ausrnurse

ausrnurse

ICU

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All Content by ausrnurse

  1. Venting online.

    ausrnurse replied to 8mpg's topic in General Nursing

    I don't really know, but I did see an RN complaining on another nursing forum where somebody had vented that you should "never, ever show nursing or nurses in a negative light". Is that what could be...

  2. I Like It

    ausrnurse replied to OCNRN63's topic in General Nursing

    I agree, I like to see where people work when I read their posts - I like to see what perspective they are coming from. I don't really think it's anything to get too upset about (all though a nurse...

  3. Iv mag or k+ which do I hang first?

    ausrnurse replied to JenniferG rN's topic in Emergency

    I would have given both at the same time (in the ICU), but as you said, it was a flimsy little peripheral line - I would give the K last in that case. K+ is notorious for burning and ruining your

  4. How to get out of dialysis nursing?

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

    I moved from dialysis to intensive care without much issue. I think my transition was actually easier than a lot of the med-surg nurses. When you have been working at a satellite unit with 4 crashing...

  5. Late patients

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

    We cut hours. Anywhere else in our hospital, if you are late for your appointment, you lose your

  6. medical error injection

    ausrnurse replied to jennifer009's topic in Patient Safety Issues

    The casual way this was brought up by the OP and one of the other posters here is really disturbing. Discussing it as if "It was only a medication

  7. What's the nurse-patient ratio in your unit?

    ausrnurse replied to Niki_RN's topic in General Nursing

    ICU 1:1 for vented pts, 2:1 for non-vented (depends on acuity). When I worked in dialysis it was 4:1 for chronics and 3:1 for

  8. Acutes to Chronic?

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

    I've done both and honestly, I found acutes to be really busy and stressful, and chronics to be really busy and boring (ie., not stimulating). I think the patients in chronic can be more abusive and...

  9. Preventing Extracorporeal Clotting in the Acute Setting

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

    I don't really like saline flushes either - you're just giving the pt extra volume that you then need to get rid of, and one of the very experienced nurses I have worked with feels that it doesn't...

  10. Couldn't believe he did this...

    ausrnurse replied to Elizabeth Renee's topic in General Nursing

    That's so bizarre, In Australia only RNs insert catheters, and in certain states and certain hospitals, only doctors are allowed to, especially in men. ENs (I think they are the equivalent of an LPN)...

  11. How NOT To Be An Annoying Nursing Student

    ausrnurse replied to DisneyNurseGal's topic in General Nursing

    The only time a student has ever annoyed me to the point where I had to actually ask them to find something else to do was with an extremely sick ICU patient (ie., norad, vaso, adrenaline, dialysis,...

  12. Question: AMBU vs. Ventilator

    ausrnurse replied to etymed's topic in Critical Care

    Such an interesting topic. I haven't been in ICU for very long and had a similar situation a couple of weeks ago after turning a pt, they desatted down into the 70s...they had pretty crappy lungs and...

  13. Best practice

    ausrnurse replied to Joni's Mom's topic in Dialysis, Renal, Urology

    Vanc is dialyzable, I can't remember the exact percentage, but given in the last hour the loss is minimal. For patients with bigger doses or who have had reactions in the past we might give it more...

  14. Persistent azotemia

    ausrnurse replied to prep8611's topic in MICU, SICU

    Can't think of a single reason why a doctor would want to cause a patient to have acute renal failure. What was the urea (BUN) doing, since the "goal" was azotemia. Creatinine is the product of muscle...

  15. Best practice

    ausrnurse replied to Joni's Mom's topic in Dialysis, Renal, Urology

    Depends on the drug. For EPO and iron it doesn't matter. For other drugs I usually refer to our renal drug handbook to find out the dialysability of the drug, and then decide when they should be...

  16. Wrong Dialyzer

    ausrnurse replied to uae808's topic in Dialysis, Renal, Urology

    If you are using new, sterile dialysers each dialysis, then a wrong dialyser would be a clinical incident, and a report would need to be filled out, however no harm would come to the patient, they...

  17. What patients/behaviors/illnesses/injuries do you HATE the most?

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

    Dialysis patients who come in, sit in a chair and stick their arm out. In our unit it's expected of patients to do their own BP, wash their arm and hands and collect their blankets before sitting...

  18. Do all nurses want to work in a hospital?

    ausrnurse replied to luvmykids0810's topic in General Nursing

    Thank God not every nurse wants to work in a hospital, imagine how terrible the world would be! No preventative health care, no community health programs, school health, sexual health, chronic disease...

  19. Tachycardia post dialysis

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

    It can mean the patient's too dry, and it's compensatory for a decreased blood pressure but that's only something I've seen occassionally. Usually it means the patient needs a medication

  20. In doubt of taking blood pressure of an old obese patient

    ausrnurse replied to nixx7's topic in General Nursing

    I would review how to take a manual blood pressure. Here is a link: It's also possible that the cuff on the machine was too small, which can give a falsely high