Caroline Dew
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caro-icu.bsky.social
Caroline Dew
@caro-icu.bsky.social
8.5K followers 1.8K following 770 posts
ICU - Clinical Nurse Specialist
All things Critical Care, Cardiac ICU, Infection Control, Safety, MET/code team, Resus.
And camping. Waaay outback is my happy place.

@Caro_Dew_ on the bird app

#ICU #CriticalCare #NurseSky #ResusSky #MedSky
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caro-icu.bsky.social
Hi @jadvnursing.bsky.social 👋
Can I suggest you set your name here as “Journal of Advanced Nursing” instead of “jadvnursing” so you appear in a BlueSky search?
I had no idea you were here, only found you by accident 😀.
#NurseSky
@debrae.bsky.social
Journal of Advanced Nursing Bluesky banner Journal of Advanced Nursing does not come up on a BlueSky search
July 12, 2025 at 9:11 AM
caro-icu.bsky.social
Nice!!
This little Aussie bee enjoying my weeds says Hi 😊
A bee sitting in a bright yellow flower
July 12, 2025 at 12:55 AM
caro-icu.bsky.social
Thinking of you, An.
And anyone else feeling the loss of a special loved one today ❤️
Puppies giving each other a hug
May 11, 2025 at 1:12 AM
caro-icu.bsky.social
The #BigFreeze11 Beanie is here!
Help FightMND in their march toward a world without Motor Neurone Disease.

💙 In memory of those who can’t ‘live it forward’ anymore…

Live it forward and grab your #BigFreeze11 Beanie from Coles, Bunnings and online at fightmnd.org.au ❄️

#LiveItForward #MND #ALS
The Big Freeze 11 Beanie is here! Image of a blue beanie with “BF 11” written on it. Beanie is sitting on ice cubes.
May 6, 2025 at 10:29 AM
caro-icu.bsky.social
Whoah
Record flu cases. …In summer 😳
Victoria, Australia.

“Recorded cases of influenza in the first quarter of the year have hit an all-time high, as the state enters “uncharted territory” during the winter”
www.theage.com.au/national/vic...
Graph showing Lab confirmed influenza cases first quarter (Jan-March) in Victoria. Jan-March 2015-2018 averaged less than 2000. 2019, 2020, 2023 & 2024 approximately around 4500. 2021 & 2022 were hardly any. 2025 has had over 10,000 already up to March. Source: The Australian government’s National Notifiable Disease Surveillance System
April 2, 2025 at 3:39 PM
caro-icu.bsky.social
"There are currently no minimum prescribed staffing standards for standalone ICUs. Our bill will change this. "The only political party that is a threat to ratios and safer patient care is the Liberal Party, who tried to get rid of them the last time they were in government." The college of critical care nurses said neither the government nor the Health Department had directly consulted its organisation on the contents of the bill. Hospitals were last year told to shore up their budgets for the first time since the COVID pandemic. Labor MPs are bracing for a difficult budget to be handed down this year. Victoria's net debt is forecast to reach $187.3 billion by 2028. Opposition health spokeswoman Georgie Crozier said the draft law had created confusion for hardworking ICU nurses. "The Allan Labor government is overseeing chaos and mismanagement in every area of government and health is no different," Crozier said. "Labor can't manage money, can't manage health and it's Victorians who are paying the price." The bill was introduced to parliament late last month and could come before the upper house as soon as next week. While hospitals already provide 1:1 ratios for ICUs, it will be the first time these ratios are mandated by law. Victoria has already mandated ratios of one nurse for every four beds during morning and afternoon shifts at the state's largest general and surgical wards, and ratios of 1:8 for night shifts. The latest changes would also increase the number of midwives working night shift and ensure an in-charge nurse on night duty in high dependency and coronary care units. The reforms would start coming into effect from July 1. Labor committed to bolstering nurse-to-patient ratios in the leadup to the 2022 state election. Earlier this month, the government was forced to fix an error in its own bill after the wrong figure was included on a new charge for the property industry. The building industry legislation incorrectly said developers would be charged 3 per cent of an apartment building's value to pay for a Earlier this month, the government was forced to fix an error in its own bill after the wrong figure was included on a new charge for the property industry. The building industry legislation incorrectly said developers would be charged 3 per cent of an apartment building's value to pay for a bond scheme use to fund defects, but the correct figure was 2 per cent. The government was forced to move an amendment to fix the bill because it had already been read into parliament. A Labor source, speaking on the condition of anonymity because they were not authorised to speak publicly, said there had been some "stupid" mistakes recently with the drafting of bills.
March 28, 2025 at 9:14 PM
caro-icu.bsky.social
Fears wording of new bill could result in fewer nurses in ICU By Broede Carmody and Kieran Rooney March 29, 2025 - 5.00am There could be fewer nurses in Victorian ICUs as an unintended consequence of how the government has phrased its incoming reforms, doctors and critical care specialists warn. Three peak bodies say that the draft laws, already waived through the lower house, would not stop hospitals from cutting up to three senior nurses per day in the state's largest ICUs compared to current industry standards. For a typical suburban ICU, the fear is that there could be one less nurse. The government is strengthening nurse-to-patient ratio laws by requiring, for the first time, ICUs to provide one nurse for every occupied bed. However, hospitals already do this, and many provide more senior support roles than what would be mandated. The Australian College of Critical Care Nurses (ACCCN) and others say the problem is caused by the wording of the draft law, which could suggest that senior support nurses and team leaders are the same role. Melbourne's biggest hospitals typically have multiple senior support nurses in one ICU ward, including a team leader and what's known as an "ACCESS" nurse. An ACCESS nurse supports less experienced colleagues and provides hands-on care as directed by the team leader, but this role is not named in the new bill. ACCCN Victoria president Josh Allen said his members feared hospital management could argue that teams were overstaffed if the legislation did not specifically mention ACCESS nurses. "We felt we couldn't ignore those concerns and felt it was important to act now before the legislation made it through parliament to make sure that the Act does what it says," Allen told The Age. "That is, provide for safer patient care." The draft law stipulates one team leader for every 10 occupied beds in large metropolitan hospitals. Allen wants this changed to "one team leader and one ACCESS nurse" for morning, afternoon and night shifts. The ACCCN this week wrote to Labor MPs urging them to tweak the bill before it becomes law. The letter was co-signed by the College of Intensive Care Medicine of Australia and New Zealand as well as the Australian and New Zealand Intensive Care Society "Many nurse unit managers of intensive care units in Victoria have been in contact with us to express their confusion over the intent and language used in the proposed legislation," the joint letter to MPs, seen by The Age, says. "Their concerns [are about] the potential detrimental impact on staffing resources and, ultimately, safe patient care. Of note, many have highlighted the discrepancy between the ratios in the proposed legislation and the industry standards." An Allan government spokesperson said the bill was the result of extensive consultation, including with the Australian Nursing and Midwifery Federation, and was designed to give health services some flexibility if they had different service delivery models or ICU job titles. "The bill does not stop health services from exceeding these minimums if this is their current practice," the spokesperson said.
March 28, 2025 at 9:14 PM
caro-icu.bsky.social
Morning Bec. Have a wonderful day ❤️
Coffee mug in front of a tree with green leaves and the morning sun rising behind it.
February 20, 2025 at 8:35 PM
caro-icu.bsky.social
Reposting for FightMND: “Wishing our amazing Australian of the Year, Neale Daniher a very happy birthday! From everyone at FightMND, we hope you're enjoying a wonderful day, surrounded by family and friends. Your unwavering determination never ceases to amaze us. Thank you for everything you do!”
Photograph of Jan and Neale Daniher
February 14, 2025 at 9:26 PM
caro-icu.bsky.social
Amazing resource . And free.
#ICU #NurseSky
FREE @ICUREHAB LITERATURE LIST -4000 titles about sedation, delirium, early mobilization, rehab, ICUAW, patient outcomes, COVID-19 and more!
February 9, 2025 at 10:34 AM
caro-icu.bsky.social
And, now Australian of the year! 👏
Congratulations Neale Daniher
January 26, 2025 at 2:52 AM
caro-icu.bsky.social
What colour do we move to next? Black? What’s after black?

#ClimateEmergencyIsAHealthEmergency 🛟
January 10, 2025 at 9:01 PM
caro-icu.bsky.social
🎄🥂Christmas party season prep🥂🎄
- ✅ Haircut
- ✅ New dress 💃
- ✅ New variant Covid vaccine

For those in Australia, the new Pfizer JN.1 is available now. Get on it 💪.
#VaccinesSaveLives
Image of an arm after a Covid vaccine in front of a red Christmas bow decoration
December 13, 2024 at 12:21 AM
caro-icu.bsky.social
#LuvYaGuts @sammyjcomedian.bsky.social

Thank you for keeping us nurses entertained on our early morning commutes to work. Will miss you ❤️

Looking forward to @sharnellevella.bsky.social & Bob Murphy moving in. No pressure 😉, big shoes to fill 😜
Image of SammyJ in the radio studio on his last day hosting Mornings on ABC Radio Melbourne
December 12, 2024 at 9:52 PM
caro-icu.bsky.social
Recognise some familiar faces there 😊
Congratulations to all involved 👏👏
#ALBICSakitrial #ccrdownunder
December 10, 2024 at 7:54 AM
caro-icu.bsky.social
Interesting results from the ALBICS-AKI trial
@criticalcarereviews.com DownUnder

Giving 20% Albumin to complex Cardiac Sx pts did not decrease the incidence of AKI,
It in fact *increased* the risk of AKI

Enough to suggest against the use of 20% albumin after cardiac Sx.
#emimcc #ICU #CCRdownunder
Summary of key findings from ALBICS-AKI When 20% albumin was assigned after cardiac surgery using CPB at high risk of AKI, • Less 4% or 5% albumin was used compared to usual care. • More packed red blood cells were administered. • total amount of fluid, duration or mechanical ventilation or vasopressors was not aftected, and The incidence of AKI was not proven to decrease. - Association between increased risk of AKI was observed. From The ALBICS-AKI trial... 20% albumin was not proven to decrease the risk of AKI at 28 days after high-risk cardiac surgery 20% albumin may increase the risk of AKI by 12% relative to the usual care where iso-oncotic albumin was commonty administered • The observed harmful effect was possibly underestimated because possibly confounding the effects toward null. The findings suggest against the use of 20% albumin after cardiac surgery
December 10, 2024 at 7:43 AM
caro-icu.bsky.social
Yay! Found Prof Mike Toole here!! 👉 @profmiketoole.bsky.social

#EpiSky 🛟 #GlobalHealth
Image of Prof Mike Toole’s BlueSky page. Mike Toole #I stand with Ukraine @profmiketoole.bsky.social Retired epidemiologist. Worked in global health for almost 50 years. Based in Melbourne, Australia with my two Coton de Tulear dogs. Associate Principal Research Fellow at the Burnet Institute.I hate MAGA. Gaza ceasefire NOW.
December 7, 2024 at 4:36 AM
caro-icu.bsky.social
💔We lost Cath Baker, a wonderful ICU nurse and truly beautiful person, to the ravages of Motor Neurone Disease.

💔Today would’ve been her birthday.

Donating to FightMND will turn your donation into research towards treatments & ultimately a cure for #MND #ALS🧪

www.heraldsun.com.au/news/victori...
Cath Baker (left) with friend Ange Cunningham. Picture: David Caird
December 5, 2024 at 10:06 PM
caro-icu.bsky.social
Hard agree on living with boys & not knowing when something stupid/hilarious is going to happen.

Yes that is boy jumping over a campfire on his bike.

Explanation was “we didn’t jump the campfire, mum. It’s a fire on a bike jump”.

And, yes that’s a bucket of water “for safety”

Sigh
Boy riding a bike over a jump with a campfire on it.
November 30, 2024 at 1:39 AM
caro-icu.bsky.social
Do you incorporate evidence-based #CriticalCare practices daily in your #ICU?

A-Assess/manage pain
B-Both spontaneous awakening and spontaneous breathing trials
C-Choice/assessment of Sedation
D-Delirium assessment
E-Early mobilisation
F-Family involvement

🔗 journals.sagepub.com/doi/10.1177/...
Journal of the Intensive Care Society First published online November 22, 2024 Delivery of evidence-based critical care practices across the United Kingdom: A UK-wide multi-site service evaluation in adult units
November 25, 2024 at 9:56 PM
caro-icu.bsky.social
Hey #EMSky #EMedSky

@alfredemergency.bsky.social is on 🦋!

👉The Alfred Hospital Emergency & Trauma Centre and Monash University - Emergency medicine education and training programs for health professionals and students.

🔗 linktr.ee/AlfredEmerge...

#education #MedSky #CriticalCare
The Alfred Hospital Emergency & Trauma Centre and Monash University - Emergency medicine education and training programs for health professionals and students.
November 25, 2024 at 8:51 PM
caro-icu.bsky.social
Lol. Hadn’t seen this.
CRAC-ON 😂.
#Ansky
4. Ethical- the hospital's ethics committee was blinded to the fact that this trial was being undertaken.
November 24, 2024 at 7:32 AM
caro-icu.bsky.social
#straya

“A nostalgic photographic road trip across Australia – in pictures” Trent Mitchell.
@australia.theguardian.com
www.theguardian.com/australia-ne...

📸 “Hills Hoist - Coober Pedy, South Australia” Trent Mitchell
Photograph of a Hills Hoist clothes line surrounded by sand in outback Australia. Titled “Hills Hoist - Coober Pedy, South Australia” By Trent Mitchell
November 24, 2024 at 1:40 AM
caro-icu.bsky.social
Omg . Feels so much hotter when we are not ready for it.
#NotEvenSummerYet
November 22, 2024 at 1:25 AM
caro-icu.bsky.social
😂
Seems they exist though
Star Trek t-shirt
November 17, 2024 at 6:27 AM