MajorDomo

Latest Activity

1. Trauma Blood Transfusions

   MajorDomo replied to pointhope's topic in Emergency

   From Roberts/Hedges Clinical Procedures in Emergency Medicine: "In the setting of hypovolemic shock and continues hemorrhage, there is no limit to the transfusion rate and multiple units may be transfused simultaneously, even under pressure." Tricks ...

2. Propofol for conscious sedation?

   MajorDomo replied to EMTSNA's topic in Emergency

   The question in the ER is not really the drug given but the Doc. Is the "ER" doc a GP that hasn't intubated since before you were born? Do you know that this particular doc sucks at intubations (failed the last three out of four attempts)? Does this ...

3. Scope of Practice?

   MajorDomo replied to flygirls2's topic in Emergency

   Most state BON have a statement to the effect that you can go outside your scope of practice for major mass cas incidents, the Katrina or 9/11 type incidents. "Normal" emergencies you should just stick to the ABC to CYA (cover your assets). MajorDomo

4. ICU RN to the ED

   MajorDomo replied to cardiacRN2006's topic in Emergency

   Agree with EMTSNA The ER is a disposition based nursing area, the treat and street philosophy. ER management tends to look more at pt numbers and times than acuity unlike the ICU. Wait times, Left without being seen, time of first ECG/Trop for CP, C...

5. ER Nurses- Do You Access Mediports?

   MajorDomo replied to blondy2061h's topic in General Nursing

   Short answer Yes Longer answer is that if the primary nurse has never accessed one, they go to the charge or other nurse and asks the "Have you ever..." question. Usually, someone in the department has enough experience with them to comfortably acces...

6. Your first Code Blue

   MajorDomo replied to MMARN's topic in New Nurse

   When was your first code blue? As a nurse, about a month after I was off orientation. (I was a firefighter/EMT prior to becoming a nurse, so I worked a couple before that) Was it your pt? Yes Did you lead the code? No How did you react? I think...

7. USAF nursing corps application process

   MajorDomo replied to meshell's topic in Government

   I would start right now, as they say time heals all wounds and corrects all SNAFUs. The application process is a bunch of hoop jumping between the Air Force and your college, along with getting your security clearance (mine got "lost" three times, a...

8. Thinking about joining the military. . .

   MajorDomo replied to R*Star*RN's topic in Government

   To answer your first question, it depends on what type of culture you want to be part of. Each service has different traditions, attitudes, and expectations. Army tends to be the most military like, Navy is second and Air Force tends to be the leas...

9. Air Force Nursing

   MajorDomo replied to retuRN's topic in Government

   retuRN, Sorry for the delay, just getting ready for my deployment. I would suggest getting at least a year of civilian ICU experience in a large teaching hospital before joining and ensuring that you receive the "E" identifier. That would mark you ...

10. Suggestions for improvement

    MajorDomo replied to medichall's topic in Emergency

    Have the same type of nurse working at my place, all I can recommend is to document and document. If they are still in the probation period, then there would be enough info to get them moved to a less acute area, if not, then in their annual review ...

11. A few practice questions

    MajorDomo replied to 9309's topic in Emergency

    Lead Placement: We recently switched from a 3 to a 5 lead system where I work, mostly due to the fact that over the course of about 6 months four of our twelve monitored beds leads got broken or vanished. I place the the V lead in V2, but have seen i...

12. Air Force Nursing

    MajorDomo replied to retuRN's topic in Government

    Just to add on, I would recommend at least one year ICU on the civilian side prior to entering the AF if you are set on going to the ICU, that way you will better your chances of getting into the ICU, then again I worked with a nurse with the identif...

13. Debate point: What IS nursing?

    MajorDomo replied to jjjoy's topic in General Nursing

    jjjoy, My belief is that formal nursing education only prepares new grads to be, hopefully, safe nurses. True nursing skills and knowledge occurs on the job. The rest of nursing classes are to give a taste of some different types of nursing and for P...

14. Any males working in Pediatric Med/Surg or PICU?

    MajorDomo replied to Lericalpoet's topic in Men

    I worked 2 1/2 years on a pedi med/surg and chemo floor with a brief stint in PICU before moving to the ER. I had a blast, although I began to detest Barney, with the kiddies. The people I worked with (90% female) liked having an XY to counteract t...

15. Debate point: What IS nursing?

    MajorDomo replied to jjjoy's topic in General Nursing

    Quick and dirty: Nurses are the jack of all trades or the ultimate middle man in the Health feild. I know medications but not as much as a pharmicist I know ADLs but not as well as PT/OT I know vent settings but not as well as RT I know illnesses but...