rachelgeorgina replied to PreemieNurse's topic in General Nursing
On my last clinical I was in the ICU. Tubes were aspirated for residual sixth hourly (patient's are on 24hrly continuous feeds. If there was more than 60mL of residual (i.e. the syringe capacity) it went into a fresh kidney dish (sterile/straight out...
rachelgeorgina replied to jimmy_hat's topic in Neuro
I've just done a placement in one of the biggest and most specialized, well regarding neuro ICUs in the country. They leveled their art transducer at the tragus. With regard to the EVD/ICP these were most often open to the drain (& therefore the ...
Sometimes it depends on what sort of what you're on, the nurses that you're working with, the shift you're on and just.. the patient census that day. Also probably depends on the level of supervision you need, how far along in your course you are... ...
rachelgeorgina replied to rkitty198's topic in General Nursing
I would have thought that it's not a clear cut issue and would depend on a multitude of factors beginning at least with the patient's condition, what the drug is/why it's running in the first place. I wonder if it might be slightly too black and whit...
rachelgeorgina replied to NurseLoveJoy88's topic in Relations
If I were a new student I would have been hesitant to do that by myself for fear of dislodging the catheter or breaking something/causing pain. Nurses often have little tricks of the trade for sorting out small but inconvenient issues like IV lines i...
rachelgeorgina replied to Mrs. Sparkle Pants's topic in Relations
Yes, they certainly do. The things that come to mind for me are the unsafe hours, particularly for junior medical officers and the ten odd years of education to work up the ladder to independent practitioner that involve the difficulty and competitio...
rachelgeorgina replied to NurseLoveJoy88's topic in Relations
To those who stated that it is not the RN's job to teach - in Australia it's actually part of the national competency framework for the registered nurse. From the Australian & Midwifery Council's Competency Standards, which are used across the he...
rachelgeorgina replied to canoehead's topic in General Nursing
It's an Aussie show but 'RPA' is a real life, real time show portraying all sorts if cases that happen in the hospital. From major trauma to transplant surgery. It's a great show and really shows it how it is, nursing too.
rachelgeorgina replied to rachelgeorgina's topic in Pediatric
Hi All, Thank you very much for your responses. They were really helpful going in to my first few days. I still have a lot to learn (counting a RR on a writhing, screaming child, a HR on a teeny baby... I never would have thought I'd have trouble doi...
Wow. The American programs are really different to ours here in Australia. - In first semester we did very basic manual handling, basic patient care (bed baths, showers, making an occupied bed, mouth care) and vital signs. - Second semester we did o...
Do your vented patients not have an airway certified doctor with them for all transport? Perhaps they should be bagging in the absence of the portable vent, which really, seems silly not to have
Use your clinical judgement. Do you think pushing a bolus of fluid on every single patient you come across who is hypotensive is a good idea? It's already been mentioned above several times but you need to look at more than simply the numbers. Look a...
rachelgeorgina replied to nervousnurse's topic in General Nursing
I'm on clinicals in the ICU at the moment and would never, ever want to be a patient after seeing how patients, in particular our sedated and vented and brain injured/lowered GCS/non responsive patients are treated. It's almost like our patients are ...
I'm sorry to hear about your little patient. I am really interested in the convo that's going regarding the paedi centres in the area though! If anyone else has anything at all to add to it I'm keen to read it. I'm an Aussie third/final year student ...
