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hepatocyte62's Latest Activity

  1. hepatocyte62

    Get me Down Under :-)

    Hello there This is for any Australian nurses or Brits working in Australia: I'm a British ITU nurse and would like to spend a year or so in Australia working 6 months in one state then 6 months in another (Victoria then Western Australia maybe), I'm looking for a good nursing agency (one which specialises in foreign nurses with a good reputation for being supportive) that will be able to facilitate this. I know that some promise the earth and turn out to be rubbish, so I'd really appreciate any first-hand advice about any you might know. Many many thanks Michelle
  2. hepatocyte62

    australian new grad working in the uk

    Karlie I know that if I want to work in Australia there are formalities to go through, most of which are about appropriate documentation rather than qualifications as I think our qualifications are more or less transferable. You'll need to start the process about 6 months - 1 year before you intend to come over anyway, as it takes that long to process all the required documents. I'm unclear exactly what it is you want to do - work as a general nurse ? Or train as a psychiatric nurse in this country ? Either way the NMC should be able to advise. Good luck Hep
  3. hepatocyte62

    Visiting times

    Our very small neuro unit has visiting times of: 10.30-12.30; 15.30-17.30; 18.30-20.00hrs. I, and a number of my collegues, think this is too much. I understand the anguish of relatives when their loved one is critically ill but I also believe that too many people, frequently around the bedside, is too much stimulation for the patient; and a dangerous distraction for the nursing team, especially for a critical case. Our priority is the patient and I think we've gone too far in encouraging contact with relatives/friends to the detriment of patient care but I get the feeling my view is a politically incorrect one. I'd welcome your views and I'd be very interested to know how much visiting is permitted across other neuro units. Many thanks
  4. hepatocyte62

    Glycemic control in traumatic head injury

    Thanks for your reply Ghillbert. Yes I've spent quite a lot of time searching via 'pubmed' and various individual journal sites etc, I can find relevant articles but nothing that is very up-to-date and measures the relationship between high serum glucose and how this is metabolised in the brain - I mean, is high serum glucose causing ischemia, or is it simply a good prognostic indicator regardless of its effect on brain ? In some units microdialysis is used but to be honest although I have some vaguely relevant articles in this respect, the information is so complex it's difficult to unravel the facts for my purposes. Please let me know of any sources you've come across, all contributions welcome :-) Cheers H
  5. hepatocyte62

    Glycemic control in traumatic head injury

    I'm writing an assignment about glycemic control in traumatic head injury. Our guidelines are to keep blood sugars to 4.5-8.3mmol/L. This level concurs with the international guidelines recommended by the Surviving Sepsis Campaign 2008 but there seems to be very little research about the use of insulin in the context of head injury, i.e do high blood sugars cause, or simply reflect, bad outcome ? I understand the theory behind high glucose levels and secondary damage but is it actually happening ? Are these levels appropriate for head injury ? I'd be grateful if anyone could shine more light on the subject, particularly if you could point be in the direction of recent research. Many thanks.