Joshua21

Latest Activity

1. Question on Lidocaine Toxicity via Local

   Joshua21 replied to Joshua21's topic in CRNA

   I think that it is time for some clarification of assumptions. First, We follow an MD's order, not create our own little retarded recipes. Second, the physician in the one giving the Lidocaine, it's his procedure. I am dissappointed in the direction...

2. Question on Lidocaine Toxicity via Local

   Joshua21 replied to Joshua21's topic in CRNA

   Thank you for the many opinions you have shared. I have learned much from you and also about CRNA's. I do appreciate the insight into the benadryl. I have been moving away from using it at all and seeing little change in the sedation provided. No...

3. Question on Lidocaine Toxicity via Local

   Joshua21 replied to Joshua21's topic in CRNA

   Thank you all for your responses so far, even your's yoga despite the unwarranted crisp hostility. I am pursuing many avenues in researching this problem and my suspicions related to Lido Tox. I am being specifically vague as I do not want to contri...

4. Question on Lidocaine Toxicity via Local

   Joshua21 posted a topic in CRNA

   Thank you for taking the time to read this. I work in a procedure lab that does a lot of local anaesthesia with Lidocaine 2% and though not often, some patients are having very similar rx's to something in the procedure. At first I thought it was ...

5. Please Respond!!

   Joshua21 replied to NCJill's topic in Kentucky

   Just an overheard rumor but if your willing to travel a bit look in to Good Samaritan in Lexington. I heard they have some insane wage bonuses. Possibly Central Baptist as well though I cant remember if its great benefits vs wages.

6. visa to work as R.N. IN u.s

   Joshua21 replied to CANADIANA's topic in International

   I hope I caught you in time. This is not really related to the licensure issue but! When you cross the border, if your driving or plan to take your vehicles across 1. Get a letter from your manufacturer stating that it meets emission controls set ...

7. What quick access info would you want when new to ED?

   Joshua21 posted a topic in New Nurse

   Hey all, I've been chosen to create a hospital specific pocket reference manual for new staff to ease transition. I know this is far from new and I know there are others in cyber land who have experience in this. I've been racking my brain trying to ...

8. "New staff" reference manual for the ED

   Joshua21 posted a topic in Educators

   Dear Educators, I've been chosen to create a hospital specific pocket reference manual for new staff to ease transition. I know this is far from new and I know there are others in cyber land who have experience in this. I've been racking my brain tr...

9. Ideas for ED New Grad / Hire Pocket Manual

   Joshua21 replied to Joshua21's topic in Emergency

   Thankyou CN, I'll be sure to include those and please feel free to list any others you feel would be needed. Your needs as a new grad are one of my two target groups.

10. Ideas for ED New Grad / Hire Pocket Manual

    Joshua21 posted a topic in Emergency

    Hey all, I've been chosen to create a hospital specific pocket reference manual for new staff to ease transition. I know this is far from new and I know there are others in cyber land who have experience in this. I've been racking my brain trying t...

11. IV tips and tricks

    Joshua21 replied to kloock's topic in Emergency

    I'm sure this has been mentioned elsewhere but two other tips: 1. throw some alcohol on a general area where you suspect a vein and then hold the site at an oblique angle to your light source. Sometimes the light reflects off of the hand and shows ...

12. Physicians Leaving Sharps Behind

    Joshua21 posted a topic in General Nursing

    :angryfire I'm trying to find some research on how hospitals or nurses are dealing with physicians leaving sharps for other staff to clean up. Not so much on a personal level but on a hospital wide administrative level. Can anyone point out any dis...

13. What's the best path towards Emergency nursing??

    Joshua21 replied to sun_chica's topic in Emergency

    I was the same way when I graduated. I was hell bent on getting into the ED and Med/Surg was not for me. Fortunately no ED was going to adopt a new grad at the time and I put my time in on Oncology then ICU and CCU before ED. Looking back, omg, wha...

14. Educated discussion of practical knowledge of marijuana dipped joints

    Joshua21 replied to LIVANDLUVER's topic in Emergency

    I'm not sure if this is where you've come up with your topic but there was an article in the Journal of ER Nursing I think a couple of months ago. I read it but I don't remember if it had any references for you to peruse. Give it a go if you haven'...

15. Canadian nursers leaving to work in the USA.

    Joshua21 replied to RN Student-NIC's topic in Canada

    All the previously mentioned (that is positive) is true by my experience. I love working in the states and at this time have no intentions of returning anytime soon. True, the money is nice but the respect, training (free) and opportunities for adv...