ausrnurse

ausrnurse

ICU

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About ausrnurse

ausrnurse has 4 years experience and specializes in ICU.


Latest Activity

  1. Asking Former Preceptor for Some Space

    Just to play devil's advocate for a moment, it's possible your preceptor was trying to check that you had followed up on something without you thinking you weren't being trusted - but obviously didn't do a good job. I will often quietly double check ...
  2. Mobilizing While On CRRT

    I wouldn't mobilise a patient on dialysis back when I was a dialysis nurse, let alone an ICU patient with a a bunch of other things going on. I have no problem with sitting out in a chair though, although I know a lot of nurses I work with won't do i...
  3. RN forging doc's signature

    I think the OP needs to clarify the hospital policy in regards to this. I mentioned this earlier, but at my old job we had standing orders and could write and sign our own pathology forms. At my currently job this would be considered well outside my ...
  4. RN forging doc's signature

    Very true. Different hospitals have different policies regarding RN's signing path forms. I was allowed to at my old job, if I did it at my current job it would have the same consequences as me ordering and signing for a medication on the med chart. ...
  5. Cleaning up lines

    This is one of those things that just gets better with experience. First, I pull down everything that's not being used. For example, all our patients come back from theatre with noradrenaline and GTN running (why??). You're obviously only going to ne...
  6. U.S ICU-RN Bound for Melbourne, Australia

    No respiratory therapists and for safety reasons.
  7. U.S ICU-RN Bound for Melbourne, Australia

    Hello, I am Australian but not in Melbourne. It seems like ICUs are very different here, but I think for the better. 1:1 ratios for ventilated patients and closed ICUs with intensive care specialists. :)
  8. What is it with nurses showing up late!

    What the! 45 minutes late! Honestly, I think anything more than 5-10 minutes is pushing it and I would have been calling to find out where she was. My workplace starts calling after about 5 minutes past your start time. I once worked on another ward ...
  9. ER to ICU orders

    These targets are absolute nonsense. Patients get transferred before even being worked up or stabilised and you end up with a hot mess on your hands, by the way you only have one cannula for your critically ill patient and they haven't been through t...
  10. Am I in the Wrong??

    Like everyone has already said, I would remember to double check the post op orders and then try not to worry about it anymore. The doctor should have actually double checked that he'd prescribed the meds he wanted given. This is just one of those th...
  11. Medication safety what if...

    I don't mind so much if it's the original packaging on the way to draw it up (eg., a vial of antibiotic powder before reconstitution). I think carrying IV medications that have been reconstituted is an infection control risk and you are risking leaka...
  12. sedation and anesthetics

    Wow, I can't imagine not being allowed to bolus propofol or titrate meds! We can bolus as much as we need to taking into account the pts blood pressure, letting the MO know if the pt is requiring large amounts of boluses to remain settled. Same with ...
  13. Nonsedated Pt's equal self extubations

    I see you've never had a patient go into asystole from precedex There is a small group of patients it does work well on - typically post-ops with anaesthetics still on board and imminent extubation and the occasional tubed patient withdrawing from a...
  14. Protonix in GI bleed

    Now you will remember for next time :) We have similar pumps that should also clamp after the cartridge has been inserted in the machine but I usually try to clamp the line with the roller clamp as well - just in case. I doubt a few drops of pantopra...
  15. Nonsedated Pt's equal self extubations

    I read somewhere that doctors always think patients are oversedated and nurses always think they are undersedated. Personally, I've never seen a nurse deliberately oversedate a patient, and if they did someone would say something to them. Occasionall...