esie

esie has 3 years experience and specializes in ICU.

Latest Activity

1. IV Compatibility

   esie replied to calfro87's topic in MICU

   It is standard practice here in Oz that 99% of ICU patients have an IJ, sub-clavian or femoral multi-lumen central line inserted, or a PICC line if they are a long term patient requiring fewer infusions. The central line would have either three or fo...

2. Does Australia have a registration exam?

   esie replied to madascanbeRNtobe's topic in International

   Here is a link to the Qld Health current wages rates. To give you an idea, I am an RN, and I have been registered for four years, nearly into my 5th. So, to give you an idea, I am at a Gr 5 level, paypoint 5.

3. MAP=60? Why wait to treat?

   esie replied to sewnew's topic in MICU

   We generally run with a guideline of MAP >65mmHg, unless specifically indicated. When considering chatting to the docs about a fluid bolus, I consider the trends over the last 2-3 hours. What has the pt's urine output been, where is the MAP hove...

4. ratio for fresh CABG pts

   esie replied to bhrusa09's topic in MICU

   Our fresh hearts, whether a simple CABG or valve replacement, or more complicated by IABP or nitro, are always 1:1.

5. Question re: OG tube - New in ICU

   esie replied to cm8816's topic in MICU

   In our unit, and the other units I have worked in, a chest X-Ray is ALWAYS performed to verify placement before use. Sure, air boluses and aspiration and litmus test have their place in initial verification, but with a CXR you know for sure the NGT...

6. Any ICUs or critical care settings where the standard ratio is 1:1?

   esie replied to edogs334's topic in MICU

   At the hospital I work at in Australia, pts on Bipap in Respiratory HDU are 2:1, but are watched very closely for a decline that will need ICU admission. We do have Bipap pts in ICU that are 1:1, but they generally have other issues going on.

7. Rural nursing in Australia

   esie replied to caramel79's topic in International

   I was recently *this close* in going to Alice Springs Hospital ICU for a secondment (couldn't go in the end as my hospital refused to allow any leave without pay, even though our unit is about 3FTE over). I think for a first time rural placement, it...

8. T-piece??

   esie replied to Candice31's topic in MICU

   In our unit, we use T-pieces to deliver humified oxygen to a long term ventilated patient who is being weaned from the ventilator. We generally do first day 1-2 hours t-piece, then 2 hrs ventilator, and continue that for the day as tolerated, and th...

9. What would you do? ...stop TPN or not

   esie replied to IheartICUnursing's topic in MICU

   If you have an emergent newly admitted patient going into septic shock, very hypotensive and trending downwards, the TPN is the least of your worries. As others have said, the course of action would be to cease the TPN (and aspirate and flush the lu...

10. Labs and vasopressors..new icu nurse needs advice

    esie replied to icu26RN's topic in MICU

    In the ICU department I work in, all admitted patients, whether overnight post-op, short term, long term, on or off inotropes; everyone has an arterial line. Never ever interrupt your inotropes, except to wean them down, it's too risky for the patie...

11. ? for CVICU Nurses!

    esie replied to my2sons's topic in MICU

    Pre-extubation, we immediately use paracetemol 6 hourly and use either 2mg boluses of morphine, or 20 mcg boluses of fentanyl (depending on the pt's age, kidney function, allergies etc) PRN. Once extubated, the pt has a PCI that delivers either 0.5m...

12. Salary in Oz? The reef is calling.

    esie replied to misscherie's topic in International

    Hi Misscherie, as you have mentioned the Great Barrier Reef, this is a link for Qld Health payrates. In fact, take your tine browsing the whole Work For Us site, there is some great info in there. When doing your research about where to work, take ...

13. How do you measure temperatures?

    esie replied to EMSnut45's topic in MICU

    We use a bladder temperature line to the minitot for pts with an IDC with a temp attachment; naso-oesophageal temp line to the monitor on cardiac surg pts & pts without IDC temp attachment; and generally a themometer auxially or femorally other...

14. New Graduate in ICU- Advise and Tips

    esie replied to cdtmns2011's topic in MICU

    I also went into a med surg ICU as a grad, but I had the experience of a paramedic background. Best piece of advice I can give is ask lots and lots of questions! Don't be afraid to ask your CN's, senior RN's, doctors, physiotherapists, speech therap...

15. Hespan

    esie replied to Aneroo's topic in MICU

    One of the current trials being conducted by ANZICS Clinical Trials Group in Australia & New Zealand is the CHEST study. The study is comparing the use of Hydroxy-Ethyl Starch (Voluven, Hespian) 0.9% Sodium Chloride, with 0.9% Sodium Chloride al...