paranrs66

paranrs66

ER, ICU, Home, pre-hospital

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About paranrs66

paranrs66 has 7 years experience and specializes in ER, ICU, Home, pre-hospital.


Latest Activity

  1. HELP! Social question-over the line?

    It's all good, you're entitled to your perspective, I have worked on Oncology, I have not invited anyone to move in with me but..."Family isn't about whose blood you have, it's about who you care about" to quote an intraspective colleague....Best reg...
  2. HELP! Social question-over the line?

    LOL, She's not even working as a nurse while her new friend is living with her. Ok, then, Let's say you have a diabetic roommate, they have a diabetic crises, you intervene b/c as a trained RN you recognize a problem and interveine(sp). You "may" hav...
  3. Help! How do I fix this?

    the doc ordered it, you gave it. the patient didn't stop breathing, didn't die. IF he had stopped breathing, you could've bagged him for 20 minutes if it was IM, if IV it would wear off in a few minutes....what a terrible way this was handled. I'm s...
  4. HELP! Social question-over the line?

    OMG. What if I had a roommate that was a diabetic? What if someone I know has a cardiac arrest in front of me? What if a former patient saw me at the mall, had lunch, and choked on a chicken bone...Oh Please....maybe I missed something, but geez, if ...
  5. Your Favorite one liner used with patients

    A little "dark" humor : MANY years ago, as I was a newbie EMT-Paramedic, we had occasion to be called to an unconcious subject in an alleyway. "High crime" area of town, after quick assessment, decided the pt. was possibly OD'd on some "new" heroin...
  6. accidental fingerstick

    You should have an infection control policy at you facility. Your supervisor should be advised, hopefully they will possibly test your pt. for hep, hiv, maybe more. Chances of infection depend on many factors, including: did your finger bleed? (tha...
  7. IV Phenergan

    I have had an IM phenergan shot in the buttocks for uncontrolled N&V just a couple years ago at a doc in a box, owwwie, hopefully no one would give that in the arm, especially over and over...Also, learned 10 yrs. ago this med should be diluted w...
  8. Ever Killed Someone?

    Just want to add: what's done, is done. Every nurse has an obligation to continue to learn and advocate on behalf of their patient and their patient's wishes to the end. While there are times that we can only "do the best we can", there are many t...
  9. Liability would likely be spread around. Probably little risk, but if the management at the facilty ok'd it, then they bear some liabilty, as well as the physician who ordered and also ok'd it. Also, the "Paramedic" cannot be called that unless the...
  10. Cannulation Blood in the Flashback Chamber

    Flashback is great, but you can still "blow" the vein, i.e. "infiltrate" it even with flashback. After cannulation, if you are in the vein you should be able to either attach tubing for a fluid bag or tubing for a saline lock. If you are "in" the v...
  11. Low blood sugar, juice or D50?

    I think you did fine! If you had decided to give D-50 that would have been fine too! There are pro's and con's to each decision. For ex. You know you had to be prepared to manage an airway if the pt. had gotten into trouble swallowing while her...
  12. Different, but similar (question)

    I am an EMT, and thru my states rescue association I was awarded a $2000 scholarship. With most prereq's out of the way, I applied at a local community college and in 2 yrs. had excellent clinical experiences and earned an RN degree for about $3000....
  13. Scaring me!

    Be afraid...be very afraid! JK Male Nurse here, lots play politics, lots stay out of politics, room for all! Challenging field, and like most things : You get out what you put in, usually. :)If you want it, you can do it! Welcome and good luck!