gwenith

gwenith BSN, RN

ICU

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All Content by gwenith

  1. Here is a thought - try emailing the Joanna Briggs Institute or checking their website. They have clinical practice guidelines and this is the sort of thing that they LIKE looking into, from what I...
  2. Uniforms - the advantage is that it is easy to tell who you are. The disadvantage is - it is easy to tell who you are. Think of it!! Without a uniform you can always slide into the background, pretend...
  3. "Socialized medicine"

    This is one of those myths that seems to persist. Yes if you turn up to a public hospital you do not get a choice of who you see but I think that is the same everywhere. We do, however get a choice...
  4. Been agency and worked a fair few hospitals and I would say that getting a second person to sight and sign about the tip is not uncommon although it is by no means standard everywhere. It very much...
  5. Malpractice Insurance?

    Malpractice insurance??? Australia is far less litigeous (sp? sue happy) than the US, we have a greater coverage by vicarious liability BUT when we join the Union we are automatically covered for...
  6. Likes and dislikes...

    I get around the glare from the relatives by telling them that they need time for themselves too. Neuro recovery is often a "long haul" and they will need to look after themselves to be able to give...
  7. Dopplers on your crash cart?

    I too, have never heard of carrying a doppler on a crash cart but then the diagnosis of PEA rests on the assumption that severe hypotension might be a cause and it is treated as such so that there is...
  8. Here in Australia you HAVE to bring it in - in any condition you can. If they are live we throw them in a deep freezer until a herpetologist can correctly ID the snake. See a LOT of our snakes can...
  9. HDU/CCU placement, what to expect

    Tell me how it goes. I have been having a good time with my student. Poor lass first day we had a ventilated patient on dialysis and soooooo much was going on that the poor girl was like "Oh! My...
  10. Happened recently with one of the elders who died
  11. I think the other thing to look at is the family acceptance of death. I nursed a case here where a young man was bashed and thrown in the river - he was rescued but even at rescue he had fixed...
  12. I think that would be a BIG book - so dependant - e.g. it is not culturally appropriate to mention the name of an aboriginal person who has died. So different and it varies from place even within a...
  13. What you must remember is that artificial feeding is just that. PVS patients are not only unable to swallow but often do not even have the reflex to attempt to do so (Though occasionally you do see a...
  14. This question would rarely be asked here in Australia - just not culturally appropriate. You would get a better response asking someone what colour underwear they had on or whether they regularly...
  15. Critical Care Neuropathy

    We are using that diagnosis to describe the, in some cases, profound weakness we are seeing in some long term ventilated patients. It is caused by a combination of sedation, severe illness/sepsis and...
  16. HDU/CCU placement, what to expect

    I expect you to know nothing. I never assume you have had adequate experience. Do the best you can and everything will turn out
  17. HDU/CCU placement, what to expect

    By co-incidence I will be preceptoring a student tomorrow in a ICU/CCU- it would be more than weird if ..............:chuckle CCU - more than anything you HAVE to learn how to recognise and treat...
  18. Navy Chopper Crash

    Heard about it this afternoon when I got off work. Sad day for all those involved and their families. Somehow this is harder to accept a loss like this during a peace operation. No greater love hath...
  19. Artificial feeding-Terri Schiavo

    Trial by media - we had it here with the Lindy Chamberlain story - you know the woman who had her baby stolen by a dingo?? This is what this has become - trial by
  20. Nursing staff slashed

    http://www.couriermail.news.com.au/common/story_page/0,5936,12536238%255E3102,00.html Love Leahy's
  21. Okay this is a bit of exploratory "research" if you will. I recently was asked to write some core competencies for Coronary Care and in the process did some literature reviews. Some of which have...
  22. nurses who self injure

    HRM = Human Resource
  23. bachelor of nursing

    Have a look at the "sticky" thread I created at the top of the forum. There is a link there littlefishes.com which lists ALL nursing courses in ALL nursing universities. As an overseas student you...
  24. nurses who self injure

    Then you have nothing to worry about. The Council cannot tak action unless there is proof - not allegations. I still think too with the way the laws are in Australia that the DON is setting...
  25. nurses who self injure

    Since this is the second job where your mental health has been questioned I would go and see someone privately. It may be that you have a problem and may not have adequate insight to be able to...