ausrnurse

ausrnurse

ICU

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All Content by ausrnurse

  1. Uf profiling

    ausrnurse replied to ffliper27's topic in Dialysis, Renal, Urology

    I have been using the 5008's for a couple of years now...was profile 4 the intermittent one similar to profile 5 but the low and high UF rates weren't as extreme? UF profiling basically changes the...

  2. Transducer Placement?

    ausrnurse replied to ClanMcBride's topic in CCU, Coronary, Cardiac

    For tubed pts at my unit, we place them on an IV pole. Re-level after pressure area care. Moving/walking patients, I tape it to the

  3. Nurses selling at work?

    ausrnurse replied to Emergent's topic in Patient, Colleague Relations

    Extremely unprofessional, and likely against hospital policy. Nurses at my unit will leave tupperware catalogues for example in our break room and just say "See Jane if interested" for example, or...

  4. long term sedation options

    ausrnurse replied to amiodarone3's topic in Critical Care

    Usually midazolam which we change to propofol or dexmedetomidine in the days prior to extubation. We do a lot of early trache's so most of our long term ventilated patients do not require

  5. Why Do Not More Clinics Push Home Dialysis?

    ausrnurse replied to NDXUFan's topic in Dialysis, Renal, Urology

    Australia is really big on home haemo. It is much, much cheaper than in-centre dialysis and has better outcomes for the patients. There is nothing not to like about it in terms of the benefits for the...

  6. ICP monitoring and ventricular drain.

    ausrnurse replied to sugarmagnolia3's topic in Neuro Intensive Care, ICU

    Interesting. I checked our protocol and asked around and it definitely isn't the practice at our unit. I guess it is one of those things that depends on the

  7. Got written up

    ausrnurse replied to julimom's topic in Health, Stress Management

    This! Needles go straight from the patient to the sharps bin! This is definitely something that should have been dealt with in person, not via a manager and could have been easily resolved with a...

  8. Bedside rounding in-front of patients

    ausrnurse replied to Nurse-84's topic in Patient, Colleague Relations

    Compulsory at my hospital. I've seen it in both ICU and wards and it seems to work wherever nurse managers are reasonable. On the wards the nurse would handover each patient then when we stepped...

  9. ICP monitoring and ventricular drain.

    ausrnurse replied to sugarmagnolia3's topic in Neuro Intensive Care, ICU

    I wasn't taught this but our system is closed with a sterile bag attached to the bottom of the cylinder. I'm unsure if you are talking about an open system in which you have to open up the system to...

  10. advice needed, safety concerns

    ausrnurse replied to ICURN2424's topic in MICU, SICU

    I would expect any nurse to know better than to give blood pressure tablets to a patient who is hypotensive. I find it really unacceptable for people to say "well, I'm new" when it is a basic NURSING...

  11. Open up....Spoonfed report

    ausrnurse replied to ICURN3020's topic in Patient, Colleague Relations

    Haha, I know one of these too! I have no advice for you, I just try and take it in good humour and since I work at an ICU with a SAFE nurse to patient ratio, it's significantly less annoying to only...

  12. Most challenging nursing department

    ausrnurse replied to rose89's topic in General Nursing

    Dialysis. There are plenty of units I have worked that I didn't enjoy (most med-surg wards, paeds, L&D) but dialysis is where I actually felt STRESSED out, like I couldn't work hard enough or fast...

  13. CPR in Prone Position

    ausrnurse replied to Codeblue1982's topic in MICU, SICU

    There's a great video on youtube that makes it look downright easy - it's one of the first results on google if you search for "proning ICU patient." The secret seems to be preparation

  14. done with dialysis nursing

    ausrnurse replied to Noreene's topic in Dialysis, Renal, Urology

    Get out of dialysis. Without good management this job is soul destroying. I never even realised how stressed out I was until I left - I used to cry every single day and could barely get out of bed in...

  15. CPR in Prone Position

    ausrnurse replied to Codeblue1982's topic in MICU, SICU

    Wow...sounds like the patient should have had a DNR in place! It's a tough call, the last patient I nursed that was that unwell they nearly died every time we went near them, I imagine turning them...

  16. Who's for banning rotating shifts?

    ausrnurse replied to Lev's topic in General Nursing

    I don't mind rotating shifts. I would hate to be getting up early every morning, and I wouldn't want to be on permanent nights either. My week looks something like E/E/L/N/N...and I only have to do...

  17. Adult ICU vs NICU..which is right for me?

    ausrnurse replied to whoaitschrista's topic in MICU, SICU

    If you have a background in adults, I would take the adult position so you can become comfortable looking after adults who a critically ill before then stepping up to neonates who are critically ill....

  18. Most shocking thing you've seen another nurse do?

    ausrnurse replied to SuzieVN's topic in Patient, Colleague Relations

    What the? First off, drives me wild when doctors come around and tell you to turn off the propofol then make you wait hours before they review the patient (I just want to scream at them sometimes...DO...

  19. Levophed concentration and hospital policy.

    ausrnurse replied to calivianya's topic in Critical Care

    I can't even... I know in the USA open ICUs are used but I didn't realise this meant that there are NO DOCTORS IN THE ICU. My unit is a closed unit with specialist Intensivists, and on a night shift...

  20. Nursing judgement in dealing with difficult patients.

    ausrnurse replied to FransBevy's topic in Dialysis, Renal, Urology

    As it has been said, it's dangerous. It also sets back the day if you are in a busy unit - every 10 minutes a patient spends smoking is 10 minutes another patient has to wait to get on later in the...

  21. Drugs to know in the Neuro Icu

    ausrnurse replied to AstarteRN's topic in Neuro Intensive Care, ICU

    We use a lot of 3% saline, keppra and dexamethasone. Occasionally we will see a nimodipine infusion. Other than that, just our normal ICU

  22. Levophed concentration and hospital policy.

    ausrnurse replied to calivianya's topic in Critical Care

    My unit ONLY runs noradrenaline through a central line. If the pt is actively arresting, we might start an adrenaline infusion through a peripheral line until we get a central line. For other patients...

  23. an oldie but goodie

    ausrnurse replied to amoLucia's topic in General Nursing

    This reminds me - we used one literally last week for the same

  24. How do I respond to wrongful allegations

    ausrnurse replied to clownlove's topic in Australia, New Zealand

    It may depend on the state you are working in, but I think you may have been toeing the line of practicing outside of your scope by contacting the doctor without an RNs knowledge. Was there another RN...

  25. I feel sick to my stomach and I need help

    ausrnurse replied to Porro's topic in General Nursing

    You never know what people can be allergic too and if they haven't had a reaction to that drug before what are you supposed to do? :) We had a pt in ICU once that we were about to extubate have an...