msmiranda21

Sorry about your loss...losing someone dear to your heart is never easy. Just sorry as well that the little angel will never get to be with his mom.

Lacking more information to answer your question....

A bed pan-most likely, but not bedside commode on a tubed patient!

yeah, just clarify the order with the md next time.

I don't do finger prick to patients with art lines/cvc. Trying to avoid more pain related therapies to patients when I can.

In UK and Australia - if a patient is on inotropes then being hemodynamically unstable they need central line/s. We never run inotropes on peripheral lines unless at beginning of care where there isn't-then central lines are inserted. One lumen should be dedicated to these meds.

If your patient is on extubatable parameters...then sedation break applies to see how the patient is neuro wise.

Ther is no immediate need for a bronch if patient's airway is not obstructed and shows good oxygenation thru sats probe. Anyways, if that food particle has gone down the wrong way - the patient will continously cough/be irritated by this foreign body!

You can mark the cm. no where the ETT should stay in the mouth/edge of lip with a sleek/tape and tie the tube with ribbon like cloth tape where the mark is and tie it around the patient's head. One end longer than the other. The longer tape is goin' to pass his upper lip and put sleek about 1 inch on pt's cheek bone area-pull white tape over sleek and put another 1 inch sleek tape over the first one, pull the white tape around pt's upper ear w/tape all way round his head pass down the lower side of the other ear and connect and tie it with the other end on that side of pts face(use double knot) and leave 2 finger breaths. Don't forget to put another 1 inch sleek on pts skin where you will do the double knot then cover it with the same. Then you can cut the rest of the tape that dangles. In my unit, only 2 self extubation last year---those patients are the psyche ones.

The patient could actually be both on 5% Dextrose and half strength saline...if the doctor wanted to.

Next time dear...you can tell that nurse to ask the doctor who made the order if she is not satisfied with your answer.

I don't know what type of ABG machine you are refferring to but in my workplace i can decide to do hourly or even half hourly check pf blood gas if i reckon it is necessary(to check oxygenation-O2 and Co2 levels, electrolytes and even creatinine levels). If your doctors asked for it to be done hourly then he should have a good reason why it is being done. And as the nurse responsible for the patient, if you don't understand why you would have to do ABG check q hour-asked your doctors or your senior staff to explain as to why you have to do these test q hourly. A critical patient may need this type of monitoring in order to act quickly on changes that happens to your patient.

Congratulations on your job! It is but normal to have this anxiety of yours...I am sure your seniors at work will gladly help you out.

is there no agency of gov't where you can refer your friend in your country? co'z here in oz we have some numbers we can ring for that sort of poroblem if we see it.

do we really have a need for policies or studies for this? i mean-common sense should be applied after all....

kabayan, r u there with work permit or just looking 4 employer now? why is it filipino grad nurses only think of usa? lots of other countries where you can start to work as a nurse. why go to a country where its economy is under fire?

developing a nursing carreer in australia is quick...coz it is up to you. employers encourage you as soon as you join the organisation and you can actually claim back all expenses for your education from tax. there are a lot of groups as well where one can ask for scholarship. i have just been here for 3 years---and i already have my critical care certificate(as post grad). i remmeber back in uk, one has to wait for a long time to get into the icu course.

I think that is a silly requirement. I cannot recall any requirement such as that when I did my registration back in 2003 with NMC or UKCC before that. If that requirement stands...why not try goin' to Austalia instead?

hi, try contacting www.ahpra.gov.au .

I think you would have to wait a little while....coz AHPRA has just commenced last year and trying to work out on all registrations of health practitioners(nursing, medical, chiropractor etc.) in all states and territories of Australia.

Hi, You can try contacting AHPRA(Australian Health Practitioner Regulation Agency). Go to www.ahpra.gov.au Your qualifications will be assessed and things will go on from there.... And you will have to www.immi.gov.au to know the process of migrating here in oz.

hi yehs14, since you are still in phils. get your bls training where there is less cost-since you have to pay for it. just do whatever you need to update every year according to your registration body(PRC) and your employers requirement. if and when you go abroad....it will be your employers responsibility to give that training and updates to you.