imaginations

imaginations

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All Content by imaginations

  1. Time Management for the Not So New Grad

    imaginations replied to stephanie.felder5's topic in CCU, Coronary, Cardiac

    In Australia we mix all our own meds. All of them. Antibiotics, inotropes, sedation, everything. I don't know what our pharmacists do if they mix all infusions/drugs in the

  2. Delayed Sternal Closure?

    imaginations replied to TX911's topic in CCU, Coronary, Cardiac

    Our kids usually have their chests closed bedside, too. All heart kids have defib etc on the end of their bed and kids with open chests have internal paddles ready to go. We also have a cardiac...

  3. Delayed Sternal Closure?

    imaginations replied to TX911's topic in CCU, Coronary, Cardiac

    We had a complicated TOF repair (I work in paeds ICU) who returned post op with his chest open. Cardiac surgeons tried to close it on day 3 however returned about three hours later to reopen (wound...

  4. Jobs for developmental disabilities nurses in Aus

    imaginations replied to sarahjay81's topic in Australia, New Zealand

    Allowah Presbyterian Children's Hospital is certainly a suitable place for someone with your degree and experience to work. It is a private, charity funded hospital of 40-odd beds specifically for...

  5. Question about dose and rate

    imaginations replied to nurse4sale's topic in PICU, Pediatric

    240mL of formula delivered via gastrostomy at a rate of 360mL/hr. That covers the actual amount of formula and the rate at which you delivered

  6. ET Tube suction.

    imaginations replied to Sun*shine's topic in NICU, Neonatal

    We use saline for thick and difficult to suction secretions despite being well aware that the evidence is inconclusive. I think the reason we are still willing to do it is because clinically, we see...

  7. ICU nurses, Is 3:1 patient to nurse ratio a common occurence or am I just tripping?

    imaginations replied to Scrubs911's topic in MICU, SICU

    Absolutely we do. All newly tubed/vented patients begin on a fairly standard infusion combination of morph/midaz and we go from there (i.e. increase and add other drugs [usually precedex for...

  8. ICU nurses, Is 3:1 patient to nurse ratio a common occurence or am I just tripping?

    imaginations replied to Scrubs911's topic in MICU, SICU

    Too true. We nurse patients as awake as tolerable. We do not leave them out of sight,

  9. ET Tube suction.

    imaginations replied to Sun*shine's topic in NICU, Neonatal

    It's actually not the disconnection from the vent that causes loss of pressure/derecruitment. That is a result of suctioning itself (i.e. because you're occluding the airway -- the ETT -- with the...

  10. Precepting in ICU/CCU

    imaginations replied to limaRN's topic in CCU, Coronary, Cardiac

    I've just been preceptor into ICU and I had two preceptors whom I spent an equal amount of time between. The methods I found most helpful were those that involved my preceptor talking me through a...

  11. ICU nurses, Is 3:1 patient to nurse ratio a common occurence or am I just tripping?

    imaginations replied to Scrubs911's topic in MICU, SICU

    I believe this is the norm in Australia, in all critical care units for adults, children and

  12. CVCs and Nystatin?

    imaginations replied to kerussll's topic in NICU, Neonatal

    That's great. I'd never heard that. We have cotton oral mouth swabs (like giant q-tips) and then regular ones (which we tend to use for applying cream to lips etc) but that size could def work for a...

  13. How does your PICU handle Chemotherapy administration

    imaginations replied to Starbuck4's topic in PICU, Pediatric

    We have a similar protocol to janfrn. CICU nurses should, in theory, be accredited to give certain cytotoxic drugs (usually anti-rejection and post transplant drugs e.g. MMF, valgancyclovir,...

  14. CVCs and Nystatin?

    imaginations replied to kerussll's topic in NICU, Neonatal

    Can you use ear bud cotton sticks instead for tiny wee premie

  15. How does your unit secure IVs? (and feeding tubes, cannulas, etc)

    imaginations replied to elle_RN's topic in NICU, Neonatal

    Depends on how desperate the insertion process is, usually. If the IV can be secured/the baby held still while the IV is taped then we use two, thin ster-strips looped underneath and over the cannula,...

  16. SEC assessment recieved for Alberta,Canada

    imaginations replied to jazz1983's topic in Nurse Registration

    Mayvdiaz, I don't have any information that would help you, though I wish you goodluck! However I'm an Australian RN (with an Australian degree) interested in working in Canada in the future and would...

  17. Entering CCN Peds

    imaginations replied to momof3nurse's topic in PICU, Pediatric

    I want to echo the others and say if you have experience with traches and vents (and you actually know how to use the vent) then you're a big foot up the ladder. I'd say apply and see what

  18. Continuity of care/Routines

    imaginations replied to umcRN's topic in PICU, Pediatric

    Our OTs are pretty good at this but they're usually from the brain injury team when they're getting proactive... When I worked on the ward we had a long term ICU patient (16yr old girl suffered...

  19. ICU nurses, Is 3:1 patient to nurse ratio a common occurence or am I just tripping?

    imaginations replied to Scrubs911's topic in MICU, SICU

    High dependency. Essentially a non-ventilated, stable patient that requires ICU monitoring/has the potential to go down

  20. ICU nurses, Is 3:1 patient to nurse ratio a common occurence or am I just tripping?

    imaginations replied to Scrubs911's topic in MICU, SICU

    In my unit vents are 1:1. If census is low then HDU patients (stable, non-vented) are 1:1, if we're busy, one nurse will take two HDU patients, no more. Most other ICUs in the area are

  21. Fevers In CCU

    imaginations replied to Nursingbride12's topic in CCU, Coronary, Cardiac

    This is correct. In my facility IV Paracetamol is restricted for use by pain team, oncology (as these kids can't have suppositories) and ICU. Unfortunately in ICU we probably give it a bit too quickly...

  22. Nebulized flolan for severe ARDS

    imaginations replied to sunnycalifRN's topic in MICU, SICU

    Nitric is $75/hour (AUD) or thereabouts in our unit. I haven't seen nebulised Folan but we recently had a patient on continuous infusion of epoprostenol, syringe and line changed 8th hourly, requiring...

  23. Surveillance Swabs

    imaginations replied to umcRN's topic in PICU, Pediatric

    We swab all PICU admissions on arrival and on discharge from the unit if they stayed in ICU for longer than 48

  24. Advice on overseas internship/volunteer placements

    imaginations replied to aaomalley's topic in International Nursing

    I spent six weeks working as a student nurse in Dar es Salaam, Tanzania when I finished my degree. I'm now almost finished my first year as a registered nurse and enrolled in a Masters of...

  25. Variable staffing based on patient acuity & census in ICU

    imaginations replied to lcsmithrn's topic in MICU, SICU

    Not always, it depends. Most of our kids get some degree of sedation (we typically start with infusions of morph + midaz and work from there, e.g. lose the midaz and add precedex, give regular...