avigail

Latest Activity

1. CT scans and how long to wait?

   avigail replied to TexNurse's topic in Emergency

   gastrograffin=bedpan You're so right about that. Powerful enough to defeat some small bowel obstructions! Ugh, it's not a question of if you'll get the runs, but when. And you always know the wait is too long when the pt gets to the toilet before s/h...

2. CT scans and how long to wait?

   avigail replied to TexNurse's topic in Emergency

   Gastrograffin + Reglan 10 mg IVP = scan in 1 1/2 hours.

3. pain in the ed

   avigail replied to MAGIK GIRL's topic in Pain

   I have frequent visitors to my "fast-track" who are simply there to obtain narcotics; they know I'm a softy. But I gained this attitude in part from doing numerous diaper changes and avoiding airborne vomit while caring for someone in narcotic withdr...

4. texas hopistals: best pay

   avigail replied to carolinaangel's topic in Travel

   Baptist Health System in San Antonio has a "winter RN" program with high pay rates and bonuses on completion, http://www.baptisthealth.org. There is a hospital about 30 miles north of SA which may be a good bet, http://www.mckenna.org.

5. NP making six figures?

   avigail replied to zacarias's topic in NP

   I make well over $100,000 a year. I am an acute care nurse practitioner who runs an ER "fast track." I am affiliated with an ER physicians' practise who does my billing and provides benefits like health insurance and retirement. Nurse practitioners ...

6. Austin area jobs

   avigail replied to joyflnoyz's topic in Texas

   St David's is owned by HCA and is for profit; Seton is a non-profit organization. Of the two systems, Seton wins hands down for pay and benefits. I think the nursing culture is vastly superior at Seton as well. I've worked agency at both institutions...

7. Who Knows Something About Galveston?

   avigail replied to Aurora's topic in Texas

   UTMB has alot of educational opportunities integrated with nursing in the hospital. I almost went to NP school there because of their work/school program. I don't know about pay issues in detail but I know that the benefits are the same as those who ...

8. Just need to whine

   avigail replied to rondafan's topic in General Nursing

   It wasn't clear to me when I read your first post that, because you contested their decision, TPAPN was ruled out. Ugh! I have never known anyone in that particular situation. Have you tried to talk to anyone on the Board about your case? Maybe they ...

9. When did we become???

   avigail replied to Dave ARNP's topic in NP

   The practise I work for never refers to me as "their" NP, but as the NP - i.e., a member of a different species. For example, if they are walking by my rooms and a pt asks when s/he will be seen, the answer is "Oh, the nurse practitioner will see you...

10. Just need to whine

    avigail replied to rondafan's topic in General Nursing

    Unfortunately, with TPAPN involved, you are going to have to comply with their requests. You might request a peer counsellor, which TPAPN provides. The counsellors have often gone through the same thing. They may be able to provide some insight on ho...

11. How do you stay warm in your scrubs??

    avigail replied to mdwRN's topic in General Nursing

    I always wear 1-2 t-shirts and shorts beneath my scrubs. Here in south Texas, cold weather outside is not the problem. It's the blasted AC on the inside. It's probably 50-55 F in my ER. Yes, I know the staff is moving around with dizzying speed but t...

12. etomidate

    avigail replied to TinyNurse's topic in Emergency

    Actually, in my flight nurse life, I must say that etomidate is the preferred drug for RSI in the trauma pt. Of course, this seemed beyond the scope of the initial question. Kevin is very correct in stressing the need to know the ins and outs of any ...

13. malpractice?

    avigail replied to mednurse's topic in General Nursing

    Yes, I do think this nurse is possibly guilty of negligence, and therefore, malpractise. I think the standard of care is very plain for complaints of CP, and nitro with no follow up does not meet this standard. The question is whether the nurse infor...

14. WHAT is wrong with my ER??? Grrrr...

    avigail replied to Scavenger'sWife's topic in Safety

    To go back to the original posting, I think that the ER md is really the problem in terms of admissions and treatment. I hate to say it but I've sent pt.s with kidney stones home with a RX for Motrin (and worse, but I fear to admit it). There are som...

15. etomidate

    avigail replied to TinyNurse's topic in Emergency

    Etomidate is great stuff, although those myoclonic movements can be a bit freaky. Our ER uses it for intubation (no ICP problems) and for reductions and bone setting. I do not administer the drug until the doc is at the bedside and ready to go. The ...