lozza81

if we have an insulin infusion going for our DKA patients, then they are always checked hourly and the infusion is titrated to whatever the sugar level is, we aim to drop the level 3 -4 mmol per hour, and we always recheck electrolytes 4hrly once on infusion. Our infusions are also set up as 1 unit equals 1 ml, so, If BSL is >20mmol than infusion is set at 8units/hr BSL 15 - 19.9 mmol than infusion is set at 4units/hr BSL 10 - 14.9 mmol than infusion is set at 2units/hr BSL 8 - 9.9 mmol than inusion is set at 1unit/hr BSL 6 - 7.9 mmol than infusion is set at 0.5units/ hr BSL

must just be aussie humour then....just something that was posted in our "have a laugh" book at work, not meant for everyone to like.

Thought you may get a kick out of these.... Schizophrenia - Do you hear what I hear? Multiple Personality Disorder - We three kings disoriented are Amnesia - I don't know if I'll be home for Christmas Narcissistic - Hark, the herald angels sing about me Manic - Deck the halls and walls and house and lawn and streets and office and town and cars and buses and trucks and trees and fire hydrants and . . . Paranoid - Santa Claus is coming to get me Borderline Personality Disorder - Thoughts of roasting on an open fire Personality Disorder - You better watch out, I'm gonna cry, I'm gonna pout, maybe I'll tell you why Obsessive Compulsive Disorder - Jingle Bells, Jingle Bells, Jingle Bells, Jingle Bells, Jingle Bells, Jingle Bells, Jingle Bells, Jingle Bells, Jingle Bells . . . Agoraphobia - I heard the bells on Christmas Day but wouldn't leave my house Autistic - Jingle Bell Rock and rock and rock and rock . . . Senile Dementia - Walking in a winter wonderland miles from my house in my slippers and robe Oppositional Defiant Disorder - I saw mommy kissing Santa Claus so I burned down the house Social Anxiety Disorder - Have yourself a merry little Christmas while I sit here and hyperventilate

Christmas day 2005, had a guy come with a ring stuck around his member (apparently for increased pleasure), took the docs about an hour to cut it off, coz his member was so swollen, it was getting blacker, as each minute went by, pt self discharged himself once it was taken off and he regained full colour, not sure about full use, though!

We've just changed our fast track system a little bit, just be using our extended care unit as our fast track area, it has area for 6 beds area for seats and has a dr's station, we're also using 2 cubicles for anyone needing gynae exams. So far, it's working better than when we weren't using the area, our waiting times for fast track pt's are considerably lower than they used to be. But the thing is we still get abused by other patients who need acute care because the people with the ankle injury are going in before them and they arrived afterwards, same old same old there. Why is it that we have to take the abuse, but if we were to go anywhere else, bank, supermarket etc, the abuse is not acceptable?!!!

I'm so glad that I haven't had to deal with any paeds rape cases, we don't get very many in, we get a few teenagers who've had their drinks spiked and have been sexually assaulted, but thank god no real littlies!

Yesterday we had this guy come in after query being exposed to radiation, as he was digging up toxic waste without protective clothing for two days. He came in because he had these blisters that had come up on his chest. We had 3 fire trucks come out, the hazmat team, they locked down the ER, had the news there etc. In the end, turned out that the blisters were chicken pox, LOL!

We had an 80 year old male come in with PR bleeding and pain after attempting to use a vibrator, vibrator was about 30cms long, lol. One of our regular psych patients, actually I should say two coz they're twins they always come in after putting mcdonalds happy meal toys and subway toys where they shouldn't go, xrays always look pretty funny. 25 year old man, came in with a vibrator stuck in his rectum, had to go to theatre, funny thing is that he asked for the batteries back as they were rechargeables. The sweetest thing tho, 2 year old had swallowed a heart pendant, chest xray looked like he had to hearts as the pendant was sitting over his heart, lol

Pedestrian vs car, the guy had incomplete above knee amputation of his left let, compound fractures to his left arm, and his skull was completely boggy, having to do CPR on him for a good 5 minutes, before the docs decided to call it. 8 week old, cardiac arrest, just says it all, thank god i wasn't working that day, don't think i would have coped very all. 40 year old guy drove himself up to the ER after having his metal grinder explode and having half the balde embedded into his left cheek bone. 52 year old man, called the ambulance for back pain post fall, yet they were to find out that he had a squamous cell carcinoma to his left shoulder blade, that had not been treated, EVER, and it had wrotten his skin, muscle, and bone away, that was pretty gross, not even tea tree oil underneath the face mask could take away that smell. Think I could keep going, but it's pretty late here, so am gonna go to bed!

Hi guys, thanks for the welcome! I've worked in ED for 2 years now, and am in the middle, well should say have almost completed a certificate in emergency nursing. Our ED has 17 beds, including 2 resus beds, 11 of which have full cardiac monitoring. At the moment we are a public hospital which is privately owned but are in the process of going back to government permanently. Which is going to be very exciting, because we'll get a bigger department and some equipment that doesn't continually need repairing, lol! Although we aren't a major trauma centre, we still get really good traumas, gun shots, stabbings, MVA's, MBA's etc. I love working in emerg. as I love the adrenaline rush you get everytime a CAT 1 comes in. I love going to work everyday not knowing what to expect, not knowing what patients I'm going to look after, the different areas we can work, ie triage, resus, or general cubicles. I love all the people I work with, they're a fantastic group of nurses who very little get the thanks and appreciation we all deserve.

Hi guys just wanted to say a quick hello, signed up here the other day! My name's Lauren, and I work in emerg. at one of the smaller hospitals in South Australia. Even though we're a smaller hospital, we still get the usual trauma's, arrests, paediatrics, which is good! I love working in emerg, wouldn't work anywhere else, just doesn't interest me at this stage, lol! Anyways, just wanted to say a quick hello! Hope to speak to some of you soon!