RobbiRN RN

RobbiRN has 25 years experience as a RN and specializes in ER.

Latest Activity

1. 

   WHO is dissing hot baths?

   RobbiRN replied to RobbiRN's topic in COVID

   Agreed. The Japanese wash before getting in the bath, then sit fully immersed with just their heads out. The water is so hot you feel like it will burn you if you move, so you just hold really still. About ten minutes in one of those definitely rais...
2. 

   WHO is dissing hot baths?

   RobbiRN replied to RobbiRN's topic in COVID

   Would anyone really think that one hot bath a day takes the place of washing your hands repeatedly at appropriate times throughout the day? I doubt the authors were trying to clear up that misconception. Nobody suggested prohibiting hot baths. But se...
3. 

   WHO is dissing hot baths?

   RobbiRN posted a topic in COVID

   Don't throw the baby out with the bath water! Multiple lists and quizzes claiming to debunk the myths about Coronavirus are running this quote: "According to the WHO, taking a hot bath will not prevent you from catching COVID-19. Your normal body tem...
4. 

   Epinephrine Error, Part 2

   RobbiRN posted a topic in General Nursing

   To read Part 1 of the story, go to Epinephrine Error - Broken Heart Syndrome, Part 1 How did you feel when you got the accidental IV push epinephrine?“The effects were instant. I thought I was going to die–people say that all the time, but I really d...
5. 

   Epinephrine Error - Broken Heart Syndrome, Part 1

   RobbiRN replied to RobbiRN's topic in General Nursing

   A good outcome is a good outcome, but I wonder how long ago this happened? The dose is 3x the current recommendations I've seen. Do you know if that protocol is still in place and what it's based on? Cheyenne's outcome is clearly a bad one, validatin...
6. 

   Epinephrine Error - Broken Heart Syndrome, Part 1

   RobbiRN replied to RobbiRN's topic in General Nursing

   I think it's best to start with the idea that we only give Epinephrine IV push during a resuscitation, and seriously question pushing it in any other setting. The recommended IV dose for refractory anaphylactic shock is 0.1 mg over 5 minutes = ultra ...
7. 

   Epinephrine Error - Broken Heart Syndrome, Part 1

   RobbiRN replied to RobbiRN's topic in General Nursing

   So far, the system remains firmly entrenched.
8. 

   Epinephrine Error - Broken Heart Syndrome, Part 1

   RobbiRN replied to RobbiRN's topic in General Nursing

   It is very real and close to home. The writer did write all those things. Everyone is not okay. But, there is still hope for healing. Stay tuned for part two.
9. 

   Epinephrine Error - Broken Heart Syndrome, Part 1

   RobbiRN posted a topic in General Nursing

   The ProblemDear Mr. Thornton, I’m writing in response to the specific questions from your email this morning. A full investigation of the tragic event in our Faster Care area is in progress. You will have access to the complete report by tomorrow af...
10. 

    On Vacation - Would You Intervene?

    RobbiRN replied to RobbiRN's topic in General Nursing

    I think the discussion has moved on to various other situations, but my concern in the original post was that those attempting to help were preventing the woman from moving herself from an extremely award position even though she was alert, denied pa...
11. 

    On Vacation - Would You Intervene?

    RobbiRN replied to RobbiRN's topic in General Nursing

    I think I'd take the ICU RN over the radiologist to help with mom, but, hey, if we're ever on the same plane together, let's do this. One of my most vivid childhood memories is of my mother doing an emergent c-section with a framing saw and a butcher...
12. 

    On Vacation - Would You Intervene?

    RobbiRN replied to RobbiRN's topic in General Nursing

    Yes. Thank you. This has been a source of grief on our end for decades. Patients who from minor fender-benders who were ambulatory at the scene were back-boarded after complaining of neck pain. Their complaints multiplied en route due to the backboar...
13. 

    On Vacation - Would You Intervene?

    RobbiRN replied to RobbiRN's topic in General Nursing

    A couple of others have noted the danger of trying to help when several people with various levels of ability are jockeying for position. That was the other reason I bowed out of the first situation. Along with the medic and the pharmacy employee, t...
14. 

    On Vacation - Would You Intervene?

    RobbiRN replied to RobbiRN's topic in General Nursing

    I ran the scenario of the lady who fell in the street by three different paramedics who are currently working on local EMS crews as they passed through our ER today. Each of them quickly responded they would let her sit up. In her case, the significa...
15. 

    On Vacation - Would You Intervene?

    RobbiRN replied to RobbiRN's topic in General Nursing

    This is the part that really bothered me intuitively. I felt they were restraining her against her will and she was lucid and communicating. I'm not discounting guarding c-spine, but there were several clear advantages to allowing her to re-position ...