esie

esie

ICU

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All Content by esie

  1. IV Compatibility

    esie replied to calfro87's topic in MICU, SICU

    It is standard practice here in Oz that 99% of ICU patients have an IJ, sub-clavian or femoral multi-lumen central line inserted, or a PICC line if they are a long term patient requiring fewer...

  2. Does Australia have a registration exam?

    esie replied to madascanbeRNtobe's topic in International Nursing

    Here is a link to the Qld Health current wages rates. To give you an idea, I am an RN, and I have been registered for four years, nearly into my 5th. So, to give you an idea, I am at a Gr 5 level,...

  3. MAP=60? Why wait to treat?

    esie replied to sewnew's topic in MICU, SICU

    We generally run with a guideline of MAP >65mmHg, unless specifically indicated. When considering chatting to the docs about a fluid bolus, I consider the trends over the last 2-3 hours. What has...

  4. ratio for fresh CABG pts

    esie replied to bhrusa09's topic in MICU, SICU

    Our fresh hearts, whether a simple CABG or valve replacement, or more complicated by IABP or nitro, are always

  5. Question re: OG tube - New in ICU

    esie replied to cm8816's topic in MICU, SICU

    In our unit, and the other units I have worked in, a chest X-Ray is ALWAYS performed to verify placement before use. Sure, air boluses and aspiration and litmus test have their place in initial...

  6. Any ICUs or critical care settings where the standard ratio is 1:1?

    esie replied to edogs334's topic in MICU, SICU

    At the hospital I work at in Australia, pts on Bipap in Respiratory HDU are 2:1, but are watched very closely for a decline that will need ICU admission. We do have Bipap pts in ICU that are 1:1, but...

  7. Rural nursing in Australia

    esie replied to caramel79's topic in International Nursing

    I was recently *this close* in going to Alice Springs Hospital ICU for a secondment (couldn't go in the end as my hospital refused to allow any leave without pay, even though our unit is about 3FTE...

  8. T-piece??

    esie replied to Candice31's topic in MICU, SICU

    In our unit, we use T-pieces to deliver humified oxygen to a long term ventilated patient who is being weaned from the ventilator. We generally do first day 1-2 hours t-piece, then 2 hrs ventilator,...

  9. What would you do? ...stop TPN or not

    esie replied to IheartICUnursing's topic in MICU, SICU

    If you have an emergent newly admitted patient going into septic shock, very hypotensive and trending downwards, the TPN is the least of your worries. As others have said, the course of action would...

  10. Labs and vasopressors..new icu nurse needs advice

    esie replied to icu26RN's topic in MICU, SICU

    In the ICU department I work in, all admitted patients, whether overnight post-op, short term, long term, on or off inotropes; everyone has an arterial line. Never ever interrupt your inotropes,...

  11. ? for CVICU Nurses!

    esie replied to my2sons's topic in MICU, SICU

    Pre-extubation, we immediately use paracetemol 6 hourly and use either 2mg boluses of morphine, or 20 mcg boluses of fentanyl (depending on the pt's age, kidney function, allergies etc) PRN. Once...

  12. Salary in Oz? The reef is calling.

    esie replied to misscherie's topic in International Nursing

    Hi Misscherie, as you have mentioned the Great Barrier Reef, this is a link for Qld Health payrates. In fact, take your tine browsing the whole Work For Us site, there is some great info in there....

  13. How do you measure temperatures?

    esie replied to EMSnut45's topic in MICU, SICU

    We use a bladder temperature line to the minitot for pts with an IDC with a temp attachment; naso-oesophageal temp line to the monitor on cardiac surg pts & pts without IDC temp attachment; and...

  14. New Graduate in ICU- Advise and Tips

    esie replied to cdtmns2011's topic in MICU, SICU

    I also went into a med surg ICU as a grad, but I had the experience of a paramedic background. Best piece of advice I can give is ask lots and lots of questions! Don't be afraid to ask your CN's,...

  15. Hespan

    esie replied to Aneroo's topic in MICU, SICU

    One of the current trials being conducted by ANZICS Clinical Trials Group in Australia & New Zealand is the CHEST study. The study is comparing the use of Hydroxy-Ethyl Starch (Voluven, Hespian)...

  16. Chlorhexidine Baths

    esie replied to ckh23's topic in MICU, SICU

    In my last unit we were doing pre-op chlorhex washes on patients with MRSA and VRE, on behalf of OT for a trial that they were enrolled in. Unfortunately I can't tell you any formal results as the...

  17. Policy development: Central lines

    esie replied to aCRNAhopeful's topic in MICU, SICU

    Our policy is to perform a full line and dressing change on CVL, IAL, PICC, and Vascath lines every seven days or PRN, but no fixed time on replacement of the catheter. Having said that, they...

  18. Traveling with intubated patients

    esie replied to mcleanl's topic in MICU, SICU

    some of them (especially the SR's) you can cajole, ask, tell...but they still manage to be blissfully unaware of the concept of helping out Most are pretty good though, and will pitch in when

  19. Traveling with intubated patients

    esie replied to mcleanl's topic in MICU, SICU

    To do a transport to radiology, we always have the RN and a wardie, and a doctor if the patient is tubed, or not if they are extubated. Tubed patients are transported on an Oxylog transport vent,...

  20. ICU RN's responsible for CRRT or CVVH

    esie replied to graciev's topic in MICU, SICU

    In the Australian ICU I work at, we set up, maintain, troubleshoot and take down the circuits. The ICU I work at uses the Prisma, at the last ICU I worked at we used the Aquarius. It's interesting...

  21. Any ICUs or critical care settings where the standard ratio is 1:1?

    esie replied to edogs334's topic in MICU, SICU

    In Australia, at the large public hospital ICU I work out, we are 1:1 for all patients. At the private hospital ICU I previously worked out, all vented and/or dialysed pts, or particularly confused...

  22. Is turning to supine considered a turn?

    esie replied to sockov's topic in MICU, SICU

    In our unit we are lucky enough to have 1:1 care (in Australia). There are regular turn rounds with the wardies every 3 hrs, and I turn my patients side-back-side, unless contraindicated. We use...

  23. first year uni assessment, plese help

    esie replied to new nursing student's topic in International Nursing

    CINAHL (cia Ovid) & Proquest are great databases, and Blackwell Synergy usually has some good stuff as well. Your library website will let you access these via a signin option. As I research...

  24. Brisbane Suburbs

    esie replied to littlehobo's topic in International Nursing

    Here is a map of the local area around the PAH to give you a bit of a guide to the local suburbs.. You are best to stay on the southside of the river, or the traffic can get very congested when you...

  25. Just about to start my study - would love advice from all you experienced old hands!

    esie replied to kelcook's topic in International Nursing

    Hi Kelly, congrats on starting your degree, and I hope you get a lot out of it! I am also studying my RN degree part-time, I have done 3 years, currently in my 4th, with 2 to go. I live in...