Medic946RN

Medic946RN specializes in Emergency/Critical Care Transport.

Latest Activity

1. "Tips for the ED Drug Seeker"

   Medic946RN replied to loricatus's topic in Emergency

   Love the line about never ever mess with an ED nurse.

2. I was horrified today!!!!

   Medic946RN replied to nursejennie76's topic in Emergency

   Had a patient like that years ago. Came in from the ECF in deplorable condition, had thick crud under his nails that also seemed to coat most of his body. Guy was brain damaged after an MVC bed confined, contractures, had to be fed, bathed etc. You k...

3. Stethescope

   Medic946RN replied to Caralee's topic in Uniform/Gear

   I have both the Cardiology III and the Master Cardiology. I prefer the Master, I have no trouble listening to little lungs and hearts.

4. paramedics in the ER

   Medic946RN replied to blufoxtrot's topic in Emergency

   We had techs that were EMT-I's (Higher than an EMT-B but short of being a Paramedic) They were huge helps, did vitals, inserted IV's, NG tubes, foleys. Great bunch of guys and gals as well.

5. CEN studying material...Lippincott?

   Medic946RN replied to AC439's topic in Emergency

   I got the one from ENA. It's a Kendall-Hall title. I thought it covered the material well, it's also a good refresher of whole nursing education. It covers all the systems and sub fields from GI to Psych.

6. Triage sucks!!! Any tips??

   Medic946RN replied to BrnEyedGirl's topic in Emergency

   I must be strange because I love working triage. It's almost as autonomous as working in the field. You get to examine, diagnose and sometimes treat if there are established clinical pathways. Sure you get the moaners, complainers and rude patients, ...

7. does being a paramedic complement an EDRN?

   Medic946RN replied to bjr3645's topic in Emergency

   As you can tell from the screen name I also hold dual licenses, as a paramedic and prehospital nurse. My medic skills and experiences were great for the ED. Where I sometimes felt out of place on a Med Surg floor I felt like the ER was a second home,...

8. Docs yelling at nurses....

   Medic946RN replied to ClassQ1's topic in Men

   Whenever a doc raises his voice to me. I tell him "You can stop right now. I am an adult. You want to discuss this issue as adults, then fine. But you do NOT yell at me." Has worked everytime. But I must admit as a male nurse I don't get 1/10th the s...

9. RN intubating in the ED

   Medic946RN replied to matt033174's topic in Emergency

   you can intubate in pa if you hold a prehospital rn certificate. i know the ed i work out of as a phrn allows the ed rn's who are phrn's to intubate if medical command physician allows it.

10. EMT-P Question

    Medic946RN replied to MikeyBSN's topic in Emergency

    I've worked both sides of the stretcher for a more than two decades now and I can tell you that it takes a lot more than an ACLS/PHTLS class for an RN to function effectively in the field. It also takes more than a couple nursing classes for a EMTP t...

11. Propofol

    Medic946RN replied to czipp's topic in Gastroenterology

    In the Endoscopy center I now work in RN's cannot push propofol or fentanyl. However when I work in the ED. I do it all the time. We give it for pt's placed on vents and use it for conscious sedation. I've given fentanyl to assist with placing chest ...

12. ER abuse was encouraged last night

    Medic946RN replied to Snowy's topic in Emergency

    I once worked with an ER doc who would call the Doctor who sent the patient in and tell him to come to ED to write the patient's orders. That put a kink in a lot of the stupid ER visits. God how I used to laugh when he did that.

13. RN-Paramedic Bridge

    Medic946RN replied to tknrn's topic in Emergency

    In some states there is no provision for this. In my home state of Delaware you're either a Paramedic or Nurse, they have an unofficial MICN but they can't do prehospital only interfacility. But where I work in Pennsylvania you can go either route yo...

14. ERCPs, EUSs and sedation

    Medic946RN replied to december's topic in Gastroenterology

    Where I work the CRNA's and Anesthesiologist are using propofol, with little versed and fentanly. It works great, the people are out like lights and wake up and recover quite quickly. We used to use the Versed/Demerol route but to adequately sedate a...

15. ER abuse was encouraged last night

    Medic946RN replied to Snowy's topic in Emergency

    I took my son to our pediatricians office for a sore throat. I just wanted a rapid strep done, and abx if needed. I took him right after school about 3:30. Our peds guy is great he knows I'm a nurse and collaborates with me on treatments. Which is un...