ausrnurse

ausrnurse

ICU

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All Content by ausrnurse

  1. The line that makes me want to hurt someone, aka 'That's not my job!'

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

    I'm on the team that says nurses should be saying "that isn't my job" more often. Honestly, we do EVERYTHING that everybody else refuses to do - even if it really isn't our job. No wonder we are all...

  2. Seeking advice regarding Ultrafiltration rates

    ausrnurse replied to Foleynurse2008's topic in Dialysis, Renal, Urology

    We used the "no more than 1L per hour" approach at my unit, and frequently used UF profiles to try and prevent hypotension. You also eventually learn what patients can and cannot handle. Make sure you...

  3. Hospital Units with Longest patient stays

    ausrnurse replied to TarheelGirlx3's topic in General Nursing

    Dialysis! You can have the same patients' for 20

  4. Drug Seeker Stories

    ausrnurse replied to ER-RN2's topic in Emergency

    I had a 20-something-year-old man first try acting like his arms and legs were painted on - spilling his dinner all over himself, pooping the bed. Then he tried screaming at me - I told him I was...

  5. Patients who love their sick role

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

    Ah yes, the patient that comes via ambulance with three suitcases already packed. Totally mortified if you suggest that since both hands are working just fine, they are more than able to feed...

  6. On-Call Duties in Acute HD

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

    This was standard when I worked in acute dialysis, unfortunately. I don't know what else to

  7. Sick

    ausrnurse replied to Saasy's topic in Patient Safety Issues

    Sorry can you explain further? What do you mean by wrong line and programmed wrong? We have 2 different types of pump giving sets - a non-filtered giving set for regular medications and a filtered...

  8. Passing things on

    ausrnurse replied to Nanz_B's topic in General Nursing

    You should be able to call a doctor on your shift - that's why they're paid to be on call. If it's non-urgent (I don't know, rewrite chart if you are using paper charts or something) there's no reason...

  9. Passing things on

    ausrnurse replied to Nanz_B's topic in General Nursing

    Someone else posted the same, and I agree, this isn't stuff that someone didn't have a chance to do on their shift, these are clinical incidents that should have been dealt with as a matter of...

  10. Passing things on

    ausrnurse replied to Nanz_B's topic in General Nursing

    24hr care people. I think meds should all be given on time, and dressings should be done on the day/afternoon shift so I'm not waking the pt up in the middle of the night for a dressing change....

  11. What nursing reference books do you use

    ausrnurse replied to d00d00butter's topic in General Nursing

    Harvard Nursing Guide to Drugs is a great medication reference. Also the "A Nurses Survival Guide" series - I own quite a few of

  12. Late patients

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

    I don't know about the legality in the USA, but in Australia it certainly will fly - and the nephrologists are usually aware of it as well. I don't feel like I am withholding lifesaving treatment -...

  13. Question for nurses working in various ICU settings

    ausrnurse replied to karenlm's topic in Critical Care

    Extremely unprofessional and yes, the patients can hear you. It's not

  14. Late patients

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

    Showing up late was the patients choice - if they have signed behaviour contracts, they are making an informed choice that if they show up late, they will lose their dialysis time and may cause...

  15. IV airbubbles in bloodstream

    ausrnurse replied to pso2's topic in General Nursing

    air bubbles of death. » Great article on air bubbles in IV

  16. Nursing Shortage

    ausrnurse replied to zack1110's topic in General Nursing

    I don't know if "nursing shortage" is the correct phrase to describe what happening. Nurses work dangerously understaffed every shift, but nobody can get a job. That is the

  17. Mentor, orientation, or trial by fire?

    ausrnurse replied to RunawayN's topic in General Nursing

    4 days with a buddy (who was too busy to actually buddy me), then I was on my own. I was in a graduate program, and a specialty. I survived it (barely), and 3 months later was expected to be in...

  18. 8 months as a nurse and I am failing miserably

    ausrnurse replied to RN119's topic in First Year After Licensure

    Honestly, I don't know any nurse who at some point has forgotten to check bloods, and when they did, they found something seriously wrong. So. Two things: like others have said, the lab should have...

  19. The lowest O2 saturation I've ever seen

    ausrnurse replied to SaraBart's topic in Critical Care

    I believe you! I recently saw a ventilated pt get down to around 20% for about 5-10min - it was really scary. Actually, I don't think anything scares me more than a ventilated patient who desats/can...

  20. I asked for Christmas off and they...

    ausrnurse replied to Brian's topic in Nurses Rock

    I was told this year that "only people with families get Christmas off". I totally expected to be working Christmas, and I'm not upset about that but uhhh, what? Just because I don't have kids,...

  21. Question???? Please reply

    ausrnurse replied to Bubblegum12's topic in CCU, Coronary, Cardiac

    Hm, may be a different situation. Our ER totally flattens their ventilated patients with midaz/morphine, which we change straight away when they get to ICU. If they were still in the emergency...

  22. Question???? Please reply

    ausrnurse replied to Bubblegum12's topic in CCU, Coronary, Cardiac

    Midazolam hangs around for a long time, we usually turn that off as soon as there is talk of extubation. Propofol can be turned off like 10 minutes before you want to extubate, so we will leave that...

  23. Peripheral pulses - I'm not entirely convinced they exist!

    ausrnurse replied to seconddegreebsn's topic in Nursing Student Assistance

    The title of your post made me laugh! Honestly, for the first month that I worked in ICU I couldn't find anybody's pedal pulses - but since I had to do it every day, I eventually got a feel for it. It...

  24. inotrope via syringe driver or pump?

    ausrnurse replied to sister s's topic in MICU, SICU

    We use alaris pumps at my hospital. Whenever I give inotropes, I usually set the VTBI to lower than what is in the bag (say 60ml out of a 100ml bag), then tell the machine to "continue rate" when the...

  25. really sad

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

    These people are *** holes, and they work in every unit. Nursing is 24 hour care and they just need to deal with