chani

chani

Critical Care Nursing

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About chani

chani specializes in Critical Care Nursing.


Latest Activity

  1. Maintaining cuff pressure

    greetings from Down under As some of you may know we dont have RTs in ICU in Australia so the nurses are responsible for most respiratory care including ETT management. At present I am reviewing the...
  2. Difference between RN and EN

    there appears to be little difference between OZ and NZ from above. What happens in OZ is how differ area health services (in NSW) interpret the nurses & midwifery act and then how this translates...
  3. As always if you dont know what to do DONT. Unfortunately as a new grad you are in an unequal power relationship however you will need to stand your ground. Explain politely you are unsure of what to...
  4. Normal CVP?

    Dear all on aussie forum we have also been discussing CVP. Below is a posting from a senior ICU specialist about the physiology of CVP. CVP Measurement This is the Achilles heel of the CVP. Like...
  5. Fluids vs Pressors?

    putting aside my misgivings for patient being treated. Patient needs appropriate investigation to identify reasons for low BP and urine output. That means ECG and cardiac echo to rule out intra-op...
  6. Normal CVP?

    many oz docs refer to CVP as a random number generator and many posters have identified all the things (abdominal ascites, ventilation, PEEP) which interfere with a 'correct' reading. Additionally...
  7. HELP!!! Suggestions welcome

    "clinical practice and evidence based practice, knowledge versus reality of practice." while you are working over the next couple of shifts see if you can identify something that seems contrary to...
  8. I was asked the comment on something the other day which initially made me go YUCK and then I thought am I just being precious and not keeping up with the times. I was asked whether sterile gloves...
  9. Anyone using 2% chlorohexidene bath packs?

    I have to say I am torn regarding the evidence regarding the efficacy of chlor hex bag baths. From a nursing perspective regarding time and efficiency I love the product however I am yet to find more...
  10. Anyone seeing a weird pattern in their ICU

    In NSW & Victoria Australia we have had large numbers of both H1N1 and influenza A as well as non-specific flu-like patients admitted, who then crash & burn within 24 hrs. Both states are over...
  11. Has nursing in Australia been sold out ?

    I would have to agree with both sides of the debate here. I am concerned over the dilution of nursing degrees away from an applied science degree and do feel that there is a lack of certain...
  12. Inotropes/pressors = A line. this is standard practice in Australia also. I would only use CVC/Picc for bloods as a last resort and that is ususally a long term patient who is stable & not on...
  13. Aussie blokes make lousy husbands

    :banghead:this is me after 20 years. The basic problem is that they are brought up to think its womens work and need to be thanked profusely if they do anything. Now my hubby does alot compared to...
  14. ICU websites

    http://intensivecare.hsnet.nsw.gov.au this is a comprehensive aussie
  15. Shift change intubation

    well done for focussing on the many items that needed to be done and not getting caught up in the emergency. Too often I see the outgoing shift running around finishing their work while the oncoming...