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Search Results Type: Posts; User: flo136

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  1. does anyone regret this career?
    I don't regret it. There is so much variety, every day is different, and what we do is so important. But I am finding it harder, 20 years down the track. I love doing critical care but I find...
    Sep 3, '12
    Forum: General Nursing Discussion
  2. Burn ICU Question
    I worked in an Australian city public ICU that had a burns speciality for 3 years. A few random thoughts that entered my head when I read your note: The rooms are really hot, which is hard to...
    Jan 12, '12
    Forum: Burn ICU / Burn Unit Critical Care
  3. Why go into trauma/critical care nursing?
    I agree with all the comments of life-threatening situations: fast-paced, exciting, etc. But also I like the nurse:patient ratio and also the support available when things go wrong. I have equipment,...
    Jan 12, '12
    Forum: Trauma ICU
  4. It will get better...right?
    Give it a good six months. I felt like I made so many errors when I started. The patient deteriorated, and it was all my fault? Of course not, but I could not see why. I was so tired and stressed,...
    Oct 22, '11
    Forum: CCU Nursing / Coronary / Cardiac
  5. Titrating multiple drips
    I agree with the other posts about experience guiding inotrope titration. But also, with disease processes such as sepsis,or multi-organ failure, you will get a feel for how far to go up or down. ...
    Oct 22, '11
    Forum: MICU / SICU Nursing
  6. What have your co-workers done to make a shift go more smoothly?
    Help each other out, without asking. Little things like turning pts, suction- all the two-hourly things we do. It's just done in time for breaks. And done well. Using each other rather than the...
    Oct 22, '11
    Forum: General Nursing Discussion
  7. What does "Ao" stand for?
    I'd say also 'aorta'.
    Oct 4, '11
    Forum: MICU / SICU Nursing
  8. Burnout rate-experienced nurses reply
    I'd say 3-5 years. I start to get really low about hospital politics and procedures after 6 months (the 'they-do-it-better-elsewhere' thing); but by 5 years I am really taking a sick day every...
    Sep 20, '11
    Forum: MICU / SICU Nursing
  9. You are doing gods work... semi rant, wondering what  its like for the rest of you
    I guess it depends if you believe in God! I agree we do prolong things now in ICU. And I do feel sad for those patients when you, and they, know the inevitable is coming. The hopelessness of it....
    Sep 16, '11
    Forum: MICU / SICU Nursing
  10. Swan-Ganz Use
    We use Swans here all the time in Adelaide, Australia. The docs use them mainly for number-crunching. Seeing the trend in the numbers: SVRI not so much. More CI/CO. I don't think they are...
    Sep 15, '11
    Forum: CCU Nursing / Coronary / Cardiac
  11. My moms CABG
    Here in my Australian public hospital, we do 4 CABG per day, 5 days a week. They do well. Some bleed and go back to theatre, but after that they're OK. Some come back on aortic balloon pumps, but...
    Aug 18, '11
    Forum: CCU Nursing / Coronary / Cardiac
  12. vomiting,  yuck
    I end up retching with them! Thank goodness I work in ICU where they are all intubated-yay!
    Aug 13, '11
    Forum: General Nursing Discussion
  13. What would you do? ...stop TPN or not
    I think you did the right thing. It was a peri-arrest situation so your priorities are Airway, Breathing, Circulation. ABC...not TPN. That can wait.
    Aug 12, '11
    Forum: MICU / SICU Nursing
  14. Why are you and ICU nurse?
    Because I make a difference in someone's life, and it is a big difference. You can be there at the last breath, or when everything is being done to save a life such as cracking open a chest. It is an...
    Aug 12, '11
    Forum: MICU / SICU Nursing
  15. Can't believe they do CRRT this way...
    In Australia, dialysis aptients are 1:1. We use citrate rarely. We use the suction tubing hooked up to the effluent bags and drain them into a outlet in the wall, and reuse them too. 3 litre...
    Aug 11, '11
    Forum: MICU / SICU Nursing
  16. What would you have done??
    I still would have held the meds. Does the Dr want the patient to go into arrest by the morning? If your colleagues agree, and we are educated people, then I don't get the big deal. Re:badness: we...
    Aug 11, '11
    Forum: MICU / SICU Nursing
  17. What do you love/hate the most about working in the ICU?
    I have been doing ICU for 15 years. I love making such a difference to lives. When they are rapidly deteriorating, and everyone is so busy doing stuff to save them. That adrenaline rush is the...
    Jul 19, '11
    Forum: MICU / SICU Nursing
  18. Wound cleansing agents
    Hi. I work in intensive care. 5 cardiac bypass patients per weekday. We don't use anything. They come back from theatre with a kind of synthetic mesh and then a thin hydrocolloid dressing (Duoderm)...
    Jun 28, '11
    Forum: CCU Nursing / Coronary / Cardiac
  19. Single Use Leads
    We use them here in Adelaide, Australia. But only on VRE/MRSA patients. They are great.Our regular patients' ECG leads are a bit bloody despite the cleans between admissions. Particularly...
    Jun 4, '11
    Forum: MICU / SICU Nursing
  20. Ever seen a pt live after 5 chest tubes?
    How is the patient going? Any updates on his condition?
    May 3, '11
    Forum: MICU / SICU Nursing
  21. How did you find your specialty??
    I was working in a Recovery/PACU unit. They were building a High Dependancy Unit next door. Before it opened, I popped to have a look. All clean and fresh and new! Got the job, but that unit...
    Apr 29, '11
    Forum: General Nursing Discussion
  22. Ever seen a pt live after 5 chest tubes?
    Hi. I am betting he may make it, and have not seen 5 in at the same time but 4. But the ventilation issues are huge, an absolute nightmare to wrecked lungs. Some smart tricky ventilations modes...
    Apr 29, '11
    Forum: MICU / SICU Nursing
  23. Why Do Nurses Eat Their Young?
    I agree with Heron. I qualified in 1994, under the old hospital-based training. I disagree with the more univercity/college-based courses today. But I guess I think the crux of it would be: I...
    Apr 28, '11
    Forum: General Nursing Discussion
  24. How do you measure temperatures?
    Hi Sarah in Adelaide, Australia here We started using Alsius units 8 months ago. Fantastic. Look like a central femoral line. Do a great job. Easy to use. Nice little dial to see the fluid...
    Apr 28, '11
    Forum: MICU / SICU Nursing
  25. I'm so sorry....your spouse just died.
    While you obviously didn't feel the situation was handled as you had hoped, please remember it is an awfully hard thing to do. A family's reaction can be so unpredictable and a sick relative can...
    Mar 26, '11
    Forum: MICU / SICU Nursing


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