:uhoh3:We had this issue... admittedly some staff were seen by the family of the patient making a personal call on their phone. So now we have a blanket ban on cel phones in our unit. BUT! We received word in our communication book that if anyone (pa...
Enough power so the fridge, toaster, sandwich press, dishwasher, hot water boiler and two microwaves can run at the same time without shorting anything out! And yes it was me that caused people to have no dinner by shorting out the appliances :uhoh21...
Hi I would really like some feedback on an incident that occurred yesterday. I was looking after my non ventilated patient, 8 days post a vascular procedure who had been extubated for one day. When I arrived his RR was low 30s, chest sounded terribl...
oneillk1 replied to WorkofHeart8's topic in Ob/Gyn
I know that from a critical care perspective, if the MAP is below 50 then we are looking at ischaemia. Ie Uterus, placenta. And that is not even taking into account the resistance from these
I usually say something along the lines of "we are keeping a close eye on 'x' but at the moment we are a bit more concerned by y and z." And take it from there, sometimes the families accept that, othertimes they want a bigger explanation. My explana...
If there is concern about the FALSE eyelashes falling in the sterile field what abtout the natural ones... a hair from her eyebrow, a flake of skin..... Is she working in theatre??? On the other hald if she has hair that is faling over the patient th...
We get 1:1 ventilated, sometimes 2:1 unventilated, sometimes 3:2 unventilated or even 1:2 if the patient is really sick (that is patient : nurse) The only time we ever have more than 1 ventilated patient is when the nurse next door is on a break. In...
We get 1:1 ventilated, sometimes 2:1 unventilated, sometimes 3:2 unventilated or even 1:2 if the patient is really sick (that is patient : nurse) The only time we ever have more than 1 ventilated patient is when the nurse next door is on a break. In...
Australian, but I suppose we have the same system here as there (or similar) Thanks for that feedback, I just didn't know if perhaps I had overreacted. I personally thought I hadn't but I think a lot of things that aren't always totally accurate!!! J...
oneillk1 replied to NurseforPreggers's topic in Ob/Gyn
OK me again, I know this is totally un on/gyn related but I loved this call. Had the 180kg man in ICU, on a ventilator for 3 days, basically had respiratory failure cos he was too fat to breathe... hx of permanent BiPap at home (like a ventilator but...
oneillk1 replied to teresab_2000's topic in Ob/Gyn
You know that rings a bell. Is it Iceland? Anyway, there is a country where there is a government mandated list of baby names (including spelling!!!!) and the parents pick one. They don't get a choice. Hooray!!!!! In ICU we have started keeping a li...
yes and no... on one hand it is intensive care, I personally get very wound up and annoyed if the things that I need to do my job are not there. Such as the duck bill masks... my patient has Influenza... there are no masks in the hospital (I know I p...
In the dark depths of australia we use heparinised saline for transduced art and cvp lines unles contraindicated ie pt has Hitts. However changes in practice seem to take a long time to get down here......
I agree, I am relatively newto ICU also, but by knowing why you are doing what you are doing you can potentially pick up mistakes before they happen. Also.... check the lines and the connections (why is my patient agitated? oh we have been giving M&...
Thank you so much for this, our unit protocol says hair wash MINIMUM of weekly, but whenever I ask my colleagues how to do it, the standard answer is 'oh don't worry about that". It just seems like not something that is worth bothering the educator a...
I know where I work they wouldn't have.... anything under 25 weeks is considered a miscarriage. I have personally seen them pack up an OR that was set up for a c-section, after they recalculated the dates and found that the woman was 24 weeks + 5 day...
oneillk1 replied to gt4everpn's topic in Relations
I love the attempts at pronouncing medical terms. I recently had a relative phone the ICU and ask when her brother was getting his tracheomity. Fortunately it was a phone call because I'm not sure I could have kept a straight face in person. Also ha...
Hmmm I knew I still lived in the 90s! We still have hand cranked beds in most wards in the hospital (though fortunately not in ICU) I wear tailored pants and shirt in ICU, although scrubs are an option. (Just so happened that the uniform supplier's ...
oneillk1 replied to tryingtomakeit's topic in Ob/Gyn
Exactly, the same thing happens where I work, (I am in ICU and have never worked in my hospital before this, my only ward experience was as a new grad for three months in an elective orthopaedic ward, and for the last 3 years worked in OR!!). Fortuna...
I had a patient last week, really sad case actually, the father had been driving the two teenage daughters and wa sin MVA, he was fine but one daughter was brain dead, other daughter (16yo) was head injured in ICU. I had her post extubation and she w...
oneillk1 replied to medsurgnurse's topic in Ob/Gyn
I totally, agree, when a man can come to me and show me his growing uterus, he can say "we're pregnant". Until then..... sorry mate! We are having a baby is ok.... If your partner broke her leg would you say "We have a broken leg"? "We're trying to g...
oneillk1 replied to nckayaker's topic in Emergency
Over 300 systolic on an arterial line... got to 300 then just said +++ (obviously the transducer won't read anything above that!). Don't know what it was on manual, we were kinda busy at that point! Tried every drug we have in ICU to bring his BP dow...