dissle

dissle

critical care

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All Content by dissle

  1. Weighing patients

    dissle posted a topic in Critical Care

    Just wondered how you all weigh your patients? We have a hoist but the slings are very expensive so we want to see what else is out there offering better value for money, also that is less dispruptive...

  2. Weighing patients

    dissle replied to dissle's topic in Critical Care

    We use Hill Rom however the whole hospital use these. Without weighing facilities. It is hard work as the hoists lift patients off the bed, tubes, lines and wires all at risk of dislodgement. It is...

  3. Weighing patients

    dissle replied to dissle's topic in Critical Care

    Hi, thanks so much for your reply. Could i ask who is the manufacturer of these scales?

  4. haemofiltration and APTT, can i ask......

    dissle posted a topic in MICU, SICU

    We are about to start training on Prisma flex by Gambro. These machines do not have a needle free system for sampling blood for APTT, we have to use a needle and syringe. This is a practice that we...

  5. Dealing with ICU visitors

    dissle replied to leesespieces's topic in MICU, SICU

    To be fair, it gives them "permission" to not be there exhausting themselves 24 hours a day. Also, we get quite close to our families, and build up a trusting relationship, they see their relative is...

  6. Dealing with ICU visitors

    dissle replied to leesespieces's topic in MICU, SICU

    2 til 8pm, visiting, that is it. 2 visitors at a time, and next of kin only. Any other visitors are allowed if the nOK gives permission, again, this is restricted. This is a given and is not...

  7. Things you'd LOVE to be able to tell patients, and get away with it.

    dissle replied to AngelfireRN's topic in Patient, Colleague Relations

    AAAAHhhh the positives of the British NHS! We do get this, but people are usually very English and very grateful for everything that we do for them! But then i am sure that an English nurse will...

  8. This is a plea to the world, please talk to me like i am 5 years old with this!!

    dissle posted a topic in General Nursing

    Some one out there, must know of an easy way of learning and retaining all of the information associated with cardiac performance. I jsut cant get it into my thick skull!! C.O C.I SVRI pre load,...

  9. This is a plea to the world, please talk to me like i am 5 years old with this!!

    dissle replied to dissle's topic in General Nursing

    Ok so: you need 3 things to make a BP, pump volume squeeze CO=Pump CVP=volume SVRI=squeeze. 3 types of hypotension: 1)Cardiogenic=pump failure= CO goes down, svri goes up 2) Hypovolaemic=No volume so...

  10. This is a plea to the world, please talk to me like i am 5 years old with this!!

    dissle replied to dissle's topic in General Nursing

    thanks for those brilliant links, particularly like the FAQ one, that is speaking my language....simple simple

  11. Any one use ventilators? can i ask you a question please?

    dissle replied to dissle's topic in General Nursing

    Blueheaven, what pageresiratory says is fair comment. HME,s ARE contraindicated for use for more than 24 hours and in patients with copious secretions. What about patients with pneumonia's who have...

  12. Any one use ventilators? can i ask you a question please?

    dissle posted a topic in General Nursing

    We have come across HME's to replace wet circuits. Has any one changed over to these and if so what is your experiences? Good/bad i would like a bit of info before going looking for the research etc....

  13. Any one use ventilators? can i ask you a question please?

    dissle replied to dissle's topic in General Nursing

    I cant do links, sorry, im rubbish at computers. Its by Covidian who were Tyco and they are called "Hygroster" I have got some in my office and have been looking at them on and off for months. Now...

  14. Can i pick your brains about your training please guys?

    dissle posted a topic in General Nursing

    I am curious about how every one undertakes training post qualifying. I have several questions if you don't mind and would really appreciate any input. How does your department facilitate training,...

  15. Can i pick your brains about your training please guys?

    dissle replied to dissle's topic in General Nursing

    How about you guys in America, how do you do

  16. Any one use ventilators? can i ask you a question please?

    dissle replied to dissle's topic in General Nursing

    I have sourced a high quality HME that has withstood vigorous trialling and has many papers written about it. It can be used to replace wet circuits for patients who will be ventilated for longer than...

  17. Can i pick your brains about your training please guys?

    dissle replied to dissle's topic in General Nursing

    Hi, Any one

  18. Any one use ventilators? can i ask you a question please?

    dissle replied to dissle's topic in General Nursing

    Soryy, "used" them or heard of

  19. Any one use ventilators? can i ask you a question please?

    dissle replied to dissle's topic in General Nursing

    Thats basically what we do now, but these Hme's are such good quality that they can be used instead of heated wire circuits. They are at a fraction of the cost of the disposable wet circuits. Any one...

  20. Can i pick your brains about your training please guys?

    dissle replied to dissle's topic in General Nursing

    Great suggestions there thanks. I can certainly facilitate training for the senior staff on devices. As there is always at least one of them on a shift there is always one person who will know the kit...

  21. Can i pick your brains about your training please guys?

    dissle replied to dissle's topic in General Nursing

    Oh Sharrie, your place sounds superb, with a great number of staff dedicated to training. We too have good induction and mentorship, but there are only 2 of us and i am part time. Therein lies my...

  22. Can i pick your brains about your training please guys?

    dissle replied to dissle's topic in General Nursing

    Thanks for your reply, it is very much how our Trust do things, however i am in critical care and so the list of devices that we have to learn is vast, and the staff list to get through this training...

  23. Pronation and pressure sores.

    dissle posted a topic in MICU, SICU

    Hi, We regularly prone our patients. It works well for the most part however we are finding more and more that these patients end up with terrible presure sores over the fore head and chin especially...

  24. Pronation and pressure sores.

    dissle replied to dissle's topic in MICU, SICU

    Our unit policy states that patients can remain proned for up to 24 hours with head and arm position changes every 4 hours IF stable enough to do so. This may seem prolonged but it works, the gasses...

  25. Pronation and pressure sores.

    dissle replied to dissle's topic in MICU, SICU

    Relatively uncommon actually. We are using this manouvre more and more and have a protocol in place which tells us when to prone. Have to say that this is a hot topic and in favour at the moment,...