imaginations

imaginations

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All Content by imaginations

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

    Come work in
  2. Sedation in ICU... your opinions/ experiences?

    As a student I did a placement in one of the countries biggest/most respected neuro ICUs where this was the norm. It seemed to do a good job. Comfortable however assessable
  3. Variable staffing based on patient acuity & census in ICU

    Vents are 1:1 in Australia. I work in a 16 bedded unit and we staff for 16 beds, plus in charge and access/float nurse. Non-vented patients can be paired (and we will often move them to be next to...
  4. Sedation in ICU... your opinions/ experiences?

    I work in a children's ICU but we stock standard start most intubated patients on morph + midaz infusions and work from there. Neuro kids typically come off these quickly to assess their GCS etc. If...
  5. Business is BOOMIN'

    I work in a Level 6 PICU in a stand alone Children's Hospital. However we are also qualified as a NICU, though really take NICU patients are the Women's Hospital next door runs a tertiary NICU. In the...
  6. Intralipid (20%) infusion administration

    I'm a very (very) new PICU nurse in Australia but we mix all our own infusions. We don't have any pre-made infusions (aside from TPN, Lipids and cytotoxics that come from sterile pharmacy.) The idea...
  7. NG tube placement

    We x-ray to confirm placement following tube insertion (or if the tube has moved). We aspirate prior to every feed (or 6th hourly if on continuous feeds) and test pH. We accept a pH of 1-4 if on bolus...
  8. Silly first year drug question. Help?

    We use Adrenaline 1:1000 with a bit of normal saline as a nebuliser for kids with stridor in emergency
  9. I'm a paediatric critical care nurse in Australia with full registration. My Bachelors degree covered mental health (one subject with one associated clinical) and paediatrics (one compulsory subject...
  10. Australian STUDENTS

    I posted in this thread several years ago under a different username as a student. it's amazing to look back from where i am now (registered nurse working critical care) and see how far i've come. to...
  11. I am a new grad in a paediatric hospital in Sydney. There are multitudes of kiwis working throughout both children's hospitals in Sydney, in amongst all the British and Irish nurses the Australians...
  12. How much oxygen can a nurse give to infants, if they are in need?

    What you describe as moving the tubing further from the baby's nose or mouth to achieve a desired Sp02 we call 'blow over' and is firmly not allowed in our hospital policy, as you can't actually...
  13. Do you take vitals on babies who are sleeping?

    Absolutely you take vital signs on a sleeping patient. Sometimes a sleeping patient can be a sign of deterioration. My last six months have been spent in paediatric neurology/neurosurgery and it's...
  14. We often use a small french size feeding tube rather than an in/out catheter for a sterile urine sample on small/young children and babies as they seem to be easier to handle and do a better
  15. I work in a local health district that employs more nurses from the UK and Ireland combined (per campus statistics). Add to that the number of New Zealand trained nurses and often it's "spot the...
  16. Neonatal/Pediatric Transport team

    In Australia we have a separate service entirely that does transport of children and neonates between hospitals, particularly from small, peripheral hospitals to tertiary paediatric centres. It's...
  17. First week in PICU

    My first day in PICU is this week. I'm so
  18. Awake, alert, oriented & non ventilated...on ECMO??

    I saw my first paediatric ECMO patient this week. The last time I posted in this thread I was a student nurse. I've now been a registered nurse for six months - a new grad on the neurosurgery ward and...
  19. Which Sydney hospital?

    The above poster is certainly correct. A lot of people will receive phone calls/letters offering them jobs, perhaps not even to hospitals on their choice of eight, but a job in NSW Health all the...
  20. Reference checks for NSW health new grad program

    I'm a new grad in NSW who applied to both the public and private sectors. The private hospital, which offered me a job, checked my referees. The public hospital, who also gave me one of the very...
  21. Hoping for new grad picu

    Can you volunteer at a paediatric or children's based organisation to show an ongoing interest in that area? I don't know what sorts of opportunities are available where you live but perhaps look into...
  22. Codman ventriculostomy without monitoring

    I work on a paediatric neurosurgery ward at the moment and we often have children and babies on the ward with an EVD open and draining. We can't monitor and drain at the same time - so the EVD is open...
  23. Hi All, I am a registered nurse in Australia, having studied a three year Bachelor of Nursing. I am aware that nursing licence in the United States varies from state to state and is again different in...
  24. I wonder if you could point me in the direction of those posts. I believe I have seen mention of this somewhere on the boards but I cannot find it now. Have these nurses taken an entire Grad Dip in...
  25. Volunteering in Cape Town

    I haven't volunteered with that particular organisation however I have done international medical aid in Asia and Africa and I have also been to Cape Town so I wonder if I have any advice to offer....