Vikingnurse

Vikingnurse has 5 years experience.

Latest Activity

1. Delirium in the ICU

   Vikingnurse replied to AngelaHarvey's topic in Critical Care

   In my unit we focus a lot on delirium. Primarily because we have a no sedation protocol for our ventilated patients. That protocol in itself is step to minimizing or prevent delirium. Sedation on top...

2. Excessive mouth secretions

   Vikingnurse replied to phedrn's topic in Critical Care

   In our unit we also use scopoderm or atropin... the only consideration you need to have using either of these drugs, are their potential to cause delirium. They are two anticholinergic drugs, which...

3. A/C vs. SIMV

   Vikingnurse replied to poppy07's topic in MICU, SICU

   Could someone please explain what A/C stands for? Perhaps we just call it something else in our little country? It sounds a bit like the MMV (Mandatory Minute Volume Ventilation) on the DrägerXL......

4. ICU nurse to pt ratio "norm" on your unit?

   Vikingnurse replied to Natef26's topic in MICU, SICU

   How sedated are your patients and how often do you use restraints? We don't use restraints at all and we use little or no sedation (with a few exeptions). If we have a patient in risk of...

5. Preferred mode of ventilation and weaning

   Vikingnurse posted a topic in MICU, SICU

   What is your preferred mode of ventilation? We have the Dräger Evita XL, what a machine! We start out with the BiPAP+ASB mode, and as soon as the sedation is reduced enough we switch to CPAP+ASB. We...

6. ICU nurse to pt ratio "norm" on your unit?

   Vikingnurse replied to Natef26's topic in MICU, SICU

   I need some more information in your nurse to pt ratio. We are ALWAYS 1:1 day, evening and night. But then again we deal with everything medicin, personal care, ventilator "things" (suction, ABG's...

7. ICU nurse to pt ratio "norm" on your unit?

   Vikingnurse replied to Natef26's topic in General Nursing

   I need some more information in your nurse to pt ratio. We are ALWAYS 1:1 day, evening and night. But then again we deal with everything medicin, personal care, ventilator "things" (suction, ABG's...

8. Descripton of tracheal secretion

   Vikingnurse posted a topic in MICU, SICU

   Hi everyone! We are a couple of nurses working on our suctioning procedure in our ICU. I am trying to find a "standard" description of tracheal secret. What we noticed is that nurses write things like...

9. Can't believe they do CRRT this way...

   Vikingnurse replied to jbp0529's topic in MICU, SICU

   We use the Prisma Flex machine in my unit. Our choise is usually CVVHDF which mean we run both pre- and post replacement fluids. Depending on what we use the dialysis fore we run the...

10. mouth care for vent patient

    Vikingnurse replied to fatoma's topic in MICU, SICU

    We brush the teeth on ventilated pts once a shift. One hour after brushing their teeth we coat the mouth with chlorhexidine gel. The reason we wait is because the chlorhexidine stops the effect of the...

11. how are things done in you ICU

    Vikingnurse replied to dnursewa's topic in MICU, SICU

    We have an intensivist present in our unit all day. They are not allowed to leave our ICU, unless they have someone else to cover for them. We have no problems in getting a doctor to see the

12. noobie

    Vikingnurse replied to RNmac97's topic in MICU, SICU

    I think 99 pct. of all hospitals in Denmark have 8 hours shifts, some hospitals have 12 hours shifts on weekends. In that way you dont have to work as many weekends (usually 3 out of 8, but with 12...

13. How much do you work

    Vikingnurse posted a topic in MICU, SICU

    Based on the "nurse : patient ratio" thread I would like to know how much other nurses work? how many hours a week? And if you would like to share the information... for how much? Personally I have an...

14. Swan´s or PiCCO

    Vikingnurse replied to TREBORICUNURSE's topic in MICU, SICU

    Sorry i'm for your friend. My favorit is PiCCO. Allthough invasive, it is less invasive than Swan Ganz. Also PiCCO is said to have some more reliable values (for some parameteres) than Swan Ganz,...

15. Estimating perspiratio

    Vikingnurse replied to Vikingnurse's topic in MICU, SICU

    I'm working in a MICU. I think most ICU's in Scandinavia uses perspiratio when calculating fluid balance, all of my colleages from Finland, Sweden, Germany and Australia are also used to it. After all...