depending on what we use the dialysis fore we run the prereplacementfluids between 1000-2000 ml/hr sometimes even 3000 ml...

10. mouth care for vent patient

    Vikingnurse replied to fatoma's topic in MICU

    We brush the teeth on ventilated pts once a shift. One hour after brushing their teeth we coat the mouth with chlorhexidine gel. The reason we wait is because the chlorhexidine stops the effect of the flour in the toothpaste. A study made in several ...

11. how are things done in you ICU

    Vikingnurse replied to dnursewa's topic in MICU

    We have an intensivist present in our unit all day. They are not allowed to leave our ICU, unless they have someone else to cover for them. We have no problems in getting a doctor to see the patient.

12. noobie

    Vikingnurse replied to RNmac97's topic in MICU

    I think 99 pct. of all hospitals in Denmark have 8 hours shifts, some hospitals have 12 hours shifts on weekends. In that way you dont have to work as many weekends (usually 3 out of 8, but with 12 hours shift it is 2 out of 8) In Norway the most com...

13. Nurse: Patient ratios

    Vikingnurse replied to PButler's topic in MICU

    I sounds like you work REALLY hard - my deepest respect for HealingtouchRN, Heartqueen and all the others. It isn't because we don't work hard here, but yes! we have a lot of time for our patients and I really enjoy my work when I know we have made a...

14. How much do you work

    Vikingnurse posted a topic in MICU

    Based on the "nurse : patient ratio" thread I would like to know how much other nurses work? how many hours a week? And if you would like to share the information... for how much? Personally I have an average of 35,5 hours a week, and 2 or 3 extra sh...

15. Nurse: Patient ratios

    Vikingnurse replied to PButler's topic in MICU

    I must say I am extremly happy with the focus we have on nursing here, allthough I miss my old unit in Denmark (1:1,7 ratio). Even though we are 2 nurses we often find time to short..... so there MUST be a catch somewhere. Because I can NOT imagine h...