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Search Results Type: Posts; User: bethem

From Date
  1. Albumin administration rate and IV tubing
    In ICU we slam it in stat.
    Jan 5, '09
    Forum: Medical-Surgical Nursing
  2. A/C vs. SIMV
    What do you guys (US) call what I know as Pressure Control Ventilation plus Assist? It's a Draeger mode on the Evita models. It delivers breaths at a set rate, with a pressure limit. The breath is...
    Nov 11, '08
    Forum: MICU / SICU Nursing
  3. Not taking 0xygen Saturation on patients...???
    I'm an ICU nurse, so the thought of not knowing my pt's SaO2 is downright scary! Of course there are signs of hypoxia which may be picked up in a good assessment, but why wouldn't you just pop a...
    Nov 8, '08
    Forum: General Nursing Discussion
  4. Bad room
    We've got 2 bad rooms out of 16 beds! Bad mojo in our unit.
    Nov 3, '08
    Forum: MICU / SICU Nursing
  5. Hypovolemic Shock
    We would fill first, then use a more alpha-adrenergic pressor like noradrenaline. Dopamine tends to be used as an addit to norad, and only when the norad is maxed out and still ineffective. The...
    Oct 23, '08
    Forum: General Nursing Discussion
  6. Endotracheal tube securement
    We use cloth tapes tied in a particular way. There is some movement to get the EndoTrachead Attachment Device (ETAD) in our ICU which is an adhesive thing - like Comfeel with a zip tie on it.
    Sep 16, '08
    Forum: MICU / SICU Nursing
  7. Question about ICUs
    In my ICU (in Newcastle, not far from Sydney but more 'rural' even though we are a level 6 ICU), we do CRRT and the dialysis nurses do haemodialysis. Hope that helps.
    Sep 13, '08
    Forum: International Nursing
  8. night shift (7 on 7 off) 12 hour shifts
    That's what our docs do. They do three days and four nights, each 12 hours, then 7 off, then four days and three nights, then seven off, every month. I dunno, it seems to work for them. They don't...
    Sep 12, '08
    Forum: First Year After Nursing Licensure
  9. Intra-Abdominal Pressure Monitoring
    We do it when indicated; we have a set of criteria for indicating IAP monitoring. Every trauma gets it, some abdo surgeries and some other stuff that I can't remember - it doesn't happen all that...
    Sep 9, '08
    Forum: MICU / SICU Nursing
  10. Have you had this happen to you?
    It has happened to me; we use bite blocks to ensure the patient can't bite, and do qshift tape changes during which we reposition the tube and the pilot line. Good idea to check for snaggleteeth...
    Sep 9, '08
    Forum: MICU / SICU Nursing
  11. Please ICU interview and I'm sooooo nervous!
    This might sound weird, but... pretend, just during the interview, that you ARE confident. Imagine what a confident person would say and how they would act, and do that! It got me a job in ICU,...
    Sep 8, '08
    Forum: MICU / SICU Nursing
  12. Consider going for MD?
    Is that that dodgy Oceania University thing in Samoa? Where you do your theory on line for the first year or something and then you organise your own clinicals? Yeah, they advertise in our Aussie...
    Sep 4, '08
    Forum: Nurse Practitioners (NP)
  13. What is your most memorable interaction with a Doctor
    My mum had a miscarriage between my brother (now 23) and my sister (now 20). She had two doctors seeing her in the ED. One was all concerned with the paperwork and the dispo. The second pulled a...
    Sep 2, '08
    Forum: General Nursing Discussion
  14. biased workplace!!
    I know some hospitals prefer new grads in ICUs because they haven't learnt any 'bad habits' yet, and can be moulded into the very model of a modern major ICU nurse. I personally think a bit of...
    Sep 2, '08
    Forum: General Nursing Discussion
  15. Australian Assistant In Nursing on working holiday in UK!
    A Cert IV in australia is actually a certificate 4 - the IV is roman numerals, not an abbreviation. Cert IVs come from our technical schools. Don't worry, IV meds are only given by nurses in...
    Aug 30, '08
    Forum: International Nursing
  16. 75 mcg Fentanyl patch a day early on lethargic patient?
    Why would it matter? Forgive me if I'm wrong, but I thought the point of fentanyl patches was to receive a continuous dose of fentanyl (in this case, 75mcg/hr) and that the patch contained enough...
    Aug 26, '08
    Forum: General Nursing Discussion
  17. N.C. man dies after waiting 22 hours at hospital
    I agree that this is horrible, but is there a causative link between being in a chair for 22 hours and dying?
    Aug 20, '08
    Forum: Nursing News
  18. New ICU RN....former ER Nurse...Loving it!!...LONG
    :yeah:Awesome! I read your other thread and I am so glad you've found something that suits. I am a little biased, but I love ICU too! I think ICU is 'think deep' vs ED, which seems to be 'think fast'...
    Aug 18, '08
    Forum: MICU / SICU Nursing
  19. The reason why u cant get blood from a peripheral IV??
    Is this a homework question? What are your thoughts about why you might not want to take blood from a peripheral IV? It's not that it is not possible, but it's not appropriate. Think about why the...
    Aug 16, '08
    Forum: Medical-Surgical Nursing
  20. Neuro is the most tragic
    I hate the unpredicability of neuro injuries. I am totally inexperienced when it comes to neuro pts, but it seems that I can never tell which ones are going to get better and which ones we should...
    Aug 14, '08
    Forum: General Nursing Discussion
  21. Why do nurses leave the ICU???
    In response the the person who said all new grads needed to do to get a job in ICU was show up to the interview, well: I applied for a position as an RN 2 in an ICU program. There were 10 spots and...
    Aug 13, '08
    Forum: Nursing News
  22. NURSES & DOCTORS - to flirt or not to flirt
    Who needs to flirt with the docs (especially when they're looking rough at the end of their 7th day on in a row) whe you work with some hot male nurses like I do? And you know the nurses won't get...
    Aug 12, '08
    Forum: General Nursing Discussion
  23. bolusing a trach with ns but not suctioning afterwards
    Wouldn't a NS neb be more comfortable and equally effective? It seems so counter-intuitive to stick water in someone's lungs on purpose. Especially if you don't then suck it out again.
    Aug 11, '08
    Forum: General Nursing Discussion
  24. Have you ever worn scrubs off the job?
    I'll often duck in to the shops on my way to or from work with my scrubs on, but they're not as commonly worn in Australia so not many people recognise that I am a nurse. I like it that way.
    Aug 9, '08
    Forum: Nursing Scrubs / Uniforms / Gear
  25. Not all older nurses eat their young...
    By the way, you're not 'nobody' and you're not 'just an assistant'! Devalue yourself and you're giving permission to others to devalue you. Next time just say it proud - you're an assistant, a fine...
    Aug 3, '08
    Forum: Success Stories in Nursing