bethem

bethem

Med onc, med, surg, now in ICU!

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All Content by bethem

  1. Improper intubation

    bethem replied to lmc512's topic in Ob/Gyn

    A little off topic, if someone is third-spacing, would the administration of an osmotic agent like mannitol or hypertonic saline help? I'm imagining that the osmotic solution in the intravascular...

  2. I am really worried~

    bethem replied to nghtfltguy's topic in General Nursing

    In another life, i'd be you right now! Good luck, and good on you for making a committment like

  3. Restraints in acute care

    bethem replied to KneKno's topic in International Nursing

    We use them on anyone who is at risk of pulling their tubes - basically, if they move their hands up and they won't or can't follow verbal instructions to get their hands away from their faces, they...

  4. what uni did we all go to

    bethem replied to melnq79's topic in International Nursing

    Newcastle for under and post

  5. what do nurses hate about doctors?

    bethem replied to futureMD's topic in General Nursing

    One thing I LOVE about certain doctors is their willingness to teach. I'm not asking you to defend your actions, I'm asking you to teach me something so I can better understand the goal of treatment...

  6. What didn't they teach you?

    bethem replied to suanna's topic in General Nursing

    That H2CO3 -> HCO3 + H -> H2O + CO2 It could have made so much difference to my understanding of how metabolic acidosis can be compensated for by the lungs! Instead they glossed over the topic...

  7. trouble with blood glucose check

    bethem replied to turtle rain's topic in Geriatric, LTC

    That's what I was coming to say - if you're too 'nice', it can backfire because you have to prick again! Get that latent aggression out, make sure you're pressing hard enough!:chuckle (Obviously not...

  8. Maybe I shouldn't be an ICU nurse - long

    bethem replied to bethem's topic in MICU, SICU

    :yeah:Thanks, everyone. I feel a lot better lately. Today the nurse next to me had 2 patients (we have a 6 bed ICU, and we didn't have ONE intubated patient all day yesterday and today!), while I only...

  9. Maybe I shouldn't be an ICU nurse - long

    bethem replied to bethem's topic in MICU, SICU

    Sorry, forgot to translate that

  10. Maybe I shouldn't be an ICU nurse - long

    bethem replied to bethem's topic in MICU, SICU

    Aw, I think it's great you found humour in this! It tells me that this isn't the end of the world. Argh, I don't know how I'll cope when I do do the 'worst' thing if this is how I feel with this...

  11. Maybe I shouldn't be an ICU nurse - long

    bethem replied to bethem's topic in MICU, SICU

    All of our vented patients are 1:1. If they aren't vented, they're 2:1. We never have higher ratios than that in ICU (thank goodness!). I Thanks to everyone for your responses. After a couple of days,...

  12. Maybe I shouldn't be an ICU nurse - long

    bethem replied to bethem's topic in MICU, SICU

    Thanks for replying. I do tend to be quite hard on myself and focus on the things I do wrong, ignoring the things I do well. I'll try to be a bit gentler with myself. The restraints were on because...

  13. feeling overwhelmed by the ICU

    bethem replied to Sterren's topic in First Year After Licensure

    Ahahahahahahah, I just posted a thread that said almost the exact same thing, but less succinctly! At least we're both normal (or else you and I are freaks and all the other newbies are having a...

  14. Using Propofol for sedation on vented pts?

    bethem replied to Scrubz's topic in MICU, SICU

    I'm in Australia. We can, and do, bolus propofol, midazolam, morphine, fentanyl - whatever's running if we need to. Obviously clinical judgement prevails - you won't be slamming a giant bolus into a...

  15. Do you wear a wedder?

    bethem replied to AusNurse2B's topic in International Nursing

    I wear my claw set engagement ring, and take it off if I have to be sterile. I have had no problems and no

  16. Do you have CNAs in your ICU?

    bethem replied to bridgfor428's topic in MICU, SICU

    In one ICU I work in, we have mainly registered nurses, but we are currently running a pilot project to trial enrolled nurses (same as LPNs) in ICU. It seems to be working out OK; an RN and an EN take...

  17. How high have you titrated levophed?

    bethem replied to racing-mom4's topic in MICU, SICU

    I'm only new in ICU myself and have never had an experience like yours. It sounds like you did all the right things, and you seem like an excellent ICU nurse. The only thing I questioned was the fluid...

  18. Bachelor of Nursing in Sydney (UTS, UWS or ACU?)

    bethem replied to windazz's topic in International Nursing

    Mwahahah, did you go to Newcastle? They were considering making that the official motto of the uni bar

  19. Not brain-dead, but ripe for transplant

    bethem replied to gwenith's topic in Neuro Intensive Care, ICU

    Update to my previous post: DCD is coming in shortly. Our medical director and the organ donation coordinator are finalising the policies. At present, it looks like we'll have withdrawal of treatment,...

  20. moving to sydney which hospital does 12hr shifts?

    bethem replied to scots's topic in International Nursing

    :lol2:Oh, I love the image of the Prince of

  21. Australia wide registration

    bethem replied to nyapa's topic in International Nursing

    I wonder how national registration will affect pay rates? As it is, NSW nurses are the highest paid. Do you think the Powers that Be will consider national pay rates? I think they should, because it...

  22. School project

    bethem replied to yr12student's topic in International Nursing

    Wing one my way! I am only in my second year out of uni but I can surely give you my

  23. 2nd year

    bethem replied to nyapa's topic in International Nursing

    I've gone in to a second year program in an ICU which does not take any new grads, so I am the newest nurse in the place. At the moment I am still on orientation, but there is a lot of talk about me...

  24. ICU Nurses: How many of your patients actually get better?

    bethem replied to AZO49008's topic in General Nursing

    Nurses in my ICU reckon 1/3 recover fully, 1/3 recover with notable deficiencies and 1/3 die. I guess the sense of purpose comes from knowing that we put up a good fight - nurses, doctors, the family...

  25. USA RN intersted in Australian way of nursing

    bethem replied to Sestrica's topic in International Nursing

    Thanks. I hope your studies go