chani

chani specializes in Critical Care Nursing.

Latest Activity

1. Maintaining cuff pressure

   chani posted a topic in MICU

   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 evidence for ETT cuff pressure management. I would ...

2. Difference between RN and EN

   chani replied to jack92's topic in International

   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 into actual practice. As an ICU nurse we continue...

3. What is the best response of the new graduate nurse under this situation?

   chani replied to SamZ's topic in International

   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 do however are happy to do so with instruction.

4. Normal CVP?

   chani replied to nursingdude78's topic in MICU

   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 all intravascular measurements the baseline MUST be ...

5. Fluids vs Pressors?

   chani replied to TigerGalLE's topic in MICU

   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 infarction or perhaps another cause. Agree that norma...

6. Normal CVP?

   chani replied to nursingdude78's topic in MICU

   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 this patient is losing protein into the abdomen so NS...

7. Socialized Medicine the myths and the facts

   chani replied to madwife2002's topic in General Nursing

   There are many interesting and thought provoking posts in this thread. As an ozzie I have lived with some aspects of socialised medicine plus private cover all of my life. Not sure if we have the right balance and ofcourse our current government is p...

8. HELP!!! Suggestions welcome

   chani replied to nurseykaff's topic in International

   "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 what you were taught at uni. as you are in a neuro w...

9. CVC dressings and line changes - still aseptic technique

   chani posted a topic in MICU

   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 were still the recommendation for CVC line and dressi...

10. Anyone using 2% chlorohexidene bath packs?

    chani replied to nightshift82's topic in MICU

    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 than 2 well designed studies conducted in ICU and ...

11. Anyone seeing a weird pattern in their ICU

    chani replied to matt2401's topic in MICU

    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 the worst (Victoria was the first state in Austra...

12. Has nursing in Australia been sold out ?

    chani replied to Preston Northcote's topic in International

    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 somethings. But who is to blame? Well all of us. Can we all ...

13. Labs and vasopressors..new icu nurse needs advice

    chani replied to icu26RN's topic in MICU

    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 haemodynamic support. Remember any breaks into a CVC i...

14. Aussie blokes make lousy husbands

    chani replied to Grace Oz's topic in International

    :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 some and not so much compared to others. He aske wehn...

15. ICU websites

    chani replied to gwenith's topic in MICU

    http://intensivecare.hsnet.nsw.gov.au this is a comprehensive aussie website