esie

esie has 3 years experience and specializes in ICU.

Latest Activity

1. IV Compatibility

   esie replied to calfro87's topic in MICU, SICU

   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...

2. Does Australia have a registration exam?

   esie replied to madascanbeRNtobe's topic in International Nursing

   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,...

3. MAP=60? Why wait to treat?

   esie replied to sewnew's topic in MICU, SICU

   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...

4. ratio for fresh CABG pts

   esie replied to bhrusa09's topic in MICU, SICU

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

5. Question re: OG tube - New in ICU

   esie replied to cm8816's topic in MICU, SICU

   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...

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

   esie replied to edogs334's topic in MICU, SICU

   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...

7. Rural nursing in Australia

   esie replied to caramel79's topic in International Nursing

   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...

8. T-piece??

   esie replied to Candice31's topic in MICU, SICU

   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,...

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

   esie replied to IheartICUnursing's topic in MICU, SICU

   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...

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

    esie replied to icu26RN's topic in MICU, SICU

    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,...

11. ? for CVICU Nurses!

    esie replied to my2sons's topic in MICU, SICU

    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...

12. Salary in Oz? The reef is calling.

    esie replied to misscherie's topic in International Nursing

    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....

13. How do you measure temperatures?

    esie replied to EMSnut45's topic in MICU, SICU

    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...

14. New Graduate in ICU- Advise and Tips

    esie replied to cdtmns2011's topic in MICU, SICU

    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,...

15. Hespan

    esie replied to Aneroo's topic in MICU, SICU

    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)...