PA-C in Texas

Latest Activity

1. difficult IV starts

   PA-C in Texas replied to Spider Cat's topic in General Nursing

   There's nothing wrong with going for the saphenous. It's always there.

2. Rethinking Pain Assessment

   PA-C in Texas replied to gwenith's topic in Pain

   That's what I want to know, and I believe a study that looks at polysomnographic data will be able to more thoroughly characterize the quality of sleep that a patient has when in pain. We also need to remember that this is a partially-induced sleep, ...

3. Rethinking Pain Assessment

   PA-C in Texas replied to gwenith's topic in Pain

   Well this is damned if you do, damned if you don't; as I've said before. They may sue you for not adequately treating pain, and they may sue you for contributing to their addiction. So let's just ignore the legal aspects for a moment and concentrat...

4. Differences (Educative/Clinical) between NP & PA

   PA-C in Texas replied to jstuben's topic in NP

   NP's and PA's are hostage to the nursing vs. medicine feud. I wish to understand that a little better. I haven't met any PA's who regret the necessary relationship with a physician, but I see a lot of NP's who constantly scream "independent practic...

5. Co-pays in the ER

   PA-C in Texas replied to kaycee's topic in Emergency

   Has anyone looked at a typical ER bill lately? It makes me feel guilty. The ones I really feel sorry for are the ones who can only afford to send in $20 per month, but never miss a payment. They get a $700 bill for suturing a minor lac, and you j...

6. migraine faker at the ED!

   PA-C in Texas replied to z's playa's topic in Emergency

   Everyone is right. We can't know for sure whether a patient is in pain. But I DO get to make a decision on how that pain is treated. And quite frankly, if you walk into the ED complaining of a "migraine", and are sitting up laughing and eating exc...

7. Pulseless patients: shock or drugs

   PA-C in Texas replied to EricTAMUCC-BSN's topic in Emergency

   LOL. Aren't you the one who thought you should be able to step onto an ambulance right after nursing school? Good luck with that.

8. RN Functions

   PA-C in Texas replied to nocturne716's topic in Emergency

   With increased autonomy comes increased responsibility. Protocols are inherently inflexible, and require someone on the other end to make judgments about when to apply them. Those who undertake that responsibility need to be prepared for when someo...

9. Anferior MI and NO order for NTG drip...

   PA-C in Texas replied to LPN47331's topic in Emergency

   I am really confused after reading this thread. It sounds to me like there might be significant involvement of the right ventricular wall. I am a big advocate of getting right-sided leads in ALL inferior MI's, but I know that this is frequently no...

10. Is there something comparable to Toradol that can be given IV for pain?

    PA-C in Texas replied to bellehill's topic in Pain

    I am not sure how that is relevant to efficacy, but I am aware of the practical implications.

11. Is there something comparable to Toradol that can be given IV for pain?

    PA-C in Texas replied to bellehill's topic in Pain

    Let me rephrase: A review of the relevant literature will indicate that oral ibuprofen is equally effective as Toradol injection for relieving most types of pain.

12. Is there something comparable to Toradol that can be given IV for pain?

    PA-C in Texas replied to bellehill's topic in Pain

    I think that other countries have some other NSAIDs and salicylates for parenteral admin. in their formularies. I like Toradol, and I think it works, but numerous studies have indicated that it is no better than oral ibuprofen for most types of pai...

13. Retaining Clinical Skills as a PNP

    PA-C in Texas replied to brina's topic in PICU

    I am not sure what opportunities exist for PNP's working in a hospital, but there has to be something out there. I have worked in small ED's most of my career, and I basically chose what I wanted to do when we weren't busy. For instance, I made it a...

14. Nurses and Defibrillation

    PA-C in Texas replied to bobnurse's topic in General Nursing

    This is the most assinine thing I have ever heard in my life! I never knew floor nurses couldn't defibrillate. Even if you have older monitors around, I bet that most nurses can recognize v-fib when they see it. If not, its not hard to teach. I c...

15. Neosporin and EMLA for 2nd degree burn?

    PA-C in Texas replied to shanneff's topic in Emergency

    Poor kid! These things will inevitably happen. Don't be afraid to use the Neosporin. It certainly won't do him any harm.