ausrnurse

ausrnurse

ICU

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All Content by ausrnurse

  1. Burrette

    ausrnurse replied to das729's topic in General Nursing

    You close the clamp to the bag and leave the air clamp open. You need to make sure the bag of fluid you are using is compatible with the drug. In this case, vanc and saline can go together. You would...

  2. Quad strength Levophed not working

    ausrnurse replied to Blandini7's topic in Critical Care

    Yep, me too. Continue the rate until the MAP starts to climb then dial it back.

  3. Chest tube flush

    ausrnurse replied to sallyranisme's topic in Critical Care

    Interesting! Our post-ops have their mediastinal drains connected to an underwater seal drain on suction. The only time I've ever seen a mediastinal drain disconnected and suctioned was in a tamponade...

  4. Which alternative antiseptic to use for CVC dressing?

    ausrnurse replied to Miss_Morris's topic in General Nursing

    I would use the iodine. We typically use it for people with chlorhexidine allergies

  5. Why Can't Spouses and Families Understand The NOC Schedule?

    ausrnurse replied to NurseQT's topic in General Nursing

    Why can't managers, who once had to do night shift themselves understand? I have been called every day this week to come in early or do an extra night - after I've just finished one, at about 1100hrs...

  6. an oldie but goodie

    ausrnurse replied to amoLucia's topic in General Nursing

    Anaesthetics sent us an open heart with a noradrenaline syringe mislabelled as GTN once and the SBP >200. Kept turning up the GTN and the BP kept rising, eventually pulled down and replaced every...

  7. Unsafe ED

    ausrnurse replied to HeartRN13's topic in Patient Safety Issues

    This is definitely a two-sided issue. We have huge problems transferring patients out of ICU - we will get delayed for literally HOURS waiting for a bed to get cleaned, then the nurse will complain...

  8. A Word To The Wise.........

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

    Why did I click on this post I have never in my life seen a nurse assault a patient. I quit my job in dialysis because I was sick of being groped, assaulted and screamed at by patients while I was...

  9. Time Management Tips for New Critical Care Nurses

    ausrnurse replied to nursey246's topic in Critical Care

    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...

  10. Transportation Safety Question

    ausrnurse replied to fitzfan82's topic in Patient Safety Issues

    This! Totally unacceptable. At my hospital we have to have THREE patient transporters push a bariatric bed. Nurses aren't allowed to push beds at all, we only accompany patients who need monitoring,...

  11. Where are my rights as a RN? Is this true...

    ausrnurse replied to SoulSpirit_Rn's topic in General Nursing

    Some managers should be held responsible. Particularly when there is a documented history of unsafe practice with no action taken by the manager or the provision of an unsafe workplace, but I don't...

  12. Stupid Nurse Tricks (Or How To Look Incredibly Stupid)

    ausrnurse replied to Ruby Vee's topic in General Nursing

    This one made me laugh out loud because...well, I did something similar a few weeks ago. We rarely have pts in ICU that we remove their lines post-mortem (coroners cases and all that), and before that...

  13. Chest tube flush

    ausrnurse replied to sallyranisme's topic in Critical Care

    I've only seen this once. I believe nurses are allowed to do it (I imagine this would depend on your facility) but we all decided that it would be best for the cardiothoracic surgeons to do it...

  14. Dialysis Shift Change Chaos

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

    It will never happen but the patient schedule should be made so that you actually have time to get one group of patients off, tidy up and get ready for the next group before you have to put them on,...

  15. an oldie but goodie

    ausrnurse replied to amoLucia's topic in General Nursing

    I never knew aramine was so old fashioned we use an aramine infusion as standard until the patients get a central

  16. Doctor's attitude towards nurses

    ausrnurse replied to jrsnars2's topic in Patient, Colleague Relations

    It drives me wild when doctors are incapable of doing their job without having the chart placed in their hands with the patient label already stuck on

  17. New grad struggling...should I stick it out?

    ausrnurse replied to girliegirlieRN's topic in MICU, SICU

    If you are having issues with time management, make it a priority at the beginning of your shift to write down a plan for your day. I normally write out the hours in my shift and then write in when...

  18. Are swan-ganz (PAC) still around in your area?

    ausrnurse replied to ninis's topic in Critical Care

    Have never seen one in over a year in ICU. We do open hearts, too. It's just gone out of fashion here, and the intensivists all seem pretty happy about

  19. Neo/Levo

    ausrnurse replied to LNRN11's topic in CCU, Coronary, Cardiac

    I've never heard of that! Sounds like one turbo-charged inotrope! Seriously though, it doesn't sound safe to be dosing them both in the same bag. I can't really think of a good rationale for

  20. Am I the only one who hates 12 hour shifts?

    ausrnurse replied to jdubs99's topic in General Nursing

    This! My roster this fortnight includes 2 day shifts, 2 days off, 2 night shifts, 3 days off (including sleep day), 2 day shifts, 2 days off. Great fun. Luckily I start 8s again

  21. Question about acid baths

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

    The acid bath is a drug and needs to be treated like

  22. Venipuncture - gauze vs cotton ball

    ausrnurse replied to fozziebear's topic in Patient Safety Issues

    We stock "cotton balls" at my hospital - if you unravel them, they are a rolled up square of

  23. Racial Refusals In Nursing

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

    I suppose the difference is a racist would say I don't want a "[insert race]" looking after me. A non-racist would say "can I have a different nurse" and would accept any nurse of any race as a...

  24. Least stressful nursing specialty

    ausrnurse replied to alby_dangle's topic in Nursing Career

    Radiology! My favourite ever nursing job, I keep wondering why I haven't made my way back

  25. Do you calculate drip rates anymore?

    ausrnurse replied to goingback's topic in General Nursing

    You still have to learn how to do it! Even in ICU there are a limited number of pumps, and not everything needs one - I never give IV paracetamol (acetaminophen) via a pump for example. Gravity sets...