Jast

Vancomycin is the last antibiobic of choice. We now have incidents of VRSA due to over usage: ie last antibiotic of choice. When hospitals do pediatric open heart surgery the last thing they need is VRSA. Yes we must be proactive, but there are usually other antibiotics that are appropriate and can be used first. Yes we do isolate, track, discuss all cases of MRSA

Why don't you like assisting with circs? What grounds do you have for refusing?

Good luck:balloons:

Still trying to get free care plans but here are tthree sites that I like http://www.joannabriggs.edu.au has about 50 free best pratice documents others need subscriptions http://heartcenteronline has good patient information for heart patients http://4nursemanagers lots of various info eg. interview questions for both employees and employers

Staffing is always a sore issue. We have a small 8 bed ICU/CCU. Ventilated patients, CVVH,ballon pump and any haemodynamically unstable patients are always 1:1. Always stand up for patient care and safety which also equates to staff and hospital safey as well. Good luck :rotfl:

Hi everyone, this is just a great idea. I work in Hong Kong and it is so difficult to keep up to date with whats happening in the nursing clinical settings. Finding forms and guidlines has become a really expensive exercise. I am desperate to find a generic nursing care plan for general medical/cardiology patients and have just been searcing some of your links. Working in a small acute hospital requires a lot of multitasking outside of main job descriptions. I am very grateful for any help and info that can be adapted without having to reinvent the wheel. Any more suggestions would be eternally wellcomed. TTFN