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  1. ausrnurse

    Time Management Tips for New Critical Care Nurses

    I'm lucky enough that in Australia, we can only be assigned one ventilated/unstable patient to one nurse. I will usually write out my entire day on a piece of paper (0800, 0900, etc) and write in the obs/drugs/nursing care due for each hour. Then in a side column I will write jobs that need to be completed, but can be done at any time (dressings, restocking etc) - I can fit that in at a slower time, like after lunch, and I always leave dressings until the doctors have been, since you can be sure if you get in early, they will want to pull it down on their rounds. If there is a line change due, I will do that when I put up a new infusion. If anything happens, I document it straight away (eg., hypotensive on turning). NEVER leave notes until the end of your shift.
  2. I think 8's vs 12's are very personal. I've done both and honestly prefer 8's. You might get extra days off on 12's but I spent it sleeping because I was too exhausted to do anything else. 12hr nights are absolutely horrible. The rotating roster of days and nights on 12hr shifts (which ends up being a week of day shift and a week of night shift) is killer. On 8 hour shifts I only have to nights 1 week a month and it's easier to get a more "normal" sleep schedule (eg., sleep in the morning, awake in the afternoon and back to bed after dinner until work).
  3. ausrnurse

    Black Friday, Code Blue

    Love this! I always take a deep breath in codes and remember - the worst thing that can happen is happening, there's no point in panicking about it now!
  4. ausrnurse

    High-Value and Low-Value Patients

    RubyVee's comment on support with breast cancer vs TKR is spot on. When I worked in dialysis, we had no social worker, no support for the patients - it was get them in, get them out. CKD is not sexy. The oncology clinics have social workers, dieticians, OT's, physios, pharmacists, accommodation support, family support etc, etc. Working in ICU, I much prefer to look after the medical/palliative patients than the brain surgeries/heart surgeries/traumas that everybody finds so exciting.
  5. ausrnurse

    Dialysis Compliance Buy-In...

    Dialysis compliance is really hard, because the majority of patients got to ESRD by being non-compliant. I've basically learnt to accept that my long-term patients have heard it all before and let them make their own decisions, even if that is not in their own best interests. Fortunately, I work in Australia, so our patients have access to affordable healthcare and many social programs that facilitate dialysis attendance, including transport and welfare. We do our best to work the patient roster to times that suit them, especially those that work. Unfortunately, you can do all these things, but for some people, their health is not a priority and that is their decision.