bethem

bethem

Med onc, med, surg, now in ICU!

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All Content by bethem

  1. Albumin administration rate and IV tubing

    bethem replied to arms's topic in Medical-Surgical

    In ICU we slam it in

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

    bethem posted a topic in MICU, SICU

    I am a second year RN (i.e. this is my second year out of uni) who has just started in ICU in Feb. I've just finished a night shift. I had the only tubed patient in our little six-bed unit. All was...

  3. A/C vs. SIMV

    bethem replied to poppy07's topic in MICU, SICU

    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...

  4. Not taking 0xygen Saturation on patients...???

    bethem replied to RN2B123's topic in General Nursing

    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 probe...

  5. Bad room

    bethem replied to labman's topic in MICU, SICU

    We've got 2 bad rooms out of 16 beds! Bad mojo in our

  6. Hypovolemic Shock

    bethem replied to csisn08's topic in General Nursing

    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 reason...

  7. Endotracheal tube securement

    bethem replied to findingmywayRN's topic in MICU, SICU

    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

  8. Question about ICUs

    bethem replied to joyfull26's topic in International Nursing

    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

  9. night shift (7 on 7 off) 12 hour shifts

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

    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...

  10. Intra-Abdominal Pressure Monitoring

    bethem replied to NeosynephRN's topic in MICU, SICU

    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...

  11. Have you had this happen to you?

    bethem replied to labman's topic in MICU, SICU

    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 and...

  12. Please help...got ICU interview and I'm sooooo nervous!

    bethem replied to Sizzle1985's topic in MICU, SICU

    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,...

  13. Consider going for MD?

    bethem replied to leahvonleah's topic in Nurse Practitioners, NP

    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...

  14. What is your most memorable interaction with a Doctor

    bethem replied to lpnflorida's topic in General Nursing

    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 chair...

  15. biased workplace!!

    bethem replied to lenjoy03's topic in General Nursing

    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...

  16. Australian Assistant In Nursing on working holiday in UK!

    bethem replied to totally_lusty's topic in International Nursing

    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 Australia...

  17. 75 mcg Fentanyl patch a day early on lethargic patient?

    bethem replied to nervousnurse's topic in General Nursing

    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...

  18. New ICU RN....former ER Nurse...Loving it!!...LONG

    bethem replied to RNBSNMe's topic in MICU, SICU

    :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'...

  19. The reason why u cant get blood from a peripheral IV??

    bethem replied to 1_Dedicated_RN's topic in Medical-Surgical

    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 IV...

  20. Neuro is the most tragic

    bethem replied to FireStarterRN's topic in General Nursing

    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...

  21. NURSES & DOCTORS - to flirt or not to flirt

    bethem replied to AnnaSL's topic in General Nursing

    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...

  22. bolusing a trach with ns but not suctioning afterwards

    bethem replied to Happiness08's topic in General Nursing

    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

  23. Have you ever worn scrubs off the job?

    bethem replied to Wanna_BA_Nurse's topic in Scrubs, Uniforms, Gear

    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

  24. what uni did we all go to

    bethem replied to melnq79's topic in International Nursing

    If I get into nursing education, this would be the program I'd like to teach! I think the mix of clinical and theory is really important. In my B Nurs, we had no prac at all in the first semester...

  25. How to become RN in Australia?

    bethem replied to mikes511's topic in International Nursing

    Susanne is the poster you want, but in the meantime, you need to contact the nurses' registration board in the state your wife will want to work. In New South Wales, it's the Nurses and Midwives...