ausrnurse

ausrnurse

ICU

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All Content by ausrnurse

  1. Asking Former Preceptor for Some Space

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

    Just to play devil's advocate for a moment, it's possible your preceptor was trying to check that you had followed up on something without you thinking you weren't being trusted - but obviously didn't...

  2. Mobilizing While On CRRT

    ausrnurse replied to yoj1001's topic in Critical Care

    I wouldn't mobilise a patient on dialysis back when I was a dialysis nurse, let alone an ICU patient with a a bunch of other things going on. I have no problem with sitting out in a chair though,...

  3. RN forging doc's signature

    ausrnurse replied to Student Mom to Three's topic in General Nursing

    I think the OP needs to clarify the hospital policy in regards to this. I mentioned this earlier, but at my old job we had standing orders and could write and sign our own pathology forms. At my...

  4. RN forging doc's signature

    ausrnurse replied to Student Mom to Three's topic in General Nursing

    Very true. Different hospitals have different policies regarding RN's signing path forms. I was allowed to at my old job, if I did it at my current job it would have the same consequences as me...

  5. Cleaning up lines

    ausrnurse replied to nursingjudgment's topic in Critical Care

    This is one of those things that just gets better with experience. First, I pull down everything that's not being used. For example, all our patients come back from theatre with noradrenaline and GTN...

  6. U.S ICU-RN Bound for Melbourne, Australia

    ausrnurse replied to GypsyRNsoul16's topic in Critical Care

    No respiratory therapists and for safety

  7. U.S ICU-RN Bound for Melbourne, Australia

    ausrnurse replied to GypsyRNsoul16's topic in Critical Care

    Hello, I am Australian but not in Melbourne. It seems like ICUs are very different here, but I think for the better. 1:1 ratios for ventilated patients and closed ICUs with intensive care specialists....

  8. What is it with nurses showing up late!

    ausrnurse replied to hppygr8ful's topic in General Nursing

    What the! 45 minutes late! Honestly, I think anything more than 5-10 minutes is pushing it and I would have been calling to find out where she was. My workplace starts calling after about 5 minutes...

  9. ER to ICU orders

    ausrnurse replied to amys4304's topic in MICU, SICU

    These targets are absolute nonsense. Patients get transferred before even being worked up or stabilised and you end up with a hot mess on your hands, by the way you only have one cannula for your...

  10. Am I in the Wrong??

    ausrnurse replied to regerterb's topic in Patient Safety Issues

    Like everyone has already said, I would remember to double check the post op orders and then try not to worry about it anymore. The doctor should have actually double checked that he'd prescribed the...

  11. Medication safety what if...

    ausrnurse replied to SBGangelJC's topic in Patient Safety Issues

    I don't mind so much if it's the original packaging on the way to draw it up (eg., a vial of antibiotic powder before reconstitution). I think carrying IV medications that have been reconstituted is...

  12. sedation and anesthetics

    ausrnurse replied to francoml's topic in Critical Care

    Wow, I can't imagine not being allowed to bolus propofol or titrate meds! We can bolus as much as we need to taking into account the pts blood pressure, letting the MO know if the pt is requiring...

  13. Nonsedated Pt's equal self extubations

    ausrnurse replied to RunninOnCoffee's topic in General Nursing

    I see you've never had a patient go into asystole from precedex There is a small group of patients it does work well on - typically post-ops with anaesthetics still on board and imminent extubation...

  14. Protonix in GI bleed

    ausrnurse replied to coleeliza's topic in Patient Safety Issues

    Now you will remember for next time :) We have similar pumps that should also clamp after the cartridge has been inserted in the machine but I usually try to clamp the line with the roller clamp as...

  15. Nonsedated Pt's equal self extubations

    ausrnurse replied to RunninOnCoffee's topic in General Nursing

    I read somewhere that doctors always think patients are oversedated and nurses always think they are undersedated. Personally, I've never seen a nurse deliberately oversedate a patient, and if they...

  16. Nonsedated Pt's equal self extubations

    ausrnurse replied to RunninOnCoffee's topic in General Nursing

    I'm not sure how supportive the medical team is in your particular unit, and it might be easier for me as I work in a closed ICU with 24/7 intensivist cover, but if one of the more junior doctors...

  17. Nonsedated Pt's equal self extubations

    ausrnurse replied to RunninOnCoffee's topic in General Nursing

    We turn off our sedation every day to assess the patient for extubation and give them a "sedation vacation" (leading to shorter length of intubation). When they are ready we extubate. If they are not...

  18. Workplace Cowardice

    ausrnurse replied to Mr. Murse's topic in Patient, Colleague Relations

    I can't believe how much this thread has been derailed by the use of the word "snitch". Are you kidding me? Dobbing, tattling, whatever you want to call it, it's childish and it is my number one pet...

  19. sedation

    ausrnurse replied to jacsbein's topic in MICU, SICU

    Propofol for short term sedation, midazolam for long term sedation. I HATE dexmedetomidine. 99% of the time the way it is prescribed is not the way the drug is meant to be used (eg., is written up...

  20. Holiday Scheduling - how to make it fair

    ausrnurse replied to DisneyNurseGal's topic in General Nursing

    Everybody fills in what they would like to work on the request roster. Nobody is allowed to have both holidays off - you either get Christmas or New Years - or you can work both if you want to. There...

  21. California's 5 Hour Lunch Rule

    ausrnurse replied to Bluekal's topic in California Nursing

    Australia has a similar rule, but we don't say is must be a lunch break, it's just a "break", so usually morning tea, which we start around 8.30, then start lunches around 12. We've never had an...

  22. Why can't we tell pts/families we're understaffed?

    ausrnurse replied to delphine22's topic in Nursing Professionalism

    I don't think I've ever actually said that we are short staffed, but I will often say that it's very busy today when people ask me why I'm running around like a headless chicken. People are more...

  23. who does the blood draws in your hospital?

    ausrnurse replied to annieboo444's topic in General Nursing

    We do our own in ICU, but the phlebotomists do the 0600 bloods in the med/surg wards, then head down to the clinic and do the outpatient bloods. It would be awful for the nurses in the wards to have...

  24. Just Take Your @#*! Break!!!

    ausrnurse replied to Anna Flaxis's topic in Patient, Colleague Relations

    It's always the same group of people who never have time for a break. They're the same people who expect a spoon fed handover and are unhappy to have any jobs that need to be completed on their shift....

  25. New CCU/ICU nurse frustrations!!

    ausrnurse replied to MrsICURN14's topic in CCU, Coronary, Cardiac

    Try not to let it get to you. It's pretty old fashioned that you are even doing cardiac outputs on a patient In two years at my ICU, I've never seen a Swann-Ganz. I think they talked about one once...